GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion

GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally. GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis. Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. APA style is not required, but solid academic writing is expected. You are not required to submit this assignment to LopesWrite. GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion nrs_493_rs_scholarlyactivities.docx capstone_ppt.pptx final_capstone_project_on_mental_health_picot.edited.doc week_8_reflective_journal.edited.doc process_to_evaluation.edited.doc Scholarly Activities This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10. Overview This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you. Problem This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more. Solution This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. Opportunity This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse? Program Competencies Addressed This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP. © 2017. Grand Canyon University. All Rights Reserved. CAPSTONE PROJECT CHANGE Proposal Presentation for Faculty Review and Feedback Introduction ? The issue identified is that seniors may be vulnerable to many mental health issues, such as anxiety and depression. ? GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion The solution provided is a physical exercise and mindfulness meditation to be carried out with the patients. ? This topic can be categorized as a community intervention because it mainly focuses on the community’s actions to enhance their health. ? Leadership interventions focus on the realm of changing policies or implementing leadership strategies with the overall focus being the healthcare organization and people involved in it Intervention ? First, appropriate healthcare leaders will be needed. Proper leaders will be selected to enhance healthcare provision. ? These leaders will devote their time and energy to ensuring the senior patients suffering from mental issues are well-taken care of; this will play a crucial role in moving the collective leadership effort . ? Second, bridge funding will be necessary for the implementation of the change proposal. ? ? Third, the staff will be needed to implement the proposal. ? ? Bridge funding will be sought in the discussion for long-term support of the change proposal in collaboration with the healthcare providers and the senior administration. The staff members will be trained on the use of technology adopted in healthcare provision to the specified group Finally, diverse healthcare professionals and multiple sources of input and support will be needed for the implementation. ? The diverse groups will help table creative solutions to the identified problems drawn from multiple inputs and support sources Evidence-based Literature ? De Boer, B., Beerens, H. C., Katterbach, M. A., Viduka, M., Willemse, B. M., & Verbeek, H. (2018, December). The physical environment of nursing homes for people with dementia: Traditional nursing homes, small-scale living facilities, and green care farms. In Healthcare (Vol. 6, No. 4, p. 137). ? The research examines the location, engagement, and interaction of home-based dementia care facilities in terms. ? Jao, Y. L., Algase, D. L., Specht, J. K., & Williams, K. (2016). Developing the PersonEnvironment Apathy Rating for persons with dementia. Aging & mental health, 20(8), 861-870. ? Authors investigates the effective method of developing a person-environment apathy rating for dementia patients. ? Ouyang, Z. (2018). GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion The Well-being of Chinese Older Adults: Application of the PersonEnvironment Fit Theory. Cambridge Scholars Publishing. ? The study ascertains whether the application of the person-environment fit theory improves the well-being of older adults of Chinese origin. Evidence-based Literature ? Soilemezi, D., Drahota, A., Crossland, J., & Stores, R. (2019). The role of the home environment in dementia care and support: a systematic review of qualitative research. Dementia, 18(4), 12371272. ? According to the article, creating a home environment that is friendly to dementia patients’ care is essential in modifying the home environment for effective home-based dementia care. ? Wong, C., & Leland, N. E. (2018). Applying the Person-Environment-Occupation Model to Improve Dementia Care. OT Practice: CE-1-CE-7. ? Accordingly, the study reviewed past literature that has studied the interaction between occupation, person, and the environment to facilitate participation and quality dementia care for the residents of a particular home. Objectives ? To identify whether clinical significance is a reliable method of concluding whether the patientcentered environment would lead to a satisfactory and quality outcome when used to care for elderly patients with dementia. ? To evaluate the statistical significance of the health disparity to the outcome of the patientcentered environment intervention measure. ? To assess whether a person-environment match helps residents engage in more prosocial attitudes and have reduced dementia cases within two months, compared to those who do not get the intervention. Resources Needed ? Significantly experienced, skilled, and knowledgeable nurses who are expected to lead the change process. ? Awareness and education programs that reduce resistance to the change processes from the nurses, elderly patients, and family members. ? Resource mobilization to increase finance and funding options. ?GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Alteration of the geographical locations of the elderly patients to assist researchers clearly understand the statistical significance of the two variables. Anticipated Measurable Outcomes ? The effective outcome can be achieved by monitoring the elderly patients’ fall risk levels while still under hospitalization. ? Outcome measures include: ? Reduced rate of falls among the elderly hospitalized patients. ? Reduced costs of care. ? Lower mortality and morbidity rates. ? Reduced length of stay in hospitals. Evaluation of the Intervention ? The first step would entail providing a clear description of the intervention using a logical diagram and model ? The logical model diagram must outline all the milestones deliverables, activities, objectives, intended outcomes, mediating factors, and the theoretical constructs that underscore the intervention’s need. ? The second step is to define a complete plan of delivery that is acceptable to all stakeholders. ? This step provides an opportunity for the evaluation team to understand how the intervention interacts with the process evaluation framework. ? The third step is to develop the guiding questions that would be used to design a checklist for evaluation. ? When developing these questions, it is necessary to consider the relevant resources required to implement the program. Further Evaluation of the Intervention ? Data management strategies, data collection, time, and sources are designed and carefully reviewed. ? Upon ascertaining the resource requirements, the evaluation process moves to the fourth set, where data management strategies are integrated. ? The final step is to assemble an interdisciplinary team to review the intervention’s effectiveness, progress, processes, and outcomes. ? It is crucial to develop the baseline indicators of the evaluation process to understand the integration of inputs, activities, and outputs of the intervention. GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Running Head: FINAL CAPSTONE PROJECT Final Capstone Project Name Institution Course Date 1 FINAL CAPSTONE PROJECT 2 Background: Mental Health Intervention Summary The issue identified is that seniors may be vulnerable to many mental health issues, such as anxiety and depression. The solution provided is a physical exercise and mindfulness meditation to be carried out with the patients. This topic can be categorized as a community intervention because it mainly focuses on the community’s actions to enhance their health. Leadership interventions focus on the realm of changing policies or implementing leadership strategies with the overall focus being the healthcare organization and people involved in it (Petridou & Antonopoulos, 2017). Clinical problem Statement The proposed capstone project presents individual and environmental changes targeting the elderly in long-term care and hence focusing on the community. This program aims to improve the community health of the elderly through interventions that address mental health conditions and promote their well-being. Purpose of the Change Seniors in the managed long-term healthcare lack adequate care, which leads to most of them acquiring severe mental illness. Most of the mental health problems reported in assisted care facilities and nursing home centers are attributed to the lack of adequate care given to these senior citizens. This paper takes the stance that a person-environment match helps residents to engage in more prosocial attitudes within two months, while those who do not get the intervention will experience aggression. This is if the caregiver gives poor services, including lack of proper or clear communication with a person with dementia, or rushing them. PICOT Question FINAL CAPSTONE PROJECT 3 Among seniors with mental health and psychological conditions, does a personenvironment match help residents engage in more prosocial attitudes and have reduced dementia cases within two months, compared to those who do not get the intervention will experience aggression? Literature Search Strategy Employed The search terms used were seniors hospitalized, mental health and psychological, person-environment match, dementia, prosocial attitudes, and mortality. GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Upon identifying the pool of literature with search terms meeting the keywords in the PICOT question, the literature was filtered based on the credentials of their authors, the year of publication, and credibility of the methodology, sampling, study designs, and gaps in the research. Only recently published peer-reviewed journals were considered. Evaluation of the Literature The research question in the article by Soilemezi et al. (2019) was to explore the home environment’s role and then ascertain the potential barriers and contributors in home-dementia support and care so that guidelines can be established for future research and clinical practice. According to the article, creating a home environment that is friendly to dementia patients’ care is essential in modifying the home environment for effective home-based dementia care. The research question in the article by Wong & Leland (2018) was to ascertain whether the model framework of person-environment occupation improves dementia care within the home setting. Accordingly, the study reviewed past literature that has studied the interaction between occupation, person, and the environment to facilitate participation and quality dementia care for the residents of a particular home. FINAL CAPSTONE PROJECT 4 The research question in the study by Ouyang (2018) was to ascertain whether the application of the person-environment fit theory improves the well-being of older adults of Chinese origin. The research question in the study by Jao et al. (2016) investigates the effective method of developing a person-environment apathy rating for dementia patients. The research question of De et al. (2018) was to examine the location, engagement, and interaction of homebased dementia care facilities in terms. The study’s limitations by Soilemezi et al. (2019) are that it is subjective qualitative research that may have omitted many issues. The observer never confirmed the actual use of environmental strategies that were reported as positive in some articles. Most literature was in the English language, thus eliminating those in Greek and Germany langue, which further limited data collection.GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Resource constraint barred the planned need to contact the authors for clarification. The study’s limitations by Wong & Leland (2018) are that it failed to report the relationship between the participants and the research, which could have affected the study’s reliability and validity. Generalization of the study was limited in encase the thematic review took place in a workshop where family care takes place, thereby compromising the confirmation of its transferability. Ouyang’s (2018) study’s limitations are that some of the environmental strategies could be obsolete or outdated due to changes in legislation. However, the researchers used CASP to familiarize themselves with these limitations, thereby capitalizing on the study’s strengths to conduct a robust review. The study’s limitations by Jao et al. (2016) are that it used thematic synthesis, which de-contextualizes the findings. The themes are interpreted from one setting to another setting despite its inapplicability. The study’s limitation by De et al. (2018) is that it was not feasible to include international cross-cultural comparison literature. FINAL CAPSTONE PROJECT 5 Developing the Change Process Seniors in the managed long-term healthcare lack adequate care, which leads to most of them acquiring severe mental illness. Most of the mental health problems reported in assisted care facilities and nursing home centers are attributed to the lack of adequate care given to these senior citizens. This paper takes the stance that a person-environment match helps residents to engage in more prosocial attitudes within two months, while those who do not get the intervention will experience aggression. This is if the caregiver gives poor services, including lack of proper or clear communication with a person with dementia, or rushing them. GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Proposed Implementation Plan The plan uses a bundled approach towards fall prevention among the elderly hospitalized patients, which entails modification of the environment and adoption of a team-based approach towards fall prevention. The bundle fall prevention strategy combines all fall prevention strategies into a single protocol. This single protocol will combine hourly rounding, motion sensors/alarms in patients’ beds, fall risk wristbands, and pre-admission fall risk assessment. The effective outcome can be achieved by monitoring the elderly patients’ fall risk levels while still under hospitalization (Titler et al., 2016). The outcome measures are reduced rate of falls among the elderly hospitalized patients, reduce costs of care, reduced mortality, morbidity, and length of stay in hospitals. Creating the Intervention Plan First, appropriate healthcare leaders will be needed. Proper leaders will be selected to enhance healthcare provision. These leaders will devote their time and energy to ensuring the senior patients suffering from mental issues are well-taken care of; this will play a crucial role in moving the collective leadership effort (Grol and Wensing, 2020).Second, bridge funding will be necessary for the implementation of the change proposal. Bridge funding will be sought in the FINAL CAPSTONE PROJECT 6 discussion for long-term support of the change proposal in collaboration with the healthcare providers and the senior administration. Third, the staff will be needed to implement the proposal. Staff in the healthcare system are the most crucial aspect of the implementation of any change proposal. The staff members will be trained on the use of technology adopted in healthcare provision to the specified group (Grol and Wensing, 2020). Finally, diverse healthcare professionals and multiple sources of input and support will be needed for the implementation. The diverse groups will help table creative solutions to the identified problems drawn from multiple inputs and support sources (Grol et al., 2013). Personnel will be implied to implement the solutions in healthcare provision. They will work in close collaboration to support the shifting organization culture process. GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Evaluating the Proposed Nursing Intervention The first step would entail providing a clear description of the intervention using a logical diagram and model (Sharma et al., 2017). The logical model diagram must outline all the milestones deliverables, activities, objectives, intended outcomes, mediating factors, and the theoretical constructs that underscore the intervention’s need. The second step is to define a complete plan of delivery that is acceptable to all stakeholders. This step provides an opportunity for the evaluation team to understand how the intervention interacts with the process evaluation framework. The third step is to develop the guiding questions that would be used to design a checklist for evaluation (Sharma et al., 2017). When developing these questions, it is necessary to consider the relevant resources required to implement the program. Upon ascertaining the resource requirements, the evaluation process moves to the fourth set, where data management strategies, data collection, time, and sources are designed and FINAL CAPSTONE PROJECT 7 carefully reviews (Schelvis et al., 2016). The final step is to assemble an interdisciplinary team to review the intervention’s effectiveness, progress, processes, and outcomes (Sharma et al., 2017). It is crucial to develop the baseline indicators of the evaluation process to understand the integration of inputs, activities, and outputs of the intervention. Potential Barriers to Plan Implementation The first barrier to implementing the proposed change is finance, as well as lack of expertise, skilled, and knowledgeable nurses who are expected to lead the change process. Additionally, resistance to the change processes from the nurses, elderly patients, and family members may also cause a major barrier to the implementation process. These barriers can be overcome through awareness and education programs. The lack of finance may be overcome by resource mobilization. FINAL CAPSTONE PROJECT 8 References De Boer, B., Beerens, H. C., Katterbach, M. A., Viduka, M., Willemse, B. M., & Verbeek, H. (2018, December). The physical environment of nursing homes for people with dementia: Traditional nursing homes, small-scale living facilities, and green care farms. In Healthcare (Vol. 6, No. 4, p. 137). Multidisciplinary Digital Publishing Institute. Available at https://www.mdpi.com/2227-9032/6/4/137/pdf Grol, R., & Wensing, M. (2020).GCU NRS 493 Morbidity & Mortality Among Patients with Mental Illness Discussion Effective implementation of change in healthcare: a systematic approach. Improving Patient Care: The implementation of change in health care, 45-71. Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.). (2013). Improving patient care: the implementation of change in health care. John Wiley & Sons. Jao, Y. L., Algase, D. L., Specht, J. K., & Williams, K. (2016). Developing the PersonEnvironment Apathy Rating for persons with dementia. Aging & mental health, 20(8), 861-870. Molinari, V., & Ellis, M. L. (2016). Psychological Interventions in Long Term Care Settings. https://doi.org/10.1007/978-981-287-080-3_58-2 Ouyang, Z. (2018). The Well-being of Chinese Older Adults: Application of the PersonEnvironment Fit Theory. Cambridge Scholars Publishing. Petridou, E.T. & Antonopoulos, C. (2017). Injury epidemiology. In International Encyclopedia of Public health (2nd Ed.). Cambridge, MA: Academic Press. Pollack, J., Pollack, R. (2014). … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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