Topic: safety risk
Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for
all citations and references used.
• What should the “culture and environment of safety” look like when preparing and
administering medications?
• Discuss a common breach of medication administration.
• Identify three (3) factors that lead to errors in documentation related to medication
administration.
• What can I do to prevent medication errors?
Replies these works with 200 each ones Please include scholarly reference.
1.The far-reaching consequences can be the results of unethical behaviors both in a nursing master’s program and in the nursing practice. This applies both to the involved individuals and the healthcare system as a whole. This discussion aims at comparing and examining the consequences of unethical behavior with one example for each case (setting).
Unethical Behavior in a Nursing Master’s Program
Example: Plagiarism in a Nursing Research Assignment
Consequences
Impact on Future Nursing Practice: In a Master’s program, if unethical behavior goes undetected, it can lead to long-lasting consequences on the future practice of a nurse. There is an expectation of nurses to provide evidence-based care and uphold high ethical standards. Amal et al. (2022), state that in case a nurse has not learned how important it is to observe ethical conduct during their education, they may jeopardize the safety of patients because of ethical violations in their clinical practice.
Loss of Profession and Trust: Trust among faculty members and peers is eroded by ethical lapses like plagiarism (Amal et al., 2022). In the field of nursing where nurses collaborate closely with colleagues, trust is paramount. This is because they depend on accurate information to make providence of effective and safe patient care. Professional relationships may be impacted by loss of trust in an educational setting, hindering the networking opportunities.
Academic Consequences: According to Amal et al. (2022), in any educational setting, plagiarism is a severe ethical breach, including nursing Master’s programs. The integrity of a student’s education is undermined when the student engages in plagiarism. Academic penalties like failing assignments or expulsion from the program can be the results of plagiarism in many institutions. The academic reputation of a student can be damaged as well as the progress.
Unethical Behavior in Nursing Practice
Example: Medication Theft by a Registered Nurse
Consequences
Ethical and Legal Repercussions: Severe legal consequences can be the results of engaging in unethical behavior in nursing practice, like theft. According to Ahtisham et al. (2020), the nurses who are found guilty of such actions can face civil lawsuits, loss of their nursing license, and face criminal charges. The difficulty in finding future employment in the healthcare field can be the lasting professional and personal consequences that these legal and ethical repercussions can have (Ahtisham et al., 2020).
Patient Safety: Medication theft, which is an unethical behavior in nursing practice, can endanger patient safety in a direct manner. Medication errors, delayed treatment, and incorrect dosages can be the results when a nurse steals medications meant for patients (Ahtisham et al., 2020). These errors can lead to patient harm, including worsening conditions, adverse reactions, or even death.
Damage to the Nursing Profession: The entire nursing profession of a nurse is negatively reflected by unethical behavior. The reputation of the profession as a whole can be tarnished alongside loss of trust in nurses by patients and their families. The end result of this can be reduced willingness by people to follow medical advice or seek healthcare services, which has societal implications that are broader for public health – Ahtisham et al. (2020).
Conclusion
In summary, serious consequences can be the results of unethical behavior in both nursing practice and nursing Master’s programs. In the educational setting, it can damage future professional success and hinder academic progress. In the clinical setting, it directly impacts the overall reputation of the nursing profession, legal standing, and patient safety. Therefore, for the well-being of both students and patients, it is essential to address and prevent unethical behavior since ethical conduct and integrity are fundamental to nursing.
2. Ethics is an essential element of nursing education. In most cases, ethical standards in nursing ensure that nursing faculties are guided by provided clinical and accreditation standards and regulations to guarantee quality education for nursing students in line with nursing practice competency. In practice, nurses also rely on ethical guidelines to make difficult decisions and decide on dilemmas.
In the nursing Master’s program, one unethical behavior can be the falsification of research data. Falsification of research data refers to the action of making up false data to be used in a student’s research project (Bassey & Owan, 2019). In most cases, student’s research projects are based on real research scenarios and can be used in nursing practice. This implies that the research should be conducted with utmost honesty using real data from real clinical scenarios. However, when such data is fake, the integrity and results of the project are undermined. This creates room for inaccurate results, which also undermines the credibility of the master’s program. Also, suppose the project is published, its application in the health sector can be quite detrimental to public health and to the research community’s goal of safe care for all. Thus, it is crucial for nursing programs to keenly monitor students to engage them in a practical manner whereby they can see the essence of conducting credible research and not using falsified data.
In nursing practice, one unethical behavior can be a situation where nurses’ personal beliefs interfere with their ability to care for their patients (Kwame & Petrucka, 2021). Although nurses can decline to take part in the care of patients when their religious beliefs are conflicted, they cannot refuse to care for such patients from discrimination. For example, when presented with patients who abuse drugs or alcohol, some nurses can feel morally upset, but this should not be the grounds for declining to care for such patients. In most cases, nurses who feel affected may object to such care. However, they can always make arrangements with their supervisors and coworkers to ensure such patients receive the care they need. The most significant consequence of this is that the patients may not receive the necessary care, and this may compromise their ability to recover from the illness. In other cases, the conflict of beliefs may also compromise patient education, whereby the nurse will provide inadequate information regarding personal care and the recovery process for the patient, thus ensuring misinformation on the patient’s side.
In conclusion, ethics is essential in nursing programs and practice since it provides guidelines and standards of practice to ensure patient care is effective. However, without regard to ethical standards, the care of patients may be gravely compromised. Nursing programs should monitor students to ensure they follow acceptable standards as this will provide room for better clinical practice.
In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. I x page only no title page and include 2 to 3 References.
1. List two dissemination strategies you would be most inclined to use and explain why.
2.Explain which dissemination strategies you would be least inclined to use and explain why.
3. Identify at least two barriers you might encounter when using the dissemination strategies, you are most inclined to use. Be specific and provide examples.
4.Explain how you might overcome the barriers you identified.
Use the attached document to provide responses to the discussion board. please provide 2 scientific references in APA format.
POLICY/REGULATION FACT SHEET
As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.
In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.
To Prepare:
· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.
The Assignment: (1 page not including the title and reference page)
Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
· Briefly and generally explain the policy or regulation you selected.
· Address the impact of the policy or regulation you selected on system implementation.
· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
· Use APA format and include a title page, in-text citations, and reference page.
· Use the Safe Assign Drafts to check your match percentage before submitting your work.
Please add reference and send it as soon as possible
I want this assignment in PowerPoint pls.
Module 03 Discussion – Nutrition and Weight Status
Discussion Topic
Directions:
Review all the materials discussed in this and the preceding module. After reading the information and guidelines, discuss why nutrition and weight status are important for health. Post one reference you used for the evidence-based information you are discussing.
CAM treatment
Post an explanation of how you anticipate enacting personal and professional commitment for advocacy to positively impact your patients, communities, and the profession. Be specific. Then, explain how your role as a DNP-prepared nurse contributes to advocacy for positive social change.
1.
My personal and professional commitment to advocacy includes both short and long-term goals within the nursing profession. From a professional standpoint, I am afforded the opportunity to offer input on ways to continuously improve the patient care experience and care delivery. Providing feedback offered directly from patients as well as discussing barriers I experience as a prescriber, including but not limited to coordination with other members of the care team or barriers within technology, will be at the forefront. Openly discussing setbacks provides the opportunity to brainstorm improvements, ultimately improving patient care outcomes.
Personal commitments to the nursing profession and patient advocacy include the accountability to remaining current within my knowledge of medications and therapies available to treat the mental health population. The formal education provided within the Doctor of Nursing practice (DNP) program provides the structure and skills needed to employ within professional practice. These skills ensuring that the DNP is seeking out and utilizing quality, evidence-based measures to treat patients with interventions supported by adequate science and research (American Association of Colleges of Nursing, 2006). Networking with other mental health professionals both within the nursing field and in other capacities will also expand and enact my commitment to patient advocacy and social change. Learning from other professionals, hearing their perspectives on current events, and in exchange offering my perspective will offer a broad view of treatment approaches and current topics (Hann et al., 2020).
The Doctor of Nursing as a Social Change Agent
As a DNP, I would like to employ my skills as a social change agent by engaging in educational opportunities within the mental health community, driven by research opportunities. Engaging in the research that guides evidence-based practices improves outcomes for the millions of patients impacted by care delivery and would exercise the practice-based research skills formed in DNP education (Iwama et al., 2023). Utilizing the terminal DNP degree to its utmost while continuing to engage in patient care would combine the aspects I found most rewarding of my MSN-PMHNP career and the completion of the DNP program. Advocating for improved treatment measures within the mental health community, as well as for increased access to appropriate care and diagnostic assessments, are all ways in which I would like to engage in DNP research opportunities. Providing education, facts, and data related to how patients are impacted by lack of access to specialized psychiatric care due to barriers such as telehealth restrictions and lack of full practice authority for nurse practitioners will continue to increase awareness of these topics and lobby for change. The DNP offers specialized insight into these topics as a professional working not only for but within the field, and holds significant weight when discussing these topics with both other professionals as well as non-professionals.
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Hann, K., Heather Pearson, Campbell, D., Sesay, D., & Eaton, J. (2020). Factors for success in mental health advocacy. Global Health Action, 8(0), 1–9. https://doi.org/10.3402/gha.v8.28791
Iwama, K., Travis, A., Nowlin, S., Souffront, K., Finlayson, C., Gorbenko, K., & Cohen, B. (2023). Barriers, facilitators, and opportunities for Doctor of Nursing Practice engagement in translational research. Nursing Outlook, 71(5). https://doi.org/10.1016/j.outlook.2023.102031In the nursing profession, advocating for our patients is something that is deeply ingrained in us. One of the five key areas of the social determinants of health is access to healthcare (Centers for Disease Control and Prevention, 2021). Unfortunately, approximately one in ten patients do not have health insurance (Berchick et al., 2018). In the field of mental health, we often see patients who are too disorganized to navigate the health insurance system and experience lapses in insurance. In Massachusetts, we are required to abide by the Expedited Psychiatric Inpatient Admissions (EPIA) Policy, which mandates that “no individual boarding in an ED waiting placement in a psychiatric hospital will wait more than 96 hours before Department of Mental Health has been notified, regardless of whether the individual is uninsured or has coverage not regulated by Division of Insurance” (Executive Office of Health and Human Services, 2023). The pressure to decompress emergency rooms and move psychiatric patients out as quickly as possible means that we often receive patients who are uninsured. In order to help our patients get the services they need, nurses and social workers assist our patients in taking the necessary steps to obtain health insurance. This often means lengthy phone wait times on phone calls, but as advocates, we do what is necessary to ensure positive outcomes for our patients.
Advocacy in my Community
As an agent of positive change, I will advocate at the community level for residents who suffer from mental illness. In spite of the “growing recognition of the burden associated with mental illnesses and the availability of cost-effective treatments, they are not yet afforded the same policy or program priority as comparably disabling physical conditions” (Stuart, 2017). I aim to increase access to mental health services by expanding my organization’s service lines to include outpatient services for mental health and substance use disorders. In order to gain buy-in from the community, I plan to attend town meetings to advocate for increased services as well as partnering with local Emergency Departments to educate them about the mental health services that my organization offers. I plan to seek meetings with local politicians to advocate that resources be invested into increasing services for mental health and substance use disorder services.
Advocacy in my Profession
According to a recent survey conducted by the American Psychiatric Nurses Association (APNA), “only 4% of licensed registered nurses (RNs) work in psychiatric-mental health, If that percentage is still consistent, then there are approximately 154,000 RNs working in psychiatric-mental health, which is not nearly enough to meet the demand” (APNA, 2018). As a doctorally prepared nurse, it is critical that I take steps now to increase the number of nurses who specialize in mental health. I aim to do this on the local level by partnering with local nursing schools to invite them into my organization for their psychiatric clinical rotations. Additionally, I will attend local universities’ career fairs so that I can provide information to nursing students about the advantages of working in the field of mental health.
Advocacy and Social Change
As a doctorally prepared nurse, I aim to help close the gaps in the inequities of access in the field of mental health. To do so, I must first identify opportunities to advocate for my own patients by assisting them in obtaining health insurance so that they are able to have access to outpatient services. At the community level, I aim to increase access to mental health services by expanding my organization’s service lines to include more outpatient services for psychiatry and substance use disorders. With regard to the profession of nursing, specifically psychiatric nursing, it is imperative that I identify ways to increase interest for newly graduated RNs to join the field by promoting the field at local nursing schools. By acting as an advocate on all three levels, I will be able to effect positive social change in the field of psychiatric nursing.
References
American Psychiatric Nurses Association. (2018). Report on the APNA National Psychiatric Mental Health Advanced Practice Registered Nurse Survey. https://journals.sagepub.com/doi/abs/10.1177/1078390318777873?journalCode=japa
Berchick, E.R., Hood, E., & Barnett, J.C. (2018). Health Insurance Coverage in the United States: 2017. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2018/demo/p60-264.pdfLinks to an external site. [PDF – 1.4 MB]
Centers for Disease Control and Prevention. (2021). Social determinants of health: Know what affects health. https://www.cdc.gov/socialdeterminants/index.htmLinks to an external site.
Executive Office of Health and Human Services. (2023). Expedited Psychiatric Inpatient Admissions (EPIA) Policy. https://www.mass.gov/info-details/expedited-psychiatric-inpatient-admissions-epia-policyLinks to an external site.
Stuart, H. (2017). Reducing the Stigma of Mental Illness. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314742/
2.
My personal and professional commitment to advocacy includes both short and long-term goals within the nursing profession. From a professional standpoint, I am afforded the opportunity to offer input on ways to continuously improve the patient care experience and care delivery. Providing feedback offered directly from patients as well as discussing barriers I experience as a prescriber, including but not limited to coordination with other members of the care team or barriers within technology, will be at the forefront. Openly discussing setbacks provides the opportunity to brainstorm improvements, ultimately improving patient care outcomes.
Personal commitments to the nursing profession and patient advocacy include the accountability to remaining current within my knowledge of medications and therapies available to treat the mental health population. The formal education provided within the Doctor of Nursing practice (DNP) program provides the structure and skills needed to employ within professional practice. These skills ensuring that the DNP is seeking out and utilizing quality, evidence-based measures to treat patients with interventions supported by adequate science and research (American Association of Colleges of Nursing, 2006). Networking with other mental health professionals both within the nursing field and in other capacities will also expand and enact my commitment to patient advocacy and social change. Learning from other professionals, hearing their perspectives on current events, and in exchange offering my perspective will offer a broad view of treatment approaches and current topics (Hann et al., 2020).
The Doctor of Nursing as a Social Change Agent
As a DNP, I would like to employ my skills as a social change agent by engaging in educational opportunities within the mental health community, driven by research opportunities. Engaging in the research that guides evidence-based practices improves outcomes for the millions of patients impacted by care delivery and would exercise the practice-based research skills formed in DNP education (Iwama et al., 2023). Utilizing the terminal DNP degree to its utmost while continuing to engage in patient care would combine the aspects I found most rewarding of my MSN-PMHNP career and the completion of the DNP program. Advocating for improved treatment measures within the mental health community, as well as for increased access to appropriate care and diagnostic assessments, are all ways in which I would like to engage in DNP research opportunities. Providing education, facts, and data related to how patients are impacted by lack of access to specialized psychiatric care due to barriers such as telehealth restrictions and lack of full practice authority for nurse practitioners will continue to increase awareness of these topics and lobby for change. The DNP offers specialized insight into these topics as a professional working not only for but within the field, and holds significant weight when discussing these topics with both other professionals as well as non-professionals.
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Hann, K., Heather Pearson, Campbell, D., Sesay, D., & Eaton, J. (2020). Factors for success in mental health advocacy. Global Health Action, 8(0), 1–9. https://doi.org/10.3402/gha.v8.28791
Iwama, K., Travis, A., Nowlin, S., Souffront, K., Finlayson, C., Gorbenko, K., & Cohen, B. (2023). Barriers, facilitators, and opportunities for Doctor of Nursing Practice engagement in translational research. Nursing Outlook, 71(5). https://doi.org/10.1016/j.outlook.2023.102031
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