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NR 500 Week 6 Graded A+ Assignment 2023.

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NR 500 Week 6 Graded A+ Assignment 2023. Slide 1-Introdution I am currently a master’s family nurse practitioner student at Chamberlain. Today, I will be exploring evidence-based practice and how it applies to nursing practice. I will provide an example of the conceptual model or diagram used to create the evidence-based practice. Discussion of my practice track, the family nurse practitioner, will follow, addressing the rationale for obtaining this advanced degree. Also, I will be discussing specific concerns related to my area of interest and recommendations for a practice change. The problem statement in the report is the prevention of teenager depression and suicide. Furthermore, guidelines for enhancing patient outcomes, including internal and external factors, will be discussed. The National Organization of Nurse Practitioner Faculties (NONPF) sets the standards for the nurse practitioner core competencies. At least two NONPF competencies are relevant to the area of teenager depression and suicide. Lastly, the conclusion will be reflecting on the information provided today. Slide 2-Importance of Evidence-based practice • Evidence-based practice (EBP) collects, processing, and implements research judgments to promote better clinical trials, the work environment, or patient outcomes. It is meaningful because it aims to support the numerous beneficial care possible to enhance patient outcomes, patient safety, overall well-being, and quality of care (Schub et al.,2017). Patients require to acquire numerous adequate considerations based on the best possible evidence. EBP guarantees that clinical practice is based on reliable evidence and patients benefit as a result. Applying EBP also appears in more compatible clinical recommendations and practice crosswise the health service. Again, it strikes a purpose in securing that finite health resources are used intelligently, and that appropriate evidence is considered when decisions are made about supporting health services (Bushell, 2019). Evidence-based projects are advantageous because they form and enhance new nursing skills; they help find problem sources and assess new technologies. Evidence-based projects will stimulate the healthcare professional by requiring them to think about why methods are in place and why they are performed in such a manner. With the evidencebased practice achieved in care, nursing becomes more effective and up-to-date with the newest improvements. Appropriating the EBP method to nursing practice encourages them to implement the extraordinary quality and most cost-efficient patient care desirable (Stevens, 2017). Slide 3- Conceptual Model The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model was first imagined in 1999 by Melnyk as a mentorship structure to support advanced practice nurses in fulfilling the evidence-based practice (EBP) (Melynk et al., 2017). This model is used for organization use, based on cognitive-behavioral theory. It essentially addresses implementations of EBP and is most likely seen in massive organizations such as hospitals and community practices (Schaffer, 2013). The ARCC model benefits organizations as a whole. This model involves two levels: assessing the organization's strengths and weaknesses in completing evidence-based practice and selecting evidence-based practice guides who would escort other nurses (Melynk et al., 2017). The most challenging features of this model are classifying EBP guides and encouraging their leadership and mentoring techniques. However, even if EBP mentors are not too skilled, their leadership and assistance will enable other nurses to use EBP. lOMoARcPSD| Results of multiples research designate that EBP mentors, typically advanced practice nurses who struggle with a duration of care providers to execute evidence-based care, have remained a key policy in the ARCC model that has inspired positive clinical, healthcare, and patients outcomes (Melynk et al., 2017). This model presumes that development in nurses’ EBP beliefs results in advanced EBP implementation, improving nurses-related outcomes, such as nurses’ job satisfaction and group cohesion. The ARCC model could be used to explain a standard screening tool for depression in teenagers. This model would assist providers in generating the determination to start examining and screening for depression in teenagers. This would allow teenagers to get the appropriate diagnosis and mental health services needed. Slide 4 Area of Interest: Major depression is a well-known condition observed in the primary care environment, which generally directs to suicide. People with depressive illnesses bring out the majority of suicides. Untreated depression is a significant relevant portion to death by suicide, causing a teenager as much as 12 times more likely to attempt suicide (CDC,2019). Resembling 800,000 people die due to suicide every year (CDC, 2019). Depression and suicide is the next highest cause of death in 15 to 29 years old (Santhanam, 2019). Depression, anxiety, and suicidal ideations do not discriminate; they affect all races, genders, and backgrounds. However, suicidal behavior is more noticeable among black youth (Santhanam, 2019). In 2019 an approximated 1.9 million teenage were diagnosed with depression (CDC, 2019). The variation and emergence of these feelings lead to anxiety and depression, creating suffering on they handle and reflect on daily activities. For example, when a student stops visiting classes or departs socially, it may be time to be involved. According to Santhanam (2019), patients who died by suicide were likewise to attend their primary care practitioner or provider than a psychiatrist. With that being said, the primary provider is in a unique position to recognize at-risk individuals and perhaps intervene. As an advanced nurse practitioner, we can be possible gatekeeps in suicide prevention efforts. Talking and asking about suicide ideations and depression may help the provider identify high-risk patients requiring urgent intervention. Amplifying trust with the patient is quintessential for them to be truthful and honest about their past and present circumstances, including risk factors and life stressors. Clinical judgment is required as well, and the clinician continually pays attention to detail (Santhanam, 2019). Comprehensive documentation and communication of more information are significant to ensure sufficient monitoring and patient safety. Slide 5 Issue/Concern and recommendation for changes Depression is a subject that most are not comfortable talking about. We must make sure we are doing what we can to screen them appropriately to identify any high-risk patients. People who have encountered domestic violence or abuse are at a significantly greater risk of undergoing a range of mental health conditions, including depression, tension, feelings of suicide. Researches reveal that relentless emotional abuse can be as crucial as physical abuse (Lusk et al., 2011). Over time, both can give to low self-esteem and depression. For example, a patient of mine who present with a fall status post subarachnoid hemorrhage with the look on his face, nobody can tell he was in a toxic relationship, but after talking to him for a couple of days, he opened up and mentioned that he was depressed and did not want to go back home with his wife. The acute emotional effects of abuse and neglect-isolation, fear, and an inability to trust can result in lifelong outcomes. Emotionally and mentally, there is something larger going on; we as the lOMoARcPSD|


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