What are the criteria for selecting qualitative versus quantitative resources in relation to your literature review? Which is quantitative research so important to nursing research?
“Professional Roles and Responsibilities”Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. Share your thoughts What are the educational requirements to practice as a FNP? According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners. Who determines the scope of practice for FNPs? Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role? See rubric
Discussion 3:
Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting? Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ? Discussion 4:
CS/SB 614 authorizes an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include: Presigning blank prescription forms. Prescribing a Schedule II for office use. Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions. Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance. Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice. Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice. Prescribing, dispensing, or administering a controlled substance to himself or herself. Prescribing, dispensing, or administering laetrile. Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act. Promoting or advertising controlled substances.After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations?
For over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future.
For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions. By Day 7 of Week 11
To Prepare:
• Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study.
• Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.
• Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.
• Consider whether the best practices in the article you selected should be used in clinical practice. To Complete: Write a 2- to 3-page paper that addresses the following:
• Describe the disorder you selected from the Women’s Health Initiative study. • Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected.
• Compare the best practices presented in the WHI study to the current best practices presented in the article. Explain how the differences in best practices might impact women’s health.
• Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.
*** women’s health initiative article*** https://www.nhlbi.nih.gov/whi/background.htm
Write an APA style (min 600 work) APA style essay detailing “The technologist’s role in acheiving Safe and the highest of Quality, Nuclear Cardiology images”.
here is an example for you
Technologist’s Role in Safe and High-Quality Nuclear Cardiology Images
We as technologists play a very crucial role in safe and high-quality nuclear cardiology images because we are the experts. We are performing tests and images on the heart, which is a very vital and complex muscle within the human body so it only makes sense that our job is to safely perform nuclear cardiology tests on patients while providing accurate and good quality images. Patient safety should always come before quality images, because the patient care should be the technologist’s top priority always. As technologists it is important to focus on the ALARA (as low as reasonably achievable) philosophy and monitoring patient dose. With the combination of both principles there should be a balance between dose and image quality (Watson & Odle, 2013). Therefore, you are considering the patient’s safety in the amount of radiation that they are receiving while also being mindful of what dose will also better serve for a good enough image quality. While maintaining the ALARA philosophy for both the technologist and patient, it is important to explain the entire procedure to the patient and ask them if they have any questions to ensure they fully understood what scan they are about to be taken in for(Watson & Odle, 2013). It is crucial that the technologists inform the patient that their heart will be put under a lot of stress, but there are precautions that are considered beforehand to ensure the risks outweigh the benefits. It is also important to inform them that they have the chance of crashing, but there will always be a crash cart near by and monitored the entire time during the whole study.
Another thing to keep in mind as a technologist for patient safety is to constantly meet their needs. A lot of patients coming into the cardiology department do not have good hearts, and that is why we perform our studies to further gather more information on their heart related problems. If a patient does not want to have the study done, the technologist can not force the patient to undergo the study. However, it is strongly encouraged to ensure the patient that the study would be in their best interest in the long run to enable an accurate diagnosis and possible treatment due to the images that were taken. Once safety concerns are addressed, it is important to ensure good imaging protocols to ensure the best diagnosis. To ensure the most accurate protocol is performed, it is important to have close communication between the referring physician and all technologists who are performing the test (DiPuey et al., 2012). All tests are patient specific, so obtaining and understanding the patient’s medical history can be important when deciding what is best for the patient. For example, and exercise stress test is preferred rather than administering a pharmacological stressor but sometimes a patient is physically unable to perform exercise. However, it has been found that pharmacological stressors can enhance nuclear cardiology by providing a more flexible and broader accessibility for SPECT procedures. With the pharmacological stress agents, it is important to know the contraindications of all also, as we the technologist are responsible for that. It is clearly indicative that a patient centered approach will improve the overall diagnostic and prognostic performance of MPI (DePuey et al., 2012). It is super important to understand what the patient is experiencing to ensure they receive the correct protocol that is given or considered. Through good radiation safety practice, strong communication, and a good understanding of medical history the technologist should always be pristine all the way around when it comes to patient safety. Quality patient care leads to quality images because it is all patient specific when dealing with the heart, and within nuclear cardiology.
References
DePuey, G., Mahmarian, J., Miller, T., Einstein, A., Hansen, C., Holly , T., . . . Wann, S. (2012). Patient-Centered Imaging. ASNC Practice Statement, 1-31.
Watson , L., & Odle, T. (2013). Patient Safety and Quality in Medical Imaging: The Radiologic Technologist’s Role. Retrieved from American Society of Radiologic Technologists : https://www.asrt.org/docs/default source/research/whitepapers/asrt13_patientsafetyqltywhitepaper.pdf?sfvrsn=a119f22f_12
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