Category: Nursing

  • [Solved] Unit 1 IP: The Future of Health Information Systems

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    **Description** Write 3–4 pgs, not including the title, abstract, and reference pgs, that addresses the following: As the manager of the CTU Health Care Information Systems Department, the chief information officer (CIO) has asked you to complete the following: – Analyze the implications and challen…

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    Assignment Prompt & Instructions

    **Description**

    Write 3–4 pgs, not including the title, abstract, and reference pgs, that addresses the following:

    As the manager of the CTU Health Care Information Systems Department, the chief information officer (CIO) has asked you to complete the following:

    – Analyze the implications and challenges of cost, quality, and external forces on electronic health record (EHR) or electronic medical record (EMR) selection and implementation within your department.
    – Conduct research on 1 major external threat facing the EHR today.

    Note: Use APA style, and cite at least 2 scholarly references published within the last 5 years.

    – 2 years ago

  • [Solved] Unit 1 DB: The Future of Health Information Systems

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    **Primary Task Response:** Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas….

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    **Primary Task Response:** Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

    The chief information officer (CIO) of CTU (Colorado Technical University) Health Care wants you, the manager of the information systems department, to ensure that the employees within your department are aware of the challenges facing the department since the implementation of the electronic health record (EHR). Discuss the following:

    – Discuss 5 major challenges that are currently facing the department.
    – Discuss the impact of the Health Insurance Portability and Accountability Act (HIPAA) on these challenges.

    Note: Use APA style, and cite at least 2 scholarly references published within the last 5 years.

    – 2 years ago

  • [Solved] The development of advanced practice nursing roles has progressed significantly over time. Think of your future advanced practice role (e.g., leader, educator, practitioner) and discuss the following:

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    In-depth study guidance and analytical solution covering The development of advanced practice nursing roles has progressed significantly over time. Think of your future advanced practice role (e.g., leader, educator, practitioner) and discuss the following:.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Nursing Assignment

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    In-depth study guidance and analytical solution covering Nursing Assignment.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] XL03DQ

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    – 2 years ago **files (1)** – ## APASTYLE.docx **## APASTYLE.docx** **APA STYLE , AT LEAST THREE REFERENCES , AT LEAST 200-250 world** 1. Are you a member of any professional nursing organizations? 2. What are the benefits of joining professional nursing organizations? **## APASTYLE.docx** **APA S…

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    – 2 years ago

    **files (1)**

    – ## APASTYLE.docx

    **## APASTYLE.docx**

    **APA STYLE , AT LEAST THREE REFERENCES , AT LEAST 200-250 world**

    1. Are you a member of any professional nursing organizations?

    2. What are the benefits of joining professional nursing organizations?

    **## APASTYLE.docx**

    **APA STYLE , AT LEAST THREE REFERENCES , AT LEAST 200-250 world**

    1. Are you a member of any professional nursing organizations?

    2. What are the benefits of joining professional nursing organizations?

  • [Solved] Week 1 NR507 Discussion Question

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    My Disease Process is ALLERGIES The purpose of this discussion is to examine disease processes associated with a client scenario following the instructions below. The course faculty will reveal the disease process at the end of the week. **Step 1:** Carefully read the following client scenario: _Wil…

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    Assignment Prompt & Instructions

    My Disease Process is  ALLERGIES

    The purpose of this discussion is to examine disease processes associated with a client scenario following the instructions below. The course faculty will reveal the disease process at the end of the week.

    **Step 1:** Carefully read the following client scenario:

    _Wilbur, a 55-year-old male client, presents to the NP complaining of a flat, purple-colored rash on his back and chest. Wilbur states the rash is not painful or itchy. He states it has been there for months, and he has also developed a white coating on his tongue and has “been sick a lot lately.”_

    **Step 3:** Answer the discussion prompts below with explanation and detail, providing complete references for all citations. .

    Include the following sections:

    1. **Application of Course Knowledge:** Answer all questions/criteria with explanations and detail.

    1. Discuss the underlying pathophysiological mechanisms of your assigned disease process. Which clinical manifestations observed in Wilbur’s case may be explained by the pathophysiological mechanisms?
    2. Analyze Wilbur’s clinical manifestations as they relate to your assigned disease process. Do these findings support your assigned disease process? Why or why not?
    3. Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that may be most appropriate for investigating your assigned disease process as the diagnosis for Wilbur. Discuss anticipated test results.

    **Integration of Evidence:** Integrate relevant scholarly sources as defined by program expectations:

    1. Cite a scholarly source in the initial post.
    2. Cite a scholarly source in one faculty response post.
    3. Cite a scholarly source in one peer post.
    4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
    5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

    – 2 years ago

  • [Solved] week 1

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    1. What changes in prescriptive authority have taken place in the United States in the past ten years? What are the implications of limited prescriptive authority for the advanced practice registered nurse (APRN)? 2. The advanced practice registered nurse role requires an intensive set of clinical…

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    1. What changes in prescriptive authority have taken place in the United States in the past ten years? What are the implications of limited prescriptive authority for the advanced practice registered nurse (APRN)?

    2. The advanced practice registered nurse role requires an intensive set of clinical skills, knowledge, and integrative abilities that synthesizes nursing knowledge. What does interprofessional collaboration mean to you? Provide examples with your rationale.

    – 2 years ago

  • [Solved] Enhancing Quality and Safety

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    Instructions attached below, thank you! – 2 years ago **files (1)** – ## C4Assessment1.docx **## C4Assessment1.docx** **Instructions:** For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative. Be sure that your plan add…

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    Assignment Prompt & Instructions

    Instructions attached below, thank you!

    – 2 years ago

    **files (1)**

    – ## C4Assessment1.docx

    **## C4Assessment1.docx**

    **Instructions:**

    For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.

    Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.

    · Explain factors leading to a specific patient-safety risk in a health care setting.

    · Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.

    · Explain how nurses can help coordinate care to increase patient safety and reduce costs.

    · Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

    · Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

    **Case Study:**

    **Delayed Response to Deteriorating Patient Condition in Healthcare:** A patient's condition can change rapidly, and timely interventions are often crucial to prevent further deterioration or even save a life. For nursing students, understanding the implications of delayed responses to such changes is vital. Here's why:

    o
    **Patient Safety and Outcomes**: The most immediate concern with delayed responses is the potential harm to the patient. Rapid interventions can prevent complications, reduce the severity of outcomes, and in some cases, be the difference between life and death.

    o
    **Window of Intervention**: Many medical conditions have a critical window during which interventions are most effective. Delays in recognizing and responding can narrow or close this window, limiting treatment options and reducing the likelihood of positive outcomes.

    o
    **Increased Complexity of Care**: A patient who has deteriorated further due to a delayed response often requires more complex and aggressive treatments than if the issue had been addressed promptly. This can involve higher-risk procedures, more medications, and longer recovery times.

    o
    **Emotional and Psychological Impact on Patients and Families**: Witnessing a loved one deteriorate without prompt intervention can be traumatic for families. It can lead to feelings of helplessness, frustration, and mistrust towards the healthcare system.

    o
    **Professional Implications**: Delays in responding to deteriorating patients can have significant repercussions for healthcare professionals. These might include disciplinary actions, loss of licensure, legal consequences, and damage to one's professional reputation.

    o
    **Economic Costs**: Delays can lead to extended hospital stays, additional treatments, and potential lawsuits, all of which result in increased costs for healthcare systems and patients.

    o
    **Team Dynamics and Morale**: Repeated incidents of delayed responses can strain team dynamics. It can lead to blame, guilt, and tensions among team members, impacting the overall functioning and morale of the unit.

    o
    **Quality Metrics and Accreditation**: Healthcare facilities often have quality metrics that track response times to various clinical scenarios. Poor performance in these metrics can lead to penalties, increased scrutiny, and challenges in maintaining accreditation.

    **Additional Requirements:**

    ·
    **Length of submission:** 3–5 pages, plus title and reference pages.

    ·
    **Number of references:** Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

    ·
    **APA formatting:** References and citations are formatted according to current APA style.

    **## C4Assessment1.docx**

    **Instructions:**

    For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.

    Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.

    · Explain factors leading to a specific patient-safety risk in a health care setting.

    · Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.

    · Explain how nurses can help coordinate care to increase patient safety and reduce costs.

    · Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.

    · Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

    **Case Study:**

    **Delayed Response to Deteriorating Patient Condition in Healthcare:** A patient's condition can change rapidly, and timely interventions are often crucial to prevent further deterioration or even save a life. For nursing students, understanding the implications of delayed responses to such changes is vital. Here's why:

    o
    **Patient Safety and Outcomes**: The most immediate concern with delayed responses is the potential harm to the patient. Rapid interventions can prevent complications, reduce the severity of outcomes, and in some cases, be the difference between life and death.

    o
    **Window of Intervention**: Many medical conditions have a critical window during which interventions are most effective. Delays in recognizing and responding can narrow or close this window, limiting treatment options and reducing the likelihood of positive outcomes.

    o
    **Increased Complexity of Care**: A patient who has deteriorated further due to a delayed response often requires more complex and aggressive treatments than if the issue had been addressed promptly. This can involve higher-risk procedures, more medications, and longer recovery times.

    o
    **Emotional and Psychological Impact on Patients and Families**: Witnessing a loved one deteriorate without prompt intervention can be traumatic for families. It can lead to feelings of helplessness, frustration, and mistrust towards the healthcare system.

    o
    **Professional Implications**: Delays in responding to deteriorating patients can have significant repercussions for healthcare professionals. These might include disciplinary actions, loss of licensure, legal consequences, and damage to one's professional reputation.

    o
    **Economic Costs**: Delays can lead to extended hospital stays, additional treatments, and potential lawsuits, all of which result in increased costs for healthcare systems and patients.

    o
    **Team Dynamics and Morale**: Repeated incidents of delayed responses can strain team dynamics. It can lead to blame, guilt, and tensions among team members, impacting the overall functioning and morale of the unit.

    o
    **Quality Metrics and Accreditation**: Healthcare facilities often have quality metrics that track response times to various clinical scenarios. Poor performance in these metrics can lead to penalties, increased scrutiny, and challenges in maintaining accreditation.

    **Additional Requirements:**

    ·
    **Length of submission:** 3–5 pages, plus title and reference pages.

    ·
    **Number of references:** Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

    ·
    **APA formatting:** References and citations are formatted according to current APA style.

  • [Solved] Workplace Environment Assessment

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    How healthy is your workplace? – 2 years ago

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    Assignment Prompt & Instructions

    How healthy is your workplace?

    – 2 years ago

  • [Solved] DNP Project

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    DNP STAFF EDUCATION PROJECT – 2 years ago **files (7)** – ## new.answers.StaffPre-andPost-EducationQuestionnaireAnswers13…docx – ## STAFFEDUCATION.power.point………pptx – ## direct.feedback.docx – new.PreandPostEducationQuestionnaire.docx…….docx – NEW.Appendix_B_Question_Development…2….

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    DNP STAFF EDUCATION PROJECT

    – 2 years ago

    **files (7)**

    – ## new.answers.StaffPre-andPost-EducationQuestionnaireAnswers13…docx

    – ## STAFFEDUCATION.power.point………pptx

    – ## direct.feedback.docx

    – new.PreandPostEducationQuestionnaire.docx…….docx
    – NEW.Appendix_B_Question_Development…2….docx
    – NEEDS.REVISED.Appendix_H_SynthesisandRecommendationsTool_…4.docx
    – NEEDSRevised.Appendix_I_Translation_and_Action_Planning……docx

    **## new.answers.StaffPre-andPost-EducationQuestionnaireAnswers13…docx**

    1

    **Staff Pre- and Post-Education Questionnaire Answers**

    Tina Cherry

    Walden University

    [DNP Project Mentoring](https://waldenu.instructure.com/courses/108329) NURS – 8702

    Dr. Kulhanek

    December 16, 2024

    Staff Pre- and Post-Education Questionnaire Answers

    **Understanding Blood Drug Levels**

    1.
    **Therapeutic Range:**

    · b) The dosage range that achieves the desired effect without causing harm

    2.
    **Factors Influencing Blood Drug Levels:**

    · b) Renal function

    3.
    **Interpreting Blood Drug Levels:**

    · b) The patient may experience adverse effects or toxicity.

    4.
    **Monitoring Blood Drug Levels:**

    · d) At intervals recommended by the prescribing guidelines

    5.
    **Pharmacokinetics:**

    · c) Mechanism of action

    6.
    **Impact of Liver Function:**

    · b) It decreases drug metabolism, raising blood levels.

    7.
    **Drug Half-Life:**

    · b) The time it takes for half of the drug to be eliminated from the body

    8.
    **Dose-Response Relationship:**

    · a) The relationship between the drug dose and the magnitude of its effect

    **Contraindications**

    1.
    **Definition of Contraindications:**

    · b) A situation where the drug can be used with caution

    2.
    **Drug-Drug Interactions:**

    · a) Warfarin and aspirin

    3.
    **Patient History:**

    · b) Past medical history and allergies

    4.
    **Absolute Contraindications:**

    · c) Administering penicillin to a patient with a known allergy to it

    5.
    **Managing Contraindications:**

    · b) Weigh the risks and benefits before proceeding

    6.
    **Information Sources:**

    · c) Drug reference guides and clinical guidelines

    7.
    **Allergy Considerations:**

    · c) Clearly, with specific details about the reaction and severity

    8.
    **Ethical Considerations:**

    · b) Explain the risks and refuse to prescribe the medication

    **Treatment Efficacy**

    1.
    **Indicators of Treatment Efficacy:**

    · a) Reduction in positive symptoms like hallucinations

    2.
    **Assessment Tools:**

    · a) Brief Psychiatric Rating Scale (BPRS)

    3.
    **Patient Monitoring:**

    · b) Regularly, depending on the treatment plan and severity of symptoms

    4.
    **Treatment Adjustment:**

    · d) All of the above

    5.
    **Role of Family and Caregivers:**

    · a) By providing feedback on observed changes in the patient's behavior

    6.
    **Long-term Management:**

    · b) Regular follow-up appointments to monitor symptoms and medication side effects

    7.
    **Patient Engagement:**

    · a) By involving them in decision-making and providing education about their condition

    8.
    **Evaluating Treatment Success:**

    · b) Improved quality of life and functioning

    **## STAFFEDUCATION.power.point………pptx**

    STAFF EDUCATION

    Increasing Knowledge of Essential Assessments for Mental Health Patients Before Medication Administration

    Tina Cherry MSN, APRN, PMHNP-BC

    1

    1

    AGENDA

    Increasing knowledge, understanding, and interpretation of the accessed physical monitoring of mental health patients.

    2

    2

    Inconsistent physical monitoring, lack of standardization, inadequate documentation, and minimal interdisciplinary collaboration create gaps in practice and proficiency.
    Evidence-based practice enhances the quality of care and minimizes the likelihood of adverse outcomes.

    3

    Essential assessments

    Closely monitoring the physical assessments of mental health patients before medication administration ensures optimum mental health service. Increased knowledge of essential assessments for mental health patients before medication administration will encourage the basic tenets of patient care and promote -evidence-based practice.

    4

    4

    Increasing knowledge

    5

    ESSENTIAL ASSESSMENTS

    The increase in staff knowledge of interpreting blood drug levels, contraindications, compliance, and treatment efficacy will improve proficiency and practices. Nursing staff assessment of the physical monitoring assists providers' evaluations to make informed judgments to increase patient safety and treatment effectiveness.

    Interpreting Blood Drug Levels

    Ensure therapeutic levels are achieved for effectiveness

    Prevent toxicity and adverse effects:

    6

    6

    Monitoring for contraindications

    7

    Research indicates that less than 50% of patients on prescription drugs in mental care settings undergo critical monitoring when they seek care in England (Ayre, Lewis, and Keers, 2023). Physical monitoring of vital signs and other areas such as weight and blood level for illicit drugs is critical for mental health patients. Furthermore, it guides the characteristics of the health condition and the patient’s body's ability to acclimate to the resulting stress on the well-being of their various physiological components (Sapra, Malik, and Bhandari, 2020).

    7

    Increasing Knowledge

    Understanding Contraindications.

    What Are Contraindications?

    Types of Contraindications:

    Monitoring for Contraindications

    Review patient history and current medication list

    Educate patients about potential interactions and symptoms to watch for and report.

    8

    8

    THANK YOU

    Tina Cherry MSN, APRN, PMHNP-BC

    9

    9

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    **## direct.feedback.docx**

    **This is direct feedback from a committee member;**

    **APPENDIX B**(may be ok-check your work)

    Q
    **uestion tool**.

    – The first item response on page 1, What is the problem? Is actually the gap, not the problem. The gap is a lack of knowledge
    _(The nursing staff lack sufficient knowledge of interpreting blood drug levels, have inadequate understanding of contraindications, and cannot evaluate treatment efficacy effectively.)_ The problem is inadequate physical assessment, monitoring, and documentation prior to administration of medications for mental health conditions.

    -The revised question is not correct. It should like something like: Does staff education on physical assessment, monitoring, and documentation prior to administration of medications for mental health conditions improve staff knowledge as compared pre to post education?

    **Literature synthesis Appendix H**

    -Good synthesis discussion but you have 16 articles listed here but only 14 in the individual literature review.——
    **(Number of Sources (Quantity) 16?)**

    —Check
    **Appendix H,** also revise the EBP question

     —
    **Add an additional article about the ADDIE MODEL**

    https://elmlearning.com/hub/instructional-design/addie-model/

    **Educational program**

    https://elmlearning.com/hub/instructional-design/addie-model/

    -Your educational ppt need more fully developed.

    Please work with your facility content experts and use the ADDIE Model to develop your educational program.

    -In the quiz you cover: understanding blood drug levels, contraindications, treatment efficacy. These areas are not fully presented in the educational ppt.

    -Your learning objectives for the educational program are also missing. These should align with the material you will be covering and align with the questions you are asking on the pre-post tool.

    -Slide 1-title: “Increasing Knowledge of Essential Assessments for Mental Health Patients Before Medication Administration.” In this ppt you have not fully covered and clarified what those essential assessments are. Also in your Site Approval you wrote you were going to focus education on essential assessments (you further clarified in your SA these included physical assessment, monitoring, and documentation). Therefore you would need to fully cover these areas in your educational program. In the quiz you cover: understanding blood drug levels, contraindications, treatment efficacy. There areas are not fully presented in the educational ppt. The information presented in the educational program must align with the information asked on the pre-post assessment tool, and right now they do not.

    -Slide 2 Agenda-This is the overall goal, not really a teaching point.

    -Slide 3-why all caps and to the right side? Needs reformatted and clarified as to what this is teaching.

    -Slide 4-this is an overall statement but does not really teach anything

    -Slide 5-Increasing Knowledge-not sure why this slide is here. The entire presentation is to increase knowledge

    -Slide 6-has no title and has extraneous “click to add text” boxes. Also the info on this slide is just a statement of what increased knowledge will do. There is nothing really being taught here.

    -Slide 7-this one slide for covering monitoring for contraindications needs to be further developed.

    -Slide 8-again titled increasing knowledge has extraneous “click to add text” boxes. This slide also needs to be further developed

    **Action Plan**

    **Appendix I**

    **INCLUDE; the key phases of the ADDIE model**

    **Analyze**

    The analysis phase lays the foundation for successful training by identifying the learners’ needs and objectives, as well as the training’s context. In the corporate realm, this involves understanding the technical landscape, learner demographics, and the specific challenges to be addressed through training.

    **Design**

    Designing effective training programs is at the heart of the ADDIE model. This phase focuses on creating a blueprint for the training, outlining the learning objectives, content structure, and the instructional strategies best suited for the target audience. The design phase ensures that the training will be engaging, relevant, and impactful.

    **Develop**

    Development is where the
    [learning experience design](https://elmlearning.com/hub/instructional-design/learning-experience-design/) comes to life. This phase involves the creation of the training materials, including multimedia content, assessments, and learning activities. It emphasizes the importance of tailoring the content to meet the learners’ preferences and the learning objectives established in the design phase.

    **Implement**

    Implementation is the execution phase, where the training program is rolled out to the learners. This stage tests the practicality and effectiveness of the training design and development, highlighting the importance of a smooth delivery mechanism and the readiness of both instructors and learners.

    —Page 3 bottom: Action Planning: Complete the following activities… Is blank. Please indicate answers (bold, highlight, place a x, write in info, etc)

    **Outcomes Measurement Plan**

    -page 5-How will you know if you are successful? You will not be measuring:

    adverse drug reactions and complications among patients

    Better control of psychiatric symptoms, which may improve the overall quality of life for patients, or

    more timely administration of medications

    Your only outcome is increased knowledge, and you have a few summative questions, which ask about satisfaction/change in practice, which is fine.

    Please revise to align with your intended outcome.

    Revise your outcomes so they are correct with the data you intent to collect to assess for the answer to your project question, which is assessing for an increase in knowledge.

    **Outcomes Measurement Plan**

    **-all outcomes must be education on___________ increased knowledge**

    **For instance—-**

    **education on —–Clinical ——Increased knowledge** of contraindications and interpretation of blood drug levels

    **education on ——Functional—— Increased knowledge** of Better control of psychiatric symptoms,

    **education on ——Perceptual——– Increased knowledge of** increasing knowledge with acquired education

    **education on——–Process/Intervention——** **Increased knowledge of** in blood drug levels, contraindications, and treatment efficacy

    **education on ———-Organization/Unit-Based———–** **Increased knowledge of** interpreting blood drug levels, contraindications, and treatment efficacy

    -Page 6. High-level deliverables. There are incomplete as you stop after collecting data.

    **new.PreandPostEducationQuestionnaire.docx…….docx**

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    **NEW.Appendix_B_Question_Development…2….docx**

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    **NEEDSRevised.Appendix_I_Translation_and_Action_Planning……docx**

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    **## new.answers.StaffPre-andPost-EducationQuestionnaireAnswers13…docx**

    1

    **Staff Pre- and Post-Education Questionnaire Answers**

    Tina Cherry

    Walden University

    [DNP Project Mentoring](https://waldenu.instructure.com/courses/108329) NURS – 8702

    Dr. Kulhanek

    December 16, 2024

    Staff Pre- and Post-Education Questionnaire Answers

    **Understanding Blood Drug Levels**

    1.
    **Therapeutic Range:**

    · b) The dosage range that achieves the desired effect without causing harm

    2.
    **Factors Influencing Blood Drug Levels:**

    · b) Renal function

    3.
    **Interpreting Blood Drug Levels:**

    · b) The patient may experience adverse effects or toxicity.

    4.
    **Monitoring Blood Drug Levels:**

    · d) At intervals recommended by the prescribing guidelines

    5.
    **Pharmacokinetics:**

    · c) Mechanism of action

    6.
    **Impact of Liver Function:**

    · b) It decreases drug metabolism, raising blood levels.

    7.
    **Drug Half-Life:**

    · b) The time it takes for half of the drug to be eliminated from the body

    8.
    **Dose-Response Relationship:**

    · a) The relationship between the drug dose and the magnitude of its effect

    **Contraindications**

    1.
    **Definition of Contraindications:**

    · b) A situation where the drug can be used with caution

    2.
    **Drug-Drug Interactions:**

    · a) Warfarin and aspirin

    3.
    **Patient History:**

    · b) Past medical history and allergies

    4.
    **Absolute Contraindications:**

    · c) Administering penicillin to a patient with a known allergy to it

    5.
    **Managing Contraindications:**

    · b) Weigh the risks and benefits before proceeding

    6.
    **Information Sources:**

    · c) Drug reference guides and clinical guidelines

    7.
    **Allergy Considerations:**

    · c) Clearly, with specific details about the reaction and severity

    8.
    **Ethical Considerations:**

    · b) Explain the risks and refuse to prescribe the medication

    **Treatment Efficacy**

    1.
    **Indicators of Treatment Efficacy:**

    · a) Reduction in positive symptoms like hallucinations

    2.
    **Assessment Tools:**

    · a) Brief Psychiatric Rating Scale (BPRS)

    3.
    **Patient Monitoring:**

    · b) Regularly, depending on the treatment plan and severity of symptoms

    4.
    **Treatment Adjustment:**

    · d) All of the above

    5.
    **Role of Family and Caregivers:**

    · a) By providing feedback on observed changes in the patient's behavior

    6.
    **Long-term Management:**

    · b) Regular follow-up appointments to monitor symptoms and medication side effects

    7.
    **Patient Engagement:**

    · a) By involving them in decision-making and providing education about their condition

    8.
    **Evaluating Treatment Success:**

    · b) Improved quality of life and functioning

    **## STAFFEDUCATION.power.point………pptx**

    STAFF EDUCATION

    Increasing Knowledge of Essential Assessments for Mental Health Patients Before Medication Administration

    Tina Cherry MSN, APRN, PMHNP-BC

    1

    1

    AGENDA

    Increasing knowledge, understanding, and interpretation of the accessed physical monitoring of mental health patients.

    2

    2

    Inconsistent physical monitoring, lack of standardization, inadequate documentation, and minimal interdisciplinary collaboration create gaps in practice and proficiency.
    Evidence-based practice enhances the quality of care and minimizes the likelihood of adverse outcomes.

    3

    Essential assessments

    Closely monitoring the physical assessments of mental health patients before medication administration ensures optimum mental health service. Increased knowledge of essential assessments for mental health patients before medication administration will encourage the basic tenets of patient care and promote -evidence-based practice.

    4

    4

    Increasing knowledge

    5

    ESSENTIAL ASSESSMENTS

    The increase in staff knowledge of interpreting blood drug levels, contraindications, compliance, and treatment efficacy will improve proficiency and practices. Nursing staff assessment of the physical monitoring assists providers' evaluations to make informed judgments to increase patient safety and treatment effectiveness.

    Interpreting Blood Drug Levels

    Ensure therapeutic levels are achieved for effectiveness

    Prevent toxicity and adverse effects:

    6

    6

    Monitoring for contraindications

    7

    Research indicates that less than 50% of patients on prescription drugs in mental care settings undergo critical monitoring when they seek care in England (Ayre, Lewis, and Keers, 2023). Physical monitoring of vital signs and other areas such as weight and blood level for illicit drugs is critical for mental health patients. Furthermore, it guides the characteristics of the health condition and the patient’s body's ability to acclimate to the resulting stress on the well-being of their various physiological components (Sapra, Malik, and Bhandari, 2020).

    7

    Increasing Knowledge

    Understanding Contraindications.

    What Are Contraindications?

    Types of Contraindications:

    Monitoring for Contraindications

    Review patient history and current medication list

    Educate patients about potential interactions and symptoms to watch for and report.

    8

    8

    THANK YOU

    Tina Cherry MSN, APRN, PMHNP-BC

    9

    9

    ## image11.png

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    .MsftOfcThm_Text1_Stroke_v2 {
    stroke:#000000;
    }

    **## direct.feedback.docx**

    **This is direct feedback from a committee member;**

    **APPENDIX B**(may be ok-check your work)

    Q
    **uestion tool**.

    – The first item response on page 1, What is the problem? Is actually the gap, not the problem. The gap is a lack of knowledge
    _(The nursing staff lack sufficient knowledge of interpreting blood drug levels, have inadequate understanding of contraindications, and cannot evaluate treatment efficacy effectively.)_ The problem is inadequate physical assessment, monitoring, and documentation prior to administration of medications for mental health conditions.

    -The revised question is not correct. It should like something like: Does staff education on physical assessment, monitoring, and documentation prior to administration of medications for mental health conditions improve staff knowledge as compared pre to post education?

    **Literature synthesis Appendix H**

    -Good synthesis discussion but you have 16 articles listed here but only 14 in the individual literature review.——
    **(Number of Sources (Quantity) 16?)**

    —Check
    **Appendix H,** also revise the EBP question

     —
    **Add an additional article about the ADDIE MODEL**

    https://elmlearning.com/hub/instructional-design/addie-model/

    **Educational program**

    https://elmlearning.com/hub/instructional-design/addie-model/

    -Your educational ppt need more fully developed.

    Please work with your facility content experts and use the ADDIE Model to develop your educational program.

    -In the quiz you cover: understanding blood drug levels, contraindications, treatment efficacy. These areas are not fully presented in the educational ppt.

    -Your learning objectives for the educational program are also missing. These should align with the material you will be covering and align with the questions you are asking on the pre-post tool.

    -Slide 1-title: “Increasing Knowledge of Essential Assessments for Mental Health Patients Before Medication Administration.” In this ppt you have not fully covered and clarified what those essential assessments are. Also in your Site Approval you wrote you were going to focus education on essential assessments (you further clarified in your SA these included physical assessment, monitoring, and documentation). Therefore you would need to fully cover these areas in your educational program. In the quiz you cover: understanding blood drug levels, contraindications, treatment efficacy. There areas are not fully presented in the educational ppt. The information presented in the educational program must align with the information asked on the pre-post assessment tool, and right now they do not.

    -Slide 2 Agenda-This is the overall goal, not really a teaching point.

    -Slide 3-why all caps and to the right side? Needs reformatted and clarified as to what this is teaching.

    -Slide 4-this is an overall statement but does not really teach anything

    -Slide 5-Increasing Knowledge-not sure why this slide is here. The entire presentation is to increase knowledge

    -Slide 6-has no title and has extraneous “click to add text” boxes. Also the info on this slide is just a statement of what increased knowledge will do. There is nothing really being taught here.

    -Slide 7-this one slide for covering monitoring for contraindications needs to be further developed.

    -Slide 8-again titled increasing knowledge has extraneous “click to add text” boxes. This slide also needs to be further developed

    **Action Plan**

    **Appendix I**

    **INCLUDE; the key phases of the ADDIE model**

    **Analyze**

    The analysis phase lays the foundation for successful training by identifying the learners’ needs and objectives, as well as the training’s context. In the corporate realm, this involves understanding the technical landscape, learner demographics, and the specific challenges to be addressed through training.

    **Design**

    Designing effective training programs is at the heart of the ADDIE model. This phase focuses on creating a blueprint for the training, outlining the learning objectives, content structure, and the instructional strategies best suited for the target audience. The design phase ensures that the training will be engaging, relevant, and impactful.

    **Develop**

    Development is where the
    [learning experience design](https://elmlearning.com/hub/instructional-design/learning-experience-design/) comes to life. This phase involves the creation of the training materials, including multimedia content, assessments, and learning activities. It emphasizes the importance of tailoring the content to meet the learners’ preferences and the learning objectives established in the design phase.

    **Implement**

    Implementation is the execution phase, where the training program is rolled out to the learners. This stage tests the practicality and effectiveness of the training design and development, highlighting the importance of a smooth delivery mechanism and the readiness of both instructors and learners.

    —Page 3 bottom: Action Planning: Complete the following activities… Is blank. Please indicate answers (bold, highlight, place a x, write in info, etc)

    **Outcomes Measurement Plan**

    -page 5-How will you know if you are successful? You will not be measuring:

    adverse drug reactions and complications among patients

    Better control of psychiatric symptoms, which may improve the overall quality of life for patients, or

    more timely administration of medications

    Your only outcome is increased knowledge, and you have a few summative questions, which ask about satisfaction/change in practice, which is fine.

    Please revise to align with your intended outcome.

    Revise your outcomes so they are correct with the data you intent to collect to assess for the answer to your project question, which is assessing for an increase in knowledge.

    **Outcomes Measurement Plan**

    **-all outcomes must be education on___________ increased knowledge**

    **For instance—-**

    **education on —–Clinical ——Increased knowledge** of contraindications and interpretation of blood drug levels

    **education on ——Functional—— Increased knowledge** of Better control of psychiatric symptoms,

    **education on ——Perceptual——– Increased knowledge of** increasing knowledge with acquired education

    **education on——–Process/Intervention——** **Increased knowledge of** in blood drug levels, contraindications, and treatment efficacy

    **education on ———-Organization/Unit-Based———–** **Increased knowledge of** interpreting blood drug levels, contraindications, and treatment efficacy

    -Page 6. High-level deliverables. There are incomplete as you stop after collecting data.

    **new.PreandPostEducationQuestionnaire.docx…….docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/new-preandposteducationquestionnaire-docx-docx)

    **NEW.Appendix_B_Question_Development…2….docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/new-appendix-b-question-development-2-docx)

    **NEEDS.REVISED.Appendix_H_SynthesisandRecommendationsTool_…4.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/needs-revised-appendix-h-synthesisandrecommendationstool-4-docx)

    **NEEDSRevised.Appendix_I_Translation_and_Action_Planning……docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/needsrevised-appendix-i-translation-and-action-planning-docx)

    **## new.answers.StaffPre-andPost-EducationQuestionnaireAnswers13…docx**

    1

    **Staff Pre- and Post-Education Questionnaire Answers**

    Tina Cherry

    Walden University

    [DNP Project Mentoring](https://waldenu.instructure.com/courses/108329) NURS – 8702

    Dr. Kulhanek

    December 16, 2024

    Staff Pre- and Post-Education Questionnaire Answers

    **Understanding Blood Drug Levels**

    1.
    **Therapeutic Range:**

    · b) The dosage range that achieves the desired effect without causing harm

    2.
    **Factors Influencing Blood Drug Levels:**

    · b) Renal function

    3.
    **Interpreting Blood Drug Levels:**

    · b) The patient may experience adverse effects or toxicity.

    4.
    **Monitoring Blood Drug Levels:**

    · d) At intervals recommended by the prescribing guidelines

    5.
    **Pharmacokinetics:**

    · c) Mechanism of action

    6.
    **Impact of Liver Function:**

    · b) It decreases drug metabolism, raising blood levels.

    7.
    **Drug Half-Life:**

    · b) The time it takes for half of the drug to be eliminated from the body

    8.
    **Dose-Response Relationship:**

    · a) The relationship between the drug dose and the magnitude of its effect

    **Contraindications**

    1.
    **Definition of Contraindications:**

    · b) A situation where the drug can be used with caution

    2.
    **Drug-Drug Interactions:**

    · a) Warfarin and aspirin

    3.
    **Patient History:**

    · b) Past medical history and allergies

    4.
    **Absolute Contraindications:**

    · c) Administering penicillin to a patient with a known allergy to it

    5.
    **Managing Contraindications:**

    · b) Weigh the risks and benefits before proceeding

    6.
    **Information Sources:**

    · c) Drug reference guides and clinical guidelines

    7.
    **Allergy Considerations:**

    · c) Clearly, with specific details about the reaction and severity

    8.
    **Ethical Considerations:**

    · b) Explain the risks and refuse to prescribe the medication

    **Treatment Efficacy**

    1.
    **Indicators of Treatment Efficacy:**

    · a) Reduction in positive symptoms like hallucinations

    2.
    **Assessment Tools:**

    · a) Brief Psychiatric Rating Scale (BPRS)

    3.
    **Patient Monitoring:**

    · b) Regularly, depending on the treatment plan and severity of symptoms

    4.
    **Treatment Adjustment:**

    · d) All of the above

    5.
    **Role of Family and Caregivers:**

    · a) By providing feedback on observed changes in the patient's behavior

    6.
    **Long-term Management:**

    · b) Regular follow-up appointments to monitor symptoms and medication side effects

    7.
    **Patient Engagement:**

    · a) By involving them in decision-making and providing education about their condition

    8.
    **Evaluating Treatment Success:**

    · b) Improved quality of life and functioning

    **## STAFFEDUCATION.power.point………pptx**

    STAFF EDUCATION

    Increasing Knowledge of Essential Assessments for Mental Health Patients Before Medication Administration

    Tina Cherry MSN, APRN, PMHNP-BC

    1

    1

    AGENDA

    Increasing knowledge, understanding, and interpretation of the accessed physical monitoring of mental health patients.

    2

    2

    Inconsistent physical monitoring, lack of standardization, inadequate documentation, and minimal interdisciplinary collaboration create gaps in practice and proficiency.
    Evidence-based practice enhances the quality of care and minimizes the likelihood of adverse outcomes.

    3

    Essential assessments

    Closely monitoring the physical assessments of mental health patients before medication administration ensures optimum mental health service. Increased knowledge of essential assessments for mental health patients before medication administration will encourage the basic tenets of patient care and promote -evidence-based practice.

    4

    4

    Increasing knowledge

    5

    ESSENTIAL ASSESSMENTS

    The increase in staff knowledge of interpreting blood drug levels, contraindications, compliance, and treatment efficacy will improve proficiency and practices. Nursing staff assessment of the physical monitoring assists providers' evaluations to make informed judgments to increase patient safety and treatment effectiveness.

    Interpreting Blood Drug Levels

    Ensure therapeutic levels are achieved for effectiveness

    Prevent toxicity and adverse effects:

    6

    6

    Monitoring for contraindications

    7

    Research indicates that less than 50% of patients on prescription drugs in mental care settings undergo critical monitoring when they seek care in England (Ayre, Lewis, and Keers, 2023). Physical monitoring of vital signs and other areas such as weight and blood level for illicit drugs is critical for mental health patients. Furthermore, it guides the characteristics of the health condition and the patient’s body's ability to acclimate to the resulting stress on the well-being of their various physiological components (Sapra, Malik, and Bhandari, 2020).

    7

    Increasing Knowledge

    Understanding Contraindications.

    What Are Contraindications?

    Types of Contraindications:

    Monitoring for Contraindications

    Review patient history and current medication list

    Educate patients about potential interactions and symptoms to watch for and report.

    8

    8

    THANK YOU

    Tina Cherry MSN, APRN, PMHNP-BC

    9

    9

    ## image11.png

    ## image12.svg

    .MsftOfcThm_Background1_Stroke_v2 {
    stroke:#FFFFFF;
    }

    ## image3.png

    ## image4.svg

    .MsftOfcThm_Background1_Stroke_v2 {
    stroke:#FFFFFF;
    }

    ## image5.png

    ## image6.svg

    .MsftOfcThm_Background1_Stroke_v2 {
    stroke:#FFFFFF;
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    .MsftOfcThm_Text1_Stroke_v2 {
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    ## image13.png

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    ## image10.svg

    .MsftOfcThm_Text1_Stroke_v2 {
    stroke:#000000;
    }

    **## direct.feedback.docx**

    **This is direct feedback from a committee member;**

    **APPENDIX B**(may be ok-check your work)

    Q
    **uestion tool**.

    – The first item response on page 1, What is the problem? Is actually the gap, not the problem. The gap is a lack of knowledge
    _(The nursing staff lack sufficient knowledge of interpreting blood drug levels, have inadequate understanding of contraindications, and cannot evaluate treatment efficacy effectively.)_ The problem is inadequate physical assessment, monitoring, and documentation prior to administration of medications for mental health conditions.

    -The revised question is not correct. It should like something like: Does staff education on physical assessment, monitoring, and documentation prior to administration of medications for mental health conditions improve staff knowledge as compared pre to post education?

    **Literature synthesis Appendix H**

    -Good synthesis discussion but you have 16 articles listed here but only 14 in the individual literature review.——
    **(Number of Sources (Quantity) 16?)**

    —Check
    **Appendix H,** also revise the EBP question

     —
    **Add an additional article about the ADDIE MODEL**

    https://elmlearning.com/hub/instructional-design/addie-model/

    **Educational program**

    https://elmlearning.com/hub/instructional-design/addie-model/

    -Your educational ppt need more fully developed.

    Please work with your facility content experts and use the ADDIE Model to develop your educational program.

    -In the quiz you cover: understanding blood drug levels, contraindications, treatment efficacy. These areas are not fully presented in the educational ppt.

    -Your learning objectives for the educational program are also missing. These should align with the material you will be covering and align with the questions you are asking on the pre-post tool.

    -Slide 1-title: “Increasing Knowledge of Essential Assessments for Mental Health Patients Before Medication Administration.” In this ppt you have not fully covered and clarified what those essential assessments are. Also in your Site Approval you wrote you were going to focus education on essential assessments (you further clarified in your SA these included physical assessment, monitoring, and documentation). Therefore you would need to fully cover these areas in your educational program. In the quiz you cover: understanding blood drug levels, contraindications, treatment efficacy. There areas are not fully presented in the educational ppt. The information presented in the educational program must align with the information asked on the pre-post assessment tool, and right now they do not.

    -Slide 2 Agenda-This is the overall goal, not really a teaching point.

    -Slide 3-why all caps and to the right side? Needs reformatted and clarified as to what this is teaching.

    -Slide 4-this is an overall statement but does not really teach anything

    -Slide 5-Increasing Knowledge-not sure why this slide is here. The entire presentation is to increase knowledge

    -Slide 6-has no title and has extraneous “click to add text” boxes. Also the info on this slide is just a statement of what increased knowledge will do. There is nothing really being taught here.

    -Slide 7-this one slide for covering monitoring for contraindications needs to be further developed.

    -Slide 8-again titled increasing knowledge has extraneous “click to add text” boxes. This slide also needs to be further developed

    **Action Plan**

    **Appendix I**

    **INCLUDE; the key phases of the ADDIE model**

    **Analyze**

    The analysis phase lays the foundation for successful training by identifying the learners’ needs and objectives, as well as the training’s context. In the corporate realm, this involves understanding the technical landscape, learner demographics, and the specific challenges to be addressed through training.

    **Design**

    Designing effective training programs is at the heart of the ADDIE model. This phase focuses on creating a blueprint for the training, outlining the learning objectives, content structure, and the instructional strategies best suited for the target audience. The design phase ensures that the training will be engaging, relevant, and impactful.

    **Develop**

    Development is where the
    [learning experience design](https://elmlearning.com/hub/instructional-design/learning-experience-design/) comes to life. This phase involves the creation of the training materials, including multimedia content, assessments, and learning activities. It emphasizes the importance of tailoring the content to meet the learners’ preferences and the learning objectives established in the design phase.

    **Implement**

    Implementation is the execution phase, where the training program is rolled out to the learners. This stage tests the practicality and effectiveness of the training design and development, highlighting the importance of a smooth delivery mechanism and the readiness of both instructors and learners.

    —Page 3 bottom: Action Planning: Complete the following activities… Is blank. Please indicate answers (bold, highlight, place a x, write in info, etc)

    **Outcomes Measurement Plan**

    -page 5-How will you know if you are successful? You will not be measuring:

    adverse drug reactions and complications among patients

    Better control of psychiatric symptoms, which may improve the overall quality of life for patients, or

    more timely administration of medications

    Your only outcome is increased knowledge, and you have a few summative questions, which ask about satisfaction/change in practice, which is fine.

    Please revise to align with your intended outcome.

    Revise your outcomes so they are correct with the data you intent to collect to assess for the answer to your project question, which is assessing for an increase in knowledge.

    **Outcomes Measurement Plan**

    **-all outcomes must be education on___________ increased knowledge**

    **For instance—-**

    **education on —–Clinical ——Increased knowledge** of contraindications and interpretation of blood drug levels

    **education on ——Functional—— Increased knowledge** of Better control of psychiatric symptoms,

    **education on ——Perceptual——– Increased knowledge of** increasing knowledge with acquired education

    **education on——–Process/Intervention——** **Increased knowledge of** in blood drug levels, contraindications, and treatment efficacy

    **education on ———-Organization/Unit-Based———–** **Increased knowledge of** interpreting blood drug levels, contraindications, and treatment efficacy

    -Page 6. High-level deliverables. There are incomplete as you stop after collecting data.

    **new.PreandPostEducationQuestionnaire.docx…….docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/new-preandposteducationquestionnaire-docx-docx)

    **NEW.Appendix_B_Question_Development…2….docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/new-appendix-b-question-development-2-docx)

    **NEEDS.REVISED.Appendix_H_SynthesisandRecommendationsTool_…4.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/needs-revised-appendix-h-synthesisandrecommendationstool-4-docx)

    **NEEDSRevised.Appendix_I_Translation_and_Action_Planning……docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/needsrevised-appendix-i-translation-and-action-planning-docx)