Wk15 #NURS646FA20 A HIT that performs remote patient monitoring of glucose could facilitate IPE in a simulation in which the Interdisciplinary Team collaborates in an effort to review patient insulin regime. Would enrich learning by individualizing care.
Wk 13 #NURS646FA20 As a future PMHNP, I think telepsychiatry is very important to bring care to a greater population. There is a shortage of providers in rural areas, and this would help overcome that hurdle.
WK10 #NURS646FA20 A key feature of CDS systems is the ability to reduce prescribing errors which is useful for a new PMHNP. Systems can be designed with safeguards for dosing, duplication of therapies, or drug-drug interactions.
WK8 #NUR646FA20 MY3 is a free app designed to create a personal safety plan by noting suicide warning signs, listing coping strategies, and connecting to resources. There is a button that connects to National Suicide Prevention Lifeline 24/7.
#NUR646FA20 Wk6: The most challenging phase of SDLC, to me, is planning because as a new APRN I would not be confident in leading change for the organization. To overcome I would do research on any proposed changes in order to speak to them effectively.
WK3: Increased spending for healthcare information exchange is justified because it can lead to less medication errors, increase efficiency by reducing paperwork, eliminate redundant testing, and improve health reporting and monitoring. #NURS646FA20
Wk1: The organization relevant to my practice and active on Twitter is @NIMHgov. They discuss how to use mobile apps/devices to provide mental health support and the pros and cons. #NURS646FA20
#NUR751 M11: Once you change EBP it is no longer evidence-based because you have changed the practice by making modifications. If you are not implementing exactly the way it was intended as an EBP, then you must research with the adaptations to make sure its still effective.
#NUR751 M10: CDSs can improve outcomes by supporting the treatment initiation and monitoring of dialysis patients experiencing depression symptoms. This can be done through an EHR that triggers when certain depression survey questions are marked as "yes".
#NUR751 M9: My CPG policy is strong because steps 1, 2, 3, 5, and 6 are met. More information on dissemination and discussion of outcomes would make it stronger.
M7: My greatest challenge with my chosen CPG would be whether the organization considers the topic a priority. I would overcome this by presenting evidence based research to the organization that shows them how they could save money by implementing the change. #NUR751
#NUR751 M6: The model that would best support implementation of my CPG is the Human to Human Relationship Model by Joyce Travelbee. Travelbee is not on Twitter, as she is deceased.
#NUR751 M5: A weakness of using CPGs is they are not individualized. CPGs can protect special interests or be made to control costs rather than what is best for patient. CPGs can negatively affect public policy by focusing attention on select issues at the expense of others.
M4: Author: Lin, Effects of Self-Management on Chronic Kidney Disease, a Meta-Analysis. Authors found self-management programs can improve the outcomes of medical, role, emotional management, and health-related quality of life. Provides evidence for EBP.
M3: Quantitative research is considered the "gold standard" for EBP. Quantitative research provides empiric evidence, while qualitative leans more to the art of nursing/personal knowing. Qualitative is "justified beliefs". Therefore, quantitative is stronger for EBP. #NUR751
M2: The article describes itself as using AACN Level D and E evidence. Critically appraised articles would be under the filtered/high quality category of the pyramid. Quality of Evidence: High: further research unlikely to change confidence of effect. Would implement. #NUR751
M1: Goal for this quest: Develop my search strategies to choose the right study design for the question, begin applying the EBP Process in my patient care, and further develop my PICO question writing skills. #NUR751