FNP 591 Wk 1 Discussion 2
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Clinical Guideline Importance
The purpose of clinical guidelines is to guarantee that patients receive the right care and treatment. Guidelines constitute a component of an evidence-based practice tool that, when converted into practice recommendations, can enhance patient outcomes and the process of care meticulously synthesized by skilled clinicians (Pereira et al., 2022). Increased guideline adherence has been linked to better outcomes in patients with different illnesses and reduced morbidity or mortality. Patient care is inconsistent when current practice recommendations are not fully followed, which can lead to the adoption of interventions that have little or no value. Clinical guidelines play a crucial role in recognizing challenges, selecting, and executing focused
therapies, and enabling the tracking and evaluation of patient outcomes.
5 different governing bodies for Clinical Practice Guidelines and discussion of a health condition that can be managed by the clinical practice guideline.
Examples of five different governing bodies for clinical practice guidelines include the American Academy of Family Physicians (AAFP), the National Institute for Health and Care Excellence (NICE), the American College of Cardiology and American Heart Association (ACC/AHH), the Centers for Disease Control and Prevention (CDC), and the World Health Organization (WHO). As an example of a clinical practice guideline, the American Academy of Family Physicians (AAFP) provides evidence-based tools for family medicine to treat important disease processes, such as diabetes. According to AAFP, adults between the ages of 40 and 70 who are overweight or obese should get screened for type 2 diabetes (AAFP, 2023). The National Institute for Health and Care Excellence (NICE) offers recommendations and guidelines at the federal level to enhance health and social services. An example is that NICE offers clinical practice guidelines for the management of gestational hypertension which includes
assessing for proteinuria, managing chronic hypertension, managing preeclampsia, and treatment
during the postnatal period (NICE, 2019). An example of clinical practice guideline I used during this program was the management of hypertension under the American College of Cardiology and American Heart Association (ACC/AHH). The clinical guideline of ACC/AHH is tailored to race-specific treatment management in patients with hypertension. These guidelines
offer thorough guidance on the management, diagnosis, assessment, and prevention of high blood pressure. The Centers for Disease Control and Prevention (CDC) is the focal point for creating and implementing programs related to environmental health, health promotion, and disease prevention and control to enhance the health of Americans. An example of a clinical practice guideline that the CDC recommends is the management of Covid-19. CDC recommends
those who test positive for COVID-19 should isolate themselves for at least five days as the first five days are the highest to be contagious (CDC, 2023). Lastly, the World Health Organization (WHO) aims to protect the vulnerable, advance global health, and maintain global security. An example of a clinical practice guideline that WHO provides is the non-surgical management of chronic low back pain in adults. WHO advises healthcare providers to prescribe planned exercise
regimens that include a series of targeted movements meant to increase a patient's physical capability, along with instructions and supervision (WHO, 2023). Elaboration of Clinical Practice Guidelines
Clinical practice guidelines provide detailed recommendations on how to care for patients
with specific medical conditions. Clinical practice guideline begins with the background section that includes a detailed discussion of the purpose and dimensions of the disease or medical condition being treated, as well as data on its prevalence, personal impacts, and systemic implications (National Library of Medicine [NIH], 2020). There is a methodology section that
details the structured process of crafting a clinical practice guideline that considers expertise considerations with disclosure of potential conflicts of interest. This segment of the methodology
may cover search tactics, criteria for study selection, and techniques for assessing evidence quality and relevance (NIH, 2020). There is a recommendation portion where specific suggestions for patient care encompass diagnosis, intervention, subsequent follow-up, and monitoring (NIH, 2020). There is evidence supporting the recommendations in the clinical practice guidelines referenced by systematic reviews, meta-analyses, and relevant studies or trials (NIH, 2020). Recurrent evaluation is encouraged by clinical practice guidelines to make sure they are current and applicable to clinical practices.
Clinical Practice Guidelines for Sexually Transmitted infections in management for Syphilis and Chlamydia
Clinical practice guidelines that would be used to manage sexually transmitted infection visits will be the Centers for Disease Control and Prevention (CDC). CDC offers the focal point for creating and implementing programs related to health promotion, disease prevention and control, and health education that aim to enhance the health of Americans (CDC, 2023). Screening for high-risk populations and pregnant individuals is part of the CDC's clinical practice guidelines for managing patients who present with Syphilis. Diagnosis and staging should be confirmed with two laboratory tests, the rapid plasma reagin and treponemal-specific tests (CDC, 2021). Penicillin G is the recommended medication for treating people with syphilis in all phases when given parenterally (CDC, 2021). The CDC advises screening for chlamydia in
high-risk populations, pregnant women, and all sexually active people (CDC, 2021). Laboratory testing, including as specimen collection and nucleic acid amplification tests, is used to confirm the diagnosis of chlamydia (CDC, 2021). Treatment for Chlamydia includes an antibiotic such as
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Related Questions
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CASE ANALYSIS: Nurses, as Health Care Professionals are faced with many issues and dilemma in their day-to-day practice especially when dealing with their patients. To address these issues, Nurses should provide services that will positively affect patient care, management and treatment. For Nurses, CARING is the Core of Nursing, and for many occasions, Nurses have to deal with this query: “How do I make a difference in my patient's life and suffering?”.Suppose, you are a new staff Nurse in a HomecareHospice Institution and then one day, you received this patient: A70-year-old male patient, disoriented and who looks older than his stated age. He appears generally weak, undernourished, not well-kempt and not well-groomed. His skin is dry with significant rashes. Vital signs checked and recorded, all vitals were abnormal associated with difficulty of breathing. Also, the patient is seen with limited body movements and with episodes of involuntary muscle control especially when standing.…
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Setting Clinical Policy
Discuss how hand washing, Administration of medication and Induction policies in the antenatal ward have been used to facilitate clinical governance. The discussion should include the issues of accountability and monitoring for policy effectiveness.
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Part 1: Types of Measures
Structural measures give consumers a sense of a health care provider’s capacity, systems, and processes to provide high-quality care.
Process measures indicate what a provider does to maintain or improve health, either for healthy people or for those diagnosed with a health care condition. These measures typically reflect generally accepted recommendations for clinical practice.
Outcome measures reflect the impact of the health care service or intervention on the health status of patients.
Metric Name
Description
Metric Type: Structure, Process or Outcome?
Breast Cancer Screening Rate
The percent of women aged 50-74 who had a mammogram to screen for breast cancer during the year.
Process
Controlling High Blood Pressure
The percent of adults, aged 18 to 84 with a diagnosis of hypertension, with blood pressure that is adequately controlled (<140/90 mm Hg)
Outcome
Board Certified Physicians
The number of board certified…
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Objective: Identify risk management strategies to address ethical concerns within the healthcare setting.
Scenario: Cultural Bias and Inflexibility Impedes Communication and Contributes to Poor Outcomes.
Address what are the financial implications of the issue, and what could have been done from a risk management perspective to prevent the issue from happening?
What can be done in the future? Explain your rationale.
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34) Which of the following is not and element of identifying standards in Clinical Governance?
Research and development
Whistle-blowing
Clinical standards
Evidence-based medicine
35) Quality improvement in clinical governance is achieved through which of the following:
Acting to prevent errors
Sentinel events
Root cause analysis
All of the above
36) The systemic evaluation process that identifies when and how a particular system may have failed refers to:
Root cause analysis
Clinical governance
Quality management
Failure effect analysis
46) The environment of care is important as it addresses changes in culture and behavior.
True
False
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1.What is the purpose of CERC in response to a crisis?
2.What are the six (6) core principles of successful crisis and emergency risk communication response?
3.What are seven (7) cultural factors that might influence the way people listen, and respond to risk/emergency messages?
4.What are the five (5) pitfalls to avoid when delivering risk/emergency messages?
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Mention 7 examples of safety issues, using checklists, and being an agent for change?
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Discuss quality measures established by governing bodies and data sources that help improve patient outcomes and reduction in cost. Provide examples to support your discussion.
Preventive care
Readmission rates
how preventive care could be a win-win situation for both patients and health care organizations ?
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Topic:Nurse therapeutic relationship
Must be a SMART goal: Specific... Measurable... Attainable... Realistic... Timely... Which CNO practice document does the goal most align with and why?
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In this assessment task, you will demonstrate your ability to identify a practice issue that requires an evidence-informed approach, develop a related clinical question, and search for evidence that may be used to answer this question. You will use this evidence, and the feedback from this assessment task, to inform and underpin the final assessment task, your research presentation.
Instructions
Identifies a topic that requires an evidencebased approach, and justifies its importance to nursing or healthcare practice
Develop a searchable clinical question using an appropriate framework (question formula)
Demonstrates the ability to locate research relevant to the topic, using a well-constructed search strategy; four articles identified.
Include a screenshot of the search history from your database searches as an appendix to your report.
The question and the articles you find to address this will form the basis for your second assessment task. (1000 words, +-10%)
PLEASE NOTE: This…
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LF: Forte Research
Writing
Make a long comprehensive 6-paragraph
Introduction for undergrad nursing thesis
entitled:SATISFACTION OF NURSING
STUDENTS' CLINICAL EXPERIENCE ON
REAL PATIENT ENCOUNTERS
make sure to have liable source for foreign
and local (Philippines) statistics and studies
with APA format at the end.
Do not use AI !
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Discuss the use of TCAB, QSEN, and SBAR models in promoting quality and safety in patient care.
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EXPLAIN IN DETAILS FOR BELOW.
Development of methodologically creative and ethically sound research to promote evidence-based care and teaching.
There was promotion of responsible care associated ,treatment in critical decision making inspite of presence of multifactorials. viz, communication ,behavioural problems etc
Continuous ,coordinated and priortized interventions being made irresepective of different sectors and specialization in health care system.
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Give 5 examples question using likert scale simple questions in regards to issues and concern of student nurses in clinical learning for facilities and equipment? Using strongly agree,Agree,somewhat,Disagree
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Create a mind map for how critical thinking is used as a nurse based on the major components of critical thinking and/or evidence-based practice (EBP). The branches should expand on at least four thoughts/ideas from the major components.
Include the following design elements in your mind map:
Follow the branch or hook format–branches are thickest closest to the central component (i.e., closest equals EBP in priority order)
Use the same colors for each theme/set of relationships (a mind map is brightly colored)
Major components of a topic have branches which expand on many thoughts/ideas
Present names on all or most of the branches or hooks
Use at least four relevant illustrations, which will make the mind map memorable
Topics radiate from the center of the page–ideas branch out from other ideas in a logical and organized manner
or draw it by hand does not matter!
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Briefly explain why the standard of practice III, standard of practice V, and standard of practice VI is important to a CST.
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If a nurse accidently sticks herself while giving a patient an IM injection what is the first action?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing : Assessment and management of clinical problems. Elsevier, Inc.
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Questions:
What is Emily’s next step of action?
Where will Emily find the information regarding evidence-based decision-making in order to find the best practice for healing pressure ulcers?
Once Emily establishes the best practice needed for healing pressure ulcers, what may be her other…
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Related Questions
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