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Attached is a copy of what the assignment requires. 

This assignment is intended to help you learn to do the following:

• Employ evidence-based decision making to address the following:  In adults diagnosed with Major Depressive Disorder (MDD), how does Cognitive Behavioral Therapy in combination with antidepressant medication as compared to standard practice affect the recurrence of subsequent episodes of depression within 52 weeks? 
• Develop a policy change to improve patient outcomes.
• Discuss the role of the nurse leader in implementing a practice policy change.
• Apply leadership skills, decision-making, communication, and collaboration in an evidence-based project.
• Identify how the nurse leader will involve members of an interprofessional team in a practice policy change.

1. Assess the need for a practice change to improve patient outcomes.
   1. Provide the data to support the need.
2. Identify evidence-based interventions to improve patient outcomes.
3. Develop a recommended practice policy change. Include evidence-based interventions to support your recommendations.
4. Identify the approach the nurse leader will take to implement the change, including:
   1. The goals of the project
   2. Stakeholders that will be involved
   3. Detailed timeline
   4. Communication methods
5. Identify how the nurse leader will involve members of an interprofessional team in the practice change.
6. Discussion should be approximately 3500 word using APA format and citing references

NO PLAGERISM

Compare and contrast the serious medical and social
consequences of alcohol abuse to drug abuse. Which
abuse do you think is more detrimental to a client’s
quality of life? Why? Which abuse do you think is more
detrimental to a client’s family? Explain your answers.

I believe alcohol use is more detrimental, utilize the powerpoint to complete this, the setting of the clinical rotation is Newark Beth Israel Medical Center, Newark, NJ 

go into detail and complete the following questions by answering the questions below. assignment must be 3 pages:

Assignment:

In your entry, briefly review the content, idea, issue, or event you are reacting to,
but go beyond an impersonal description of it. Comment on the significance of the
event, and explain what meaning it has for you. You may discuss how relevant the
idea is for you academically, professionally, or personally. Demonstrate that you
have thought about the issue in some way that is not superficial, hopefully by
relating it to class concepts. Then consider the implications of what you have
discussed, speculate on how the meanings or insights you’ve gained can be used
for improvement or growth

My initial thoughts/feelings on the topic were:

Input from readings and the class have altered my perception in the following
ways: 

Please substantiate this section with 3 scholarly references to the literature. Be
specific in this section.

Three implications for nursing practice are:
In this section make the implications relevant specifically to the topic at hand and
not nursing in general.
1.
2.
3

Describe a significant situation or event which occurred in your clinical day.
Explain why the event was important to you, as related to developing
understanding of the nursing care of a client who has (a) mental health
condition(s). Note that “significant event” differs from “critical incident;” i.e.,
the event or situation about which you write your journal entry should
reflect your specific personal learning/development of insight, as opposed to
an evaluation of the event/situation as “minor” or “major” to clinical practice
in general.

• Discuss how this event might have been perceived by others involved (e.g.,
the client, staff, classmates) and those external to the event. For example,
pretend you are someone else (a client, staff nurse, teacher, classmate, etc.)
and react to something you did today in your clinical practice; i.e., if you
attempted to communicate with a client who had aphasia today, write about
the situation from the perspective of the client, etc. Explore alternative ways
of interpreting and responding to the event, including an evaluation of the
feasibility and acceptance of each of these alternatives.

• Identify the specific learning has occurred for you in reflecting about this
event. What specific thing(s) did you learn today and how will you apply that
learning in your practice as a nurse? Identify some differences in what you
learned today from what you learned previously. How will you apply this
learning in your practice as a nurse? As appropriate, you may wish to re-
read a journal entry from a previous week, and write a reaction to what you
wrote, in relation to new learning that has occurred over time.

Note: State that seeing many young children attempting to end their lives made it difficult to try and not relate it to my younger siblings and keep everything neutral – the experience was an eye opener

see attachment 

Read the following scenario. 

Your facility received the flowing performance data after implementing a clinical decision support system (CDSS). The goal is to have 100% compliance with CDSS use.  

• CDSS use among providers was 81.4% 
  • 76% of providers approved of the newly implemented CDSS 
  • Cited reasons for not using CDSS included mistrust of the system and a fear of potential diagnostic errors 

Based on the above performance data and metrics, design an interprofessional educational poster to mitigate the mistrust of the proposed CDSS and help increase compliance. Address the following requirements. 

Include the following sections in the poster (detailed criteria listed below and in the grading rubric): 

1. Problem Identification  
   1. Identify the intended audience.  
   2. Present the concern. 
   3. Use the provided performance data. 
2. Benefits 
   1. Discuss at least three benefits of using CDSS.  
   2. Include statistical data supporting CDSS use.   
   3. Provide an in-text citation from one scholarly source to support your writing. 
3. Risks 
   1. Describe at least three risks associated with bypassing the use of alerts in the CDSS.  
   2. Provide an in-text citation from one scholarly source to support your writing. 
4. Strategies  
   1. Provide at least three strategies for providers to increase the use of CDSS.  
   2. Provide an in-text citation from one scholarly source to support your writing. 
5. Reflection 
   1. Reflect on your learning and consider how the knowledge will improve your effectiveness as an advanced practice nurse.   
   2. Discuss how you may use this tool in your practice. 
6. Presentation Format 
   1. Ensure the poster is professional in language, tone, and appearance. 
   2. Ensure the poster is well organized and balanced spatially including words and graphics (if used). 

      Include the required information in the appropriate section of the Clinical Decision Support Poster template. 

7. Use APA in-text citations and complete references to support your writing.
8. Follow APA rules for grammar, spelling, word usage, and punctuation consistent with formal, scholarly writing. 

Nurse practitioner APRN health related in primary care setting treating chronic diseases.