Develop a 4–6-page proposal for executive leadership that addresses  changes you would like to see within your organization that would  advance the field of nursing.    

Nursing is in the midst of many changes. In this assessment you  will consider how you can be a driving force to bring about needed  change within the field of nursing.

Collaborative interprofessional groups are at the heart of resolving  contemporary nursing issues. The work of groups and teams is based on  strong decision-making and problem-solving skills, led by effective and  engaged leaders. Nurses leading collaborative teams are critical for  resolving a number of issues such as errors in medications, accidents  involving patients, and unsafe shortcuts.

Show Less  

Nurses truly are expert problem-solvers. Tucker and Edmondson  (2002) found that nurses utilized problem-solving skills so often that  it had become a routine aspect of a nurse’s day. However, nurses must be  able to maximize their problem-solving skills in order to lead health  care teams in addressing challenges, identifying evidence-based  solutions, and implementing those solutions.

Reference

Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem solving behavior. Advances in Health Care Management, 3, 87–113.

Preparation

To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include:

• The use of mobile and portable technology to support patients.
• Using evidence-based practice (EBP) to improve patient care.
• Increasing patient safety and quality of care.
• The use of medical technology such as genes and stem cells, or robots in the OR.
• Addressing the nursing shortage now and into the future.
• Improving the work environment (providing calm, supportive spaces  for nurses; improved dialog between health care professionals).
• Better safety for nurses at work (violence, spreading diseases, physical injury).
• Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

• Developing a mobility program for an inpatient unit.
• Implementing “smart” technology to assist in patient monitoring.
• Creating a mentoring program to attract and retain nurses.
• Implementing protocols for infection control and/or treatment of an epidemic.
• Developing a plan to eliminate physical violence and verbal abuse in the workplace.
• Other.

Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references.

Address the following in your proposal:

• Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
• Describe possible evidence-based interventions for the problem.
• Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
• Describe strategies to overcome barriers and resistance to change.
• Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
• Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Additional Requirements

• Include a title page and references page.
• Reference at least four current scholarly or professional resources.
• Use APA format for citations and references.
• Use Times New Roman font, 12 point.
• Double space.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.    

Nursing is in the midst of many changes. In this assessment you will consider how you can be a driving force to bring about needed change within the field of nursing.

  

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

• Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.       
  • Analyze barriers and resistance to change, and describe strategies to overcome these barriers and resistance to change from an organization, patients, or colleagues.
  • Identify other health care professionals to enlist as members of an interprofessional team to drive change in an organization.
• Competency 2: Analyze the implications of working with interprofessional teams in multifaceted health care settings.       
  • Analyze how a problem impacts an organization, patients, or the nursing profession. 
• Competency 3: Develop evidence-based nursing interventions to address specific problems and enable systemic change.       
  • Describe evidence-based solutions to a problem and develop a plan to implement these solutions. 
• Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.       
  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Use correct APA format.

Preparation

To prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:

• The use of mobile and portable technology to support patients.
• Using evidence-based practice (EBP) to improve patient care.
• Increasing patient safety and quality of care.
• The use of medical technology such as genes and stem cells, or robots in the OR.
• Addressing the nursing shortage now and into the future.
• Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).
• Better safety for nurses at work (violence, spreading diseases, physical injury).
• Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

• Developing a mobility program for an inpatient unit.
• Implementing “smart” technology to assist in patient monitoring.
• Creating a mentoring program to attract and retain nurses.
• Implementing protocols for infection control and/or treatment of an epidemic.
• Developing a plan to eliminate physical violence and verbal abuse in the workplace.
• Other.

Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.

Address the following in your proposal:

• Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
• Describe possible evidence-based interventions for the problem.
• Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
• Describe strategies to overcome barriers and resistance to change.
• Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
• Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.

Additional Requirements

• Include a title page and references page.
• Reference at least four current scholarly or professional resources.
• Use APA format for citations and references.
• Use Times New Roman font, 12 point.
• Double space.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 USE THIS FORMAT TO ADD TO EACH DRUG.

THEN AFTER EACH DRUG ENTER INFO.

 YOU CAN FIND THIS INFORMATION ANYWHERE>

ENTER MEDICATION WITH INFO BELOW.

SHORT ANSWER. EACH SECTION CAN BE A SENTENCE OR SHORTER, NO NEED FOR PARAGRAPHS. 

Drug Name (generic, Trade Name): (FOR EXAMPLE : ATIVAN)

 

Classification: Anti anxiety, Benzodiazepine, Anticonvulsant

 

Action: Act on the brain and nerves (central nervous system) to produce a calming effect that relieve symptoms of anxiety.  

 

Available Forms: Tablet, Intravenous

 

 Diagnosis/indications:  It is indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety or anxiety associated with depressive symptoms.

 

Most Common Side Effects: Dizziness, Drowsiness, Nausea,Vomiting

 

Drug/Drug and/or Drug/food Interactions : This drug isn’t to be taken with other medications that can lower the blood pressure.

 

Nursing Interventions Needed When Giving This Medication: Explain to patient to not drive while taking this medication

 

Patient Education: Do not take this medication with other benzodiazepines

THESE ARE THE DRUGS BELOW:

  

1. Alprazolam (Xanax)

2. Amitriptyline (Elavil)

3. Amoxapine (Asendin)

4. Bupropion (Wellbutrin, Zyban)

5.  Buspirone ( Buspar)

6. Clomipramine (Anafranil)

7. Clonazepam (Klonopin)

8. Desipramine (Norpramine)

9. Desvenlafaxine (Pristiq)

10. Diazepam (Valium)

  

1. Doxepin (Adapin, Sinequan, Zonalon)

2. Duloxetine (Cymbalta)

3. Escitalopram (Lexapro)

4. Fluoxetine (Prozac)

5. Gabapentin (Neurontin)

6. Imipramine(Tofranil)

7. Isocarboxazid (Marplan)

8. Lamotrigine (Lamictal)

9. Lorazepam (Ativan)

10. Mirtazapine(Remeron)

11. Nortriptyline (Pamelor, Aventy)

  

1. Sertraline (Zoloft)

2. Topiramate(Topamax)

3. Tranylcypromine (Parnate)

4. Trazodone (Desyrel)

5. Venlafaxine (Effexor)

6. Isocarboxazid (Marplan)

7. Phenelzine (Nardil)

8. Tranlcypromine (Parnate)

9. Thioridazine (Mellaril)

10. Trifluopperazine (stelazine)

11. Fluphenazine (Prolixin)

12. Haloperidol (Haldol)

13. Molindone (Moban)

14. Clozapine (Clozaril)

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  

Assignment

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.  

                     

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

· Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

· Review the scenario assigned by your Instructor for this Assignment.

· Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.

· Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 2- to 3-page paper that addresses the following:

· Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state ( use CA).

· Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 

· Explain the process of writing prescriptions, including strategies to minimize medication errors.

Scenerio is: “As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.”

Resources for references

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

• Chapter 1, “Prescriptive      Authority” (pp. 1–3)
• Chapter 2, “Rational Drug      Selection and Prescription Writing” (pp. 5–9)
• Chapter 3, “Promoting      Positive Outcomes of Drug Therapy” (pp. 11–16)
• Chapter 4,      “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
• Chapter 5, “Adverse Drug      Reactions and Medical Errors” (pp. 41–49)
• Chapter 6, “Individual Variation in Drug      Response” (pp. 51–56)

American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767

American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

This website outlines the code of federal regulations for prescription drugs.

Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html

This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.

Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html

This website details key aspects of drug registration.

Fowler, M. D. (2015). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application. Silver Spring, Maryland: American Nurses Association, 2015. 

This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.

Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list

This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17

This article provides NPs with information regarding state-based laws for NP prescribing.

Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446

The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  

While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in 1992 and was told she would survive, at most, 10 more years. Despite unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis, she has witnessed tremendous improvements in HIV/AIDS treatments which have helped patients live longer with fewer side effects. While she acknowledges that these drug treatments have kept her alive, she fears that improvements in drug therapy have led to more people becoming complacent about the disease (Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in the United States is higher than it has ever been (CDC, 2012). This poses the question: Is there a relationship between drug advancements, societal complacency, and infection?

To prepare:

• Review Chapter 49 of the Arcangelo      and Peterson text, as well as the Krummenacher et al. and Scourfield      articles in the Learning Resources.
• Reflect on whether or not the      prevalence of HIV cases might be attributed to increased complacency due      to more advanced drug treatment options for HIV/AIDS.
• Consider how health care      professionals can help to change perceptions and make people more aware of      the realities of the disease.
• Think about strategies to educate HIV      positive patients on medication adherence, as well as safe practices to      reduce the risk of infecting others.

With these thoughts in mind:

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options. Then, explain how health care professionals can help to change perceptions and increase awareness of the realities of the disease. Finally, describe strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

This work should have Introduction and conclusion

– This work should have at 3 to 5current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter 8, “Principles of      Antimicrobial Therapy” (pp. 111-134)
       This chapter covers factors that impact the selection of an antimicrobial      treatment regimen. It also examines the clinical uses, adverse events, and      drug interactions of various antimicrobial agents such as penicillin.
• Chapter 12, “Fungal Infections      of the Skin” (pp. 163-196)
       This chapter explores the pathophysiology of several fungal infections of      the skin as well as related drug treatments and examines the importance of      patient education when managing these infections.
• Chapter 14, “Bacterial      Infections of the Skin” (pp. 181-196)
       This chapter begins by examining causes of bacterial infections. It then      explores the importance of selecting an appropriate agent for treating      bacterial infections.
• Chapter 32, “Urinary Tract      Infection” (pp. 519-526)
       This chapter covers drugs used to treat urinary tract infections and      identifies special considerations when treating geriatric patients,      pediatric patients, and women.
• Chapter 35, “Sexually      Transmitted Infections” (pp. 512-535)
       This chapter outlines the causes, pathophysiology, and drug treatment of      six sexually transmitted infections, including gonorrhea, syphilis, and      human papilloma virus infection (HPV). It also examines the importance of      selecting the proper agent and monitoring patient response to treatment.
• Chapter 49, “Human Immunodeficiency Virus” (pp.      843-860)
       This chapter presents the causes, pathophysiology, diagnostic criteria,      and prevention methods for HIV. It also covers various methods of drug      treatment and patient factors to consider when selecting, administering,      and managing drug treatments.

Krummenacher, I., Cavassini, M., Bugnon, O., & Schneider, M. (2011). An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring. AIDS Care, 23(5), 550–561.

This article analyzes medication adherence in HIV patients and examines factors that increase adherence as well as factors that contribute to termination or discontinuation of treatment.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Scourfield, A., Waters, L., & Nelson, M. (2011). Drug combinations for HIV: What’s new? Expert Review of Anti-Infective Therapy, 9(11), 1001–1011.

Note: Retrieved from the Walden Library databases.

This article examines current therapies and strategies for treating HIV patients. It also examines factors that impact selection of therapy, including drug interactions, personalization of therapy, costs, management of comorbidities, and patient response.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Antimicrobials. Baltimore, MD: Author.

This media presentation outlines principles of antimicrobial therapy 

Note: The approximate length of this media piece is 7 minutes.

Mayer, K. H., & Krakower, D. (2012). Antiretroviral medication and HIV prevention: New steps forward and New Questions. Annals of Internal Medicine, 156(4), 312–314.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"