Elizabeth Shrader

MSN, WHNP-BC and second year DNP student with specialty focus in PMHNP.

[Elizabeth Shrader @ElizabethShrad8]

Wk15 Engaging in an TeamSTEPPS essential interprofessional communication course, using video simulation (HIT) and reenactment to enhance learning, will facilitate improved communication among the team members, improving staff morale and patient outcomes. #NURS646FA20

[Elizabeth Shrader @ElizabethShrad8]

Wk13. Virtual reality is an evidence-based psychological therapy used to improve the mental health of patients by exposing them repeatedly to past trauma and receive instruction on how to overcome it. This is a positive b/c it has been show to improve outcomes#NURS646FA20

[Elizabeth Shrader @ElizabethShrad8]

WK10 CDS works to improve patient care by enhancing decision making, combining specific medical knowledge and patient information, through a software program delivered via EHR.A key feature is that it can anticipate needs and deliver in real time increasing usability #NURS646FA20

[Elizabeth Shrader @ElizabethShrad8]

WK8Youth Stepcare can be engaged via mobile tablet in the providers office to assess for anxiety and depression in adolescents. At risk youth, then engage Q14 days at home. Decrease symptomology, increase empowerment, improve pt. outcomes #YouthStepCare
#NURS646FA20

[Elizabeth Shrader @ElizabethShrad8]

WK6Systems design, as I have limited knowledge on logic algorithms & principles, software engineering, database design, maintaining quality & integrity. Involving a nurse informatics specialist and software engineer in the technology intervention will overcome this.#NURS646FA20

[Elizabeth Shrader @ElizabethShrad8]

WK3 Inc.cost is justified b/c EMR has the ability to improve medical workup & charting, increasing provider productivity and communication, avoiding repeat patient testing, and improving patient safety #NURS646FA20

[Elizabeth Shrader @ElizabethShrad8]

Expectations of #Nurs646FA20 to improve and build upon my nursing informatics knowledge!

[Elizabeth Shrader @ElizabethShrad8]

Week1#NURS646FA20. @AzPsychSociety fosters medically-based principles in psychiatry and @NPWH WHNP professional organization both dedicated to providing online education aimed at improving provider knowledge. NPWH has a virtual conference this year that i plan to attend.

[Elizabeth Shrader @ElizabethShrad8]

M11:major difference between PBE and EBP is culturally competent care. In Native cultures Incorporating cultural traditions & social support, discussing increased risk for PD throughout pregnancy, is one way to incorporate into practice. #NURS751

[Elizabeth Shrader @ElizabethShrad8]

#M10 mhealth will improve outcomes in women with PD as it allows increased access to earlier screening via web-based programs. Early screening = earlier detection = improved patient outcomes. #NURS751 https://t.co/AGBxwLlJ39

[Elizabeth Shrader @ElizabethShrad8]

#M9 the CPG for PD is strong for policy steps 1, 2 only. Steps 3-8 are completely lacking from this CPG. Adding in PD to general depression guidelines were merely an afterthought. More specific intervention criteria is needed for patients to strengthen CPG. #NURS751

[Elizabeth Shrader @ElizabethShrad8]

#M9 Postpartum Depression affects 12-67% of women within the first 12 months following delivery. We need to improve screening and mgt. for woman and their families. Az families need our help! Lets approve the maternal mental health advisory committee act #SB1290 #Nurse751

[Elizabeth Shrader @ElizabethShrad8]

#M8 postpartum depression is a devastating disease. If you or someone you know is struggling with Postpartum depression, here is a helpful resource to start the path of healing. #KnowTheFacts #PassItOn #MakeADifference #NURS751 https://t.co/ca017T1CIj via @APA

[Elizabeth Shrader @ElizabethShrad8]

#M7 Postpartum Depression Screening is often not offered or properly screened for. The key challenge is educating current practitioners of the importance of proper screening protocols. Changing old habits is hard to do #olddogsCANlearnnewtricks#NURS751

[Elizabeth Shrader @ElizabethShrad8]

M6: The Stetler Model by Cheryl B. Stetler (not on twitter) will be utilized for the Postpartum Depression CPG. This "practitioner-focused" model will provide thoughtful guidance on a multi-specialty approach to address screening guidelines in PD.#NURS751

[Elizabeth Shrader @ElizabethShrad8]

M4:A SR by Dol et al. (2019) discusses mHealth education intervention during perinatal period. EBP focus is on mH improving maternal psychosocial outcomes. mH offers potential to reach women & families affected with pp depression, improving outcomes #NURS751

[Elizabeth Shrader @ElizabethShrad8]

M5:A potential weakness with CPG can include loss of medical coverage for psych services by removing resources used in less common therapy to provide more money for those services more commonly used. Loss of telehealth service coverage in lieu of live provider services #Nurse751

[Elizabeth Shrader @ElizabethShrad8]

#NURS751 M3 Both Qual. & Quant. research are valuable and strong in EBP, and provide different perspectives and data on the clinical question. More important is to ensure the design, methods and analysis were performed correctly; strong, well executed research is the basis of EBP

[Elizabeth Shrader @ElizabethShrad8]

M2. Defer Implementation until further review of A-level evidence. If larger and longer studies like RCT, SR and MA support the reported findings, including low complication incidence, recommended steps to obtain accurate NIBP should be implemented. #NURS751

[Elizabeth Shrader @ElizabethShrad8]

@AKeenhold me too @Akeenhold !

[Elizabeth Shrader @ElizabethShrad8]

My goal for this quest is to improve my skills to obtain, understand and synthesize evidenced based literature. These skills will assist me in answering my clinical question and ultimately help me implement changes to improve patient care. #NURS751 #M1