In Week 6, create a PowerPoint presentation related to a common condition in primary care.

In Week 6, create a PowerPoint presentation related to a common condition in primary care.

In Week 6, create a PowerPoint presentation related to a common condition in primary care.

NR 508 Grand Rounds: Week 6 Presentation and Week 7 Peers Discussion

Breast Cancer Screening

Patient safety and improved outcomes entail the major focus of nursing. Therefore, a MSN student or MSN prepared nurse should be able to engage in quality improvement projects and translate the existing evidence into practice to enhance better patient outcomes. As such the purpose of this presentation is to explore a practice problem of interest to nurse practitioners. As such, this presentation will address concepts such as evidence-based projects, conceptual model, area of interest, concern and recommendation for change, factors influencing change and NONPF competencies.

Evidence-Based Projects

Even though evidence-based practice has been around for a long time, its use became more prominent in the year 2010 after the passing of the Affordable Care Act. Since then, evidence-based practice has widely been applied in various fields, nursing included. In nursing, it has mainly been applied to enhance patient outcomes and reduce costs (Melnyk & Fineout-Overhold, 2022). The implication is that the healthcare professionals should be EBP oriented, as such it is important for  MSN nurses to engage in EBP projects related to nursing practice and profession. One of the reasons is to improve patient outcomes. Applying EBP in patient care ensures that the patients are offered care following the most current guidelines hence improving outcomes. The other reasons including improving institutional outcomes, and to help reduce health care costs. It also helps in enhancing practice for future nurses and to advance nursing science.

Additional detail about the importance of MSN nurses engaging in evidence based projects

Include support from one outside scholarly source here in the speaker notes

Conceptual Model (PDSA)

Conceptual models are important as they are used as frameworks for developing and implementing an evidence-based model. One of the applicable models is the PDSA model. PDSA is an abbreviation for Plan-DO-Study-Act. This model has been applied in various fields. It can be used to develop evidence based project. In the plan phase, one identifies a change aimed at improvement (Braithewaite, 2022). In addition, the do stage entails testing the change while the study stage examines how successful the change is. The act phase involves identification of the adaptation as the next steps to inform the new cycle.

Area of Interest

The area of interest is high prevalence rates of breast cancer among African Americans due to low rates of screening. The low rates of screening are largely due to insufficient knowledge about the diseases such as screening among the African Americans. The rationale for choosing this area of interest is that nursing interventions such as educational workshops and culturally tailored education can be used among this population to improve awareness hence reducing the prevalence. Therefore, through such efforts, mortality rates can effectively be lowered. This area is important to future nursing practice as more nursing interventions can be used to help lower the cases of breast cancer and mortality rates. According to Rana et al. (2021), cancer is among the top three causes of death in USA. There is a huge disparity among populations in terms of cancer outcomes. Breast cancer, a type of cancer causes higher mortality rates among African American women. In deed, African American women have higher chances of dying (432%) from breast cancer in comparison to white women (Foy et al.2019). The disparity is caused by poor economic status and low rates of early screening among African American women.

As earlier indicated, the identified area of interest is high mortality rates resulting from breast cancer among African American women. Even though the prevalence rates of breast cancer among African American women and their white counterparts are comparable, the African Americans have poorer outcomes such as enhanced mortality rates. One of the major causes is lack of sufficient timely screening as most of the African Americans get diagnosed when the cancer is at advanced stage hence leading to minimal chances of survival (Foy et al.,2018). The implication is that there is a need to improve such outcomes by improving rates of breast cancer screen. Therefore, the recommended change is introduction of culturally tailored breast cancer education among African Americans to increase the frequency of breast cancer screening and go for a timeous screening for an earlier identification of breast cancer. This will ensure that treatments are timeously triggered for better outcomes. According to a recent study done by Brevik et al.(2020), culturally tailored education leads to increased rates of mammography attendance by 18%

Speaker notes should provide evidence support from the literature to show the recommended change is grounded in research and considered best practice

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Provide support from at least 1 scholarly source

Change implementation is key in improving patient outcomes. For instance, introducing culturally tailored education in the organization to help improve the rates of breast cancer screening can go a long way into lowering the breast cancer associated mortality rates. However, various internal and external factors have the potential of influencing the ability to implement the recommended change. One of them is a possible change resistance. Resistance from the staff can hinder the implementation process. The other internal factor is the support or lack of support by the organizational leaders. Organizational support can enhance implementation while lack of it hinders the process. External factors that can potentially influence the ability to implement the recommended change include unwillingness by the patients to participate in the project which may make the implementation process to fail. The other external factor is the legislative initiatives which focus on reducing health disparities. These initiatives support programs focusing in eliminating disparities, hence it will boost the chances of successful implementation. According to a recently published literature, these factors have a great effect or impact on the implementation of EBP (Pitsillidou et al.,2021).

Issue/Concern and Recommendation for Change

As earlier indicated, the identified area of interest is high mortality rates resulting from breast cancer among African American women. Even though the prevalence rates of breast cancer among African American women and their white counterparts are comparable, the African Americans have poorer outcomes such as enhanced mortality rates. One of the major causes is lack of sufficient timely screening as most of the African Americans get diagnosed when the cancer is at advanced stage hence leading to minimal chances of survival (Foy et al.,2018). The implication is that there is a need to improve such outcomes by improving rates of breast cancer screen. Therefore, the recommended change is introduction of culturally tailored breast cancer education among African Americans to increase the frequency of breast cancer screening and go for a timeous screening for an earlier identification of breast cancer. This will ensure that treatments are timeously triggered for better outcomes. According to a recent study done by Brevik et al.(2020), culturally tailored education leads to increased rates of mammography attendance by 18%

Speaker notes should provide evidence support from the literature to show the recommended change is grounded in research and considered best practice

Provide support from at least 1 scholarly source.

Factors Influencing Change

Change implementation is key in improving patient outcomes. For instance, introducing culturally tailored education in the organization to help improve the rates of breast cancer screening can go a long way into lowering the breast cancer associated mortality rates. However, various internal and external factors have the potential of influencing the ability to implement the recommended change. One of them is a possible change resistance. Resistance from the staff can hinder the implementation process. The other internal factor is the support or lack of support by the organizational leaders. Organizational support can enhance implementation while lack of it hinders the process. External factors that can potentially influence the ability to implement the recommended change include unwillingness by the patients to participate in the project which may make the implementation process to fail. The other external factor is the legislative initiatives which focus on reducing health disparities. These initiatives support programs focusing in eliminating disparities, hence it will boost the chances of successful implementation. According to a recently published literature, these factors have a great effect or impact on the implementation of EBP (Pitsillidou et al.,2021).

National Organization of Nurse Practitioner
Faculties (NONPF) – Competencies

The National Organization of Nurse Practitioner Faculties (NONPF) – Competencies is composed of a total of nine core competencies that nurse practitioners use as guidelines to ensure that the nurse practitioners acquire the relevant skills in the field of nursing. The core competencies include scientific foundation, leadership, quality, practice inquiry, technology and information literacy, policy, health delivery system, ethics and independent practice (Kristofersson, 2022). While all these competencies are important, the two which are mostly relevant to an EBP related to the area of interest include the scientific foundation and leadership competencies. Scientific foundation is related to the area of interest in that through scientific foundations, it is possible to analyze and used data to assess, enhance and improve healthcare delivery in terms of improving breast cancer screening rates among African American women. Leadership competency is relevant in that leadership qualities are required in leading change projects such as the one proposed in here.

Conclusion

As earlier indicated, breast cancer causes significantly higher mortality rates among African American women making it one of the leading causes of death, therefore highly significant to the patients. The implication is that there is a need to ensure that these rates go lower. Therefore, the proposed project will focus on using an evidence-based culturally tailored education to increase breast cancer knowledge among this group to improve rates of screening and general knowledge regarding the condition.

In Week 6, create a PowerPoint presentation related to a common condition in primary care. References

uBraithwaite, J. (2022). Plan, Do, Study, Act (PDSA). In Implementation Science (pp. 83-84). Routledge.

uFoy, K. C., Fisher, J. L., Lustberg, M. B., Gray, D. M., DeGraffinreid, C. R., & Paskett, E. D. (2018). Disparities in breast cancer tumor characteristics, treatment, time to treatment, and survival probability among African American and white women. NPJ Breast Cancer, 4(1), 1-6. https://doi.org/10.1038/s41523-018-0059-5.

uKristofersson, G. K., Higgins, A., & Kilkku, N. (2022). Role and Competencies of Advanced Practice Mental Health Nurses. In Advanced Practice in Mental Health Nursing (pp. 19-42). Springer, Cham.

uPitsillidou, M., Roupa, Z., Farmakas, A., & Noula, M. (2021). Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing. Acta Informatica Medica, 29(4), 281. https://doi.org/10.5455%2Faim.2021.29.281-287

uMelnyk, B. M., & Fineout-Overhold, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.

uRana, J. S., Khan, S. S., Lloyd-Jones, D. M., & Sidney, S. (2021). Changes in mortality in top 10 causes of death from 2011 to 2018. Journal of General Internal Medicine, 36(8), 2517-2518. https://doi.org/10.1007/s11606-020-06070-z

In Week 6, create a PowerPoint presentation related to a common condition in primary care. Your professor will assign you the condition that you are to present.
In a PowerPoint presentation of 15 slides or less, describe the most commonly prescribed drugs for your assigned condition. Provide evidence by sharing clinical guidelines, research articles, or other scholarly materials to support your findings. You will identify barriers to practice or additional issues related to the condition and the use of pharmacologic treatment, including potential issues related to cultural diversity and healthcare literacy.

Read the following article and incorporate evidence from it as a part of your presentation: Dreischulte, T., & Guthrie, B. (2012). High-risk prescribing and monitoring in primary care: how common is it, and how can it be improved?. Therapeutic advances in drug safety , 3 (4), 175-184. The article can be found at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110851/

Finally, you will describe the expected outcomes for medication management, including expectations for follow up care. Citations should … provided at the bottom of slides, and a full reference list should … included in APA format on the final slide. You will create five (5) multiple choice or true-false questions created from your presentation content. Provide the answers to the questions you have created. The PowerPoint presentation and questions are due at the e

Poor eating habits may be a factor in the symptoms of insomnia. Caffeine has been demonstrated to interfere with sleep when consumed late in the day. This causes a domino effect of increased caffeine consumption the following day, solidifying the addiction. Siblings, children, and other family members may shed light on whether the patient’s insomnia is caused by genetics or environmental factors. I might ask family members if anyone else is having this problem. This will allow you to learn if someone in your immediate family suffers from a sleep disorder (Oliveira et al., 2019). The survey also asks if sleep disorders like snoring, insomnia, and excessive daytime sleepiness are common in the family. The patient is initially taking antidepressants, which could cause insomnia. The patient is also taking metformin, a medication used to treat diabetes that has a side effect of drowsiness. Another undesirable side effect of taking losartan is insomnia (Krystal et al., 2019). The patient is having trouble sleeping, which is almost certainly a side effect of their medication.

References

Krystal, A. D., Prather, A. A., & Ashbrook, L. H. (2019). The assessment and management of insomnia: an update. World Psychiatry, 18(3), 337-352.

Oliveira, P., Coroa, M., & Madeira, N. (2019). Treatment options for insomnia in schizophrenia: a systematic review. Pharmacopsychiatry, 52(04), 165-169. DOI: 10.1055/a-0658-1645