• TOPIC:Quality improvement in the nursing unit or system

Part I: Choose one of the listed topics

Quality improvement in the nursing unit or system

• Part II:

 Evaluate how the topic applies to 2 of the following course competencies.

• Integrate concepts related to leadership into the professional nursing role.
• Analyze the philosophy, goals, and organizational structure of a healthcare system in relationship to the delivery of quality healthcare.
• Compare selected theories of leadership, management, and organizations in relation to healthcare agencies.
• Identify how collaborative leadership styles might be utilized in various community agencies to enhance the role of the nurse leader.
• Examine change theory, change management, conflict resolution, and strategies to promote innovation.
• Explain principles of continuous quality improvement (CQI) and the process of quality planning, improvement, and control.
• Discuss the management process and its impact on the delivery of optimal healthcare.
• Analyze how accountability, advocacy, and collaboration augment the management of care.
• Describe the meaning of teamwork in respect to the health care team
• Identify the essential components of a business plan
• Analyze various organization structure/management theories as they relate to nursing practice

In addition to the assignment specifics above, your paper should:

• Be 3-4 pages, not including the title and reference pages.
• Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature that supports your ideas.
• Incorporate a minimum of two (2) peer-reviewed sources into your paper.
• Use current APA format to style your paper and to cite your sources.
• Include a title page and a reference page listing the sources you used. Be sure to plan enough time for proofreading and editing.
• You will choose one topic from the list and evaluate how the topic applies to two course competencies
• Please make it clear which topic and which two competencies you have chosen in your introduction paragraphPlease use headings throughout the paper to organize – Headings are required!
• Please use APA 7th ed. – especially note the title page:  https://apastyle.apa.org/style-grammar-guidelines/paper-format/title-page.  DO NOT use a running head!  
• Please review in-text citations and how to do a reference list: https://apastyle.apa.org/ (you may click on any topic for an easy review). There are changes with APA 7. 

Substance use disorders are complicated psychiatric and medical conditions that involve physical addiction as well as psychological or emotional dependence. Substance use disorders are some of the most difficult to treat. It takes a great deal of patience on the part of the provider and the client. It may take several attempts before a client is successfully able to “kick the habit.” Your guidance and patience can help the client to persevere through difficult times during the journey to recovery.

Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client with a substance abuse disorder whom you do not think is adequately progressing according to expected clinical outcomes.

Learning Objectives

Students will:

• Analyze clients presenting for treatment of substance-related and addictive disorders
• Evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders
• Recommend treatment plans

To prepare for this Discussion:

• Review this week’s Learning Resources concerning treating patients with substance-related and addictive disorders.
• Reflect on a client you are currently counseling or have previously counseled at your practicum site who has been diagnosed with substance-related and addictive disorders.

By Day 3

Post a 3- to 5-minute Kaltura video in which you do the following:

• Describe the client. Note: Do not use the client’s actual name.
• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.
• Provide specific recommendations for the client to help them in determining why they are not progressing and what your suggested treatment plan consists of. It is useful to consult the Prochaska and DiClement model.

Go to HealthMap. Read through the website and watch the cartoon video titled, “What is HealthMap?” View HealthMap. Write a 2-page paper expressing how you, as an advanced practice nurse, can use and interact with this website. Include what outbreaks are currently being addressed in Virginia state. This assignment is to be written in current APA format, with a cover page and reference list. HealthMap must be listed as a reference.

Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format. 

CASE STUDY: Drug-Facilitated Sexual Assault: Jessica .

Sexual assault includes any type of sexual activity to which an individual does not agree. Because of the effects of some drugs, commonly called date rape drugs, victims may be physically helpless, unable to refuse, or even unable to remember what happened. Jessica, a 16-year-old high school sophomore, expresses concern to the school nurse practitioner that she knows someone who might have had sex “without knowing it.” How can the nurse practitioner answer these common questions? 

Reflective Questions 

1. What are date rape drugs and how can a person be unaware that such a drug has been ingested? 

2. What can you do to protect yourself? 

3. What do you do if you think you have been sexually assaulted? 

4. What can you do when someone you care about has been sexually assaulted? 

5. What role does a nurse practitioner play in the care of sexually assaulted patients, particularly in the adolescent age group? 

11-year-old boy complains of wheezing and difficulty “getting enough air.” Notices it more when he is playing baseball and symptoms improve when exercise activity stops. He says that the symptoms are getting worse and the symptoms are even occurring at rest. Mother says the child is allergic to cat dander and his next-door neighbor in their apartment building recently began sheltering cats for the local humane society. Auscultation demonstrates wheezes on forced expiration throughout all lung fields. 

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:  Each bullet point should reflect a subject heading followed by subsequent content reflective of primary sources of reference as well as Standards of Care. 

• The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

https://www-ncbi-nlm-nih-gov.ezp.waldenulibrary.org/pmc/articles/PMC4961993/

RUBRIC:

               Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:

Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.           Points:       Points Range:    28 (28%) – 30 (30%) The response accurately and thoroughly describes the patient symptoms.

The response includes accurate, clear, and detailed reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    25 (25%) – 27 (27%) The response describes the patient symptoms.

The response includes accurate reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    23 (23%) – 24 (24%) The response describes the patient symptoms in a manner that is vague or inaccurate.

The response includes reasons for the cardiovascular and/or cardiopulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research.    Feedback:           Points:       Points Range:    0 (0%) – 22 (22%) The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.

The response does not include reasons for either the cardiovascular or cardiopulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research.    Feedback:     Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.           Points:       Points Range:    28 (28%) – 30 (30%) The response includes an accurate, complete, detailed, and specific explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:           Points:       Points Range:    25 (25%) – 27 (27%) The response includes an accurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:           Points:       Points Range:    23 (23%) – 24 (24%) The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:           Points:       Points Range:    0 (0%) – 22 (22%) The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.    Feedback:     Explain any racial/ethnic variables that may impact physiological functioning.           Points:       Points Range:    23 (23%) – 25 (25%) The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    20 (20%) – 22 (22%) The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.    Feedback:           Points:       Points Range:    18 (18%) – 19 (19%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations based on inappropriate evidence/research.    Feedback:           Points:       Points Range:    0 (0%) – 17 (17%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.    Feedback:     Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.           Points:       Points Range:    5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.    Feedback:           Points:       Points Range:    4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.     

Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.    Feedback:           Points:       Points Range:    3 (3%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.      

Purpose, introduction, and conclusion of the assignment are vague or off topic.    Feedback:           Points:       Points Range:    0 (0%) – 2 (2%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.    Feedback:     Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation           Points:       Points Range:    5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.    Feedback:           Points:       Points Range:    4 (4%) – 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors.    Feedback:           Points:       Points Range:    3 (3%) – 3 (3%) Contains several (3 or 4) grammar, spelling, and punctuation errors.    Feedback:           Points:       Points Range:    0 (0%) – 2 (2%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.    Feedback:     Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.           Points:       Points Range:    5 (5%) – 5 (5%) Uses correct APA format with no errors.    Feedback:           Points:       Points Range:    4 (4%) – 4 (4%) Contains a few (1 or 2) APA format errors.    Feedback:           Points:       Points Range:    3 (3%) – 3 (3%) Contains several (3 or 4) APA format errors.    Feedback:           Points:       Points Range:    0 (0%) – 2 (2%) Contains many (≥ 5) APA format errors.    Feedback:   Show DescriptionsShow Feedback

Develop a 1- to 2-page case study analysis, examing the patient symptoms presented in the case study. Be sure to address the following:

Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.–

Levels of Achievement:Excellent28 (28%) – 30 (30%)The response accurately and thoroughly describes the patient symptoms.

The response includes accurate, clear, and detailed reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.Good25 (25%) – 27 (27%)The response describes the patient symptoms.

The response includes accurate reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.Fair23 (23%) – 24 (24%)The response describes the patient symptoms in a manner that is vague or inaccurate.

The response includes reasons for the cardiovascular and/or cardiopulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research.Poor0 (0%) – 22 (22%)The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.

The response does not include reasons for either the cardiovascular or cardiopulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research.Feedback:

Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.–

Levels of Achievement:Excellent28 (28%) – 30 (30%)The response includes an accurate, complete, detailed, and specific explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Good25 (25%) – 27 (27%)The response includes an accurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Fair23 (23%) – 24 (24%)The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Poor0 (0%) – 22 (22%)The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.Feedback:

Explain any racial/ethnic variables that may impact physiological functioning.–

Levels of Achievement:Excellent23 (23%) – 25 (25%)The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.Good20 (20%) – 22 (22%)The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.Fair18 (18%) – 19 (19%)The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations based on inappropriate evidence/research.Poor0 (0%) – 17 (17%)The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.–

Levels of Achievement:Excellent5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Good4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.     

Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.Fair3 (3%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.      

Purpose, introduction, and conclusion of the assignment are vague or off topic.Poor0 (0%) – 2 (2%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.Feedback:

Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Good4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.Fair3 (3%) – 3 (3%)Contains several (3 or 4) grammar, spelling, and punctuation errors.Poor0 (0%) – 2 (2%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent5 (5%) – 5 (5%)Uses correct APA format with no errors.Good4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.Fair3 (3%) – 3 (3%)Contains several (3 or 4) APA format errors.Poor0 (0%) – 2 (2%)Contains many (≥ 5) APA format errors.Feedback: Total Points: 100