https://www.osha.gov/SLTC/healthcarefacilities/safetyculture.html

• Review the website and read about Culture of Safety. Also click on the suggested websites listed when you scroll down to the bottom of the page to research the topic further.

 Write a paper reflecting on what you learned about patient safety culture. Include examples that you’ve seen in the field (both at your place of employment and in clinical experiences you’ve completed). The paper should be 2 pages in length, not including the cover or reference pages, and be in APA format . 

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Week 7 Presentation of Community Teaching Project 

Utilize the epidemiologic process to identify a community health need or problem. Plan, implement, and evaluate a group health teaching project to meet the identified need.

Assignment Instructions: 

1. Select a topic and get instructor approval to move forward with it. 
2. Select your target community group that you will focus on educating. It should consist of approximately 10 individuals. A minimum of two different teaching sessions should be presented to the same group at least one week apart.
3. Once your topic is approved and a teaching group is chosen, you will create a teaching plan, hold your teaching sessions, and then evaluate the implementation.
4. The final product you submit will be a presentation that details the entire process: your chosen topic, the teaching style you used, and an evaluation of your actual teaching. (See categories below for details to include.)
5. Prepare a 15- to 20-slide presentation that is a minimum of 20 minutes in duration. You should have APA formatted in-text citations within your slides for any outside sources used and your final slide should be a reference slide that lists all resources used for the assignment.

            Items to Include in Presentation:

1. Provide a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents. 
2. Incorporate at least four current literature review findings as a theoretical base for your project/paper. 
3. Describe community resources available to meet the need of the specific community in this problem area. Summarize the resources available and describe their effectiveness for the community. 
4. Describe your selected group. Identify and summarize the learner needs of your selected group. What are the needs? Why does this group need to be educated on your chosen topic?
5. Identify and describe developmental and teaching/learning theory/theories used and why they are appropriate to the learners you targeted.
6. Describe in behavioral terms your specific planning process for your project and overall teaching goal for your participants.
7. Evaluate your teaching experience. Reflect on the following questions. What went well? What did not? What would you change if you were teaching this topic to a similar group at a later date and why?

PD: The TOPIC I choose was Substance Abuse”. There is a large amount of students as young as elementary and high school that have access to alcohol, tobacco( vapping) and other dangerous drugs that are very harmful and highly addictive. This is a vulnerable population that we need to protect.

Adult/Geriatric Depression

Introduction 

According to Mace et al. (2017), geriatric depression disorder is a health condition that affects adult people with the main symptoms see for a patient with the condition being the frequent change in moods and the sadness. The condition is as well common among younger people although this is not a common health issue. As a result of the impact of the condition, there is a need for getting an understanding of the condition and the best medical process that is to be followed. With the treatment of the patients there is a need for understanding the fact that if one medication does not succeed, there is a need for implementation of a new medication or change of the prescription for the patient. This paper focuses on the options chosen for managing the conditions for a patient. 

Symptoms of adult/geriatric depression disorder

A patient with geriatric depression disorder will be seen to have issues of mood swings as the main symptoms of the condition. The other symptoms that will be evident will include issues of the feeling of despair and sad and the patient will have issues of pain and aches in all parts of the body. Laird et al. (2019) allude that a patient with the health condition will have risks of loss of appetite and lack of hope or lacking any willingness to get help. There are risks of the patient as well as lacking any morale in improving their condition. 

Causes

Vlasova et al. (2019) allude that one of the main risk factors that increased the chance of a patient getting geriatric depression is old age. As such, a patient who is old will be at high risk of being affected by the health condition. The other risk factor is that women are at higher risk of suffering from the health issue as compared to their male counterparts. The people who have a low-level education as well as those that have physical illnesses and influencing the standard of thinking of the person.

Thus, there is a need for healthcare providers to help in the education of the patients who are at risk of suffering from the health condition. The patients who are found to be making use of various drugs and that have psychological stressors are at high risk of being affected by the health concern. The patients as well may lead to affecting the patients who have white matter changes.

Patient case

This is a case of 32-year-old patients of Hispanic origin and who came to the US for his education. The patient has his mother passing on while he was in school and ended up being admitted to the healthcare facility as a result of depression issues. On having an assessment, it is found that the patient does not suffer from any other health issue and the patient has presented that he has had pain and stiff parts of the body.

There are various signs and symptoms expressed by the patient with the main issue faced by the patient being undermined as a result of the color of his skin. There is evidence of the patient having little socialization since he has not been seen to be having any friends. The patient has had a reduction in the morale to interact with the other people living in the community and has had a detachment and does not have the evidence of being with the others. 

The indication is that he has had an issue of lack of sleep for most of the days for the last 6 months and the patient claims that the condition has become worse each day. The patient as well presents that he does not have enough exposure and does not present his best at work. On the Montgomery Asberg depression rating scale, the patient is found to score 51 and this shows that he has a severe case of depression. 

Decision #1

Which decision did you select?

Begin Effexor XR 37.5 mg orally daily

Why did you select this decision?

The selection of this medication is to help in the reduction of the issue of depression and is fundamental for patients as a way of therapy. The selection of this medication is attributed to the fact that the medication has fewer side effects as compared to the use of medications such as Zoloft or phenelzine (Crocco et al., 2017).

What were you hoping to achieve by making this decision?

The expected results for the use of this medication is that the patient will have a change in his condition and that he would be found to have a reduction in cases of depression. Thus, the use of the medication is expected to help in the enhancement of the social skills of the patient hence he may be able to interact with more people as depicted by Beyer and Johnson (2018).

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

The use of the medication is expected to help in the improvement of the depressive condition of the patient and that the patient will have had improved symptoms. After the use of the medication and the follow up being made after four weeks, it is found that there were no changes in the symptoms expressed by the patient. As a result of the lack of changes in the depressive symptoms of the patient, there has been a need for having another decision to help in healing the patient.

Decision #2

Why did you select this decision?

The second decision is to increase Effexor XR to 75 mg orally daily. The medication that is focused on in this case is to help in the enhancement of the quality of health of the patient. The patient is expected to have an increase in the dosage for the change in the symptoms and the medication does not have excessive side effects. 

What were you hoping to achieve by making this decision?

The decision, in this case, is made with the expectation of an improvement in the quality of health. The patient can learn of the improvement in the quality of health and that there is the ease in the development of the standard of care with the symptoms that the patient has including issues of depression being improved. This is of importance in ensuring that one can have a better living standard and that the skills of socialization are eliminated (Vlasova et al., 2019).

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

The use of the medication is expected to help in ensuring that there is the ease in the advancement of the standard of health for the development of the quality of health. The patient’s condition is expected to ensure that one can manage the condition of depression. The patient comes after four weeks to the healthcare facility and indicates that there is an improvement in the depressive symptoms. As such, the patient has had an improvement in the quality of health. At this time, the patient has been able to do the exam on the rating MADRS scoring 38 out of the initial 51 which shows that the patient has had a reduction in the quality of health.

Decision #3

Why did you select this decision?

The third choice that is to be made is to increase the dose to 112.5 mg orally daily. This is an indication that the patient should be in a position to have changes in the standard of health. The selection of the medication is expected to help in the development of the quality of health. The issue of patient care facing health concern is that one is supposed to learn of the changes in the kind of medication being used. The process is expected to help in improving the chances of depressive disorder as pointed out by Crocco et al. (2017).

What were you hoping to achieve by making this decision?

The use of this medication is expected to help in that it allows for the development of the improved standard of patient care. There will be an improvement in the standard of health of patients and that the healthcare quality of the patients as well as the improvement in the health standard of patients. 

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

The use of the medication is of importance in that there will be ease in increasing the dosage allowing for the patient to have a better standard of health. This is as well an important process in that it ensures that the patient can have an improvement in the quality of life. There is a need for taking into account the fact that patient care standards are taken into account at the time of making use of this medication. The change in dosage is expected to help in making the healing process to be faster.

Ethical considerations

In the process of provision of medication for patients, there is a need for ensuring that there is ethics taken into account. The ethical standards that should be taken into account, in this case, is that the patient’s health should not be misunderstood and that there should not be a challenge in the advancement of the quality of health of the patients. The decision making should not be seen to influence the health of patients and that the doses that are given to the patient should not affect the health of the patient.

Summary

The patient taken into account, in this case, is one with depressive concerns. The start of the condition is seen to be from the time of death of his mother. The selection medication that is expected to be used is Effexor XR. The initial dose during the first one moths is 37.5 mg orally daily, this is followed by Effexor XR 75 mg orally daily and 112.5 mg after 4 consecutive weeks.

References

Beyer, J. L., & Johnson, K. G. (2018). Advances in pharmacotherapy of late-life depression. Current psychiatry reports, 20(5), 34.

Crocco, E. A., Jaramillo, S., Cruz-Ortiz, C., & Camfield, K. (2017). Pharmacological management of anxiety disorders in the elderly. Current treatment options in psychiatry, 4(1), 33-46.

Laird, K. T., Lavretsky, H., Paholpak, P., Vlasova, R. M., Roman, M., Cyr, N. S., & Siddarth, P. (2019). Clinical correlates of resilience factors in geriatric depression. International psychogeriatrics, 31(2), 193-202.

Mace, R. A., Gansler, D. A., Suvak, M. K., Gabris, C. M., Areán, P. A., Raue, P. J., & Alexopoulos, G. S. (2017). Therapeutic relationship in the treatment of geriatric depression with executive dysfunction. Journal of affective disorders, 214, 130-137.

Vlasova, R. M., Siddarth, P., Krause, B., Leaver, A. M., Laird, K. T., St Cyr, N., … & Lavretsky, H. (2018). Resilience and white matter integrity in geriatric depression. The American Journal of Geriatric Psychiatry, 26(8), 874-883.

The aim of the assessment item is to provide students with an opportunity to analyse their practice and develop a personal practice model of care relevant to their speciality area of practice. This model can be based on concepts and ideas from both professional nursing practice and health care delivery models of care.

Task Description:

1) Reflect on and describe a series of incidents, events or a day in their professional life.
2)From this practice description, discuss what knowledge they have derived from each of the five (5) ways of knowing.
3)Critically analyse their practice description and identify emerging themes and patterns.
4)Construct a beginning conceptual framework of the emerging themes/patterns.
5)Using evidence from the literature and narratives from their practice description, discuss each concept and their relationships.
6)Compare their personal practice model with one (1) other developed practice model relevant to their specialty practice area.
7) Discuss the opportunities and challenges that would be involved in implementing their personal practice model.

 Psychiatric Nurse Practitioner Program- goals could include mastering pharmacology and psychotherapy interventions

• You are to write 4 pages double spaced scholarly paper focusing on evaluating your goals for this semester.
• Please follow APA format, your paper should have a cover page, double spaced and utilize your course reading and Library resources for your evidence and References.
• This journal is to state your goals for the semester based on reflection of the clinical experiences.
• What are you learning and clinical goals?
• How do you plan to achieve them?
• Make them realistic and measurable.
• Ethical and moral dilemmas may also be a part of your reflection and observations. This is a feeling assignment. Reflect on how you are feeling for this semester.
• Conclusion.
• Reference page
• You will have total of 4 pages including

1. Page 1-Cover page,
2. Page 2-3, Body of the paper,
3. Page 4,- Reference Page)

Using the true colors exploring leadership styles,

What are the needs of your primary color (preferred personality style)? Why

What frustrates you about other colors (personality styles)? Why?

What are some weaknesses of your primary color (personality style)and how do/may they affect working in group

nursing theory

Medication error reporting is an essential component of patient safety. Please review the following article:

Alsulami, S. L., Sardidi, H., Almuzaini, R. S., Alsaif, M. A., Almuzaini, H. S, & Moukaddem A. K. (2019). Knowledge, attitude and practice on medication error reporting among health practitioners in a tertiary care setting in Saudi Arabia. Saudi Medical Journal, 40(3), 246-251.

Write a 5-6-page paper, not including the cover and reference pages, using the readings, research, and your knowledge of medication error reporting to analyze the following:

• The prevalence and common causes of medication errors
• Consequences on patients including types of harm
• The barriers to medication error reporting
• Provide a recommendation for policies and procedures addressing the reporting of medical errors
• Recommend how to evaluate whether the policy is effective

Your report should meet the following structural requirements:

• Be 5-6 pages in length, not including the cover or reference pages.
• Be formatted according to Saudi Electronic University and APA writing guidelines.
• Provide support for your statements with in-text citations from a minimum of six scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but four must be external.
• Utilize headings to organize the content of your work.

You are strongly encouraged to submit all assignments to the Turnitin Originality Check prior to submitting them to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, review the Turnitin Originality Check Student Guide.

 Workplace Environment Assessment