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NURS FPX 6011 Implementing Evidence-Based Practice Essay Example

NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

NURS FPX 6011 Implementing Evidence-Based Practice Assignment Brief

Course: NURS FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Assignment Title: Assessment 3 Implementing Evidence-Based Practice

Assignment Overview:

The NURS FPX 6011 Implementing Evidence-Based Practice Assignment aims to equip students with the knowledge and skills necessary to effectively implement evidence-based practice in nursing care. This assignment requires students to develop and implement an evidence-based intervention to address a specific healthcare issue or improve patient outcomes.

Understanding Assignment Objectives:

The primary objective of this assignment is to enable students to understand the importance of evidence-based practice in nursing and its role in improving patient care and outcomes. By completing this assignment, students will gain practical experience in applying evidence-based interventions, critically analyzing research literature, and evaluating the effectiveness of their interventions.

The Student’s Role:

As a student undertaking this assignment, your role is to act as a healthcare professional responsible for implementing evidence-based practice in a clinical setting. You will need to identify a healthcare issue or area for improvement, conduct a comprehensive literature review to identify evidence-based interventions, and develop an implementation plan.

Your goal is to demonstrate your ability to critically evaluate research evidence, translate research findings into practice, and effectively implement evidence-based interventions to address healthcare challenges. Throughout the assignment, you will be required to adhere to best practices in evidence-based practice and demonstrate a commitment to improving patient outcomes through the application of research evidence.

NURS FPX 6011 Implementing Evidence-Based Practice Essay Example

Cancer is a significant health challenge, affecting many individuals worldwide. Recent data from the American Cancer Society shows a notable decrease in cancer mortality rates over the years (Siegel et al., 2019). However, cancer still poses substantial risks, with millions of new cases and deaths reported globally each year (Hanahan, 2022).

Cancer encompasses various diseases, each with its unique symptoms and treatment approaches. The impact of cancer extends beyond physical health, affecting emotional and social well-being. While advancements in research and treatment have improved outcomes for many patients, there is still a need for further progress in prevention, detection, and management.

The aim of this presentation is to address the gap between evidence-based practice and clinical care, particularly in promoting exercise among cancer survivors. Exercise has shown promising results in improving the quality of life and health outcomes for survivors. By outlining an implementation plan, the paper seeks to integrate exercise interventions into survivorship care effectively.

Background:

Cancer incidence and mortality rates have fluctuated over time, highlighting the ongoing challenge of the disease. Despite improvements in survival rates, cancer survivors often face physical and emotional challenges post-treatment, such as fatigue and emotional distress. Exercise has emerged as a potential solution to address these issues and enhance overall well-being.

PICOT Question

When considering the impact of exercise programs on the quality of life of cancer survivors compared to standard care or non-exercise programs within a 6-month timeframe, the paper will employ the PICOT framework. The focus is on understanding how exercise interventions affect the well-being of cancer survivors.

Population: The individuals under study are cancer survivors, encompassing those who have completed treatment and are in remission or post-treatment phase.

Intervention: The paper will be evaluating exercise programs designed specifically for cancer survivors, which may include various forms of physical activity tailored to their needs and capabilities.

Comparison: The comparison group consists of cancer survivors who receive standard care or do not participate in structured exercise programs.

Outcome: The desired outcome is an improvement in the quality of life among cancer survivors within a period of 6 months. This encompasses physical, emotional, and social aspects of well-being, including but not limited to reduced fatigue, improved mood, enhanced physical function, and better overall health-related quality of life.

Action Plan

Exercise plays a crucial role in fostering positive change in our lives. Similarly, integrating exercise programs into the routine of cancer patients can offer tangible support in transforming their lives (Stout et al., 2017). This initiative spans six months, during which recently recovered cancer patients are encouraged to engage in activities like walking and low-intensity exercises to boost their energy levels and overall well-being. The action plan emphasizes the importance of promoting physical activity among cancer survivors, as studies have consistently shown its positive impact on their health and recovery.

Research indicates that exercise yields substantial benefits for cancer survivors, as evidenced by studies focusing on breast cancer survivors and systematic reviews of existing literature (Stout et al., 2017; Cormie et al., 2017; Ferioli et al., 2019). These sources confirm the efficacy of exercise before, during, and after cancer treatment, highlighting its role in improving physical function and mitigating the adverse effects of cancer-related impairments. Moreover, engaging in moderate to vigorous physical activity has been associated with a reduced risk of cancer mortality and recurrence, as well as fewer adverse effects (Cormie et al., 2017; Ferioli et al., 2019).

The action plan begins with a needs assessment to identify the specific exercise requirements and preferences of cancer survivors, conducted through focus groups, surveys, and professional consultations. Subsequently, a comprehensive literature review is conducted to determine evidence-based best practices for designing exercise interventions (Stout et al., 2017). Based on the findings, personalized practice changes are recommended, including guidelines for exercise frequency, intensity, duration, and type tailored to individual patient needs.

A timeline is established to guide the implementation process, delineating key milestones and deadlines for each phase of the intervention. Necessary tools and resources, such as educational materials, exercise equipment, and funding, are identified and secured to support program development and implementation. The exercise program is then rolled out according to the established guidelines, with ongoing monitoring and support provided to participants.

Finally, the impact of the program is evaluated by assessing participants’ health outcomes, quality of life, and adherence to exercise regimens (Stout et al., 2017; Cormie et al., 2017; Ferioli et al., 2019). This comprehensive evaluation aims to gauge the effectiveness of the intervention in improving the overall well-being of cancer survivors and inform future iterations of the program.

Stakeholders and Potential Barriers

In the implementation of this project, several key stakeholders play crucial roles:

Firstly, cancer survivors themselves are at the heart of this initiative. They will actively participate in the fitness program and provide valuable feedback on its effectiveness (Smith et al., 2018).

Healthcare providers, including oncologists, nurses, and physical therapists, are instrumental in guiding the development and execution of the exercise program. Their expertise ensures the program aligns with the specific needs of cancer survivors (Johnson & Amankwah, 2019).

Cancer support organizations, such as hospitals, contribute resources and support for survivors. They play a vital role in disseminating information about the fitness program to the community (Smith et al., 2018).

Certified exercise professionals bring specialized knowledge to the table. They assist in crafting tailored exercise plans that cater to the unique circumstances of cancer survivors (Johnson & Amankwah, 2019).

Researchers provide evidence-based insights into the benefits of exercise for cancer survivors. Their expertise guides the selection of effective techniques for inclusion in the program (Smith et al., 2018).

Despite the involvement of these stakeholders, several barriers may hinder the project’s success:

Firstly, both cancer survivors and healthcare providers may lack sufficient information about the benefits of exercise for survivors. Addressing this knowledge gap is crucial for program uptake and adherence (Jones et al., 2020).

Secondly, limited access to exercise facilities and equipment poses a significant challenge for cancer survivors. Financial constraints may further exacerbate this issue, hindering participation in the fitness program (Jones et al., 2020).

Additionally, some survivors face physical limitations or comorbidities that restrict their ability to engage in certain forms of physical activity. Overcoming these barriers requires tailored strategies and adaptive approaches to exercise (Smith et al., 2018).

Outcome Assessment:

To assess the effectiveness of the exercise program for cancer survivors, various outcome criteria will be evaluated using multiple sources (Johnson & Brown, 2019).

Firstly, participation rates will be monitored to determine the percentage of cancer survivors actively engaging in the exercise program. This data will provide insights into program uptake and adherence (Jones et al., 2020).

Secondly, changes in physical functioning will be assessed through objective measures such as the walk test or grip strength test. These assessments will help gauge improvements in physical capabilities resulting from the exercise program (Smith et al., 2018).

Furthermore, mood assessment will be integrated to evaluate the impact of exercise on the mental well-being of cancer survivors. Monitoring mood changes will provide valuable insights into the program’s effect on overall mental health (Jones et al., 2020).

Moreover, changes in quality of life among participants will be evaluated using standardized questionnaires such as the Functional Assessment of Cancer Therapy-General or general quality of life questionnaire. This assessment will capture improvements in various aspects of life resulting from participation in the exercise program (Smith et al., 2018).

Lastly, cancer-related outcomes, including recurrence rates, mortality, and treatment-related issues, will be monitored to assess the program’s impact on long-term health outcomes. Tracking these outcomes will provide valuable data on the program’s effectiveness in improving cancer survivorship (Johnson & Brown, 2019).

Overall, the comprehensive evaluation of these outcome criteria will enable a thorough assessment of the exercise program’s effectiveness and inform future interventions aimed at enhancing the well-being of cancer survivors (Johnson & Brown, 2019).

Value and Relevance

The evidence supporting the need for incorporating exercise into the care of cancer survivors is both compelling and highly relevant. Numerous studies have highlighted the multitude of benefits that exercise can offer to individuals who have battled cancer. These benefits encompass improvements in physical function, quality of life, and various cancer-related outcomes, making exercise a crucial component of survivorship care (Smith et al., 2020).

For instance, a systematic review conducted by Campbell et al. (2019) underscored the significant advantages of exercise across all stages of cancer treatment and recovery. Their findings indicated that engaging in regular exercise can lower the risk of cancer mortality and recurrence, while also reducing the severity of treatment-related side effects. This suggests that exercise plays a vital role not only in enhancing physical health but also in promoting long-term well-being among cancer survivors.

By implementing evidence-based exercise programs tailored to the needs of cancer survivors, healthcare providers can effectively contribute to improving the lives of those who have undergone cancer treatment. Through targeted exercise interventions, we have the opportunity to positively impact survivors’ physical and emotional health, empowering them to lead fulfilling lives beyond their cancer diagnosis (Jones & Brown, 2018).

Conclusion

In conclusion, the implementation of evidence-based exercise programs for cancer survivors holds immense potential in enhancing their quality of life and overall well-being. Cancer remains a significant health challenge globally, despite advancements in treatment and decreasing mortality rates. However, by integrating exercise interventions into survivorship care, we can address the physical, emotional, and social needs of cancer survivors more effectively.

The action plan outlined in this paper provides a structured approach to implementing exercise programs for cancer survivors, encompassing needs assessment, evidence review, practice change recommendations, and program evaluation. By engaging key stakeholders, including survivors, healthcare providers, support organizations, exercise professionals, and researchers, we can ensure the success and sustainability of such programs.

Despite potential barriers such as limited access to information, resources, and physical limitations among survivors, the evidence overwhelmingly supports the value and relevance of exercise interventions in cancer survivorship care. Studies have consistently demonstrated the positive impact of exercise on physical function, quality of life, and cancer-related outcomes, highlighting its importance in promoting long-term well-being.

Moving forward, continued research and collaboration are essential to further refine and optimize exercise programs for cancer survivors. By addressing existing gaps in knowledge and practice, healthcare providers can better support survivors on their journey to recovery and survivorship, ultimately empowering them to lead healthier and more fulfilling lives.

References

Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … & Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from International Multidisciplinary Roundtable. Medicine & Science in Sports & Exercise, 51(11), 2375-2390.

Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017). The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiologic Reviews, 39(1), 71-92.

Ferioli, M., Zauli, G., Martelli, A. M., Vitale, M., McCubrey, J. A., Ultimo, S., … & Neri, L. M. (2019). Impact of physical exercise in cancer survivors during and after antineoplastic treatments. Oncotarget, 10(23), 2247-2258.

Hanahan, D. (2022). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 72(3), 209-249.

Johnson, B. L., & Amankwah, E. K. (2019). Implementing evidence-based exercise programs for cancer survivors: Perspectives and recommendations from healthcare providers. Journal of Cancer Education, 34(3), 487-494.

Jones, L. W., Eves, N. D., Peddle, C. J., Courneya, K. S., Haykowsky, M., Kumar, V., … & Reiman, T. (2010). Effects of presurgical exercise training on systemic inflammatory markers among patients with malignant lung lesions. Applied Physiology, Nutrition, and Metabolism, 35(4), 512-517.

Siegel, R. L., Miller, K. D., & Jemal, A. (2019). Cancer statistics, 2019. CA: A Cancer Journal for Clinicians, 69(1), 7-34.

Smith, L., Croker, H., Fisher, A., Williams, K., Wardle, J., & Beeken, R. J. (2020). Cancer survivors’ attitudes towards and knowledge of physical activity, sources of information, and barriers and facilitators of engagement: A qualitative study. European Journal of Cancer Care, 27(2), e12611.

Stout, N. L., Baima, J., Swisher, A. K., Winters-Stone, K. M., Welsh, J. (2017). A systematic review of exercise systematic reviews in the cancer literature (2005–2017). Health and Quality of Life Outcomes, 15(1), 1-9.

Detailed Assessment Instructions for the NURS FPX 6011 Implementing Evidence-Based Practice Assignment

Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice. You will then record audio of no more than five minutes presenting your poster.

Introduction

Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.

Professional Context

Master’s-level nurses understand the importance of utilizing evidence-based practice in their healthcare setting. The challenge is bridging the gap between the evidence and clinical practice. “This is the way we’ve always done it,” is a common response and may not indicate evidence-based practice is being utilized. Furthermore, when a practice problem is identified, what are the steps to communicate the need for change with the interprofessional team?

One way to communicate the need for quality improvements, as well as your plans for achieving specific changes, is through a presentation poster. This type of communication tool is used both in the workplace and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.

Scenario

You have been asked to give a poster presentation based on your work and research on a clinical problem in your practice setting. The purpose is to lay out the evidence and a potential implementation plan to your colleagues in order to bridge the gap between the evidence and the practice in order to improve the quality and outcomes of care.

Instructions

Identify a clinical problem in your work setting and develop an implementation plan to carry out your evidence-based practice proposal using a poster presentation. You may use the Poster Presentation Template [PPTX] to help structure and organize your assessment submission.   

Your Implementation Plan should include the following:

• Background on the clinical problem. 
• PICOT question. 
• Stakeholders that will be impacted. 
• Action plan for implementation.
• Potential barriers to project implementation.  
• Baseline data that will be needed to evaluate outcomes.
• Search strategy and databases used.
• Summary of the evidence with a critical appraisal of its quality.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your poster presentation addresses all of them. 

• Develop a PICOT question for a chosen clinical problem.
• Include a graphic that is relevant to the clinical problem.
• Provide a background on the clinical problem identified. 
• Outline an action plan to implement the evidence-based project that includes:

The recommended practice change.

Proposed timeline for implementation.

The tools or resources that will be needed to support the project.

Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation. 

Who are the stakeholders that will be impacted?

What are areas of the project that present opportunities for innovation?

What are the potential barriers, such as a lack of knowledge, time, skill level, motivation, or resources that could impact project implementation?

Propose outcome criteria to evaluate the evidence-based practice project and how they will be measured.

How will outcomes be measured?

How do your outcomes align with the Quadruple Aim?

How will your outcome measures inform evidence-based practice, guidelines, or policies?

Evaluate the evidence that supports the need for practice change. 

In the notes section of your poster presentation:

Describe your search strategy and databases that were used.

Summarize your findings with a critical appraisal of the quality and relevance of your resources. Convey purpose of the poster presentation, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.  Integrates relevant and credible sources of evidence to support assertions, using current APA style.

If you choose not to use the provided template, there are templates in PowerPoint or on the Internet that can help you get started designing your poster. Before starting to record your presentation make sure you have:

Set up and tested your microphone and headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear or high quality when captured by the microphone.

Practice using the equipment to ensure the audio quality is sufficient.

Consult Using Kaltura for guidance on how to record your presentation and upload it in the courseroom.

Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your stories.

Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.

Note:

If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services at Disabilityservices@capella.edu to request accommodations.

Submission Requirements

Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.

Length of presentation: No more than five minutes.

Number of references: Cite a minimum of 3–5 sources of current scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.

APA formatting: Resources and citations are formatted according to current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Apply evidence-based practice to plan patient-centered care.

Outline an action plan to implement the evidence-based practice project that includes the recommendations for practice change, a timeline, and tools or resources needed.

Propose outcome criteria for evaluating the evidence-based practice project and how the outcomes will be measured.

Competency 2: Apply evidence-based practice to design interventions to improve population health.

Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation.

Competency 3: Evaluate the value, relevance, and ethics of available evidence upon which clinical decisions are made.

Develop a PICOT question for a chosen clinical problem.

Evaluate the value and relevance of the evidence that supports the need for a practice change.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

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NURS FPX 6011 Evidence-Based Patient-Centered Concept Map Example

NURS FPX 6011 Assessment 1 Evidence-Based Patient-Centered Concept Map

NURS FPX 6011 Evidence-Based Patient-Centered Concept Map Assignment Brief

Course: NURS FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Assignment Title: Assessment 1 Evidence-Based Patient-Centered Concept Map

Assignment Overview:

In this assignment, you will demonstrate your understanding of evidence-based patient-centered care by creating a concept map for a hypothetical patient scenario. The concept map will integrate evidence-based nursing diagnoses, interventions, and communication strategies tailored to the patient’s needs. Through this assignment, you will showcase your ability to apply nursing knowledge to real-world situations and communicate effectively with healthcare teams.

Assignment Objectives:

• Demonstrate understanding of evidence-based nursing diagnoses and interventions.
• Apply principles of patient-centered care to develop a concept map for a hypothetical patient scenario.
• Utilize effective communication strategies to address patient needs and promote positive health outcomes.
• Integrate cultural considerations into nursing care planning.

The Student’s Role:

As a nursing student, your role is to analyze the given patient scenario and develop a comprehensive concept map that addresses the patient’s needs from a holistic perspective. You will consider factors such as medical history, social determinants of health, and cultural background to create a patient-centered care plan. Your concept map should reflect evidence-based nursing diagnoses, interventions, and communication strategies tailored to the individual needs of the patient.

NURS FPX 6011 Evidence-Based Patient-Centered Concept Map Example

Patient Scenario

Ana, a 67-year-old Hispanic woman, received a diabetes diagnosis a decade ago. Initially, she diligently managed her condition by regularly checking her blood sugar, following a sugar-free diet, maintaining a daily walking routine, and never missing a medication dose. However, in recent years, Ana has become weary of managing her diabetes. She feels resigned, believing that diabetes is inevitable in her family. Due to an increase in her A1C levels, Ana reluctantly started insulin therapy on her doctor’s recommendation.

Despite her efforts, Ana finds it challenging to adhere to her diabetes regimen. She often finds herself unexpectedly caring for her grandchildren due to school closures during the COVID-19 pandemic. Ana prefers to care for her grandchildren herself, even when feeling overwhelmed. Consequently, she struggles to prioritize her health, sometimes forgetting to check her blood sugar or skipping meals due to busyness.

Reviewing Ana’s medical records reveals missed primary care appointments, unreturned calls, and irregular blood glucose monitoring. Recently, Ana experienced a hypoglycemic episode, prompting her husband to call emergency services. She was treated for low blood sugar at the hospital but discharged the same day. This isn’t the first time Ana has faced such an incident; two months prior, she encountered a similar situation, emphasizing her family’s concern and her realization of needing to improve her self-care.

Ana acknowledges the importance of managing her health but feels overwhelmed by her responsibilities and the demands of her family. She recognizes the need to be more diligent in her self-care but struggles to find the time and energy to do so. Ana’s husband and daughter are supportive but worried about her well-being. It is evident that Ana requires a tailored approach to diabetes management that considers her unique circumstances and challenges.

Patient Needs Analysis

Based on the patient’s case, several nursing diagnoses are crucial to address her needs effectively. Firstly, the most pressing concern is the risk for unstable blood glucose levels, as outlined by Ladwig et al. (2019). Ana has experienced episodes of hypoglycemia, prompting emergency interventions by her family. Additionally, she struggles with blood glucose monitoring and inadequate nutrition, which further exacerbate this risk. Moreover, Ana has expressed a declining interest in managing her diabetes, indicating potential challenges in adhering to treatment regimens.

Secondly, Ana exhibits signs of ineffective health management, another significant nursing diagnosis identified by Ladwig et al. (2019). She reports feeling hopeless about meeting glycemic goals and overwhelmed by her responsibilities, especially caring for her grandchildren during the COVID-19 pandemic-related school closures. These factors contribute to her inability to prioritize her health effectively.

Lastly, Ana shows readiness for enhanced health management, highlighting her recognition of the need for change and seeking care to address her concerns, as described by Ladwig et al. (2019). Despite feeling overwhelmed, Ana acknowledges the importance of managing her health and the impact it has on herself and her family.

Impact of Social Determinants

The American Diabetes Association Professional Practice Committee (ADAPPC) emphasizes the significant influence of social determinants of health on a person’s ability to self-manage their condition (2022b). Ana’s situation is a testament to this, as the COVID-19 pandemic and its associated disruptions have added additional challenges to her diabetes management. The COVID-19 pandemic has exacerbated Ana’s challenges by disrupting her routine, limiting access to healthcare services, and increasing familial responsibilities.

Interventions

According to ADAPPC guidelines, there are critical times to evaluate the need for diabetes self-management education, which align with Ana’s current circumstances (2022b). Given her challenges and transitions in life, interventions such as depression screening and Diabetes Self-Management Education and Support (DSMES) are vital to address the barriers she faces in managing her diabetes effectively. These interventions aim to equip Ana and her family with the necessary skills and support to navigate her condition amidst life changes and challenges.

To address Ana’s needs, interventions must be multifaceted. Referral for depression screening and Diabetes Self-Management Education and Support (DSMES) is imperative, as highlighted by ADAPPC guidelines. These interventions aim to equip Ana with the necessary skills and support to manage her diabetes effectively, considering her unique circumstances and preferences.

Communication Strategies and Cultural Considerations

Communication with Ana should prioritize empowerment and avoid unintentional discouragement. According to ADAPPC standards, a patient-centered communication approach is crucial, emphasizing active listening, understanding patient preferences, and assessing potential barriers to care (2022a). Additionally, language used during encounters must be neutral, respectful, and free from stigma, fostering collaboration and instilling hope (Dickinson et al., 2017). For example, instead of using judgmental terms like “non-compliant,” healthcare providers should use fact-based language to maintain a supportive and inclusive dialogue.

As the matriarch of her family, Ana’s cultural values and familial responsibilities must be respected. Close familial ties, common in Hispanic culture, underscore the importance of addressing Ana’s desire to care for her grandchildren while acknowledging the stress it may cause. Moreover, considering Ana’s age and individual circumstances, discussions regarding glycemic goals should be individualized, balancing medical feasibility with her preferences and overall well-being (ADAPPC, 2022d). Ana’s reluctance to start insulin highlights the need for open dialogue with her primary care physician to address concerns and explore alternative treatment options.

The impact of the COVID-19 pandemic on childcare arrangements and healthcare access further complicates Ana’s situation. Telemedicine options may offer a solution to overcome barriers, but Ana’s comfort with such technology should be assessed to ensure effective communication and engagement. Ultimately, communication strategies should prioritize Ana’s autonomy, cultural values, and individual needs to facilitate collaborative decision-making and optimize her diabetes management.

Value and Relevance of Evidence

The resources utilized to develop the patient-centered concept map are primarily derived from the standards of care established by the American Diabetes Association (ADA). These standards serve as a foundation for clinical practice but should not override clinical judgment and individualized care (ADAPPC, 2022c). The ADA employs an evidence-based grading system to categorize these standards, with “A” representing the highest level of evidence and “E” representing the lowest (ADAPPC, 2022c). Recommendations backed by “A” level evidence are derived from well-designed clinical trials or meta-analyses and are more likely to yield positive outcomes when applied appropriately. While recommendations with lower levels of evidence may still be significant, they are not as robustly supported.

Diabetes management can pose significant challenges for patients and their families, underscoring the importance of relying on reliable and continually updated resources such as the ADA Standards for Medical Care in Diabetes (ADAPPC, 2022c). These standards have undergone rigorous evaluation and refinement over three decades, making them a trusted resource for healthcare professionals. By adhering to evidence-based guidelines like those provided by the ADA, healthcare providers can offer high-quality care tailored to individual patient needs while maximizing the likelihood of positive health outcomes.

Conclusion

In conclusion, Ana’s care plan underscores the importance of considering her unique values, beliefs, and lifestyle to deliver personalized care. By adhering to evidence-based practices, healthcare providers can ensure that Ana receives the most current and reliable treatment options tailored to her specific needs. Furthermore, effective communication strategies are essential to fostering understanding and promoting adherence to recommended interventions. By empowering Ana to actively participate in her diabetes management and providing support through individualized care, healthcare professionals can facilitate positive outcomes and enhance Ana’s overall quality of life.

References

American Diabetes Association Professional Practice Committee. (2022a). 4. Comprehensive medical evaluation and assessment of comorbidities: Standards of medical care in diabetes-2022. Diabetes Care, 45(Supplement_1), S46-S59. https://doi.org/10.2337/dc22-S004

American Diabetes Association Professional Practice Committee. (2022b). 5. Facilitating behavior change and well-being to improve health outcomes: Standards of medical care in diabetes-2022. Diabetes Care, 45(Supplement_1), S60–S82. https://doi.org/10.2337/dc22-S005

American Diabetes Association Professional Practice Committee. (2022c). 1. Introduction: Standards of medical care in diabetes-2022. Diabetes Care, 45(Supplement_1), S1–S2. https://doi.org/10.2337/dc22-Sint

American Diabetes Association Professional Practice Committee. (2022d). 13. Older adults: Standards of medical care in diabetes-2022. Diabetes Care, 45(Supplement_1), S195–S207. https://doi.org/10.2337/dc22-S013

Dickinson, J. K., Guzman, S. J., Maryniuk, M. D., O’Brian, C. A., Kadohiro, J. K., Jackson, R. A., D’Hondt, R. A., Montgomery, B., Close, K. L., & Funnell, M. M. (2017). The use of language in diabetes care and education. Diabetes Care, 40(12), 1790–1799. https://doi.org/10.2337/dci17-0041

Ladwig, G. B., Ackley, B. J., Flynn Makic, M. B., Martinez-Kratz, M., & Zanotti, M. (2019). Mosby’s guide to nursing diagnosis (6th ed.). Elsevier, Inc.

Detailed Assessment Instructions for the NURS FPX 6011 Evidence-Based Patient-Centered Concept Map Example

Preparation

YOU HAVE BEEN PRESENTED WITH A NUMBER OF PATIENT CASE FILES IN THE EVIDENCE-BASED PATIENT-CENTERED CARE MEDIA PIECE. YOU REVIEWED EACH CASE, SELECTED ONE CASE FOR FURTHER RESEARCH, AND CREATED DRAFT EVIDENCE-BASED CONCEPT MAP TO ILLUSTRATE AN APPROACH TO INDIVIDUALIZED CARE FOR THE PATIENT. IN THIS ASSESSMENT, YOU WILL BUILD UPON AND REFINE YOUR DRAFT CONCEPT MAP AND DEVELOP A SUPPORTING NARRATIVE.

Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.

Note: Many organizations use the spider style of concept maps (see the Taylor & Littleton-Kearney article for an example). Also, if a specific style of concept map is used in your current care setting, you may use it in this assessment.

Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.

SUPPORTING EVIDENCE AND APA STYLE

Integrate relevant evidence from 3–5 current scholarly or professional sources to support your assertions.

Apply correct APA formatting to all in-text citations and references.

Attach a reference list to your narrative.

Concept Map

Develop a concept map for the individual patient, based upon the best available evidence for treating your patient’s health, economic, and cultural needs.

• Narrative
• Develop a narrative (2–4 pages) for your concept map.

Analyze the needs of your patient and their family, and determine how those needs will influence a patient-centered concept map.

Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or affect their future health.

• Consider how your patient’s culture or family should influence your concept map.

Justify the value and relevance of the evidence you used as the basis of your concept map.

Explain why your evidence is valuable and relevant to your patient’s case.

Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.

• Propose relevant and measurable criteria for evaluating the degree to which the desired outcomes of your concept map were achieved.

Explain why your proposed criteria are appropriate and useful measures of success.

• Explain how you will communicate specific aspects of the concept map to your patient and their family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:
• Promote honest communications.
• Facilitate sharing only the information you are required and permitted to share.

Are mindful of your patient’s culture.

• Enable you to make complex medical terms and concepts understandable to your patient and their family, regardless of language, disabilities, or level of education.
• Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6011 – Evidence-Based Practice for Patient-Centered Care and Population Health Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Evidence-Based Practice

Godshall, M. (2015). Fast facts for evidence-based practice in nursing: Implementing EBP in a nutshell (2nd ed.). New York, NY: Springer Publishing Company.

READ CHAPTER 7.

Blix, A. (2014). Personalized medicine, genomics, and pharmacogenomics: A primer for nurses. Clinical Journal of Oncology Nursing, 18(4), 437–441.

Baker, J. D. (2017). Nursing Research, Quality Improvement, And Evidence-Based Practice: The Key To Perioperative Nursing Practice: Editorial. Association of Operating Room Nurses, 105(1), 3.

• Hain D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things the way we have always done them. Nephrology Nursing Journal, 42(1), 11–20.

Evidence-Based Practice in Nursing & Health Sciences: Review Levels of Evidence.

Evidence-Based Practice in Nursing & Health Sciences.

EVIDENCE-BASED PRACTICE: WHAT IT IS AND WHAT IT IS NOT | TRANSCRIPT.

Concept Mapping

Concept Maps.

This resource provides a general overview of concept maps. The guide is not specific to nursing, but may prove helpful to the initial conceptualization of your assessment.

• Taylor, L. A., Littleton-Kearney, M. (2011). Concept mapping: A distinctive educational approach to foster critical thinking. Nurse Educator, 36(2), 84–88.

This article will help you decide how you would like to structure and conceptualize your concept map.

Concept Map Template [DOCX].

Concept Map Tutorial | Transcript.

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NURS FPX 5007 Managing the Toxic Leader in Healthcare Essay Example

NURS FPX 5007 Assessment 2 Managing the Toxic Leader

NURS FPX 5007 Managing the Toxic Leader in Healthcare Assignment Brief

Course: NURS FPX 5007 Leadership for Nursing Practice

Assignment Title: Assessment 2 Managing the Toxic Leader

Assignment Overview:

In this assignment, students will explore the concept of managing toxic leadership within healthcare settings. Through comprehensive research and analysis, students will look at the detrimental effects of toxic leadership on organizational culture, employee morale, and patient care quality. Moreover, students will develop strategies for effectively addressing and mitigating toxic leadership behaviors to promote a healthier and more productive work environment in healthcare facilities.

Understanding Assignment Objectives:

This assignment aims to accomplish the following objectives:

• Identify and define toxic leadership behaviors commonly observed in healthcare settings.
• Examine the impact of toxic leadership on organizational culture, employee well-being, and patient care outcomes.
• Analyze case studies or real-life examples of toxic leadership within healthcare organizations.
• Develop strategies and interventions for managing and mitigating toxic leadership behaviors to foster a positive work environment and enhance patient care quality.
• Demonstrate critical thinking skills by synthesizing research findings, theoretical frameworks, and practical insights to propose evidence-based solutions for addressing toxic leadership in healthcare.

The Student’s Role:

As a student enrolled, your role is to act as a healthcare management consultant tasked with addressing the prevalent issue of toxic leadership within healthcare organizations. Drawing upon your knowledge of leadership theories, organizational behavior, and healthcare management principles, you will conduct an in-depth analysis of the impact of toxic leadership on various stakeholders, including healthcare professionals and patients. Additionally, you will propose evidence-based strategies and interventions for managing toxic leadership behaviors and promoting a supportive and collaborative work environment conducive to high-quality patient care delivery.

Your analysis and recommendations should be grounded in scholarly literature, empirical research, and best practices in healthcare leadership and management. You are expected to critically evaluate existing literature, synthesize key findings, and apply relevant concepts to real-world scenarios. Your final submission should demonstrate a comprehensive understanding of the complexities surrounding toxic leadership in healthcare and showcase your ability to propose effective solutions for addressing this critical issue.

NURS FPX 5007 Managing the Toxic Leader in Healthcare Essay Example

Effective leadership is crucial for the success and well-being of any organization, particularly in healthcare settings where patient care is paramount. Competent leaders have the ability to motivate their teams, improve productivity, and reach organizational objectives. They create long-term plans, collaborate with others, identify challenges, set goals, and establish deadlines to ensure positive outcomes. In hospitals and healthcare facilities, leadership plays a significant role in shaping the workplace culture. Effective management involves working closely with the team and maintaining open communication, especially during both successful and challenging times (Monroe, 2019). It is essential for leaders to create a supportive environment for healthcare workers to meet standards and enhance nursing practice.

Improving Working Conditions and Cultivating a Collaborative Culture

The primary goal is to enhance working conditions and foster a collaborative work culture among nursing staff. Stress is a major concern for nursing professionals who often work long hours without adequate support and breaks. Without proper support from management, nurses may struggle to cope with these challenges. Despite advocating for healthier lifestyles, nurses often neglect their own well-being while on duty. Research indicates that healthcare facilities that promote healthier lifestyles, productive work environments, and collaborative workspaces tend to have higher levels of employee satisfaction, increased engagement, and improved patient care outcomes (Miles & Scott, 2019).

Case Study: Evaluation of Head Nurse Performance

The psychiatry unit initially adopted a primary healthcare nursing model to ensure optimal patient experience and care quality. Collaboration and the development of interdisciplinary professional teams were essential for achieving these goals. The healthcare facility, along with its workers and patients, would all benefit from the head nurse’s support in promoting collaboration and coordination among administration, supervisors, and executives. Unfortunately, in the case study provided, the leadership style of the nurse manager contradicts the facility’s established guidelines. Jackie, the Nurse Manager, is responsible for leading patient care conferences, yet she seldom attends these thrice-weekly sessions designed to address complex cases and encourage cooperation to deliver effective patient-centered care.

In addition to her absence from these crucial sessions, Jackie’s behavior is unprofessional. She fails to communicate schedule changes to her team, which hampers the quality of nursing practices and neglects to acknowledge the team’s efforts, affecting their morale and productivity. Jackie’s habit of arriving late for work further impacts the quality of care delivery as staff members must wait to consult with her, leading to delays in patient care. Additionally, she fails to respond to emails from nursing professionals, and her attire at work is unprofessional, including revealing clothing, large hoop earrings, and high heels. Furthermore, her inappropriate interaction with a staff member named ‘Martin’ violates the American Nurses Association (ANA) regulations and professional conduct standards, which encompass evaluation, diagnosis, goal setting, strategy development, and care coordination (Monroe, 2019).

Jackie, as the Nurse Manager of the psychiatry unit, demonstrates behaviors that contradict the organization’s established guidelines and professional standards. Her frequent absence from patient care conferences, unprofessional conduct, and failure to communicate effectively with her team undermine the quality of nursing practice and create a negative work environment. Her behavior not only impacts staff morale and productivity but also raises ethical concerns regarding her interactions with colleagues and patients.

Addressing Ethical Concerns

Jackie’s actions seem to breach two specific elements of the ANA’s code of ethics: professional responsibilities and relationships with co-workers, as well as patient responsibility. The ANA states that healthcare professionals should set boundaries and maintain professional interactions with colleagues, superiors, and patients. They should build supportive relationships with all co-workers and individuals, treating them fairly and respectfully. This includes preserving their dignity and addressing conflicts (Monroe, 2019).

In this scenario, Jackie’s behavior reflects a lack of leadership, professional conduct, commitment to her medical team, and empathy toward her staff. The ANA defines professional boundaries as the acceptable, ethical, and social limits that practitioners acknowledge and respect, which can be challenging due to the interpersonal nature of caregiving. Healthcare professionals must ensure these limits are established and upheld (Aghamohammadi et al., 2021).

When these values are violated, healthcare practitioners should seek support from superiors or take necessary steps to prevent such situations (Olson, 2021). This principle applies to inter-professional and interdisciplinary relationships, extending beyond the scope of nursing practice, as well as nurse-patient relationships (Warshawsky & Cramer, 2019). To address Jackie’s ethical breaches and enhance her performance as a nurse manager, a Performance Improvement Plan (PIP) must be established. This plan outlines specific initiatives and timelines to help Jackie demonstrate professionalism and commitment (Monroe, 2019).

Organizational Mission, Vision, and Goals

Jackie’s behavior contradicts the healthcare facility’s mission, goals, and objectives. The organization aims to provide exceptional patient care in a compassionate setting and improve the well-being of the communities it serves. Healthcare providers collaborate to enhance society’s health and well-being. However, Jackie’s actions and inability to collaborate with her team are detrimental to patients and contradict the institution’s mission (Huang et al., 2021).

The healthcare facility’s vision emphasizes better healthcare performance, improved care delivery, enhanced patient experiences, and increased employee satisfaction. Jackie’s unprofessional behavior does not align with the organization’s core values and objectives. Her actions compromise the high-quality care expected from the institution, impacting its ability to achieve its mission, goals, and objectives (Huang et al., 2021).

Developing a Performance Improvement Plan (PIP)

To address Jackie’s ethical breaches and improve her leadership performance, a Performance Improvement Plan (PIP) must be implemented. The PIP should include specific initiatives aimed at addressing Jackie’s behavioral issues, improving communication, and fostering a positive work culture. For instance:

1. Appointment of an Acting Nurse Manager: During the PIP period, an Assistant Head Nurse will assume the role of Acting Nurse Manager to ensure continuity of leadership and address staff concerns.
2. Attendance and Punctuality Guidelines: Jackie must adhere to designated work hours and attendance policies to avoid disruptions in patient care and team dynamics.
3. Communication Protocol: Jackie is required to respond to all communications from her team within 24 hours and provide timely updates on schedule changes or cancellations to facilitate effective planning.
4. Professional Conduct: Jackie must adhere to the organization’s dress code and ethical standards, refraining from engaging in unprofessional behavior or interactions with colleagues.
5. Performance Evaluation: At the end of the PIP period, Jackie’s performance will be evaluated based on her adherence to the established guidelines and improvement in leadership effectiveness.

Aligning with Organizational Mission and Values

Jackie’s behavior is incongruent with the organization’s mission, vision, and goals, which emphasize patient-centered care, collaboration, and professionalism. By implementing the PIP and holding Jackie accountable for her actions, the organization demonstrates its commitment to upholding ethical standards and ensuring high-quality patient care. Moreover, fostering a culture of accountability and continuous improvement reinforces the organization’s values and strengthens team cohesion.

Conclusion

Managing toxic leadership in healthcare organizations requires a systematic approach that addresses ethical concerns, promotes accountability, and fosters a positive work culture. By implementing a Performance Improvement Plan tailored to the individual needs of the leader in question, organizations can mitigate the impact of toxic behavior and uphold their commitment to excellence in patient care. Through effective communication, collaboration, and leadership development initiatives, healthcare organizations can cultivate a supportive environment where all team members thrive and contribute to the achievement of shared goals.

References

Aghamohammadi, F., Imani, B., & Koosha, M. M. (2021). Operating room nurses’ lived experiences of ethical codes: a phenomenological study in Iran. International Journal of Nursing Sciences, 8(3), 332-338.

Huang, N., Qiu, S., Yang, S., & Deng, R. (2021). Ethical leadership and organizational citizenship behavior: mediation of trust and psychological well-being. Psychology Research and Behavior Management, 655-664.

Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11.

Monroe, H. A. (2019). Nurses’ professional values: influences of experience and ethics education. Journal of Clinical Nursing, 28(9-10), 2009-2019.

Olson, L. (2021). Envisioning an ethical climate in nursing education programs. Online Journal of Issues in Nursing, 26(1), 1-10.

Warshawsky, N., & Cramer, E. (2019). Describing nurse manager role preparation and competency: findings from a national study. JONA: The Journal of Nursing Administration, 49(5), 249-255.

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NURS FPX 5005 Patient Care Technology Essay Example

NURS FPX 5005 Assessment 4 Patient Care Technology

Assignment Brief: NURS FPX 5005 Patient Care Technology Essay

Course: NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology

Assignment Title: Assessment 4 Patient Care Technology

Assignment Overview:

In this assignment, you will explore the role of technology in nursing practice, focusing on the application, advantages, challenges, and ethical considerations of electronic health records (EHRs). Your task is to critically analyze the impact of EHRs on patient care and nursing practice, discussing their effects, advantages, disadvantages, communication of data, evaluation criteria, safeguards for patient safety and confidentiality, and evidence-based strategies for improving their application.

Understanding Assignment Objectives:

The primary objective of this assignment is to deepen your understanding of how technology, particularly electronic health records, influences patient care and nursing practice. You will explore the various dimensions of EHRs, including their utility, benefits, limitations, and ethical considerations, with a focus on providing a comprehensive analysis of their impact on healthcare delivery.

The Student’s Role:

As a student undertaking this assignment, your role is to critically evaluate the role of technology in nursing practice, specifically focusing on the use of electronic health records. You will conduct extensive research to identify the effects, advantages, and disadvantages of EHRs, considering their implications for patient care and nursing practice. Additionally, you will explore communication strategies for data exchange, criteria for evaluating data quality, safeguards for patient safety and confidentiality, and evidence-based strategies for enhancing the application of patient care technology.

Your analysis should be thorough and well-reasoned, drawing on relevant literature and research findings to support your arguments. It is essential to adopt a critical perspective, considering both the benefits and challenges associated with the use of EHRs in healthcare settings.

You Can Also Check Other Related Assessments for the NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Course:

NURS FPX 5005 Assessment 1 Protecting Human Research Participants Example

NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique Example

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Example

NURS FPX 5005 Patient Care Technology Essay Example

In contemporary healthcare, the integration of technology has revolutionized patient care and nursing practice. Among the various technological advancements, electronic health records (EHRs) stand out as significant tools that have reshaped the landscape of healthcare delivery. This paper looks at the versatile nature of EHRs, exploring their applications, advantages, challenges, and ethical considerations within the realm of patient care and nursing practice.

Effects of Technology on Patient Care and Nursing Practice

EHRs, characterized as comprehensive digital repositories of patients’ medical information accessible across healthcare platforms, serve as pivotal instruments in modern patient care. They encapsulate a spectrum of vital data ranging from diagnostic records to treatment plans, allergies, laboratory results, and imaging studies. This digitized format expedites the retrieval of crucial patient information, thereby enhancing the efficiency and efficacy of clinical interventions.

• Effects on Patient Care: EHRs streamline the process of patient care by facilitating rapid access to pertinent medical information. This expeditious access enables healthcare providers to make well-informed decisions promptly, thus optimizing patient outcomes. Moreover, the systematic aggregation and dissemination of patient data ensure seamless information sharing among interdisciplinary care teams, fostering a holistic approach to patient management.
• Effects on Nursing Practice: Nursing professionals recognize EHRs as invaluable tools that augment their ability to deliver quality care. These records serve as a comprehensive repository of patient data, enabling nurses to gain insights into patients’ medical histories, treatment plans, and ongoing interventions. Such accessibility empowers nurses to tailor their care strategies to meet the specific needs of individual patients, thereby fostering personalized and patient-centered care delivery.

Advantages and Disadvantages

EHRs offer a plethora of advantages that contribute to the enhancement of patient care and nursing practice:

1. Facilitation of evidence-based medicine: EHRs provide clinicians with access to a wealth of empirical data, thereby facilitating evidence-based decision-making.
2. Precise documentation: The digital format of EHRs ensures accurate and standardized documentation of patient information, minimizing errors associated with manual record-keeping.
3. Streamlined preventive care: EHRs enable proactive monitoring of patients’ health status, facilitating early detection of potential health issues and timely intervention.
4. Secure storage of medical records: EHRs employ robust encryption mechanisms to safeguard patient data, ensuring compliance with privacy regulations and mitigating the risk of data breaches.
5. Enhanced data management: The digitization of medical records enables efficient data management practices, including data retrieval, storage, and analysis, thereby optimizing clinical workflows.

However, alongside these advantages, EHRs also pose certain challenges:

1. Concerns about malpractice liability: The reliance on EHRs for clinical decision-making raises concerns regarding the potential legal implications of medical errors or discrepancies in electronic records.
2. High implementation costs: The initial investment required for the implementation of EHR systems, including software acquisition, staff training, and infrastructure upgrades, can pose financial challenges for healthcare organizations.
3. Potential decreases in overall productivity: The transition from traditional paper-based records to electronic systems may entail a learning curve for healthcare professionals, potentially leading to temporary decreases in productivity during the implementation phase.

Communication of Data

EHRs facilitate structured and unstructured communication channels, thereby enabling seamless information exchange among healthcare providers. Structured communication pathways, such as computerized provider order entry (CPOE), enable the electronic transmission of medication orders and allergy information, enhancing accuracy and efficiency in clinical decision-making. On the other hand, unstructured communication channels, such as clinical notes, provide healthcare providers with a platform to document subjective observations and clinical impressions, fostering comprehensive patient care.

Furthermore, EHRs contribute to secure communication through the integration of encryption algorithms into conventional medical cloud models. These encryption mechanisms ensure the confidentiality and integrity of patient data during transmission, mitigating the risk of unauthorized access or interception by malicious entities.

Identifying Criteria to Evaluate Data

In the era of advanced technology, healthcare organizations are leveraging innovations such as 5G technology to enhance patient-provider communication and data exchange. The development of online portals and mobile applications enables patients to communicate with healthcare providers remotely, thereby facilitating the collection and evaluation of patient data from diverse geographic locations.

To optimize the utilization of patient data, healthcare organizations must establish stringent criteria to evaluate the quality, relevance, and accuracy of the information collected. This entails implementing standardized protocols for data collection, storage, and analysis, thereby ensuring the integrity and reliability of the data utilized in clinical decision-making processes.

Controls and Safeguards to Maintain Patient Safety and Confidentiality

Maintaining patient safety and confidentiality is paramount in the realm of healthcare, particularly concerning the utilization of electronic health records. Modern technologies, including EHRs, offer unprecedented opportunities for enhancing patient-staff communication and facilitating access to real-time intervention updates. However, these advancements also necessitate the implementation of robust controls and safeguards to mitigate potential risks to patient safety and confidentiality.

One such safeguard involves granting portal access credentials to designated relatives or family members of patients with mental or visual impairments, thereby ensuring continuous access to essential healthcare information. Additionally, healthcare organizations must engage in open dialogues with patients regarding privacy concerns and consent preferences, thereby fostering transparency and accountability in data management practices.

Furthermore, comprehensive staff training in data storage, transmission, and monitoring is essential to ethically optimize the utilization of patient health information within EHRs. By equipping healthcare professionals with the requisite knowledge and skills, organizations can mitigate the risk of data breaches and ensure compliance with regulatory standards governing patient confidentiality and privacy.

Evidence-Based Strategies to Improve the Application of Patient Care Technology

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 serves as a cornerstone of patient privacy and confidentiality within the healthcare sector. HIPAA mandates national standards to protect patients’ medical information from unauthorized disclosure, thereby safeguarding patient rights and autonomy. Compliance with HIPAA Privacy and Security Rules is imperative for healthcare organizations seeking to enhance patient care technology while upholding ethical and legal standards.

By adhering to HIPAA principles, healthcare organizations can implement evidence-based strategies to improve the application of patient care technology. This includes ensuring patient consent before disclosing sensitive medical information, implementing robust encryption mechanisms to safeguard data integrity during transmission, and establishing secure access controls to prevent unauthorized access to electronic health records.

Conclusion

In conclusion, patient care technology, particularly electronic health records, plays a pivotal role in modern healthcare delivery, enhancing communication, efficiency, and quality of care. Despite their numerous advantages, EHRs also pose challenges related to data security, privacy, and implementation costs. By implementing evidence-based strategies and safeguards, healthcare organizations can maximize the benefits of patient care technology while mitigating potential risks to patient safety and confidentiality. As technology continues to evolve, it is imperative for healthcare professionals to adapt and innovate responsibly, ensuring the ethical and effective utilization of patient care technology to improve patient outcomes and enhance the quality of nursing practice.

References

Abul-Husn, N. S., & Kenny, E. E. (2019). Personalized medicine and the power of Electronic Health Records. Cell, 177(1), 58–69.

Bani Issa, W., Al Akour, I., Ibrahim, A., Almarzouqi, A., Abbas, S., Hisham, F., & Griffiths, J. (2020). Privacy, confidentiality, security, and patient safety concerns about Electronic Health Records. International Nursing Review, 67(2), 218–230.

Grewal, D., Hulland, J., Kopalle, P. K., & Karahanna, E. (2019). The future of technology and marketing: A multidisciplinary perspective. Journal of the Academy of Marketing Science, 48(1), 1–8.

Lee, L. M. (2017). Ethics and subsequent use of Electronic Health Record data. Journal of Biomedical Informatics, 71, 143–146.

Shachar, C. (2022). HIPAA, privacy, and reproductive rights in a Post-Roe era. JAMA, 328(5), 417.

Upadhyay, S., & Hu, H. (2020). Clinicians’ lived experiences on the impact of Electronic Health Records (EHR) on quality and safety. Academy of Management Proceedings, 2020(1), 12928.

Wisner, K., Lyndon, A., & Chesla, C. A. (2019). The Electronic Health Record’s impact on nurses’ cognitive work: An integrative review. International Journal of Nursing Studies, 94, 74–84.

Zhang, J., Liu, H., & Ni, L. (2020). A secure energy-saving communication and encrypted storage model based on RC4 for EHR. IEEE Access, 8, 38995–39012.

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NURS FPX 5005 Quantitative and Qualitative Research Publication Critique Example

NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique

NURS FPX 5005 Quantitative and Qualitative Research Publication Critique Assignment Brief

Course: NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology

Assignment Title: Assessment 2 Quantitative and Qualitative Research Publication Critique

Assignment Instructions Overview:

In this assignment, you will critically evaluate two research publications—one qualitative and one quantitative—in the field of nursing. The goal is to assess the strengths and weaknesses of each study objectively, enhancing your analytical skills and understanding of research methodologies. By engaging in this critique, you will develop the ability to evaluate research findings and their applicability to evidence-based nursing practice.

The Student’s Role:

As a nursing student, your role in this assignment is to critically analyze the selected research publications with a discerning eye. You will apply your knowledge of research methodologies, ethical considerations, and evidence-based practice principles to evaluate the strengths and weaknesses of each study. Your analysis should be thorough and well-supported, drawing on relevant literature and scholarly sources to substantiate your arguments.

You Can Also Check Other Related Assessments for the NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Course:

NURS FPX 5005 Assessment 1 Protecting Human Research Participants Example

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Example

NURS FPX 5005 Assessment 4 Patient Care Technology Example

NURS FPX 5005 Quantitative and Qualitative Research Publication Critique Example in Nursing

Nursing faces growing challenges and complexities due to its focus on human well-being. Given the stakes involved in patient care, nurses must exercise meticulous attention to detail and sharp decision-making skills.

This essay undertakes a critical examination of two studies—one qualitative and one quantitative—to assess their strengths and weaknesses objectively. Such scrutiny is essential as it ensures the integrity of research findings and hones analytical abilities. It’s not enough for a study to be published and peer-reviewed; its practical applicability must also be scrutinized.

The qualitative study under review is titled “Informal carers’ experience of caring for stroke survivors,” exploring the impact of caregiving on the lifestyle of individuals looking after stroke survivors. The quantitative study, “Effects of acupressure on dysmenorrhea and skin temperature changes in college students: A non-randomized controlled trial,” investigates the efficacy of alternative therapy in alleviating menstrual pain among women. Each study will be dissected systematically, covering its title, authors, journal, abstract, introduction/literature review/background, research design/methodology/methods, study rigor, validity and reliability, ethical considerations, findings, discussions, conclusions, implications, limitations, and recommendations. Finally, an overall conclusion will be drawn, considering the implications for evidence-based practice.

Qualitative Study: “Informal Carers’ Experience of Caring for Stroke Survivors”

Title, Authors, and Journal

The title of the article effectively conveys its subject matter in clear and understandable language. However, the term “informal” used to describe caregivers may be subject to interpretation. Throughout the paper, it refers to individuals without formal nursing training who suddenly find themselves in a caregiving role. A more suitable term could be “layman” or “civilian” to accurately depict the caregiver’s role. The authors’ credentials lend credibility to the study, given their expertise in the nursing field. Published in the Journal of Advanced Nursing, a reputable peer-reviewed journal, the article is held to high scholarly standards.

Abstract

The abstract provides a detailed summary of the article, including sections on background, aims, study design, findings, and conclusions. This structured approach aids in understanding the content, unlike many abstracts that offer only a brief overview without headings. While the abstract offers an overview, it also prompts readers to delve deeper into the full article for additional details.

Introduction/Literature Review/Background

The introduction, literature review, and background sections of this study provide a comprehensive overview of stroke and its impact on both patients and caregivers. It establishes a solid foundation for the entire article, offering detailed yet concise sub-topics. The information provided anticipates potential reader questions without overwhelming them with unnecessary details. Inserts, such as caregiver interview prompts, are strategically placed to enhance reader understanding.

Unlike many studies, this qualitative research does not extensively review existing literature, acknowledging the limited perspective on caregivers. Instead, it relies heavily on gathered data to depict the true nature of caregiver-patient interactions and experiences.

Research Design/Methodology/Methods

The qualitative research design outlined in this study is thorough and well-organized. It includes criteria for participant selection, data collection methods, analysis procedures, and presentation of findings.

Bowen (2005) conducted a detailed investigation in a limited number of communities, similar to the approach taken in this study. Purposive sampling was used to select participants, focusing on quality rather than quantity. This method ensures saturation of information on the topic rather than maximizing participant numbers.

Taped interviews with caregivers, conducted one year after the stroke, aimed to provide objectivity. This timing allowed for some distance from the initial stress of the stroke, with both patients and caregivers potentially having settled into a more stable routine.

Despite the tedious task of sorting gathered data, researchers managed to derive meaningful themes from participant responses. Bowen’s (2005) analysis identified patterns in data using thematic codes, reflecting an inductive approach where themes emerge from the data itself rather than being imposed beforehand.

Study Rigor

To ensure the robustness of the study, rigorous measures were taken. Interviews were transcribed verbatim and meticulously checked for accuracy before being entered into a software called QSR NUD*IST (Non-numerical Unstructured Data Indexing Searching and Theorizing). However, the article did not specify who would undertake this task.

In this study, each patient-caregiver pair could be considered a case study, as each pair might have a unique story to tell. Critics argue that case studies, due to their small sample sizes, may lack reliability and generalizability. This limitation is compounded by the researcher’s deep involvement with the cases at hand. The study employed the same interviewer for all interviews, using a predefined schedule that had been previously tested. However, relying on a single interviewer for all interviews may lead to fatigue and response bias. To enhance rigor and objectivity, it is suggested that interviewers undergo effective training, and additional individuals trained in thematic analysis be involved to ensure unbiased analysis and comparison of themes.

Ethical Issues

The study upheld ethical standards by obtaining approval from the Local Research Ethics Committee. Participants were well-informed through information sheets and provided written consent. To accommodate them, interviews took place in their homes and were recorded with permission, ensuring anonymity and confidentiality. Conducting interviews in the presence of patients allowed caregivers to verify certain issues, enhancing validation. However, conducting separate individual interviews, rather than paired ones, might have elicited more personal data from caregivers, revealing deeper issues they may have withheld to avoid conflict with patients.

Findings

The study presented its findings based on themes derived from the data, arranged chronologically from the time of the stroke to one year later. Winter (2000) suggests that qualitative research may not always involve hypotheses or standardized tests. Here, the aim was to explore caregivers’ experiences with stroke patients. Butt (1992) defines qualitative validity as the alignment of research claims with reality.

“In the case of the human sciences, it is the congruence of our text of understanding with the lived reality of persons” (Eisner & Peshkin, 1990, pp. 97-98). Including participants’ actual words in the text is helpful. The validity of the findings depends on how well perceptions are represented – the feelings, thinking, and experiences of individuals, as well as the breadth, depth, and interrelations of issues, concerns, and themes (Butt, 1992). These aspects appear to be addressed in the presentation of findings in this study.

Discussions, Conclusions, Implications, Limitations, and Recommendations

The discussion in the article focused on key issues raised during the in-depth interviews, centering on the perspectives of caregivers. Initially, the tone conveyed sympathy towards them, but it gradually expanded to explore future possibilities. The discussion delved into implications for nursing practice and offered practical conclusions to facilitate smoother caregiving in the future, bridging the gap between findings and real-world application.

In drawing conclusions based on a critical review and discussing implications for evidence-based practice, this article stands out as an exemplary qualitative study, adhering to rigorous research standards. Straus and Corbin (1990) argue that qualitative methods are invaluable for comprehending phenomena with limited understanding. Additionally, these methods shed new light on known subjects or provide deeper insights challenging to express quantitatively.

Glesne (1999) emphasizes that qualitative researchers embrace diverse perspectives without reducing them to a standard interpretation. Face-to-face interactions are central to qualitative research but may present challenges, such as researchers becoming closely involved with participants. Given the potentially stressful nature of interview topics and their emotional intensity, comprehensive interviewer training is essential to uncover valuable insights. It is recommended that both caregivers and patients receive effective and nurturing care training before discharge to optimize their post-care experience.

Quantitative Study: “Effects of Acupressure on Dysmenorrhea and Skin Temperature Changes in College Students: A Non-Randomized Controlled Trial”

Title, authors, and the journal

The title immediately grabs attention by using relevant keywords that accurately reflect the study’s focus. It’s likely to attract female readers, given its relevance to them.

The authors’ Korean names are provided along with their qualifications, enhancing the paper’s credibility.

Published in a reputable journal, this article benefits from the journal’s prestige as a peer-reviewed scholarly publication.

Abstract

The abstract succinctly outlines the study’s components, providing enough detail to inform readers comprehensively.

Introduction, literature review, background

This section is rich in information sourced from previous research, including statistics and studies related to the topic. It’s thorough yet concise, offering detailed insights into the subject matter.

Research Design/Methodology/Methods

The study employed a classic experimental design where subjects were unaware of their assigned treatment group (either SP-6 treatment or a control group receiving light touch). Detailed steps of the research design were meticulously provided. Recruiting subjects posed a challenge as the researchers couldn’t predict their menstrual cycles, necessitating patience and an extended data-gathering period. A system was devised to simplify subject grouping, with volunteers on certain dates assigned to the treatment group while others to the control.

To mitigate inter-rater error, a single researcher administered all treatments, extensively trained in SP-6 acupressure. However, the 20-minute duration per SP-6 session posed a risk of researcher fatigue, potentially impacting results.

Subjects completed a survey questionnaire upon lab arrival, adapted from another questionnaire and translated into Korean by one of the authors. Though translation posed a risk to subject comprehension, it demonstrated high internal consistency.

Notably, all study variables were quantitatively measurable, including dysmenorrhea severity rated on a 5-point scale.

While the tables presenting quantitative results may appear daunting to those unfamiliar with statistics, they offer discernible trends for analysis.

Validity and Reliability

In this study, the SP-6 and Light touch placebo treatments served as independent variables, while the severity of dysmenorrhea and skin temperature changes constituted the dependent variables. According to Heiman (2002), a variable should be a measurable aspect of behavior capable of producing study scores and data. The various steps undertaken by the subjects may have introduced confounding variables. Nonetheless, the researchers made diligent efforts to uphold the validity and reliability of the study.

Ethical Issues

The sensitive nature of the topic might have posed challenges for the participants. They had to adhere to certain personal conditions, such as abstaining from using intrauterine devices and oral contraceptives during the study period, as well as avoiding nonsteroidal anti-inflammatory drugs (NSAIDs) or other analgesics with prostaglandin synthetase-inhibiting activity the week before their expected menstrual period. Importantly, the researchers did not coerce participation, as evidenced by the modest number of participants. Out of 312 potential subjects invited, only 58 met the inclusion criteria and agreed to take part. This indicates that the participants likely felt respected and valued throughout the study.

Findings

The study meticulously presented its findings through clear tables and thorough explanations for each variable. The integrity and impartiality of the results were emphasized, along with a detailed description of the statistical methods applied. The data provided convincing evidence that SP6 effectively reduces dysmenorrhea pain, particularly evident two hours post-treatment.

Discussions, Conclusions, Implications, Limitations, and Recommendations

This section provided a comprehensive reflection on the entire study process. It critically analyzed both the strengths and limitations of the research, presenting them transparently. It felt like summarizing the journey taken throughout the study and evaluating it as a whole. The suggestions for future research in this area are valuable, especially if we aim to further explore the effectiveness of SP6 as an alternative method for alleviating pain.

Conclusion

The conclusion, albeit brief, encapsulates the essence of the study, focusing on its integrity and implications for practice without delving into excessive numerical data. It highlights the importance of the study and the efficacy of the proposed treatment.

Drawing from a critical examination of the findings and their implications for evidence-based practice, this study stands as another example of meticulous design aimed at ensuring validity and reliability. The detailed methodology facilitates replication by future researchers, showcasing the thoroughness of the investigative process. While covering substantial ground, the study leaves room for further exploration, hinting at areas ripe for future investigation.

In terms of substance, the study presents compelling evidence supporting the effectiveness of an alternative therapy for pain, addressing a significant need among a growing population of women experiencing menstrual discomfort.

Conclusion

In summary, both the qualitative study on stroke caregivers’ experiences and the quantitative investigation into acupressure’s effects on dysmenorrhea offer valuable insights into nursing practice. These studies exemplify meticulous research design aimed at ensuring validity and reliability. While the qualitative study sheds light on the career’s experiences of caregivers, the quantitative research provides empirical evidence supporting the efficacy of alternative pain management methods. Together, they underscore the importance of evidence-based practice in addressing the diverse needs of patients and caregivers alike. Critically evaluating these studies enhances our understanding of nursing research and informs evidence-based practice.

References

Bowen, G. A. (2005). Preparing a qualitative research-based dissertation: Lessons learned. The Qualitative Report, 10(2), 208-222.

Butt, T. F. (1992). Education, empowerment, and the discourse of care. In S. N. Hesse-Biber & P. Leavy (Eds.), Approaches to qualitative research: A reader on theory and practice (pp. 127-144). Oxford University Press.

Eisner, E. W., & Peshkin, A. (1990). Qualitative inquiry in education: The continuing debate. Teachers College Press.

Glesne, C. (1999). Becoming qualitative researchers: An introduction. Longman.

Heiman, G. W. (2002). Research methods in psychology. Houghton Mifflin.

Straus, A. L., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Sage.

Winter, R. (2000). Issues of validity in qualitative research. Nurse Researcher, 8(3), 4-15.

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