BSN - Capella Assessment

NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care

NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care Name Capella university NURS-FPX 4040 Managing Health Information and Technology Prof. Name Date Nursing Informatics in Healthcare Healthcare employees work in an atmosphere that is technologically complex. Nurses are a significant part of health professional teams in all healthcare settings, and their technological health responsibilities and competencies are critical to delivering outstanding treatment in a changing health system (Harerimana et al., 2022). Nursing Informatics originated from the union of three widely recognized scientific fields, including information technology, computational science, and nursing. The term nursing informatics is used to describe the expertise that combines nursing science with various analytical and informational fields in order to recognize, organize, and share data or knowledge in nursing practice (Kleib et al., 2021). Nurses are crucial for patient care in the healthcare sector, hence, informatics has an immense effect on nurses’ performance. Nurses in today’s healthcare system do more than offer clinical care. They also work in operations, leadership, teaching, and technology (Lukewich et al., 2019). Role of Nurse Informaticists A Nurse Informaticist (NI) is a person who integrates technological expertise and nursing to generate and manage healthcare records and health systems, facilitate nursing practice, and improve the health of patients (Conte et al., 2023). Using nursing informatics, NI encourages the well-being of people, advances clinical studies, and delivers evidence-based, patient-centered care (Najjar & Shafie, 2022). The existence of NIs is critical in the healthcare setting. NIs help provide treatment, documentation, and decision-making in healthcare institutions by establishing and sustaining Electronic Health Records (EHRs) and clinical Decision Support Systems (CDSS). NIs combine clinical skills with an understanding of Information Technology (IT) developments (Zhai et al., 2022). Nurses use EHRs and other patient care technologies to acquire and store patient data, interact with the multidisciplinary team, and monitor patient progress. EHRs improve professional interactions for treatment, resulting in better patient health outcomes (Chipps et al., 2020). CDSS provides immediate decision assistance, reminders, and cautions to help clinicians make knowledgeable patient care recommendations (Sutton et al., 2020). NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care Healthcare professionals, including NIS, implementing CDSS significantly improved drug security and reduced drug errors. Technical assets impact providing quality patient care, improving both patient satisfaction and experience. As a result, NIs are essential for the acceptance and implementation of innovations into clinical workflow to improve the delivery of medical treatment, performance, and efficacy of patient care (Sutton et al., 2020). NIs cooperate with other healthcare workers to implement medical data networks that support evidence-based practice and improve patient outcomes (Chipps et al., 2020). They also acts as a liaison between the IT and clinical departments to ensure that technological solutions fulfill end-user requirements and conform to healthcare regulations (Byrne, 2021). The role of NIs in implementing Health Insurance Portability and Accountability Act (HIPAA) principles in the healthcare sector is crucial. NIs play a role in protecting the privacy and security of Patient Health Information (PHI). They can manage and safeguard patient data confidentiality by utilizing information technology and enhancing healthcare management systems (Argaw et al., 2020). Collaboration of Nurse Informatics with Interdisciplinary Teams NIs have excellent informatics abilities and expertise through multiple complex clinical technologies they meet in the modern healthcare environment. NIs employ nursing and Information Technology (IT) knowledge to help create, implement, and evaluate health information systems. Through collaboration with interdisciplinary teams, NIs improve patient outcomes, decision-making, and productivity in health settings (Chipps et al., 2020). The interdisciplinary team, which includes the nurse informaticist, IT specialists, and lab technicians, works together to identify areas for improvement and develop techniques and procedures to improve care quality (Zhai et al., 2022). Rapid and precise health information transfer is critical in healthcare settings. NIs collaborate with medical personnel from many healthcare divisions to check and obtain information simultaneously. Collaboration of NIs provides benefits in all divisions of healthcare settings, including diagnostics, imaging, pharmaceuticals, supporting teams, and the human resources department. It results in improving revenue and reducing costs (Deckro et al., 2021). Furthermore, nursing informatics assists the care team in communicating with patients, which increases patient trust. Nursing informatics collaborates with multidisciplinary professionals to improve data reporting care plans. Through interdisciplinary collaboration, NIs redefined clinical practices by evaluating the needs of patients and healthcare workers. This collaborative endeavor creates ideas founded on standards and evidence-based, which result in significant and long-term improvements to the healthcare system (Wilson et al., 2020). Need for Nurse Informaticist in Healthcare System In the healthcare setting, at every level, specialists must acquire clinical data, interpret outcomes, and convey recommendations to physicians and other stakeholders. NIs have a substantial influence on healthcare delivery and system efficiency (Chipps et al., 2020). These NI experts play a crucial role in boosting efficiency, lowering expenses, and enhancing healthcare quality through researching issues affecting healthcare providers and patients. NIs are essential for healthcare organizations to optimize EHR systems and ensure that they meet the needs of medical specialists and patients (Chipps et al., 2020). Without NIs, hospitals can lose critical information regarding patient care procedures and opportunities for quality improvement, which could negatively impact patient outcomes (Gautam & Shankar, 2023). Information technology has a profound effect on all aspects of healthcare. NI is required for information science and nursing science to deal with and disseminate knowledge and information in nursing practice and the healthcare system. NI encourages Evidence-Based Practice (EBP) and integrates the latest innovations into patient care (Spanakis et al., 2022). As a result, it improves patient safety, elevates the care standard, and reduces healthcare costs, all of which benefit nursing practice and healthcare (Gautam & Shankar, 2023). NIs can also aid healthcare organizations in maintaining legislative compliance regarding health information technology. They can help with the development of security, protection, and data administration procedures and guidelines, as well as ensuring that the organization meets all applicable legislation standards. NIs adhere to the HIPAA law (Kleib et al., 2021). Evidence-Based Strategies to Protect Health Information The medical organization is critical as it deals with concerns that impact people’s life and their health, which can be addressed by resolving real health problems. Information technology has made substantial advances in healthcare, including an automated healthcare record system, precise knowledge sharing, massive data analytics, and cooperation in medical procedures

Capella 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Capella 4030 Assessment 4 Remote Collaboration and Evidence Based Care Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date Remote Collaboration and Evidence-Based Care Salutations! I, _________, welcome to today’s presentation on collaboration and evidence-based care in remote care settings. This presentation focuses on a patient scenario related to gender dysphoria, where we will establish an evidence-based care plan to integrate healthcare services and reduce health disparities. Firstly, let me share a patient care scenario to offer a brief background of the presentation. Background Scenario A 25-year-old transgender male living in an underserved area with limited healthcare access was diagnosed with gender dysphoria following a behavioral health assessment. The patient articulated interest in receiving hormonal and surgical management for the health condition. Dr. Smith, who is the patient’s primary care provider, initiated a remote collaboration with a multidisciplinary team, including mental health experts, endocrinologists, surgeons, and registered nurses. The team supports the patient’s preferred treatment modalities; however, they accentuate the need for a more in-depth evaluation to confirm the diagnosis and exclude other conditions before deciding on the best hormonal and surgical treatment options. Evidence-based Care Plan Proposal An evidence-based is proposed to improve the safety and outcomes for the patient in this scenario, encompassing a multidisciplinary approach that prioritizes comprehensive assessment, patient-centered care, and coordinated follow-up. The care plan begins with a comprehensive psychiatric evaluation (CPE) to confirm the diagnosis of gender dysphoria and exclude other conditions that might present similarly. Levine (2024) mentions that this in-depth evaluation helps ensure that the patient receives appropriate, individualized treatment, such as hormone therapy or surgery, while addressing any co-occurring mental health issues. This assessment evaluates the patient’s mental health history, current psychological state, and any symptoms of psychiatric disorders, ensuring a holistic approach to care. After confirming the diagnosis, we aim to develop a personalized hormone replacement therapy (HRT) plan. Hormonal therapy involves administering hormones, such as testosterone or estrogen, to align the patient’s physical characteristics with their gender identity (Maung, 2024). This plan would be initiated and monitored by the endocrinologist, with regular check-ins to assess the patient’s response and adjust dosages as necessary. Capella 4030 Assessment 4 Remote Collaboration and Evidence Based Care Simultaneously, the plan includes discussing surgical options in detail with the patient. It is crucial to assess the patient’s readiness for gender-affirming surgeries and ensure the patient understands the risks, benefits, and expected outcomes of each procedure (Amengual et al., 2022). This education is also integral to following ethical and legal requirements. Finally, the plan aims to include patient-centered support and education. Given the patient’s rural location and limited access to healthcare, telehealth services will be integrated into the care plan to provide ongoing support, education, and follow-up care. Telehealth can facilitate regular mental health counseling, HRT monitoring, and post-surgical care, ensuring the patient receives continuous care despite geographic barriers. Additionally, telehealth enables connecting patients with local transgender support groups to offer emotional support and help mitigate societal stigma and discrimination (Stoehr et al., 2021). Need for Further Information Additional information could have been valuable in several areas in establishing a more patient-centered and precise care plan. First, more detailed data on the patient’s mental health history and any co-existing mental health conditions would help in tailoring the psychological support provided. Additionally, insight into the patient’s social support system, including family acceptance and community resources, would help in addressing potential psychosocial challenges. Finally, knowledge of local healthcare resources and the availability of telehealth infrastructure in the patient’s area would assist in planning effective follow-up care and support services (Stoehr et al., 2021). Evidence-Based Practice Model This evidence-based care plan is grounded in an evidence-based practice (EBP) model called the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model. It is a systematic approach designed to integrate the best available evidence into nursing practice to improve patient outcomes. The model emphasizes three key components: Practice Question, Evidence, and Translation (PET) (Dusin et al., 2023). In developing the care plan for gender dysphoria, the JHNEBP model was instrumental in ensuring that the plan was rooted in the best available evidence and aligned with patient-centered care principles. The process began with formulating a specific practice question (Dusin et al., 2023). The question for this care plan was: How can we improve the safety and outcomes for a transgender male patient seeking gender-affirming care in a rural setting? This question guided the subsequent evidence search, focusing on studies, clinical guidelines, and expert consensus on managing gender dysphoria, especially in rural or underserved populations (evidence phase). Finally, in the translation phase, the evidence was applied to develop a multidisciplinary care plan that included detailed steps for assessment, treatment, and follow-up, additionally emphasizing the integration of telehealth services to overcome geographic barriers, ensuring continuity of care and patient safety (Stoehr et al., 2021). Assessing the Benefits to Patient Outcomes According to Churruca et al. (2021), monitoring patient-reported outcomes through surveys and questionnaires assists in evaluating the effectiveness of care and the benefits that it leaves on patients’ well-being. Measuring several metrics, such as the patient’s mental and physical well-being, satisfaction with care, adherence to treatment and medication plans, and availability of adequate healthcare services, will be crucial for assessing the benefits of our EBP care plan. Continuous monitoring and adjustment based on these evaluations would ensure the plan remains responsive to the patient’s evolving needs and contributes to optimal outcomes. Evaluation of Evidence for Making Care Plan The evidence-based care plan utilized several literature studies and clinical guidelines to ensure the plan is deeply rooted in research. Yet, the most relevant evidence collected for the care plan was Levine (2024), which discusses the importance of a comprehensive psychiatric evaluation (CPE) in diagnosing gender dysphoria. This evidence supports the intervention decided by the multidisciplinary team, which is crucial to accurately confirm the diagnosis before initiating any treatment. This literature study emphasizes addressing co-occurring mental health issues and ensuring individualized treatment, highlighting the foundational role of a thorough evaluation in providing effective and

Capella 4030 Assessment 3 Picot Questions and An Evidence Based Approach

Capella 4030 Assessment 3 Picot Questions and An Evidence Based Approach Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date PICO (T) Questions and an Evidence-Based Approach Stroke is a leading cause of disability and mortality worldwide, making it a critical focus for healthcare interventions. To improve patient outcomes through evidence-based practice, it is essential to gather credible, relevant, and trustworthy evidence for integration into clinical practices. Thus, a structured approach to clinical inquiry, such as the PICOT framework, will be beneficial. PICOT stands for Patient/Population, Intervention, Comparison, Outcome, and Time, and it helps formulate research questions that guide evidence-based practice (Hosseini et al., 2023). In this assessment, we apply this framework to inquire about the benefits of telehealth services in improving medication adherence among stroke patients, eventually enhancing patient outcomes. Practice Issue to be Explored and PICO(T) Inquiry Patients encountering stroke are at high risk of developing medication non-adherence, leading to exacerbations, relapses, and poor disease control (Zeng et al., 2021). Thus, it has become a significant medical practice issue where providers strive to ensure that patients maintain medication adherence and engage in self-management practices to control further attacks. In the growing healthcare landscape and increasing disease burden, traditional in-person follow-up visits are insufficient for continuous monitoring, especially in elderly patients who face mobility challenges or other barriers to accessing care. Therefore, this paper explores the use of telehealth services to improve outcomes in this vulnerable population. In patients who have suffered a cerebrovascular attack (stroke) (Population), does the use of telehealth for monitoring and follow-up (Intervention), compared to in-person follow-up visits (Comparison), improve medication adherence and disease control (Outcome)? Benefit of Using the PICO(T) Framework Exploring this practice issue through the PICOT approach allows for a structured and focused investigation that can lead to evidence-based interventions. The PICOT framework breaks down the research question into specific components, making it easier to identify relevant evidence and compare the effectiveness of different interventions (Hosseini et al., 2023). By applying this approach, healthcare providers can systematically evaluate the importance of evidence-based interventions in managing post-stroke patients. Ultimately, this can inform clinical guidelines and improve patient outcomes by promoting strategies that are proven to be effective in controlling the disease and reducing the risk of recurrence. Sources of Evidence and Rationale/Criteria Several online sources, including databases, journals, and websites, are capable of answering the PICOT question regarding the effectiveness of telehealth services versus in-person follow-up for medication adherence and disease control in stroke patients. Databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PubMed. Journals: Journal of Telemedicine and Telecare and the Journal of Stroke and Cerebrovascular Diseases. Authoritative Website: The American Stroke Association (ASA). The Rationale for Selecting These Sources The selected sources are capable of answering the PICOT question due to their focus on high-quality, peer-reviewed research and evidence-based guidelines. Additionally, these sources provide information that abides by the CRAAP criteria (currency, relevance, authority, accuracy, and purpose). According to Oermann et al. (2021), among other databases, CINAHL and PubMed are acknowledged for their comprehensive coverage of healthcare-related topics. Therefore, these databases are crucial to accessing literature studies that directly examine the impact of telehealth on chronic disease management, including stroke. Simultaneously, the Journal of Telemedicine and Telecare explicitly focuses on telehealth, making it an invaluable resource for understanding the nuances of remote patient monitoring and follow-up care. Similarly, the Journal of Stroke and Cerebrovascular Diseases provides insights into the latest research on stroke management, ensuring that the information is both current and relevant. Finally, the authoritative website of ASA offers reliable guidelines, which are essential for supporting clinical decisions based on the latest evidence (American Stroke Association, n.d.). These sources collectively provide a robust foundation for exploring the efficacy of telehealth in improving post-stroke outcomes, directly addressing the PICOT question. Findings from the Literature Several scholarly studies support the PICOT inquiry by elaborating on the effectiveness of telehealth and remote monitoring applications compared to standard in-person visits in improving medication adherence, addressing disparities, and enhancing health outcomes for post-stroke patients. A literature review by Choi et al. (2023) concludes that telemedicine and mobile health applications are beneficial for stroke patients with minimal medication adherence. The study showed a substantial improvement of 37% compared to the control group with usual care. These interventions not only improve medication compliance but are also proven to reduce blood pressure and remain a cost-effective stroke management strategy. Another literature review shows that compared to the patients who received the usual care, the individuals who were treated using mHealth technology had a better understanding of medication use and adherence. However, this study further mentions the effectiveness of instant messaging features compared to telephonic call intervention in significantly augmenting adherence rates (Zeng et al., 2021). Sharrief et al. (2023) discuss how telehealth services address healthcare disparities for stroke patients. According to this study, these post-discharge telehealth visits reduce care barriers, such as transportation issues associated with in-person visits. Moreover, these services are crucial for preventing stroke readmissions by guaranteeing adherence to medication and treatment plans. Finally, these interventions also promote easy and accessible follow-up care, ensuring timely interventions. Capella 4030 Assessment 3 Picot Questions and An Evidence Based Approach Among the sources mentioned, the most credible are the literature reviews by Choi et al. (2023) and Zeng et al. (2021). These peer-reviewed articles are rigorously examined, ensuring the accuracy, objectivity, and reliability of the research. Choi et al. (2023) are particularly credible due to their comprehensive analysis that demonstrates the efficacy of telemedicine in 37% improvement in medication adherence, underscoring its significance to integration in clinical practice. Similarly, Zeng et al. (2021) also present credible evidence, especially in their comparison of different telehealth modalities (instant messaging versus telephonic calls). This comparison provides precise guidelines for healthcare professionals to optimize telehealth interventions. Decision-Making on PICO Question Based on these findings, the decision to implement telehealth interventions for monitoring medication adherence and disease control in stroke patients is strongly supported. The study by Choi

Capella 4030 Assessment 2 Determining the Credibility of Evidence and Resources

Capella 4030 Assessment 2 Determining the Credibility of Evidence and Resources Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date Determining the Credibility of Evidence and Resources This analysis highlights the importance of an evidence-based approach to expanding knowledge regarding acute pancreatitis. Moreover, the paper discusses the criteria for determining the credibility of resources, examining different sources of information for their credibility and relevance to the diagnosis. Lastly, the paper examines the importance of integrating credible information into an Evidence-Based Practice (EBP) model, resulting in improved practices and patient outcomes. Chosen Diagnosis and Evidence-based Approach Acute pancreatitis is described as the inflammation of the pancreas, usually caused by stones in the gallbladder or excessive consumption of alcohol. It is one of the life-threatening gastrointestinal health conditions, accounting for approximately 275,000 hospital admissions in the United States. It is estimated that 20% of patients develop acute pancreatitis, leading to a 20-40% death rate (Li et al., 2021). Due to its harmful complications, including organ failure and elevated mortality rate, an evidence-based approach is crucial in managing patients. Li et al. (2019) define Evidence-based Practices (EBP) as the utilization of best practices available in evidence to derive decisions and provide adequate care to patients, considering their needs and preferences. Managing acute pancreatitis can benefit from evidence-based guidelines, helping clinicians to make informed decisions regarding diagnosis, treatment, and monitoring. For instance, early fluid resuscitation is a treatment modality supported by the evidence to prevent hypovolemia and maintain organ perfusion in patients with acute pancreatitis (de-Madaria et al., 2022). Such informed decisions are imperative to improve patient outcomes. Additionally, an evidence-based approach assists in avoiding unnecessary interventions that may exacerbate patients’ conditions or lead to complications. This is highly important in case of acute pancreatitis to prevent life-threatening outcomes. Through this approach, practitioners ensure that patients receive the most effective and safe care based on the latest scientific evidence, reducing morbidity and mortality and improving patient satisfaction (Li et al., 2019). Criteria to Determine the Credibility of Online Resources The CRAAP test is a well-developed criterion used to determine the credibility and relevance of online resources, such as websites, scholarly papers, and journal articles. According to Esparrago-Kalidas (2021), the CRAAP is a mnemonic for currency, relevance, authority, accuracy, and purpose. The criteria are elaborated below using a specific resource related to acute pancreatitis. Szatmary, P., Grammatikopoulos, T., Cai, W., Huang, W., Mukherjee, R., Halloran, C., Beyer, G., & Sutton, R. (2022). Acute pancreatitis: Diagnosis and treatment. Drugs, 82(12), 1251–1276. https://doi.org/10.1007/s40265-022-01766-4 According to the CRAAP test, this resource was published in 2022, demonstrating the up-to-date nature of the information. Moreover, the information is relevant to the search topic, presenting the disease description, diagnostic criteria, and treatment modalities. Additionally, the authors are healthcare professionals and experts in pancreatic medicine. The journal (Drugs) is listed in reputable journals, publishing original research and reviews with an impact factor 11.5. The authors have adequately supported their claims with other valuable and credible sources, representing the accuracy of the information. Lastly, the article aims to expand the knowledge of healthcare professionals. Credible and Relevant Sources of Information Various literature studies provide pertinent information on acute pancreatitis’s prevalence, management, and treatment. Some of the studies are presented below, and their credibility and relevance are evaluated based on the CRAAP criteria. The study by Li et al. (2021) highlights the prevalence of acute pancreatitis, indicating the disease’s burden worldwide, regionally, and nationally. The article completes the CRAAP criteria by its recent publication (2021). It is relevant for public health professionals to understand the burden and plan effectively for public health initiatives and resource allocation. Furthermore, the study was authored by multiple researchers from reputable institutions. Additionally, it is published in BMC Gastroenterology, a peer-reviewed journal, indicating scholarly rigor and authenticity of information. Finally, the study underwent peer review to ensure accuracy and reliability and to report the burden of acute pancreatitis. Capella 4030 Assessment 2 Determining the Credibility of Evidence and Resources The study by de-Madaria et al. (2022), published in 2022, holds credibility and relevance based on the CRAAP criteria. The article clarifies its relevance by highlighting fluid resuscitation as a cornerstone in managing acute pancreatitis, offering best practices and up-to-date insights. Authority is evident as the study was conducted by a team of renowned healthcare professionals and gastroenterologists and published in a highly esteemed peer-reviewed journal, the New England Journal of Medicine. The study’s accuracy is also supported by rigorous research methods and the oversight of peer review processes to disseminate information regarding fluid resuscitation as a best practice strategy in acute pancreatitis. This resource is the most useful for healthcare professionals as its findings on fluid resuscitation in acute pancreatitis directly inform clinical practice to enhance patient care and outcomes. Another study that discusses the current treatment strategies for acute pancreatitis is credible based on the CRAAP criteria. The study was published in 2024, providing recent insights into treatment strategies for the disease. Directly elaborating on the recent advancements in treatment approaches, this article holds relevance in contributing valuable information to clinical practice and patient care. Thus making it the most useful resource for healthcare professionals to implement the best evidence-based strategies in their healthcare settings. Moreover, the authors possess expertise in gastroenterology and related fields, adding credibility to their research. The information is published in a reputable peer-reviewed journal (The Journal of Clinical Medicine). Consequently, as a peer-reviewed publication, the study underwent rigorous evaluation, demonstrating the accuracy and reliability of its findings (Song & Lee, 2024). Integrating Credible Evidence into an EBP Model Integrating credible evidence into an Evidence-Based Practice (EBP) model for acute pancreatitis is crucial for ensuring optimal patient outcomes. This model provides a structured approach for researchers and healthcare practitioners to make informed decisions regarding patient care using credible evidence from rigorous research (Brunt & Morris, 2023). By integrating authentic evidence into an EBP model, healthcare providers can enhance the effectiveness of interventions, minimize the risk of complications, and improve patient satisfaction. This approach fosters

Capella 4030 Assessment 1 Locating Credible Databases and Research

Capella 4030 Assessment 1 Locating Credible Databases and Research Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date Locating Credible Databases and Research Acute pancreatitis is a health condition characterized by sudden inflammation of the pancreas. This results from gallstones or excessive alcohol consumption. In the United States, 35-40% of cases are due to gallbladder stones, and 30% of cases result from the excessive use of alcohol (Mohy-ud-din & Morrissey, 2023). Through this analysis, a senior nurse assists a novice nurse in locating credible and relevant evidence related to acute pancreatitis, helping implement evidence-based practices to improve patients’ overall well-being. Communication and Collaboration Strategies Several communication and collaboration strategies can be utilized while researching evidence-based resources so that novice nurses can search and access sources of information effectively. These strategies include: Structured Mentorship Programs: Senior nurses can mentor juniors using structured programs. Mentors can encourage novice nurses to research the diagnosis through regular meetings and discussion sessions. Through these sessions and seminars, experienced nurses will provide resources, suggest study materials, and offer insights from their experiences. Mentoring is a valuable strategy in fostering professional competence through guidance and support, leading to professional commitment and strong relationships between experienced and trainee nurses. Ultimately, this will foster a culture of learning and collaboration (Gong et al., 2022). Research and Education Programs: Senior nurses can introduce novice nurses to programs that build research and education capacities. These are called Research Capacity Building (RCB) initiatives. Through face-to-face sessions and online learning platforms, senior nurses can help juniors to search databases dedicated to healthcare education and research (King et al., 2022). This strategy helps senior nurses empower novice nurses to explore topics like acute pancreatitis independently. This strategy promotes professional competence by encouraging self-directed learning and honing research skills. Furthermore, it strengthens professional relationships as senior nurses demonstrate support and trust in the abilities of novice nurses. Capella 4030 Assessment 1 Locating Credible Databases and Research Peer Learning Groups: According to Pålsson et al. (2022), peer learning is an effective strategy for newly graduated nurses in learning about nursing practices, health conditions, and patient management and transitioning into professional life. Thus, it leads to professional competence among novice nurses. Senior nurses can facilitate peer learning groups where novice nurses collaborate with their peers to explore acute pancreatitis research and resources. Through this strategy, novice nurses benefit from diverse perspectives and collective problem-solving, enhancing their research skills and understanding of the topic. Additionally, peer interactions build strong professional relationships based on shared learning experiences. The Best Places to Access Resources within the Workplace In the current healthcare setting, there are several places that novice nurses can use to access resources related to acute pancreatitis. These include computer labs with an online medical library, Hospital Information Systems and Electronic Health Records (EHRs), and multidisciplinary team meetings and case conferences. The computer labs in this healthcare setting have various online databases that nurses can access to find pertinent information about acute pancreatitis. These databases include CINAHL, PubMed, Medline, and the Cochrane Library. These online databases provide comprehensive information on diagnosing, treating, and managing various health conditions, including acute pancreatitis (Chandran et al., 2020). Computers at nurse stations can be utilized to access hospital information systems and electronic health records (EHR). These resources contain valuable patient data, diagnostic imaging reports, laboratory results, and clinical notes related to cases of acute pancreatitis. Additionally, nurses may access integrated EHR systems with clinical decision support tools and clinical pathways to find specific information related to acute pancreatitis, guiding evidence-based diagnostic practices (Yang et al., 2023). Finally, nurses can participate in multidisciplinary team meetings and case conferences to learn the complexities of acute pancreatitis and its management. During these meetings, clinicians, radiologists, surgeons, and other healthcare professionals share their expertise, review diagnostic findings, and formulate comprehensive treatment plans tailored to individual patients (Henriksen et al., 2022). Accessing resources within these collaborative settings allows nurses to benefit from diverse perspectives and collective decision-making, ultimately optimizing patient care and outcomes. Credible Sources, Justification, and Criteria According to the ranking of most to least valuable resources, this analysis identifies five credible sources of online information related to acute pancreatitis and elaborates the reasons for their selection. PubMed is one of the most reliable and widely used medical databases, with peer-reviewed articles published in reputable journals. Nurses can search PubMed for credible evidence and up-to-date research articles, clinical trials, systematic reviews, and practice guidelines for acute pancreatitis (Ossom Williamson & Minter, 2019). Secondly, the American Pancreatic Association (APA) website provides resources, guidelines, and educational materials focused explicitly on pancreatic diseases, including acute pancreatitis, enhancing the knowledge and understanding of the condition. Information from the APA website integrates the latest evidence related to nursing practice, making it a reliable and helpful resource (American Pancreatic Association, n.d.). Moreover, nurses can explore the American Gastroenterological Association (AGA) website, which offers guidelines, position statements, and educational materials. Moreover, they have peer-reviewed journals consisting of high-quality research evidence related to GI and liver conditions, including acute pancreatitis. This facilitates informed decision-making and quality care delivery in gastroenterology practice (American Gastroenterological Association, n.d.). Furthermore, the Cochrane Library is a useful resource as it has a collection of databases containing high-quality, independent evidence to inform healthcare decision-making. Cochrane reviews offer a rigorous analysis of available evidence, demonstrating the high quality and credibility of the information. These sources of knowledge aid nurses in evaluating their current practices and guiding future patient care. Lastly, the resources from the National Pancreas Foundation (NPF), a nonprofit organization that supports patients with pancreatic diseases and their caregivers, will increase nurses’ understanding of acute pancreatitis. NPF’s website offers patient education materials, research updates, and resources specific to acute pancreatitis (National Pancreas Foundation, n.d.). By leveraging NPF resources, nurses can provide valuable support and information to patients and families coping with this condition. Criteria to Determine Credibility, Relevance, and Usefulness of Resources The CRAAP is a test used to evaluate the sources’ credibility and relevance. It scrutinizes sources

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date Remote Collaboration and Evidence-Based Care Hi! Everyone, I am —–, and today I will present my topic, remote collaboration, and evidence-based care. Remote collaboration is a significant healthcare tool that enables the delivery of care coordination to patients who cannot commute from rural areas or have difficulty with transportation to healthcare settings. This assessment considers the patient health scenario of gender dysphoria in a young patient who lives in a rural area and requires remote collaboration among interdisciplinary teams of different healthcare settings. Furthermore, I will discuss evidence-based care plans for improving the safety and outcomes of affected individuals. Later, I will discuss how a particular evidence-based practice model was applied to develop patient care plans. Lastly, I will highlight the most valuable and relevant evidence in the decision-making process of the care plan. Before I begin with the evidence-based care plan, I will delve into the patient’s health scenario for remote collaboration. Evidence-Based Care Plan and Patient Safety Remote Collaboration for a Patient with Gender Dysphoria The patient scenario involves a case of a 25-year-old transgender male who belongs to a rural area with limited access to healthcare services. Based on behavioral health evaluation, his healthcare professional, Dr. Smith, diagnosed that he was suffering from gender dysphoria. The doctor further informs that the patient expressed interest in obtaining hormonal and surgical treatment for this issue. Gender dysphoria is a medical condition of conflict experienced by patients between their assigned sex at birth and gender identity. This condition leads them to seek hormonal and surgical interventions to experience the gender identity of their desire. Dr. Smith collaborates with an interdisciplinary team of mental health professionals, endocrinologists, and a nurse. The multidisciplinary team suggests a further detailed and in-depth evaluation to confirm the diagnosis and choose the best treatment for the patient. Evidence-Based Care Plan To improve health outcomes and patient safety in the mentioned patient scenario, the following evidence-based care plan is devised: Healthcare professionals must coordinate to provide this care plan and improve health outcomes. They should thoroughly assess the patient’s medical and mental history using standardized protocols such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (Dora et al., 2020). This is necessary as patients seeking approval for medical treatment of gender dysphoria (GD) may experience this behavior secondary to other conditions, such as depression and anxiety (D’Angelo et al., 2020). Upon correct diagnosis, the healthcare provider must engage with the endocrinologist to provide suitable hormonal therapy to the patient (Sansfaçon et al., 2019). Furthermore, they must be monitored and evaluated occasionally to address the side effects, such as mood disorders, aggressiveness, and other dilemmas due to trajectory transitions (Sansfaçon et al., 2019). After hormonal therapy, the patient must also be educated on effective psychosocial functioning and behavioral changes (Kaltiala et al., 2019). For this purpose, they must be provided adequate training or educational resources to take care of their transition phases and coordinate with healthcare through telehealth services on any adverse impacts of the therapy (Russell et al., 2021). Further Information The additional information or data related to the patient’s social circle, support from family, religious and cultural perspectives, and financial status could have helped craft a more suitable care plan for the patient. As gender dysphoria may be neglected in some families due to religious and cultural concerns, the transition process for patients would have been made easier if these pieces of information were available (Verbeek et al., 2020). Ways to Use and Apply Evidence-Based Practice Model Healthcare providers must develop care plans based on substantial evidence using evidence-based practice models (Speroni et al., 2020). I implemented the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) for the above-mentioned evidence-based care plan to gather authentic and relevant evidence. This model is based on a three-step procedure involving identifying the problem, collecting the evidence on the problem and its solutions, and the translation phase. The last phase integrates and implements the proposed evidence, followed by consistently monitoring desired outcomes and making prospective changes (Speroni et al., 2020). Considering the Villa Health scenario, the problem or question was to improve the patient’s well-being and behavioral issues associated with gender dysphoria in patients living in remote areas. For this purpose, evidence is gathered on solving this issue, and from a pool of research data, the evidence specifically related to our practice problem was selected (Russell et al., 2021). Lastly, the care plan was developed based on the selected evidence-based data. Once the care plan is devised successfully, the positive benefits to patient outcomes must be evaluated. In the given case of gender dysphoria, the positive benefits for the patient will be improved behaviors and mental health status, minimal side effects, better social transition, and enhanced patient satisfaction (Tordoff et al., 2022). The patient can provide feedback to healthcare providers on accomplishing these outcomes through remote consultations, and any assistance can be delivered appropriately to suffice the patient’s health needs (Russell et al., 2021). Evaluation of Relevancy and Usefulness of Evidence for Making Care Plan The evidence by Russell et al. (2021) provides the most relevant and helpful evidence in making decisions for patient care plans. This evidence highlights the ways to enhance access to care for transgenders using telehealth; the patient can use telehealth to acquire care treatments from healthcare providers remotely (Russell et al., 2021). The patient in the scenario requires remote care and monitoring, which is possible through telehealth services such as the Zoom platform (Sequeira et al., 2023). Hence, this article not only supports treating gender dysphoria and subsequent care but also emphasizes access to care remotely, as a geographical barrier is a significant concern in the patient’s scenario. Furthermore, the criteria used to find the relevance and usefulness of this evidence is CRAAP, which stands for Currency, Relevance, Authority, Accuracy, and Purpose. This criterion is used to evaluate the credibility and relevance of evidence-based sources (Muis et al., 2022). The best evidence identified above

NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach

NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date PICO(T) Questions and an Evidence-Based Approach PICO(T) questions and an evidence-based approach are crucial in nursing for guiding clinical decision-making and improving patient outcomes. By focusing on specific patient populations, interventions, comparisons, outcomes, and timeframes, nurses can identify the most effective strategies for care. This method ensures that nursing practices are grounded in the best available evidence, leading to better patient care. This strategy will be utilized in this paper to address the issue of cholecystitis. Exploring the Cholecystitis as Healthcare Issue with the PICOT Approach Cholecystitis, the inflammation of the gallbladder, is a common practice issue in healthcare, often requiring timely and effective intervention to prevent complications like gallbladder rupture or sepsis. Exploring cholecystitis through a PICO(T) approach enables a structured investigation into the best treatment options. A PICO(T)-formatted research question for this issue is as follows: “In adult patients diagnosed with acute cholecystitis (Population), how does early laparoscopic cholecystectomy (Intervention) compared to delayed surgery (Comparison) affect recovery time and complication rates (Outcome) within a one-month period (Time-frame)?” The exploration of cholecystitis through a PICO(T) approach will benefit by providing a clear framework to evaluate various treatment strategies, enabling healthcare professionals to compare interventions such as early versus delayed surgery, and their outcomes (Vidyadharan et al., 2023). This method helps focus on specific patient populations, interventions, and outcomes, ensuring that clinical decisions are evidence-based and tailored to improving patient recovery and minimizing complications. Through systematic inquiry, the PICO(T) approach supports the identification of the most effective practices for managing cholecystitis. Sources of Evidence to Answer PICO(T) Question To explore evidence-based resources for cholecystitis, various databases, journals, and websites are available. Key databases like PubMed, Google Scholar, ProQuest, Cochrane Library, CINAHL, MEDLINE, and the Capella University Library can offer significant insights into standard treatment protocols and adjunct therapies for cholecystitis. Notable journals such as the “Journal of Gastrointestinal Surgery,” “Surgical Endoscopy”, “Hepatology,” “World Journal of Gastroenterology,” and the “American Journal of Surgery” regularly publish relevant research on gallbladder conditions and treatments. Additionally, websites like the “American Gastroenterological Association,” “American College of Gastroenterology”, and “National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)” provide valuable information on this issue. The CRAAP criteria (Currency, Relevance, Authority, Accuracy, Purpose) are utilized to assess these sources’ potential in effectively answering the PICO(T) question related to cholecystitis, ensuring the selection of the most relevant and accurate resources (Muis et al., 2022). Findings from Articles or Evidence-Based Sources Research study demonstrates that early laparoscopic cholecystectomy is linked to shorter recovery times and fewer complications. This is contrasted with delayed surgery, which is associated with higher complication rates, including infections and bile duct injuries (Cheng et al., 2020). Study from the Surgical Endoscopy further support that early intervention allows for quicker recovery and a faster return to normal activities (Janjic et al., 2020). Early laparoscopic cholecystectomy is associated with a reduction in operating time and a shorter duration of hospital stay. This approach not only minimizes the time patients spend in surgery but also expedites their recovery, leading to a quicker discharge from the hospital compared to delayed surgical interventions. The early intervention helps to address acute cholecystitis before it progresses, thereby reducing the overall complexity of the procedure and the likelihood of post-operative complications (Vidyadharan et al., 2023). Overall, the evidence suggests that early laparoscopic cholecystectomy is more effective in minimizing recovery time and reducing complications within the one-month timeframe outlined in the PICO(T) question. Relevance of Findings and Decision-Making The conclusions drawn from the chosen sources of information are extremely pertinent to addressing the PICO(T) question regarding the impact of early versus delayed approach of laparoscopic cholecystectomy on recovery time and complication rates. Research by Cheng et al. (2020) highlights that early laparoscopic cholecystectomy is linked to shorter recovery times and fewer complications, including infections and bile duct injuries, compared to delayed surgery. Janjic et al. (2020) further support this by demonstrating that early intervention leads to quicker recovery and a faster return to normal activities. Vidyadharan et al. (2023) emphasize that early surgery reduces operating time and hospital stay, which not only minimizes patient discomfort but also decreases the risk of complications by addressing the condition before it escalates. These findings collectively indicate that early laparoscopic cholecystectomy is more effective in improving patient outcomes within the one-month timeframe specified in the PICO(T) question, making it a preferable choice for managing acute cholecystitis. Conclusion In conclusion, the PICO(T) approach provides a robust framework for evaluating the difference in management of acute cholecystitis between early and delayed laparoscopic cholecystectomy. The evidence gathered highlights that early intervention significantly reduces recovery time and lowers complication rates compared to delayed surgery. Studies such as those by Cheng et al. (2020) and Janjic et al. (2020) emphasize the advantages of early surgery in terms of faster recovery and reduced risk of complications, while Vidyadharan et al. (2023) underscores the benefits of shorter operating times and hospital stays. This evidence supports the implementation of early laparoscopic cholecystectomy as a more effective strategy for improving patient outcomes in the management of acute cholecystitis, ensuring that clinical decisions are informed by the best available data. References Cheng, X., Cheng, P., Xu, P., Hu, P., Zhao, G., Tao, K., Wang, G., Shuai, X., & Zhang, J. (2020). Safety and feasibility of prolonged versus early laparoscopic cholecystectomy for acute cholecystitis: A single-center retrospective study. Surgical Endoscopy, 35(5), 2297–2305. https://doi.org/10.1007/s00464-020-07643-z Janjic, G., Simatovic, M., Skrbic, V., Karabeg, R., & Radulj, D. (2020). Early vs. delayed laparoscopic cholecystectomy for acute cholecystitis – single center experience. Medical Archives, 74(1), 34. https://doi.org/10.5455/medarh.2020.74.34-37 Muis, K. R., Denton, C., & Dubé, A. (2022). Identifying CRAAP on the internet: A source evaluation intervention. Advances in Social Sciences Research Journal, 9(7), 239–265. https://doi.org/10.14738/assrj.97.12670 NURS FPX 4030 Assessment 3 Picot Questions and an Evidence Based Approach Murshid, Dr. M. Y., Murshid, Dr. A. J., & Ansari, Dr. F. A. (2023). Early vs. delayed laparoscopic cholecystectomy for acute cholecystitis –

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources

NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date Determining the Credibility of Evidence and Resources The healthcare treatments and procedures delivered to patients impact their quality of life and safety. It is the utmost duty of every healthcare professional to evaluate the credibility and authenticity of evidence-based practices in clinical practice. This assessment delves into the issue of gastroenteritis, for which nurses can look for credible evidence to apply clinically. By adequate analysis, substantial evidence of nursing practices for gastroenteritis can result in better health outcomes for affected patients and improved quality of life (Fleckenstein et al., 2021). The Quality and Safety Issue Benefiting from an Evidence-Based Approach The chosen diagnosis for which an evidence-based approach can be a suitable and beneficial solution is gastroenteritis. Gastroenteritis is the inflammation of the stomach and intestines due to viral or bacterial infections. This condition can pose serious complications if left untreated, especially in vulnerable populations such as young children, elderly, or immunocompromised patients. About 1.4-2.5 million deaths result from gastroenteritis annually (Dawson et al., 2022). For this purpose, an evidence-based approach is crucial for ensuring optimal patient outcomes and minimizing potential risks. This condition requires attentive screening to ensure the correct treatment is delivered. For instance, in the case of viral gastroenteritis, there are chances that antibiotic treatment is prescribed, which leads to other issues like antibiotic resistance (Ansari et al., 2020). This issue underscores the significance of adopting evidence-based guidelines that stress the judicious use of antibiotics. Criteria to Determine Credibility of Resources There are several criteria discussed in research that evaluate the credibility of resources. One of these criteria is CRAAP criteria, which stands for Currency, Relevance, Authority, Accuracy, and Purpose (Muis et al., 2022). This criterion involves measuring the date the article was published to check its currency and the relevance of the subject discussed in the resource with the issue under investigation. Additionally, it estimates whether the authors are experts and related to relevant fields of study. Lastly, it checks the accuracy of resources and the purpose to ensure the resource fulfills the study’s goal under progress (Muis et al., 2022). Applying the CRAAP Criteria These criteria are applied in the following bibliography: Dawson, T., Ratcliffe, A., & Onyon, C. (2022). Gastroenteritis. Paediatrics and Child Health, 32(11). https://doi.org/10.1016/j.paed.2022.08.002 This resource was published in the year 2022, which shows its currency. Considering the relevance criterion, the article is related to the issue explored in this assessment, i.e., gastroenteritis. Furthermore, it discusses this condition in children, making it more specific. The authors are all experts and belong to the field of medicine. Moreover, the results from the study are accurate and based on statistical analyses. Lastly, this resource aims to improve the health outcomes of gastroenteritis among children using correct treatments like antibiotic therapy and hydration therapy. The authors have also mentioned preventive strategies, such as frequent handwashing among children to manage gastroenteritis. Analysis of Credibility and Relevance of Resources and Evidence The evidence-based resources cited in this paper can be analyzed to ensure their credibility and relevance. All these resources fit the CRAAP criteria. The article by Ansari et al. (2020), fulfills the CRAAP criteria as it was published within the last five years and is currently published. This resource is relevant to gastroenteritis as it highlights the role of probiotics in improving viral gastroenteritis. The authors are related to Medicine and have proficiency in the subject. The results are accurate and statistically correct. Lastly, this article aims to analyze the treatment options for gastroenteritis. Similarly, the resource by Fleckenstein et al. (2021), is up-to-date, fulfilling the currency criterion. The article relates to gastroenteritis as it talks about bacterial gastroenteritis in detail. The authors of this resource are from the relevant fields, and the results show accuracy. Lastly, this article emphasizes the timely treatment of bacterial gastroenteritis with adequate and judicious use of antibiotics. The most useful resource from this analysis is by Ansari et al. (2020), as viral gastroenteritis is confused with bacterial gastroenteritis and requires adequate knowledge and research on diagnosing viral diarrhea to ensure the right treatment is provided to affected individuals. Significance of Integrating Research Data into Evidence-Based Models Evidence-based models effectively implement the collected and well-researched data in practical life. These evidence-based models allow nurses to ensure that medical treatments are devoid of mistakes and ineffective practices. By using these models, nurses can deliver the right care treatments that are substantially accurate and effective in alleviating healthcare issues (Tucker et al., 2021). This enhances patient safety and quality of life. Similarly, nurses can use the gathered data on treating gastroenteritis and integrate it into one of the evidence-based models to find clinical effectiveness. One such model is the Iowa Model, which can lead to sensible clinical making. The Iowa model involves identifying clinical questions such as the appropriate use of antibiotics in pediatric patients with acute gastroenteritis (Tucker et al., 2021). After formulating the questions, healthcare professionals conduct a comprehensive literature search to identify relevant research studies. This leads to critically appraising the quality and validity of studies obtained. After evaluation, healthcare professionals integrate findings from literature reviews with their clinical experience, such as treating pediatric gastroenteritis using evidence-based guidelines and knowledge of age-specific symptoms (Almutairi et al., 2021). Then, the evidence-based guidelines are incorporated into clinical practice, which leads to standardized approaches for assessing dehydration and administering appropriate medications. Lastly, the impact of implemented practices is evaluated on patient outcomes and quality of care. This is done by monitoring antibiotic prescribing rates and hospital readmission rates and measuring complications associated with gastroenteritis (Almutairi et al., 2021). Conclusion Gastroenteritis is one of the prevailing infectious ailments that can be well-treated by implementing an evidence-based approach. The CRAAP criteria are an effective way of measuring the validity of resources used in research of evidence-based practices. The papers cited in this assessment fulfill the CRAAP criteria and can be used by nurses to

NURS FPX 4030 Assessment 1 Locating Credible Databases and Research

NURS FPX 4030 Assessment 1 Locating Credible Databases and Research Name Capella university NURS-FPX 4030 Making Evidence-Based Decisions Prof. Name Date Locating Credible Databases and Research Healthcare systems strive to alleviate patient suffering and improve health outcomes, which is achieved through the accurate and effective delivery of treatments by healthcare professionals. In this scenario, a novice nurse at a local teaching hospital has been assigned a patient with cholecystitis. Due to her limited knowledge and experience, she has sought assistance. As a baccalaureate-prepared nurse, I will guide her in identifying credible and evidence-based practices for treating patients with cholecystitis. Communication Strategies to Motivate Nurses to Research Cholecystitis To encourage nurses to research cholecystitis, effective communication and collaboration strategies should focus on creating a culture of curiosity and continuous learning. One approach is to use motivational interviewing, which involves open-ended questions and active listening to understand the nurse’s current knowledge and any barriers they face in researching the condition. By validating their experiences and emphasizing the importance of evidence-based practice, nurses can be motivated to seek out reliable resources (Gill et al., 2020). Collaboration can be enhanced by organizing team-based learning sessions where nurses collectively review case studies on cholecystitis, discuss their findings, and share insights (Burgess et al., 2020). Utilizing interprofessional collaboration tools, such as shared digital platforms where resources like clinical guidelines and research articles are readily accessible, can further support this process (Senbekov et al., 2020). These strategies not only enhance professional competence by encouraging evidence-based decision-making but also foster a positive professional relationship by promoting a sense of teamwork and shared responsibility for patient care. The literature highlights that such collaborative learning environments improve knowledge retention and application in clinical practice (Qureshi et al., 2023). Additionally, by actively engaging nurses in the research process, they are more likely to develop confidence in their clinical judgment and feel more supported in their professional growth, ultimately leading to improved patient outcomes (Wright & Scardaville, 2021). The Best Places to Complete Research Within Workplace The best places to complete research within the workplace environment include the hospital library, designated quiet study areas, and computer workstations within nursing units. The hospital library offers access to a wide range of medical journals, textbooks, and online databases like PubMed and CINAHL, which are essential for finding credible and up-to-date information on cholecystitis (Anderson & Ivacic-Ramljak, 2021). Additionally, quiet study areas provide a distraction-free environment conducive to focused research, while computer workstations located within nursing units offer the convenience of accessing resources during downtime between patient care activities (Jahncke & Hallman, 2020). Types of resources to access include peer-reviewed journals, clinical guidelines, evidence-based practice databases, and electronic medical references such as UpToDate or the Cochrane Library. These resources provide comprehensive and reliable information on the diagnosis, treatment, and management of cholecystitis (Viji Pulikkel et al., 2020). Utilizing these places within the healthcare setting is beneficial because they are designed to support clinical learning and professional development. The proximity to clinical areas also allows for immediate application of research findings to patient care, enhancing the integration of evidence-based practice into daily nursing responsibilities (Jahncke & Hallman, 2020). The Five Credible Sources for Cholecystitis Obtaining evidence-based information on cholecystitis necessitates thoroughly investigating reliable sources. The five credible sources for cholecystitis treatment and management include medical journals and websites such as the “Journal of Gastrointestinal Surgery,” “Hepatology,” “World Journal of Gastroenterology,” “American Journal of Surgery,”** and the “American Gastroenterological Association”. These resources are ranked from most useful for nurses to least. Among these sources, the “Journal of Gastrointestinal Surgery”, “Hepatology,” and the “World Journal of Gastroenterology” are particularly relevant to the selected diagnosis of cholecystitis. They provide specialized insights and evidence specific to cholecystitis care and management, making them valuable resources for nurses seeking evidence-based information on cholecystitis. The Reasons for These Five Sources to Be the Best Evidence The five online medical databases and journals listed are highly valuable for evidence-based treatment of cholecystitis. Nurses can use these sources to gather reliable information on managing this condition. The credibility and relevance of these resources can be evaluated using the CRAAP criteria, which assesses Currency, Relevance, Authority, Accuracy, and Purpose (Kalidas, 2021). To meet these standards, a resource must be current, directly related to the topic, authored by qualified professionals, accurate, and clearly focused. Each of these five sources meets these criteria. For example, journals such as the “Journal of Gastrointestinal Surgery,” “Hepatology,” and the “World Journal of Gastroenterology” provide extensive coverage on gastrointestinal and hepatobiliary issues, including cholecystitis. These journals offer valuable insights into the diagnosis and management of cholecystitis. Additionally, the “American Journal of Surgery” presents research on surgical techniques and outcomes relevant to cholecystitis, while the “American Gastroenterological Association” website offers updated guidelines and educational materials on gastrointestinal health, including cholecystitis (AGA, 2023). Thus, nurses looking for credible, evidence-based information on cholecystitis should prioritize these five resources. Conclusion In conclusion, leveraging credible sources and effective communication strategies is crucial for advancing the care of patients with cholecystitis. By guiding novice nurses to reliable databases and journals, such as the “Journal of Gastrointestinal Surgery” and “Hepatology,” and employing collaborative learning approaches, we foster an environment of continuous professional development. Utilizing these resources enhances evidence-based practice and improves patient outcomes. Promoting research and teamwork ultimately supports a culture of excellence in patient care and professional growth within the healthcare setting. References Anderson, A., & Ivacic-Ramljak, T. (2021). What is the place of the library space in health care? A literature review and survey of health care library experiences during the COVID-19 pandemic. Journal of Health Information and Libraries Australasia, 2(3), 18-33. https://search.informit.org/doi/abs/10.3316/informit.823888422094486 AGA. (2023). Role of EUS-guided gallbladder drainage in acute cholecystitis. American Gastroenterological Association. https://gastro.org/clinical-guidance/role-of-eus-guided-gallbladder-drainage-in-acute-cholecystitis/?hilite=cholecystitis Burgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Team-based learning: design, facilitation and participation. BMC Medical Education, 20(S2). https://doi.org/10.1186/s12909-020-02287-y NURS FPX 4030 Assessment 1 Locating Credible Databases and Research Gill, I., Oster, C., & Lawn, S. (2020). Assessing competence in health professionals’ use of motivational interviewing: A systematic review of training and supervision tools. Patient

Capella 4020 Assessment 4 Improvement Plan Tool Kit

Capella 4020 Assessment 4 Improvement Plan Tool Kit Name Capella university NURS-FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Introduction – Improvement Plan Tool Kit Medication errors cause unwanted damage to individuals, healthcare professionals, and healthcare systems. Nurses must recognize and promote strategies that enhance drug administration safety. A safety enhancement strategy necessitates an insignificant quantity of knowledge that can be shared among the relevant individuals (Amaniyan et al., 2020). A Medication Administration Error (MAE) improvement plan tool kit is created in this assessment. Google Scholar, PubMed Central, Capella Online Library, and CINAHL databases were used to generate this tool kit. This resource tool kit aims to help nursing staff and other healthcare providers execute the drug safety improvement plan with a comprehensive understanding and awareness of the associated ideas to accomplish effective outcomes. Resource Tool Kit – Implementation and Sustainability This resource kit is divided into four groups, allowing nurses to seek guidance from the most pertinent resources. These areas are: a) Implementation of quality medication administration b) Best practices of MAE reporting and improved patient safety c) Evidence-based strategies for safety improvement plan d) Staff-led interventions in medication safety Implementation of Quality Medication Administration Savva, G., Papastavrou, E., Charalambous, A., Vryonides, S., & Merkouris, A. (2022). Exploring nurses’ perceptions of medication error risk factors: Findings from a sequential qualitative study. Global Qualitative Nursing Research, 9, 23333936221094857. https://doi.org/10.1177/23333936221094857 This resource used a prospective observational study method to determine the incidence, and nature and identify the factors associated with MAEs. This study also focuses on interventions to reduce the risk factors. The resource group focuses on an improvement plan to enhance patient safety. This study claimed that most MAEs occur in intravenous doses of medications with 35% of total MAEs. The study has highlighted various MAEs attributed risk factors. One of the significant factors is staff, including nurses-related risk factors such as knowledge, expertise, patient medical condition, workload, and poor communication among staff members. Procedure-related mistakes are also common during the medication delivery process. Exclusions and deviations from safe medication administration protocols are typical procedural mistakes. This study can assist nurses and healthcare staff discover more about the factors leading to MAEs. Comprehension of these risk variables can assist them in finding similar aspects in their organizations and implementing appropriate safety enhancement programs to achieve and sustain reforms. Furthermore, intravenous medication errors can be fatal to patients. Therefore, this study aids medical staff and nurses in their continual efforts to enhance the standard of care and guarantee the safety of patients. Capella 4020 Assessment 4 Improvement Plan Tool Kit Rozenblum, R., Rodriguez-Monguio, R., Volk, L. A., Forsythe, K. J., Myers, S., McGurrin, M., Williams, D. H., Bates, D. W., Schiff, G., & Seoane-Vazquez, E. (2020). Using a machine learning system to identify and prevent medication prescribing errors: A clinical and cost analysis evaluation. The Joint Commission Journal on Quality and Patient Safety, 46(1), 3–10. https://doi.org/10.1016/j.jcjq.2019.09.008 The authors investigated using a machine learning system to identify and prevent pharmaceutical dispensing mistakes. Furthermore, the article intends to assess medical procedures and economic implications following the implementation of this technology-based approach. This study showed that this technology-based method is crucial for reducing errors. It has detected a significant reduction in prescription errors. Preventing MAEs resulted in lower expenditures. This demonstrated that machine learning systems can generate clinically acceptable drug mistake alarms, which conventional clinical decision-support tools commonly fail to do. This technique can detect drug errors in advance. It helps the healthcare providers in developing strategies for drug delivery improvement plans. Brito D. A., M., Carneiro, C. T., Bezerra, M. A. R., Rocha, R. C., & Da Rocha, S. S. (2022). Effective communication strategies among health professionals in neonatology: An integrative review. Enfermeria Global, 21(3), 578-591. https://doi.org/10.6018/eglobal.502051 Capella 4020 Assessment 4 Improvement Plan Tool Kit This study examines methods for improving communication among multidisciplinary groups. The study emphasizes the significance of efficient interaction in promoting patient safety in hospitals. Poor communication results in increased adverse events of MAEs. The World Health Organization (WHO) has identified efficient collaboration among professionals as the second global aim for improving the security of patients and the standard of treatment. The authors suggest inter-professional communication enhancement strategies. These strategies will improve patient safety. The implementation of communication devices, exchange reporting, direct discussion, and the incorporation of efficient communication strategies in training sessions are all examples of successful communication approaches. Regular discussions, multidisciplinary rounds, verification, and quick responses to interdisciplinary teammates are also effective strategies. The absence of standardization and insufficient recording of information about patients in the healthcare record are two challenges to successful communication. The authors support the procedures described to ensure effective interaction within the multidisciplinary group and boost patient safety. Efficient communication leads to better care. This article is a valuable asset for nurses adopting pharmaceutical quality improvement strategies. Best Practices of Medication Errors Reporting and Improved Patient Safety Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through identifying barriers to reporting medication administration errors among nurses: An integrative review. BioMed Central Health Services Research, 21, 1-10. https://doi.org/10.1186/s12913-021-07187-5 The significance of developing measures to mitigate medication-related damage is discussed in this article. Nurses need to report errors to reduce errors and enhance patient safety. The researchers conducted an integrative study to identify hurdles to nurses reporting MAEs. The investigators examined a variety of primary resources, and two significant concepts developed: organization and profession challenges, and behavioral barriers. A lack of an adequate reporting system, ambiguous definitions of pharmaceutical errors, and organizational behaviors have been identified as organizational hurdles. The absence of a proper MAE reporting system rendered reporting procedures difficult, mainly using the MAE reporting form, which is a primary hurdle to reporting and documenting MAEs. There is an imprecise description of ME inside the healthcare system, and differences over what should be considered reporting are a barrier to reporting MAEs. The negative response of the administrators toward nursing staff results in the lack of error reporting and the absence of feedback after error investigation. Personal concerns like fear of embarrassment and job loss are professional and behavior impediments. Other challenges include a lack of awareness about errors and patient damage from the MAEs. This resource’s knowledge can assist healthcare systems and stakeholders address challenges to

Category: BSN