There are several interventions we employ to identify knowledge gaps in nursing practice in the department of behavioral health. The most impactful process is the monthly chart audits that are completed on each nurse, APP, and MD who provide care in our department  The data that we collect during the audit process is based on EBP and reported up through our Quality Committee. Three years ago during our quality audits, we noted that depression inventories were not being completed on a regular basis. According to Dham et. al (2017), depression screens assure not only quality care that is cost-effective but also helps guide clinicians in diagnosis and treatment.

    When we identify a knowledge gap, we complete an evidence search to determine what EBPs are available to overcome the gap. Linking the evidence to the practice environment is challenging and a Quality Improvement model is crucial in supporting staff as they adapt their practice models (Taylor et al., 2013)  Our QI team takes the forefront on educating staff through team meetings, department meetings, one on one training as well as mandatory LEAP modules. The Learning Engagement and Performance (LEAP) system modules are used at MetroHealth Medical Center to cover information required by several compliance and accreditation organizations to help keep our staff, our patients, and our visitors safe. The Plan-do-study-act model is another QI model that can be used to adopt changes.

I believe empowering staff is paramount in maximizing their potential to overcome knowledge gaps. Individuals involved in the process are engaged in the process, and in return are committed to the process. We utilize TeamSTEPPS to place the problem in the hands of those who are entrenched in the problem- they know it best.  By tasking them to take ownership we build a competent and connected workforce. TeamSTEPPS has five key principles and is based on team structure, communication, leadership, situation monitoring, and mutual support.

I will guide evidence-based practice by leading when necessary and facilitating when needed. Arming staff with knowledge on how research, EBP, and QI work together to overcome knowledge gaps is an important foundation to lay when addressing needed process changes. I will also be open and non-dismissive with others who are naïve to the process, cultivating an environment where learning and creativity can blossom.    

REFERENCES            

Dham, P., Colman, S., Saperson, K., McAiney, C., Lourenco, L., Kates, N., & Rajji, T. K. (2017). Collaborative care for psychiatric disorders in older adults: A systematic review. Canadian Journal of Psychiatry, 62(11), 1–11. https://doi.org/10.1177/0706743717720869 (Links to an external site.)

Taylor, M. J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. E. (2013). A systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety, 23, 290–298. https://doi.org/10.1136/bmjqs-2013-001862

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

 Assess the culture of the organization (ej. non-english speakers, nurses apprehension to change)  for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

2 discussion

1 PowerPoint 

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 27: 17-year-old male with groin pain.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Due: Sunday night at 11:59pm Mountain Time

In this assignment, you will examine sample arguments and identify the premises.

Before starting this assignment watch a brief video about what a podcast is (Links to an external site.).

Step 1: Consider the scenario:

You are the primary contributor for Low Cost Foodies, a nationally syndicated podcast specializing in the current affairs of the fast food industry. Listeners value the Low Cost Foodies for their insider knowledge and lighthearted banter. Your writing partners are out reporting for an upcoming episode and will not be able to help in the scripting process this week. Accordingly, you have been tasked with managing the entire script of this week’s podcast on the premises and hidden premises in the fast food industry.

Step 2: Review assignment requirements.

Introduce the Low Cost Foodies audience to the concepts of premise and hidden premise. These can be found everywhere in the fast food industry, but it takes some understanding and careful attention to identify them. In a two-page (500-word) podcast script, composed of two separate segments, explore the notions of premise. In Segment 1, “Spot the Premise,” identify the premise (or hidden premise) of each conclusion provided below. This information will be useful for Segment 2, “Defending the Premises,” in which you provide a more in-depth analysis into the aforementioned conclusions.

Podcast Segment 1: Spot the Premise

• Everyone I know likes Chick-a-Cola. It must be really good!
• I can’t believe the McDonald’s VP is voting to cut employee benefits. He must be in the president’s pocket.
• If a restaurant is crowded, then people love the menu. The restaurant is crowded. People must love the new menu.
• Industrialized cattle farms are immoral because they murder animals.
• The fast food industry is in turmoil. The poor economy has brought down consumer spending, so the fast food industry is going to collapse.

Podcast Segment 2: Defending the Premises

• Do the assumptions really support the conclusion? Why or why not?
• Identify which of the premises use deductive reasoning and which use inductive reasoning. What characteristics define deduction? What defines induction?
• How can assumptions inform the premise of an argument?
• Contrast the principal differences between explicitly expressed and tacitly implied premises. Which of the conclusions have explicitly expressed or tacitly implied premises?
• Explain the effect explicit and implicit assumptions have on the final conclusion.

Step 3: Write a podcast script.

Using the HUM330 podcast script template 

write a two-segment podcast script (500 words minimum) that meets the topical requirements listed in Step 1. Format your entry in the following manner:

• All podcast scripts should be contained within one document.
• Label each script with the segment title provided in the entry requirements.
• At the end of the script, cite the sources you used to complete it.

Remember, you are writing for a varied listening audience of fast food lovers. It is important that you exhibit superior knowledge of the subjects being covered while still packaging the materials in a way that is fun and engaging for the Low Cost Foodies audience. They should be excited to hear your podcast material. Follow these guidelines to further engage the listening audience:

• Use clear, concise sentences.
• Use clear and relatable real-world examples to help explain concepts.
• Use language intended for a listener as opposed to a reader. For example, avoid language such as “As you can see…”
• Share your enthusiasm and interest in the subject matter.
• Relate the material back to your own personal experience when possible.
• Read the entry out loud to yourself before finalizing it.

Step 4: When you have completed your assignment, save a copy for yourself in an easily accessible place.

Cite any sources in APA format.