Nursing

Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:
• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether any of the therapeutic approaches in this week’s Learning Resources would be effective with this client. Include expected outcomes based on these therapeutic approaches. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.
NOTE
PLEASE WRITE THE ABOVE ON THE FOLLOWING SB HEADINGS
• Describe the client that you counseled that suffers from a disorder related to trauma
• Pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether cognitive behavioral therapy would be effective with this client.
• Expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

PHN 652- Topic 3 DQ 2-Data Collection And Analysis Methods
Topic 3 DQ 2-Data Collection and Analysis Methods
QUESTION-There are numerous ways in which public health nurses can collect data in order to identify population needs and develop interventions, including surveys, focus groups, and interviews. Choose the two data collection methods you feel are the most effective. Describe each method and explain why you chose them. How would you know which data collection technique is most effective for your chosen population? ***The chosen population will be high (Secondary) school students*** Ages 14 to 18 years old.
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Solution
Data Collection Methods
Data collection methods are essential in creating a general flow of research. The methodology and approaches used determine how the information collected can be used by researchers (Paradis et al.,2016). Data collection methods are used according to the type of questions used in the research( Ivey,2017). Therefore, all studies must use data collection methods to enhance the efficiency and effectiveness of the information collected. This study will focus on two methods and the most effective data collection method for the chosen population.
Interviews
Interviews are primarily efficient data collection methods. Data is usually collected individually because each participant responds to the questions based on their views and perceptions (Paradis et al.,2016). Some interviews can be open-ended, others closed. Depending on the type of interview, participants give feedback as individuals. This type of method offers researchers diverse responses based on their study.
Survey
A survey is more of the same as interviews but differs a little bit. In a survey, questions are more directly focused on the feelings, views, and perceptions of what a specific group of individuals thinks about a particular issue. It mainly helps give a baseline knowledge of what the researcher is working on (Paradis et al.,2016). The participants can sometimes be allowed to provide open answers depending on the research type.
The Most Suitable Method
In this case, of high school students aged between 14 to 18 years of age, the most appropriate data collection method to use is a survey. The questions act as a guideline to give in-depth responses to collect accurate and evidence-based data. This can be appropriate in the context whereby a researcher is trying to identify the various school activities that the students participate in and their impacts on their lives in general.
References
Ivey, J. (2017). Demystifying research II: Data collection methods and considerations. Pediatric Nursing, 43(4), 200.https://www.proquest.com/openview/bca7de87b94675dea483517db350f04b/1?pqorigsite=gscholar&cbl=47659
Paradis, E., O’Brien, B., Nimmon, L., Bandiera, G., & Martimianakis, M. A. (2016). Design: Selection of data collection methods. Journal of graduate medical education, 8(2), 263-264.https://meridian.allenpress.com/jgme/article/8/2/263/34418/Design-Selection-of-Data-Collection-Methods

As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role.
In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.
Learning Objectives
Students will:
Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
Identify medical management needs for clients with depression disorders
Identify community support resources for clients with depression disorders
Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:
Select an adult or older adult client with a depressive disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
Describe the HPI and clinical impression for the client.
Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
Identify medical management needs, including primary care needs, specific to this client.
Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Nursing – Covid – 19
In December 2019, discussion of a novel Coronavirus began making headlines. By the spring of 2020, the virus had become a global pandemic. The ever-changing climate facing the nation and world continues to evolve with new guidelines and recommendations being offered by reputable and non-reputable sources.
Discuss the following impacts of the novel Coronavirus using available data and scholarly sources to support your stance. Keep in mind, the information is updating and fluctuating making this a difficult subject to discuss. For the individual, the emotional impact should not be discussed until the reflection portion of the assignment. Remain as objective as possible throughout the assignment.
Political Climate:Discuss the political climate surrounding the novel Coronavirus on a local, national, and global perspective. Provide specific examples but remain objective. Do not share opinion; instead, remain objective and review specific points to indicate how the political climate either shapes or is shaped by external forces.
Legal Implications:Review legal implications as impacted by the novel Coronavirus. Identify and discuss a legal case directly linked to the virus. Remain objective and discuss associated facts of the case.
Policy:Identify one local, national, or global policy impacted by the novel Coronavirus. Provide a review of the policy before and after changes as impacted by the virus. Analyze the impact of the policy change and discuss how the policy impacts individuals and populations?
Interprofessional Healthcare:Review how the interprofessional healthcare team has been impacted by the novel coronavirus. Identify specific roles and review changes to daily responsibilities. Include a review of at least three disciplines in addition to nursing.
Nursing Implications:Discuss nursing implications impacted by the novel Coronavirus. Identify and review at least three nursing duties, responsibilities, or role changes due to the virus. Analyze the impact of these implications for the nurse, the patient, and populations.
Reflection:Reflect on how the novel Coronavirus has changed your life. Include personal and professional impact using the above categories as an outline. Share in a professional manner and do not over-politicize. This is not meant to be a social media posting opportunity.
Scholarly Writing:Paper is to be at least three pages in length (not including title and reference pages). Paper is to be formatted using APA style with correctly formatted in-text citations and references. Use of first-person (or “I”) is acceptable in the reflection section only as per APA guidelines. Use at least three scholarly sources. Refer to the WCU Library for writing assistance.
Additional Resources
Pinotti F, Di Domenico L, Ortega E, Mancastroppa M, Pullano G, Valdano E, et al. (2020) Tracing and analysis of 288 early SARSCoV-2 infections outside China: A modeling study. PLoS Med 17(7): e1003193. https://doi.org/10.1371/journal.pmed.1003193 (Links to an external site.)
Pearson, A. A., Prado, A. M., & Colburn, F. D. (2020). Nicaragua’s surprising response to COVID-19. Journal of Global Health, 10(1), 1–5. https://doi-org.westcoastuniversity.idm.oclc.org/10.7189/jogh.10.010371 (Links to an external site.)
Glasper, A. (2020). Surgical role expansion among the NHS workforce. British Journal of Nursing, 29(10), 580–581. https://doi-org.westcoastuniversity.idm.oclc.org/10.12968/bjon.2020.29.10.580 (Links to an external site.)
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Solution
Political Climate
The political climate surrounding the novel coronavirus can be described as one of division and disunity in the local, national and global perspective. There have been many issues in the local setup related to the implementation of social distancing measures and vaccination mandates across many states in the US. Therefore, the implementation of measures to curb the spread of the coronavirus has been made an important political issue by local leaders and authorities. Although some leaders support the implementation of measures to control the spread of the novel coronavirus, there has been strong political opposition to various social distancing measures masks and vaccine mandates in many areas across the US (Weible et al., 2020). The political divide between Democrats and Republicans has therefore been evident at the local level as Republicans are more likely to oppose social distancing measures, wearing masks and vaccine mandates, while Democrats are more likely to support such measures as being essential to the control of the novel coronavirus. Republicans believe that liberty and freedom are more important than the enactment of different restrictive rules to control the spread of a virus or disease (Weible et al., 2020). On the other hand, at the national level, the political climate surrounding the novel coronavirus has been similar to that of local levels. When the Covid-19 pandemic began in early 2020, the significant political split between Democrats and Republicans was evident. Then President Trump ignored guidelines to impose lockdowns and other social distancing measures to curb the spread of covid-19 while Democrats supported such measures. Therefore, President Trump, a Republican, was more focused on the impact of the novel coronavirus and the suggested lockdown and social distancing measures on the economy as opposed to the negative health impacts of the virus (Weible et al., 2020). Finally, on the global stage, the political climate has had an effect on the response to the novel coronavirus. In an ideal state, a strong global initiative and cooperation will be needed to trace and detect cases of a given disease and provide funding for non-profit research for cures and vaccines. Strong global initiatives are also required to balance between important trade and travel restrictions. However, with the onset of the novel coronavirus, global initiatives have been significantly discredited by different political agendas which have been opposing the concept of globalization. The role of global institutions such as the World Health Organization and the United Nations have therefore become diminished in the recent past, making it hard for them to coordinate a response to novel coronavirus (Weible et al., 2020).
Legal Implications
The legal implications of the novel coronavirus have mainly related to the lawfulness of quarantine powers of different state governments. For instance, in the state of Alabama, the Monza v. Ivey Case was filed on August 11, 2020. The case involved an individual citizen challenging the Alabama governor Kay Ivey’s authority to issue mask mandates that would help curb the spread of covid-19. The plaintiff argued that the mask mandates that the Alabama governor issued were in violation of the Alabama administrate procedure act and were therefore illegal. However, the Montgomery County circuit court judge dismissed the lawsuit and allowed the mask mandate to continue in Alabama (Gostin & Hodge, 2020).
Policy
The local policies have been impacted by the local national and global policies that have been impacted by the novel coronavirus or policies related to vaccination and testing. Before the onset of the novel coronavirus, individuals could visit any place locally, nationally, or globally without being tested for the novel coronavirus or having vaccination certificates. In sharp contrast, since the onset of the novel coronavirus, individuals are required to produce the latest test results for the covid-19 or vaccination certificate before being allowed to move freely in local, national, and global areas. The travel restrictions that have been enacted locally, nationally, and internationally as a result of the Covenant in pandemic have therefore resulted in significant disruption to the day-to-day lives of individuals (Weible et al., 2020).
Interprofessional Healthcare
The interprofessional healthcare team has been significantly affected by the novel coronavirus as a result of the changes in specific roles and responsibilities. Due to the high number of cases of the novel coronavirus that were witnessed in 2020, most healthcare facilities were overwhelmed with patients. This made healthcare facilities need more physicians and nurses. Most healthcare facilities assign different health care practitioners the role of providing primary care to patients. For instance, some mental health care providers, physiotherapists, and even plastic surgeons were assigned primary care roles (Donnelly et al., 2021).
Nursing Implications
The novel coronavirus impacted three main nursing duties, which made nurses more involved in patient education, monitoring patients in intensive care units, and daily consultation with patients. The high number of patients that were infected with the novel coronavirus made many nurses be given full practice authority to consult directly with patients and monitor patients in the intensive care unit (Donnelly et al., 2021). Nurses were also involved in patient education. Therefore, the novel coronavirus has made it clear that nurses require full practice authority to address the challenge of the rising demand for healthcare services in the US.
Reflection
The novel coronavirus has had a significant impact on my personal life because of the lockdown measures and restrictions to movement. I have therefore adapted to working at home and being able to maintain an adequate work-life balance. On the other hand, the novel coronavirus has greatly increased my workloads at my place of work but has also helped me to grow and progress significantly professionally.
References
Donnelly, C., Ashcroft, R., Bobbette, N., Mills, C., Mofina, A., Tran, T., Vader, K., Williams, A., Gill, S., & Miller, J. (2021). Interprofessional primary care during COVID-19: a survey of the provider perspective. BMC Family Practice, 22(1). https://doi.org/10.1186/s12875-020-01366-9
Gostin, L. O., & Hodge, J. G. (2020). US Emergency Legal Responses to Novel Coronavirus. JAMA, 323(12), 1131. https://doi.org/10.1001/jama.2020.2025
Weible, C. M., Nohrstedt, D., Cairney, P., Carter, D. P., Crow, D. A., Durnová, A. P., Heikkila, T., Ingold, K., McConnell, A., & Stone, D. (2020). COVID-19 and the policy sciences: initial reactions and perspectives. Policy Sciences, 53(2), 225–241. https://doi.org/10.1007/s11077-020-09381-4

Group A
Scenario 2: A mother brings her 6-month-old daughter to the HCP for evaluation of possible colic. The mother says the baby has had many episodes of crying after eating and, despite having a good appetite, is not gaining weight. The mother says the baby’s belly “gets all swollen sometimes.” The mother says the baby tastes “salty” when the mother kisses the baby. Further workup reveals a diagnosis of cystic fibrosis. The mother relates that her 23-month-old son has had multiple episodes of “chest congestion” and was hospitalized once for pneumonia. The mother wants to know what cystic fibrosis is and she also wants to know if she should have any more children.
Instructions:
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
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Solution
Discussion Post: Alterations in Cellular Processes
Cystic fibrosis is a genetically inherited disorder that primarily affects the exocrine glands, notably in the respiratory and gastrointestinal systems. The disease may affect other body organs, inducing a cascade of organ complications, such as impaired breathing among the affected individuals. Individuals presenting with cystic fibrosis have a homozygous expression of the recessive alleles that code the disease (Rey et al., 2019). The individual’s parents may not have the disease; hence they are denoted as disease carriers. Therefore, each heterozygous gene expressing cystic fibrosis in each parent is passed down to their offspring. Those presenting with homozygous gene expression for cystic fibrosis have gastrointestinal and respiratory complications, including indigestion and compromised breathing.
The patient described in the case scenario presents with such symptoms owing to pathophysiologic changes by the underlying health condition. The pancreas plays a fundamental role in the secretion of digestive enzymes useful in the digestion and absorption of ingested food. Cystic fibrosis is a major debilitating factor in the insufficiency of secreted pancreatic enzymes among individuals diagnosed with the disease. Following insufficiency of digestive enzymes, nutrient malabsorption and indigestion are common experiences in cystic fibrosis patients, hence the symptoms of stomach discomfort, very poor weight gain, and frequent crying. Upon licking the baby’s skin, the salty taste is attributed to deposited chloride and sodium ions on the skin following dysfunctional chloride and sodium ions (De Boeck & Amaral, 2016).
The presence of the cystic fibrosis gene in the individual’s body culminates in producing a transmembrane regulator, a defective protein by the epithelial cells. These epithelial cells form the primary lining of major organs, including the sweat glands, digestive tract, reproductive system, hepatobiliary system, and lungs (Declercq et al., 2019). Genetics or gender characteristics would significantly determine if the child would have the disorder or not. Therefore, further investigations would be necessary for arriving at the precise underlying health condition in the child.
References
De Boeck, K., & Amaral, M. D. (2016). Progress in therapies for cystic fibrosis. The Lancet Respiratory Medicine, 4(8), 662-674.
Declercq, M., Treps, L., Carmeliet, P., & Witters, P. (2019). The role of endothelial cells in cystic fibrosis. Journal of Cystic Fibrosis, 18(6), 752-761.
Rey, M. M., Bonk, M. P., & Hadjiliadis, D. (2019). Cystic fibrosis: emerging understanding and therapies. Annual review of medicine, 70, 197-210.

Each response needs a minimum of 250 words and a reference that can be accessed easily without paying or needing a subscription.
1. How do you serve others in the profession of nursing? Does this differ depending on the environment (location, people, etc.)? Explain how the way you serve others in the profession of nursing could become more aligned with the issue of serving as explained by the servant leadership paradigm. How does the issue of serving differ from the secular view of power?
2. Choose one provision from the ANA Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one display the characteristics of a role model with this provision? Do ethics influence the leadership style of the nurse leader?
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Solution
1. How do you serve others in the profession of nursing? Does this differ depending on the environment (location, people, etc.)? Explain how the way you serve others in the profession of nursing could become more aligned with the issue of serving as explained by the servant leadership paradigm. How does the issue of serving differ from the secular view of power?
Quality nursing leadership is essential as it ensures increased competency, quality healthcare systems, and improved patient outcomes. Nursing practice environment is solely determined by the type of leadership. Good leaders will always provide a conducive environment for their nurses. Leadership in the profession of nursing encompasses serving others. It is all about creating a good relationship with other staff members while ensuring that the safety of your patient’s health is guaranteed (Neville et al., 2021). I have created a quality relationship with subordinates that facilitate team at work. Recognizing other people’s needs and finding a solution to these needs is the best way of serving others in nursing. Through gaining this understanding, patients acquire quality healthcare services since nurses gain commitment to their work. Serving in nursing also encompasses stewardship. Stewardship in nursing is the proper utilization of the available healthcare resources without necessarily expecting rewards in return.
Serving in the field of nursing is more aligned with the servant-leadership paradigm. It is a leadership style that involves the leader as a servant to his/her subordinates. Through servant leadership, I am able to ensure that my staff gains all the needs they require to provide quality services to their patients. I am also able to consult their problems to ensure that these problems do not interfere with their professional lives. The secular view of power encompasses a leader having a great deal in authority but offering little to their subordinates (Neville et al., 2021). A secular view of power involves the leader ruling their subordinates. However, in servant leadership, the leader becomes the servant. The leader in this case, therefore, provides services to his/her subordinates.
Reference
Neville, K., Conway, K., Maglione, J., Connolly, K. A., Foley, M., & Re, S. (2021).
Understanding Servant Leadership in Nursing: A Concept Analysis. International
Journal for Human Caring. https//DOI:10.20467/HumanCaring-D-20-00022
2. Choose one provision from the ANA Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one display the characteristics of a role model with this provision? Do ethics influence the leadership style of the nurse leader?
Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
The first provision of the ANA’s code of ethics ensures that nurses provide healthcare services to their patients while maintaining the utmost respect. Nurses should be compassionate and respectful to their patients’ decisions while providing healthcare services. The nurses should therefore not violate the rights of patients or take any advantage because of lack of knowledge. Any form of psychological or physical torture such as sexual harassment is highly condemned by the provision. The nurses should also not be tortured within their various line of duties. The provision protects both the nurses and the patients from disrespectful behaviors from both parties (Weis & Schank, 2017). Nurses are also protected from disrespectful actions from their leaders and colleagues.
The provision allows to display the characteristics of a role model in several ways. Firstly, the model puts emphasis on compassion of nurses while executing their duties. A role model is always determined towards his/her duties thereby enabling them to work excellently. The provision also put more emphasis on respect. A role model is always respectful towards their colleagues and their clients. Through these values, one is able to display the characteristics of a role model to the people who look upon them.
Ethics greatly influence the leadership style of a nurse leader. Ethics ensure that the nurse leader through his/her leadership style does not violate the rights of his/her staff. Ethics are the guiding factors towards fair and just leadership of a nurse leader’s subordinates. Ethics also ensure that nurse leaders do not exploit the available healthcare resources through their leadership styles (Weis & Schank, 2017). Some leaders misuse the available healthcare resources through overutilization or underutilization thereby negatively influencing their respective leadership styles.
Reference
Weis, D., & Schank, M. J. (2017). Development and psychometric evaluation of the nurse’s
professional values scale-3. Journal of nursing measurement, 25(3), 400-410.
https//DOI:10.1891/1061-3749.25.3.400

Assignment 1: Clinical Hour and Patient Logs
Clinical Hour Log
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek.
Students with catalog years before Spring 2018?must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in?Meditrek.
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
• Dates
• Course
• Clinical Faculty
• Preceptor
• Total Time (for the day)
• Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.
The patient log must include the following:
• Date
• Course
• Clinical Faculty
• Preceptor
• Patient Number
• Client Information
• Visit Information
• Practice Management
• Diagnosis
• Treatment Plan and Notes — Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter.
By Day 7
Record your clinical hours and patient encounters in Meditrek.
Please complete this assignment for 10 different patients thanks
MY CLINICAL PRACTICUM IS A PRIVATE PRACTICE , MY CLINICAL WORKING HOURS WILL BE Thursday AND FRIDAY 8 AM- 5 PM,
I WILL BE WORKING ALONG WITH MY PRECEPTOR WHO IS A PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER.
MY CLINICAL SITE IS A PRIVATE PRACTICE THAT PROVIDES DIRECT CLINICAL SERVICES SUCH AS PSYCHIATRIC EVALUATION, CRISIS INTERVENTION, PSYCHOPHARMACOLOGY TREATMENTS, AND REFERRALS AS NECESSARY TO PATIENTS WITH DIFFERENT PSYCHIATRIC DIAGNOSES.
ON EACH OF MY CLINICAL DAYS I WILL BE SEEING 5 PATIENTS AT MY PRACTICUM PER CLINICAL WHICH MEANS THAT I WILL HAVE TO WRITE 5 DIFFERENT PATIENT NOTES.
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Solution
Name: C.H
Age: 32 years
Diagnosis: Schizophrenia
S: C.H is a 32-year-old female that came to the unit for her third follow-up visit after being diagnosed with schizophrenia four months ago. The diagnosis was reached after presenting with complaints that included seeing imaginary things and hearing voices for more than five months. She also reported a significant decline in her functioning in areas that included interpersonal relations, work, and self-care due to the above symptoms. A further assessment demonstrated that the symptoms could not be attributed to causes such as medication use, substance abuse, and medical conditions. As a result, she was diagnosed with schizophrenia and initiated treatment.
O: The client appeared well-groomed for the occasion. She was oriented to space, time, events, and self. C.H denied any recent experience of illusions, delusions, and hallucinations. She denied suicidal thoughts, attempts, and plans. The client’s thought content was future-oriented.
A: The client continues to demonstrate improvement in the symptoms of schizophrenia. She also tolerates the prescribed treatments.
P: The client was advised to continue with the prescribed medications and psychotherapy sessions. She was scheduled for the next follow-up visit after four weeks.
Post-Traumatic Stress Disorder
Name: A.Y
Age: 50 years
Diagnosis: Post-traumatic stress disorder
S: A.Y. is a 50-year-old male that came to the unit today for his third follow-up visit after being diagnosed with post-traumatic stress disorder four months ago. A.Y was diagnosed with the disorder after experiencing abnormal symptoms following his involvement in a road accident. He reported distressing memories that related to the accident. He also reported flashbacks and nightmares about the accident. The above symptoms had made him engage in activities to divert his attention from any stimuli related to the incident. The stressful memories and avoidance of situations associated with the accident significantly affected his ability to perform optimally in his social and occupational roles. As a result, he was diagnosed with post-traumatic stress disorder and initiated on antidepressants and group psychotherapy sessions.
O: A.Y. appeared dressed appropriately for the occasion. His orientation to self, others, time, and events were intact. His thought process was future-oriented. His mood was euthymic. He denied any recent suicidal thoughts, plans, or attempts. He also denied illusions, delusions, and hallucinations.
A: The adopted treatments are effective in symptom management. A.Y. also reports minimal side effects associated with the prescribed antidepressants.
P: A.Y. was advised to continue with the currently prescribed medications. He was also advised to continue with the psychotherapy sessions. He was scheduled for a follow-up visit after four weeks.
Obsessive-Compulsive Disorder
Name: D.O
Age: 32 years
Diagnosis: Obsessive-compulsive disorder
S: D.O is a 32-year-old female who came to the clinic for psychiatric assessment after being referred by her physician. She came with complaints of experiencing intrusive, unwanted behaviors. She also reported that the behaviors were associated with high levels of distress and anxiety. She had unsuccessfully adopted diversion behaviors to manage them. There were also complaints of compulsive behaviors that included frequent checking things that consumed her time. She always felt the urge to keep checking things, as she believed they were not done to the expected standards. The obsessions and compulsive behaviors were adversely affecting her social and occupational functioning. She, however, asserted that the obsessive and compulsive behaviors were false. Further assessment of the client showed that the above symptoms could not be attributed to any other mental disorder such as depression and mania. As a result, she was diagnosed with obsessive-compulsive disorder and initiated on psychotherapy.
O: The client appeared well-groomed for the occasion. She was oriented to self, others, events, and time. Her thought content and process were intact. She denied illusions, delusions, and hallucinations. She also denied suicidal thoughts, plans, and attempts.
A: The client is willing to participate in any treatment that would help her overcome the intrusive and distressing symptoms.
P: The client was initiated on group psychotherapy sessions. She was scheduled for a follow-up visit after four weeks.
Depression
Name: X.T
Age: 36 years
Diagnosis: Depression
S: X.T. is a 36-year-old female who came for his second follow-up visit. She was diagnosed with depression three months ago. The diagnosis was reached after the client complained of frequent emotional outbursts. She was also easily irritated alongside feeling hopeless and guilty. X.T also lacked interest in things and pleasure. The additional complaints raised included insomnia, lack of energy, and difficulties in making decisions. The symptoms could not be attributed to substance abuse, medication, or mental health problems. As a result, she was diagnosed with major depression and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to place, self and time. Her speech was normal in terms of volume and rate. She denied any recent history of hallucinations, delusions, illusions, or suicidal thoughts and attempts. Her thought content was intact. The mood was normal.
A: The client appears to be responding well to pharmacological and psychological treatments, as evidenced by symptom improvements.
P: The client was advised to continue with the current dosage of Zoloft and the monthly sessions of psychotherapy. She was scheduled for the next follow-up visit after four weeks.
Major Depressive Episode
Name: R.D
Age: 45 years
Diagnosis: Major Depressive Epidose
S: R.D is a 45-year-old male that came to the unit for the second follow-up visit after being diagnosed with major depression two months ago. The diagnosis was reached after he experienced symptoms that included a depressed mood most days for every day. He also reported being socially isolated due to a lack of interest in things and pleasure. He found it difficult to engage in social and occupational activities due to his depressed mood. The client’s ability to make informed decisions was also affected. As a result, the client was diagnosed with major depression and initiated on psychotherapy and antidepressants.
O: The client appeared appropriately dressed for the occasion. His self-reported mood was ‘improved.’ The client was oriented to self, others, time, and events. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, attempts, and suicidal plans.
A: The symptoms of depression have improved. The client tolerates the treatment.
P: The client was advised to continue with the current treatment. He was also advised to come for a follow-up visit after four weeks.
Insomnia
Name: E.D
Age: 35 years
Diagnosis: Insomnia
S: E.D is a 35-year-old male who came to the clinic for his seventh follow-up visit for insomnia. He was diagnosed with insomnia after presenting to the unit with complaints of difficulties falling asleep and maintaining sleep. He also reported increased episodes of night awakenings and finding it hard to sleep afterward. There were also complaints of reduced energy levels and a decline in overall performance and productivity. The sleep difficulties could not be attributed to any medical condition, medication, or substance abuse. As a result, E.D was diagnosed with insomnia and initiated on group psychotherapy sessions in the unit.
O: The client appeared appropriately dressed for the occasion. His orientation to self, place, time, and events were intact. The self-reported mood of the client was normal. The judgment of the client was intact. He denied any history of delusions, hallucinations, or illusions. He also denied any history of suicidal thoughts, attempts, and plans.
A: Group psychotherapy sessions have effectively improved the client’s quality and quantity of sleep.
P: Group psychotherapy sessions were terminated after consent was obtained from the client. The treatment objectives had been achieved.
Generalized Anxiety Disorder
Name: D.A
Age: 32 years
Diagnosis: Generalized anxiety disorder
S: D.A. is a 32-year-old female who came to the unit for her sixth follow-up visit for generalized anxiety disorder. She was diagnosed with the disorder after presenting with excessive fear and worried about the unknown. She reported experiencing intensive anxiety and fear of things for more than three months before the visit to the unit. She found it difficult to concentrate due to excessive fear. The additional assessment showed that the excessive fear and anxiety could not be attributed to any cause such as medical condition, medication, or substance use and abuse. As a result, she was diagnosed with generalized anxiety disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to place, time, and self. The speech rate and volume were normal. The self-reported mood was normal. The client denied any history of hallucinations, delusions, or illusions. The memory of the client was intact.
A: The client has developed effective coping against excessive worry and anxiety. She has demonstrated continuous improvement in performance and management of precipitating factors.
P: The client’s participation in the group psychotherapy sessions was terminated. The treatment objectives had been achieved.
Panic Disorder
Name: Y.Y
Age: 20 years
Diagnosis: Panic Disorder
S: Y.Y is a 20-year old student that came to the unit for a monthly visit after being diagnosed with panic disorder five months ago. Y.Y. has been on group psychotherapy sessions. Y.Y was diagnosed with panic disorder after she presented with complaints that included unexpected panic attacks. The accompanying symptoms included intense fear of unknown attacks in the future, palpitations, sweating, shaking, feeling choked, chest pains, and avoidance of stimuli or conditions associated with the panic attacks. A further assessment established that the attacks were not attributable to causes such as substance abuse, medical condition, or medication use. As a result, she was diagnosed with panic disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to self, place, and time. Her judgment was intact. The mood was normal. The speech had a normal rate, speed, and volume. The client demonstrated the development of adequate coping skills with panic attacks. She denied any recent history of hallucinations, illusions, or delusions.
A: The client has developed effective coping skills against panic attacks. Episodes of panic attacks have also reduced significantly.
P: Cognitive behavioral therapy is effective in symptom management. The client was advised to continue with the treatment and scheduled a follow-up visit after four weeks.
Substance Use Disorder
Name: B.B
Age: 38 years
Diagnosis: Substance use disorder
S: B.B is a 38-year-old client who came to the unit for his fourth follow-up visit after being diagnosed with alcohol use disorder three months ago. He has been on pharmacological treatment and group psychotherapy. The diagnosis was reached after B.B came to the unit with complaints of persistent consumption of larger amounts of alcohol for one year. He also reported being unsuccessful in stopping binge alcohol consumption due to withdrawal symptoms. B.B was worried that he had been engaging in activities, including selling his property to get money for alcohol. As a result, the socioeconomic status of his family had declined significantly. Alcohol addiction had caused a significant decline in his social and occupational productivity. Therefore, he was diagnosed with substance use disorder and initiated on treatment.
O: The client was well-groomed for the occasion. His orientation to self, others, time, and events were intact. His participation in group psychotherapy was effective in reducing his alcohol cravings. He denied illusions, delusions, and hallucinations. He also denied suicidal thoughts, attempts, and plans.
A: The client is responding well to the adopted treatments.
P: The client was advised to continue with the current treatment approaches. He was scheduled for a follow-up visit after four weeks.
Bipolar Disorder
Name: R.E
Age: 38 years
Diagnosis: Bipolar Disorder
S: R.E is a 28-year-old client that came to the unit for her follow-up after she was diagnosed with bipolar disorder three months ago. The diagnosis was reached after she came to the unit with complaints of elevated and depressed mood episodes. Symptoms including participating in goal-oriented activities and delusions were experienced during periods of elevated mood. The symptoms alternated with depression, such as insomnia, lack of energy, feelings of guilt, and difficulties in concentrating and making decisions. The alternation of symptoms lasted for a month. The client was worried that the symptoms had significantly affected her ability to engage in her daily routines. Further assessment ruled out drug use, medical problem, or substance and alcohol abuse as the cause of the problem. As a result, she was diagnosed with bipolar disorder and initiated on treatment.
O: The client appeared appropriately dressed for the occasion. She was oriented to self, place, time, and events. Her judgment was intact. She denied any recent experience of delusions, hallucinations, illusions, suicidal thoughts, plans, and attempts.
A: The adopted treatments are effective, as evidenced by improvement in symptoms. The client tolerates the treatment well.
P: The client was advised to continue with the treatments. She was booked for a follow-up visit after four weeks.

You will now review the mission and vision statements for the organization relevant to your Strategic Plan or, if those statements do not already exist, draft new ones. As you prepare to review or draft your mission and vision statements, consider how they will guide the project and ensure that you keep the intended audience in mind.
For this Discussion, you will post your mission and vision statements for Instructor and peer feedback. As appropriate, you should revise your statements based on this feedback for inclusion in Section 1 of your Strategic Plan, which is due by Day 7 of Week 5.
To prepare:
Review the information related to the planning hierarchy and mission and vision statements in this week’s Learning Resources.
If mission and vision statements do not exist for your Strategic Plan organization, you will need to draft them.
If your organization already has mission and vision statements, review them and consider how those existing statements may be tailored to support the development of the mission and vision statements for your Strategic Plan.
Consider the following with respect to your Strategic Plan’s mission and vision statements:
How effectively does this mission statement articulate the organization’s purpose?
How effectively do the vision statements reflect future aims?
Do the mission and vision statements convey who (which groups) the organizations serve? Do they indicate obligations to various stakeholders?
Are the statements an appropriate length?
By Day 3
Post your new or revised mission and vision statements that will guide your Strategic Plan. Explain how the mission statement will guide your Strategic Plan and how your identified issue fits within the mission and vision statements. If your statements are wholly new, explain the steps you took to draft them and your rationale for language and content choices. If your submission is based on pre-existing statements from an organization, include the original statements and explain and justify the changes that you made.
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Solution
Strategic Plan Mission and Vision
Our organization’s strategic plan is to sort out funding and ways to manage the organization’s healthcare branches. Since there is no existing mission and vision for the strategic plan, there will be new statements creation.
Mission: Our Mission is to boost integrity, inclusivity, compassion and provide a more people-centric environment.
Vision: The organization’s vision is to provide unmatched leadership that will boost the organization’s sustainability and competitiveness in offering quality healthcare and patient-satisfactory services.
The reason for drafting a new vision and mission statement was to ensure that the statements fit the objective and goals of the strategic plan. According to Elrod et al. (2017), when creating an organization’s vision and mission statements, the main factors to consider is the project’s five to ten years plan, big dream, and ensure that the statements are inspiring by avoiding the use of excessive jargon. All these considerations should also ensure that the statements align with the goals and values of the project. Furthermore, considering that the strategic plan revolves around activities aiming to improve healthcare services, there was a need to ensure that the statements are more people-oriented.
Mission statements are essential to healthcare organization projects since it helps the project leaders have a clear purpose and meaning. Jayasinghe (2017) accentuates that mission statements are essential since they also help the project team be more motivated and increase employees’ effort towards investing more in the organization’s culture. Therefore, the mission aim in the strategic plan is to help the healthcare staff that the organization operates under inclusivity, integrity, and compassionate grounds to ensure that they create a better environment for all people. Hence, when trying to streamline the organization’s funding and management challenges, the stakeholders will acknowledge that the only way the strategic plan will succeed is by incorporating leadership that will help achieve quality healthcare and patient-satisfactory services (Bhavnani et al., 2017).
References
Bhavnani, S. P., Parakh, K., Atreja, A., Druz, R., Graham, G. N., Hayek, S. S., … & Shah, B. R. (2017). 2017 Roadmap for innovation—ACC health policy statement on healthcare transformation in the era of digital health, big data, and precision health: a report of the American College of Cardiology Task Force on Health Policy Statements and Systems of Care. Journal of the American College of Cardiology, 70(21), 2696-2718.
Elrod, J. K., & Fortenberry, J. L. (2017). Centers of excellence in healthcare institutions: what they are and how to assemble them. BMC health services research, 17(1), 15-24.
Jayasinghe, S. (2017). Integrating compassion to clinical care: A review of an emerging science. Ceylon Journal of Medical Science, 54(1), 3-8.

Case study–PUB 655- TOPIC 7- Faith-Based Organization Case Study
VERY IMPORTANT-Details
Dear Writer, Please select a faith-based global health organization or ministry of your choice.
-Please read the question page in detail. (See upload0
-Details of the question and the rubric are also uploaded
-Please read the Rubric before you start
-Please include the Introduction, Thesis statement, and conclusion in the paper.
– Include section headings for each section component where needed
– Sources must be published within the last 5 years. It must be from 2016 and after
– Sources must be appropriate for the assignment criteria and public health content.
– Please do not use blogs as references
-References should be in APA 7th ed.
-Add references to reference page
-Add the hyperlink for each reference in APA 7th edition format.
Thank you
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Solution
Faith-based healthcare organizations are essential in meeting the needs of vulnerable communities. As the world advances, a significant share of the population is unable to access necessities such as food, healthcare, education, and housing. These vulnerable groups include those living in rural settings, the disabled, and people from lower economic social classes. Faith-based healthcare organizations have been on the frontline to assist these vulnerable individuals to ensure that they also have a chance to live a quality life and experience the love of God (Rivera et al., 2019). Among such organizations is the Advancing the Ministries of Gospel (AMG) international. The organization was founded in 1942 by George Geogarski and Nicholas Lambrides, and it assisted undernourished and homeless children and sent gospel literature overseas. Since then, the organization has grown to reach more than 30 countries where they advance the gospel by providing resources to meet the healthcare and basic needs of the communities they serve. This paper will analyze the Samaritan Purse International relief, focusing on how its mission aligns with its strategies, the communities served, funding, and partnerships with other organizations.
Mission: Assess how the mission of the organization aligns with its strategies and work.
The organization’s mission is to advance the gospel through the provision of resources to Christ-centered churches and leaders throughout the world to enable them to meet the deepest needs of the people in their communities, especially the vulnerable individuals. The organization focuses on meeting both spiritual and physical needs. Its strategy involves partnering with relevant stakeholders such as local churches and leaders to identify vulnerable communities and establish facilities that provide the basic needs such as healthcare, housing, and education while still inspiring faith. By partnering with local churches and religious leaders, the organization can advance the gospel by meeting the spiritual needs of the communities they serve and their physical needs. The organization notes that providing basic needs such as healthcare, food, and education makes it possible to break down walls of resistance and allow people to quickly open up to God. People who are overwhelmed by their physical needs are unlikely to have adequate time to focus on their spiritual needs, and therefore the organization aims at providing the physical needs first to create adequate time for people to be receptive to their spiritual needs (Advancing Ministries of Gospel International, 2022).
The gospel is integrated into every activity provided by the organization; for example, in their hospitals and clinics, they employ Christian doctors and nurses who pray with patients before they treat them. Devotions are conducted every morning through the public address to inspire faith and hope among the patient. Also, scriptural literature is hung on the walls in the clinics and hospitals to remind the patients about the existence of God and his love for them, to inspire faith, and advance the gospel. Their child and youth development programs provide holistic care to guide the participants to develop a relationship with God as they also grow in others. They conduct Christian summer camps, bible studies, and discipleship classes which guide the youths under scholarships to develop a personal relationship with God. AMG international’s values include faithfulness, trust, and excellence, all of which are guided by the scripture. As servants of God, the organization believes it is their responsibility to faithfully execute the duties assigned to them and use the resources allocated to achieve excellent results, and promote trust with their partners by being accountable (Tagai et al., 2018).
Populations: Assess the populations served by the organization or ministry.
The organization targets the vulnerable in society, including young children, the youth, the economically disadvantaged, and those affected by war, drought, floods, disease outbreaks, and earthquakes. To identify the populations or individuals that require assistance, the organization uses churches and local leaders in the different areas to understand the needs of the communities. The local leaders and churches provide the details about the community’s needs, such as medical needs, educational and other basic needs, which the organization then analyzes to determine whether their service is required or not. The organization also assesses the availability of facilities such as hospitals and clinics in the community. In most of the areas they serve, the organization is the sole provider of medical care services in those communities. The organization also depends on outbreaks or natural calamities to identify populations they need to serve. For example, news of disease outbreaks, war, or other calamities in areas that the organization can reach, are used to guide their services to humanity. The organization does not outline criteria for qualification; they provide help and assistance to those in need. For example, in the medical facilities, they treat everyone, including those who can pay for the services and those unable to cover the medical expenses (Advancing Ministries of Gospel International, 2022).
Funding Mechanism: Assess the funding mechanism of the organization:
The organization depends on funding from donors and revenue collected from their investments, including hospitals and stocks. AMG International receives donations from well-wishers all over the globe. The organization also stocks in different businesses; for example, it owns 98.42% of stocks in St. Luke’s Hospital in Thessaloniki, Greece, which is a for-profit organization, funds collected from this means are used to support its missionary work in different regions they operate in. It relies on local communities being served to support its mission. The organization uses professional volunteers from the communities and provides training to improve their skills to assist them in fulfilling their mission. It also provides education and training scholarships for young children and adults to gather relevant skills in different areas and use them to advance its mission (Murchison, 2020).
Partnerships: Assess the partnerships of the organization within public health to develop innovative and appropriate public health models
The organization has several strategic partnerships with other similar organizations, including Word and Deed, which links businesses, individuals, and institutions to the organizations that carry out missionary work in disadvantaged communities. AMG International also partners with Fellowship of Christian Athletes, Kindernothilfe, International justice mission, Wort und Tat, ABWE International, Christofell Blindenmission, and Woord and Daad. The organization collaborates with other partners to educate their target population on health and provides training and scholarships to develop skills that can empower them to achieve independence. This helps reduce the poverty rates in the communities affected and ensures that the population is aware of their responsibility in maintaining a healthy surrounding for their wellbeing. There is no direct evidence that AMG international partners with public health agencies since they primarily operate in medically underserved regions, and in most of their current locations, they are the only healthcare providers. The organization can improve the effectiveness of its aid by engaging diverse partners to provide more services to the community they serve for improved outcomes (Tagai et al., 2018).
Conclusion.
Faith-based healthcare organizations are essential in providing medical services to the underserved and vulnerable communities across the globe. Among the advantages of their involvement is that they do not just provide medical care; they focus on all areas of life, including spiritual and other physical needs. Advancing ministries of the gospel (AMG) is among the faith-based healthcare organizations that focus on providing healthcare assistance to vulnerable communities while catering to other community needs, including spiritual and basic needs. The organization operates in more than 30 countries across the globe and partners with different parties with similar interests and goals. While the organization has effectively reached out to communities in need, it can improve its services by broadening its range of partners to reach more communities.
References
Advancing Ministries of Gospel International, (2022) Mission and Values Retrieved from: https://www.amginternational.org/mission-and-values
Advancing Ministries of Gospel International, (2022) MEDICAL CARE Retrieved from: https://www.amginternational.org/medical-care
Murchison H., J. (2020) AMG INTERNATIONAL, INC. Chattanooga, Tennessee Financial Statements. https://www.amginternational.org/2020%20AMG%20International%20Audit.pdf
Rivera, L., Pagaoa, M., Morgenthau, B. M., Paquet, C., Molinari, N. A. M., & LeBlanc, T. T. (2019). Participation in community preparedness programs in human services organizations and faith-based organizations—New York City, 2018. Morbidity and Mortality Weekly Report, 68(35), 757. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6730890/
Tagai, E. K., Scheirer, M. A., Santos, S. L. Z., Haider, M., Bowie, J., Slade, J., … & Holt, C. L. (2018). Assessing capacity of faith-based organizations for health promotion activities. Health promotion practice, 19(5), 714-723. https://journals.sagepub.com/doi/abs/10.1177/1524839917737510

Evidence-Based Practice Project Proposal: Evaluation Plan
This is a paper in an ongoing project that will last for one entire 8-week class. The other elements of the project have already been completed and will be attached as separate files. This is a proposal for ADULT INPATIENTS in the hospital setting!
In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Provide the following criteria in the evaluation, making sure it is comprehensive and concise:
Discuss the expected outcomes for your evidence-based practice project proposal.
Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
Select a statistical test for your project and explain why it is best suited for the tool you choose.
Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
Propose strategies that will be taken if outcomes do not provide positive or expected results.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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Solution
Among the most vital steps or phases of evidence-based practice project implementation is the evaluation phase. The evaluation phase is important since it allows the EBP implementers to assess the impact or effectiveness of the project in achieving the projected or the desired outcomes. In addition, during the evaluation phase, the EBP implementers can also assess how effective the employed methods have been in achieving the desired outcomes (Morrison & Harms, 2018). The implication is that the implementers should have an adept understanding of the plan to enable them to come up with necessary improvement strategies to enhance the success of the project. Therefore, the purpose of this latest write-up is to formulate an evaluation plan for the proposed project.
The Expected Outcomes
Various outcomes are expected upon the implementation of the proposed intervention to improve the early recognition of sepsis in the medical-surgical units. One of the expected outcomes is the improved nurse knowledge on the use of the standardized sepsis risk assessment tool; this is an expected outcome since, as part of the implementation, nurses will be educated and trained on the standardized sepsis risk assessment tool and its use (Burnett, 2018). The other expected outcome is reduced cases of non-recognition of sepsis as a condition. As mentioned earlier in the project proposal, sepsis usually remains unrecognized or under-recognized, leading to fatalities, so it is expected that, by using the standardized sepsis risk assessment tool, such a scenario will be improved or reversed (Prescott & Angus, 2018). The other expected outcome is the reduced cases of death resulting from sepsis as a condition in the medical-surgical units. Again it is also expected that the organization will adopt the use of standardized sepsis risk assessment tool as the new standards of practice.
Data Collection Tools
One of the data collection tools that will be applied is questionnaires. Self-administered questionnaires will be used to assess the nurses’ current knowledge on the use of standardized sepsis risk assessment tools and their knowledge on the same after receiving training. One of the reasons why questionnaires will be used in this project is that they are easier to administer while they are also accurate in data collection and enables easier analysis of data (Hopp & Rittenmeyer, 2021). Questionnaires also have a good level of reliability. While some will be self-administered, like ones assessing the nurses’ knowledge, others will be administered by the investigator to evaluate the impact of the project.
The Statistical Test
Statistical tests are key in determining the efficacy of an intervention. Therefore the relevant statistical test to be applied in this project is the paired t-test, which will be used to compare the pre and post-intervention scores. The means t-test will also be used in comparing the averages. The mean will offer a more accurate picture of the impact of the implemented intervention. This statistical measure has a minimal bias (Grove& Cipher, 2019).
The Methods Used in Data Collection
Data completeness is key if the true picture of the impact of an intervention is to be evaluated. Therefore, two independent individuals will check the completeness of data obtained from the questionnaires. This will ensure that the questionnaires with all the questions answered are separated from the ones with incomplete answers. Data will also be extracted from the questionnaires for appropriate analysis. Besides, curation of data will also be key for accuracy. In determining the impact or efficacy of the intervention, the obtained data will have to be analyzed. Therefore, another phase will be data analysis. The analysis will be vital in determining the process and outcomes measures which are both key in project evaluation (Melnyk & Fineout-Overholt, 2019). While the process measures will show whether the intervention was effective or not, the outcomes measures will reflect whether the project’s desired results were accomplished.
Strategies to Consider In case the Outcomes are not positive or the Expected Results
It is expected that the proposed intervention will give positive results as indicated in the expected outcomes. However, in the case where the outcomes are not positive, then various strategies will be used. One of the strategies is to re-examine the implemented intervention through an analysis. Such a step may help to unearth weaknesses or areas of the project and what to improve in the intervention for better outcomes (Linsley et al., 2019). The project timeline will also be extended to allow an exploration of the corrective measures, which can possibly lead to better results. The extended timeline will also help the investigators to monitor how impactful the newly implemented strategies are.
The Plans of Maintaining, Extending, Revising, and Discontinuing the Proposed Solution
As earlier indicated, one of the major purposes of this project is to improve the timeous or early identification of sepsis in the medical-surgical settings. Therefore, depending on the initial outcomes of the project, the proposed solution will be maintained, revised, or discontinued. If the project turns out to positively impact processes, systems, and clinical practice as hoped for, then the project will be maintained (Melnyk & Fineout-Overholt, 2019). The ever-rising healthcare costs have been a matter of concern in recent times. Therefore, it will be prudent to find out if the project is cost-effective in terms of patient care. Therefore, the project will be maintained if it turns out to be cost-effective; otherwise, discontinuation may be considered. One of the factors that may call for the extension of the project is a case where the outcomes are turn out to be inconclusive. Therefore, the extension will be used as a strategy to acquire additional data necessary for determining the project’s efficacy (Melnyk & Fineout-Overholt, 2019). In addition, a revision of the project will be considered in a case where the strategies are not aligned to the projected outcomes. Therefore, the process of revision will trigger a modification to come up with an improved and superior intervention to improve the chances of the project’s success. The discontinuation will be considered in a case where the intervention turns out to cause harm to patients and the nurses working in the medical-surgical units.
Conclusion
Evaluation is a key phase of an evidence-based project. Therefore, this write-up has explored various aspects of evaluating the project, both process, and outcome measures. Data collection methods and strategies to explore in case outcomes are not positive have also been addressed. In addition, plans of maintaining, extending, revising, or discontinuing the intervention have been explored.
References
Burnett, E. (2018). Effective infection prevention and control: the nurse’s role. Nursing Standard (2014+), 33(4), 68. https://doi.org/10.7748/ns.2018.e11171.
Grove, S. K., & Cipher, D. J. (2019). Statistics for nursing research-e-book: A workbook for evidence-based practice. Elsevier Health Sciences.
Hopp, L., & Rittenmeyer, L. (2021). Introduction to evidence-based practice: A practical guide for nursing. FA Davis.
Linsley, P., Kane, R., & Barker, J. H. (2019). Evidence-based practice for nurses and healthcare professionals. Sage.
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &
Healthcare: A Guide to Best Practice. Wolters Kluwer.
Morrison, J. Q., & Harms, A. L. (2018). Advancing evidence-based practice through program evaluation: A practical guide for school-based professionals. Oxford University Press.
Prescott, H. C., & Angus, D. C. (2018). Enhancing recovery from sepsis: a review. Jama, 319(1), 62-75. https://doi.org/10.1001/jama.2017.17687