Category: Nursing

SECTION 1.5: (SECTION TO WORK ON) Is your understanding of mental health and illness different now after learning about the concepts and frameworks introduced through the readings and lectures? If so, how and why? Whats the same? (be explicit) Whats different from your previous understanding? (be explicit; compare and contrast) – Answer this question in 150 words with the proper citations from relevant sources. – Also prepare an introduction and conclusion for the whole paper without exceeding page limit of 3 total. -Fix any other errors in the draft provided to create a final peice

Essay for advance directive and questions we have to answer in essay dorm

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Discussion Post 3: Root Cause Analysis

Describe an experience with Root Cause Analysis that you had in practice or your clinical practicum using a fishbone diagram or 5 Whys method. What was the adverse event? What was your role? As a nurse leader, how would you prevent the adverse event (or near miss) from happening again?

Provide at least two references from the required reading and any additional references needed.

Root cause analysis (RCA) is a structured investigative methodology aimed at identifying and correcting the underlying system-level causes of adverse events (Spath & DeVane, 2022). During my clinical practice, I participated in an RCA following a serious adverse event involving a confused patient who eloped from their home, found by police several hours later, transferred to our inpatient unit, and subsequently passed away. Although uncommon, sentinel events such as this often expose serious vulnerabilities in clinical practices and processes, requiring prompt and comprehensive investigation to prevent recurrence (Huang et al., 2025).

The adverse event resulted in delayed medical intervention and poor patient outcomes. My organization utilized the Five Whys method to examine the contributing factors leading up to the event. The Five Whys technique enables improvement teams to systematically explore problems by repeatedly asking why, allowing for comprehensive examination of the situation and identification of underlying contributing factors (Spath & DeVane, 2022).

Using the Five Whys approach, the following contributing factors were identified:

1. Why did the patient elope?
2. The patient was confused and left the home unsupervised.
3. Why was the patient unsupervised?
4. Caregiver supervision and safety monitoring were inconsistent despite ongoing education provided by staff and the initiation of a behavior contract. An Adult Protective Services (APS) report was filed but was determined to be unsubstantiated.
5. Why was supervision inconsistent?
6. The patients sister, who served as the health care surrogate, did not implement recommended interventions despite staff education and encouragement.
7. Why was the elopement risk not adequately mitigated?
8. Although standardized risk assessment tools and escalation protocols were used by staff, there was insufficient support from APS and family members to ensure patient safety.
9. Why were safety protocols not consistently effective?
10. Gaps existed between staff education and the actions communicated by the family to the care team regarding planned safety measures.

At the time of the event, I served as the Nurse Director overseeing the nurse responsible for the patients care. My role included supporting staff throughout the RCA process, ensuring transparent reporting, and communicating findings to senior leadership, who subsequently reported to the Chief Clinical Operations Officer (CCOO). I also participated in reviewing system-level failures and contributing factors rather than focusing on individual faults.

As a nurse leader, preventing a similar adverse event requires a proactive, system-based approach. Key prevention strategies include standardized cognitive and elopement risk assessments for patients receiving home-based care; clear escalation and communication protocols for high-risk patients; enhanced staff education and competency validation related to caring for confused patients in non-inpatient settings; caregiver education and support with explicit supervision expectations; and leadership oversight through auditing and review of near-miss events.

By addressing these root causes, nurse leaders can help create safer systems that reduce the likelihood of patient elopement and improve outcomes for vulnerable populations. To achieve their full potential, RCAs must be grounded in a psychologically safe and transparent framework that promotes open reporting and collective learning, yields specific and actionable findings, and facilitates meaningful, sustainable improvements in patient safety and organizational safety culture (Behrhorst et al., 2025).

References

Behrhorst J, Gale B, Van CM. (2025). The Evolution of Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.

Huang, L.-L., Jiang, Y.-H., Yang, J.-H., Hong, W.-W., Chen, H.-F., & Hu, W.-W. (2025). Experience of nurse-guided root cause analysis after a sentinel event: A qualitative study. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-02787-6

Spath, P.L., & DeVane, K. A. (2022). Introduction to Healthcare Quality Management (4th ed.). Health Administration Press. https://reader2.yuzu.com/books/978164055413

Assertive Community Treatment (ACT)

Discuss the principles of assertive community treatment. Identify a specific population. Discuss the advantages and disadvantages in using Brief supportive therapy with the chosen population. Please use examples from literature to explain.

Strategic Therapy

Discuss the principles of Strategic Therapy. Identify a specific population. Discuss the advantages and disadvantages in using Strategic Therapy with the chosen population. Please use examples from literature to explain.

Crisis therapy

Discuss the principles of Crisis Therapy. Identify a specific population. Discuss the advantages and disadvantages in using Crisis Therapy with the chosen population. Please use examples from literature to explain.

This submission is requiring me to develop a PICO(T) question related to a topic I wrote on in my last assignment. The topic I wrote on is the effects of DKA on lower socioeconomic individuals and how the lack of health literacy serves as a disadvantage to this population, leading to higher unfortunate outcomes. My last assignment required me to apply an evidence based model to find resources related to this topic and explain the process. I used the JBI model. This submission is requiring development of a PICOT question followed by analyzing the evidence used to answer the question. We are required to use the Capella databases available in the library. I have developed the question already, I just need assistance with the essay and analyzing the search process link to last assignment:

1. Select an article or white paper published on the HIMSS Healthcare IT News homepage within the past 6 months related to artificial intelligence or precision medicine. News articles and editorials may be used to find an example of an emerging technology and must be appropriately cited. News articles are typically editorials and blogs, which do not meet the standards for acceptable scholarly sources. Please review the .
2. Download the . Use of the template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
3. Write 1000 1500 words (excluding title and reference pages).
4. Use APA in-text citations and complete references to support your writing.

Take ‘Conflict Self-Assessment’ on page 186 of your ‘Leading and Managing’ eBook (box 8.2) and tally your results according to the instructions.

On a Word document, record your answers to the following questions and upload them below. Be clear and concise in your answers. Your submission should be 1-2 pages in length.

1. According to the self-assessment, which conflict handling approach best describes you? Do you think this accurately describes you?
2. Which conflict handling style do you think is most effective in resolving conflict? Briefly describe a time where you have seen this approach in action. What was the outcome?
3. How can you be a more effective communicator both in normal conversation and during a conflict? What modifications to your current nonverbal and verbal communication pattern can you make to be a more effective communicator?

I will screenshot the guidelines and the rubric here and the text book to use

Write a 5-8 page paper (not including title page and references) in APA 7th edition format where you describe your personal philosophy of nursing. For this submission, you are allowed to write in first person (I, me, us, we, etc).

The purpose of this assignment is for students to reflect upon, articulate, and describe their personal nursing philosophy. Students will demonstrate their ability to connect nursing theories, professional values, and personal beliefs into a coherent philosophy of nursing practice.

Assessment 2:For this assessment you will be creating a paper that explores holistic nursing care and how pathophysiology, pharmacology, and physical assessment play a role in delivering holistic care. Your paper should be 35 double spaced pages, not counting the title or reference page. You should also be prepared to support your paper with evidence from the literature and professional best practices. Your assessment submission will be assessed on the following criteria: Define holistic nursing care. Definition of Holistic Nursing Care and its Benefits for Patients and Nurses: The section should provide a clear definition of holistic nursing care and explain its benefits for both patients and nurses. The definition should be accurate and comprehensive, and the benefits should be supported by evidence-based research. Explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. Explanation of Pathophysiology and Its Role in Nursing Practice: This section should explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. The explanation should be detailed and supported by relevant examples. Discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. Discussion of Pharmacology and Its Role in Nursing Practice: This section should discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. The discussion should be comprehensive and supported by relevant examples. Describe how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. Description of Physical Assessment and Its Role in Nursing Practice: This section should describe how physical assessment can help nurses collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. The description should be detailed and supported by relevant examples. Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. Examples of Integration and Application of Knowledge in Clinical Scenarios: This section should provide examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. The examples should be relevant and supported by evidence-based research. Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Additional Requirements Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: Competency 1: Explain how pathophysiology, pharmacology, and physical assessment comprise a holistic approach to nursing care. Define holistic nursing care. Explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. Discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patient’s physical, psychological, and social needs. Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. Competency 2: Create evidence based interventions to address the health needs, risks, and resources of individuals from diverse backgrounds and cultures. Describe how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. Competency 5: Apply scholarly writing standards to communicate evidence based strategies that support safe and effective patient care. Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Scoring Guide Use the scoring guide to understand how your assessment will be evaluated. Collapse All Criterion 1 Define holistic nursing care. Distinguished Defines holistic nursing care and uses evidence to support its benefits for both patients and nurses. Proficient Defines holistic nursing care. Basic Attempts to define holistic nursing care, but the definition is either incorrect or unclear. Non Performance Does not attempt to define holistic nursing care. Criterion 2 Explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. Distinguished Explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. The explanation is supported by evidence-based research. Proficient Explains how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. Basic Provides an incomplete, incorrect, or unclear explanation of how pathophysiology helps nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. Non Performance Does not provide any explanation related to how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. Criterion 3 Discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. Distinguished Discusses how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. Supports discussion with support from evidence-based research. Proficient Discusses how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. Basic Provides an incomplete, incorrect, or unclear description of pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. Non Performance Does not attempt a description of how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patients physical, psychological, and social needs. Criterion 4 Describe how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. Distinguished Describes how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. The description is detailed and supported by relevant examples. Proficient Describes how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. Basic Provides an incomplete, incorrect, or unclear description of how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. Non Performance Does not provide a description of how nurses can use physical assessment to collect, analyze, and interpret data about the patients health status, and how they can use this information to plan, implement, and evaluate care. Criterion 5 Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. Distinguished Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. The examples are relevant and supported by evidence-based research. Proficient Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. Basic Identifies one example of how pathophysiology, pharmacology, and physical assessment can be integrated and applied in different clinical scenarios and settings. Or, identifies two examples, but the examples are not relevant or unclear. Non Performance Does not provide any examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. Criterion 6 Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Distinguished Conveys clear purpose, in a tone and style well-suited to the intended audience. Supports assertions, arguments, and conclusions with relevant, credible, and convincing evidence. Exhibits strict and nearly flawless adherence to organizational, professional, and scholarly writing standards, including APA style and formatting. Proficient Conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Basic Conveys purpose, in an appropriate tone or style. Clear, effective communication is inhibited by insufficient supporting evidence and/or minimal adherence to applicable writing standards. Non Performance Does not convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and writing scholarly standards. Chat