Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace.

            Nursing practice involves three inquiries that are significant to healthcare outcomes.  Since the inception of the nursing profession, many advancements have occurred.  Healthcare will continue to evolve through research leading to evidence-based practice (EBP), and consistently including quality improvement (QI).  Nurses are particularly instrumental with their knowledge base and skills learned.  Quality improvement (QI), research, and evidence-based practice (EBP) each have a role in nursing.  Although their aims, methods, and outcomes differ, the common goal is to promote optimal outcomes.   

            Quality improvement (QI) is a model implementing change.  When problems are identified, the process for quality improvement is executed (Zaccagnini & White, 2017).  QI is utilized in identifying performance gaps within nursing practice, process, or systems.  It is applied throughout units, departments, and organizations.  The Quality Improvement Model (QIM) contains four phases: Plan, Do, Study, and Act [PDSA] (Joyce, et al., 2019).  Working in the public/community health setting, nursing care is directed towards prevention.  The key is to educate patients and ensure their competency with their healthcare.  The QIM is implemented at my workplace from evaluating the patients’ behaviors based on their understanding of preventive care and continuing regularly scheduled appointments.  Typically, in public/community health facilities, monthly meetings are held with the providers to review measures defined by the Uniform Data System (UDS).  Facilities receive standardized reporting for review to compare to other facilities, then establish goals to increase the patients’ outcomes. 

How do you know this approach is utilized?

             QI is the approach utilized because it is referenced at every provider meeting.  On a smaller comparison, quality improvement is separated into the different departments and for each provider.  QI is a huge component considered in bonus compensation as well. 

Is this selected approach used apart from or in conjunction with the other approaches?

 Quality improvement (QI) is used in conjunction with research and evidence-based practice (EBP).  Meetings also consist of providing feedback relating to research and EBP.

Can one approach be effectively applied without the others? Why or why not?

 Although each inquiry is aimed to promoting optimal outcomes in healthcare, one approach can effectively be applied without the use of another in some instances.  They can be applied separately because there are differences in their aims, methods, and outcomes.  Each inquiry has a unique process yet complement one another for best practice (Mick, 2015). QI identifies the problem using an active approach for ideal results.  Research uses a scientific approach and in turn produces new education.  EBP tests the research to create new practice.  On other occasions, one approach may not be as effective without the other because each has an added value in some form.   

Hello I need a comment for this post at least 2 paragraphs and the sources no later than 5 years. 

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom. Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare

· Review the case study assigned by your Instructor for this Assignment

· Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

· Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.

· Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 1-page paper that addresses the following:

· Explain your diagnosis for the patient, including your rationale for the diagnosis.

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

Write a 1+ page paper that addresses the following:

1. Explain your diagnosis for the patient, including your rationale for the diagnosis.

2. Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

3. Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Case study assigned: 

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

· Synthroid 100 mcg daily

· Nifedipine 30 mg daily

· Prednisone 10 mg daily

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.