Category: Nursing

1st Discussion Board:
Discuss the influence of the Consensus Model for APRN: LACE. Why is it important? Support your discussions with at least two current scholarly articles (less than 5 years). Consensus Model Retrieved September 2018 from Consensus Model for APRN Regulation.
2nd Discussion Board:
Discussion Prompt
Determine your states practice environment color – green, yellow, or red.
Discuss how your states is an independent practice or practice restricted state.
Describe the prescriptive authority for your state.
(For California Students) Review the CA Standardize Procedures requirement of NPs and discussion the meaning of Standardize Procedures (California BRN – Standardized Procedures Guideline) .
(For States other than California Students) Identify one (1) barrier to practice and a strategy to address the removal of the identified barrier.
Review the American Association for Nurse Practitioners ‘State Practice Environment’ Map and determine your states color – green, yellow, or red.
Review a second time the Nurse Practice Act in your State for Advanced Practice to assist you in answering the questions in the discussion.
Initial Post:
Due: Thursday, 11:59 pm PT
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years

The assignment should have a minimum of 10 scholarly references. References should be timely: published within the previous five (5) years.
For this assignment, you will be presenting on a problem in the institution where you work or at an institution where you are precepting or plan to work. Ultimately, this assignment builds a case for why change is needed and why administration should accept your proposed solution. It needs to be well researched and thorough. The following steps outline what you need to include in your presentation.
Step 1: Approved topic (This has been approved by faculty and will be used for this assignment) :
Problem Identification: Nurses working in mental health facilities experience high levels of stress. That is due to their close encounter with patients, making them more susceptible to burnout and affecting their quality of life. Burnout among nurses increases their risk of developing mental health symptoms as more nurses working in mental health environments are often diagnosed with mental health disorders, including major depressive disorder. The problem is crucial as it impacts patient outcomes, including patient safety and the quality of care, and results in an additional cost for the patient and the healthcare organization.
Current Situation: There is a limited provision for treating burnout in mental health nurses. There are no standardized or specialized burnout treatments for them. Besides, the available treatment options seem inadequate – they are poorly utilized and not readily accessible.
Proposed Evidence-Based Solution: Evidence-based attention-based training program implementation to mitigate burnout and associated symptoms and improve the quality of life for mental health nurses.
Impact of Policy Change: Following the implementation of the attention-based program, there was a significant reduction in burnout and associated symptoms. Emotional exhaustion was significantly reduced by 59% compared to the baseline – before the program implementation. Significant stress and anxiety reductions were observed with participants demonstrating appreciable sleep improvement and improved heartbeat variability and resting heart rate. Furthermore, the intervention resulted in pro-inflammatory cytokine expression improvement. The attention-based program positively impacted the healthcare staff’s burnout improvement compared to those that did not receive it (Dunne et al., 2019). Burnout has adverse impacts on patient outcomes – patient safety and care satisfaction. It results in unnecessary readmissions, hospital stays, and costs for patients and the healthcare organization. Step 2: Introduction.
Briefly introduce your business case idea. Identify the organization’s mission and/or vision statements. Describe how your project is in alignment with these organizational values.
Step 3: Problem Identification. See above for guidance
Identify your approved business case problem. Further discuss the issue by addressing the following:
A. causative factors (eg, staffing, inefficient processes, suboptimal equipment, outdated policies, etc.)
B. impact of this problem on your organization, staff, and/or clients (eg, suboptimal outcomes, wasted materials, prolonged stays or readmissions, burnout).
C.the estimated incidence and cost of the problem for your particular scenario
Additional organization-specific data that supports the existence and impact of the
problem may be included as relevant. These may be monetary figures, percentages,
and statistics.
Step 4: Evidence-Based Solution.
Identify your approved evidence-based solution. Present the results of current evidence (last 5 years) that demonstrates the effectiveness of this solution for your problem. This may include information from research studies, clinical practice guidelines, and peer-reviewed articles.
Use the data from the evidence and the incidence and cost that were identified in
Problem Identification to calculate the following:
A. how much can this solution reduce the incidence of the problem?
B. how much money could be saved as a result?
Step 5: Implementation Planning.
Present and provide an overview of a completed work breakdown structure (WBS) diagram that addresses each of the following:
A. the major task categories needed
B. the subtasks needed to achieve the above
C. the material, supplies, and equipment needed
D. the labor, staffing, and/or human resources needed
Present tasks in sequential order and include the steps needed from approval to full implementation. Consider the need for project teams or committees, interdisciplinary work, policy creation or revision, physical space, equipment, technology, and staff education, for example. Levels I-III should be addressed in your physical diagram. Level IV information can be discussed verbally (See assignment video and exemplars.)
Step 6: Budget Planning (This is where the 1 chart/graph would go)
Present and discuss a completed budget table with line items that address each of the following:
A. name of expense
B. cost for each unit of measure
C. total number of units needed
D. total cost for each expense
Your WBS will give you what you need to complete this well if it is also completed well. Your budget should include the costs of the (a) tasks, (b) subtasks, (c) physical materials, and (d) labor identified in your WBS. Examples include the cost to educate staff, the time of your implementation team, care and technology equipment, salaries and recruitment costs if hiring, physical space, etc., as applicable.
Use real figures. Articles, organizational employees, and web searches may be needed. The table should be organized so that it is easy to see how you arrived at the figures. Place the total cost of the project at the bottom of the table.
Step 7: Evaluation.
A evaluation plan must be created to measure success. The evaluation has to address both quality measures (patient outcomes) and financial measures (return on investment).
A. Quality Measures.
Identify and discuss the (a) outcome, (b) process, and (c) structure measures of your project. First, identify the outcome measures (goals/benchmarks/metrics) that you intend to achieve. Then identify your goals for process measures (or what observations in care delivery would signify staff compliance with your plans). Lastly, identify the structure measures that promote the success of your project and any weaknesses in structure that need to be addressed. Clearly discuss which measures you consider to be your outcome, process, and structure measures. Outcome and process measures must be measurable. Review your Required Resources for further assistance.
B. Return on Investment (ROI).
Using a one (1) year time frame, demonstrate how your project is cost saving or revenue generating by calculating an ROI. Use the incidence and cost figures from Steps 3 and 4 and the total cost to implement your project from your budget in Step 7 to fill in the ROI formula. Explain your work by briefly comparing the cost of the current situation to the the cost of the new plan, how much money would be gained or saved by implementing your plan, and how or where those cost will be recouped (eg, decreased length of stay). See ROI assistance in Required Resources. Math must be clearly presented on slide.

Step 8: Market Analysis
Present a completed SWOT analysis and give an overview of the relevant findings. You may format this as you see fit. Each component must be included and addressed. See the required resource on completing a SWOT analysis for a healthcare organization. This resource poses questions that help you identify the strengths, weaknesses, opportunities, and threats affecting your project. You know your organization better than anyone; don’t be afraid to think outside the box.
Step 9: Dissemination.
The last step in the QI process is not just evaluating your results but sharing your project, experience, and results with others.
A. Discuss the relevance of disseminating QI results.
B. Identify a conference to present your results or a journal to submit a manuscriipt to.
Explain why the dissemination method best suits your project’s dissemination goals.

Investigate a healthcare informatics technology trend:
Identify the trend
Provide an overview of how the trend’s technology functions and what it is used for.
Discuss what the technology replaced and how nursing is better for the change
Discuss how the technology trend will impact nursing knowledge and/or practice.
Identify both hardware and software requirements if your organization were to decide to implement a technology that reflects the trend.
Describe how you might influence leadership to purchase the new technology.
Create an implementation plan for your organization or an organization that does not already have this technology
Discuss considerations for implementing the technology.
Discuss challenges to implementation.
CITE 3 scholarly sources

The book our class is using is Philips Manual of IV Therapeutics evidence-based practice for infusion therapy by Lisa. A. Gorski seventh edition if you have access please use. Cite book at the end in APA format.
This is not a paper so please don’t write it like one answer the questions with their corresponding numbers.

Step 1: write a paragraph or make a Nursing Specialty Comparison table, comparing a Family Nurse Practitioner (FNP) and a Psychiatric Mental Health Nurse Practitioner (PMHNP).
step 2: Write a 2 paragraph justification statement identifying your reasons for choosing your PMHNP MSN specialization. Identify the professional organization related to your chosen specialization (The American Psychiatric Nurses Association) for this Assignment, and explain how you can become an active member of this organization.
references used must be within the years 2018-2022

Please read the following articles:
-Using Margaret Newman’s Health as Expanding Consciousness to Explore Pediatric Nurses’ Pattern Recognition Process Kathleen Wilson Neal, PhD School of Nursing, Widener University, Chester, PA
-Step-by-step guide to critiquing research. Part 2: quaiitative researcii Frances Ryan, Michael Coughlan, Patricia Cronin
Then, follow the instructions and answer the questions in the document attached to complete your Qualitative Article Critique. You will be critiquing the article: “Using Margaret Newman’s Health as Expanding Consciousness to Explore Pediatric Nurses’ Pattern Recognition Process.”
In addition, make sure to include an APA style title and reference page.
1. Answer all the questions in the attached document BELOW
2. Include APA style title and reference page
3. Submit as a Word Document
4. FOLLOW RUBIC AT THE VERY BOTTOM OF THE PAGE

Please respond to one of the following discussion board questions
1. An 18-year-old high school football player sustained a torn anterior cruciate ligament (ACL) in the state playoffs. After undergoing repair, he found it difficult to ambulate with the knee brace. Weighing close to 140 kg (~300 pounds), the athlete found it difficult to stand and balance on one leg. His mother was unable to support him by herself. After 1 week, the young man began to have increased pain and swelling in the calf of his affected leg. In the middle of the night, the teen called out to his mother, complaining of a shortness of breath and unexplained anxiety. His mother called 9-1-1, and he was taken to a local hospital. In the emergency department, he was diagnosed with a deep vein thrombosis and a pulmonary embolism. Oxygen and low-molecular-weight heparin were administered, and the young man was admitted to the intensive care unit. The patient is evaluated for multiple Pulmonary emboli. What risk factors and clinical findings are commonly associated with Pulmonary Emboli?
2. A patient has been diagnosed with pneumoconiosis and asks the health care professional to explain this disease. what descriiption by the professional is best?
3. What are the similarities and differences between emphysema and chronic bronchitis?

Discuss the historical application of statistics in the field of health care. Describe an example, other than Florence Nightingale’s contributions, where statistical application has greatly influenced or changed health care operations or practice.

Assignment Prompt
Discuss the access, cost, and quality of quality environments, as well as recent quality initiatives (See Chapter 24 and Table 24.1). Student is to reflect on the relationship between quality measures and evaluation and role development. In addition, describe this relationship and note how the role of the APN might change without effective quality measures.
Expectations
Length: 1500 words, double-spaced, excluding title and reference pages (required)
Format: APA 7th Edition

I will attach the template with the case study copied in section 1. Answer questions appropriately. Please use references no more than 5 years old. Please use at least 3 references.