NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations – Step-by-Step Guide
The first step before starting to write the NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.
How to Research and Prepare for NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility.
Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations
The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.
How to Write the In-text Citations for NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations
In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.
How to Write the Conclusion for NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations
When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.
How to Format the Reference List for NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456
Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.
An Example NURS-FPX4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations Follows:
Assessing the Problem: Quality, Safety, and Cost Considerations
Part 1: Impacts of Mental Health on the quality of care, patient safety, and costs
Like a medical crisis, a mental health crisis can be devastating for people, families, and communities. Although it is impossible to predict an individual crisis, we can organize how we structure our services and our approaches to be most successful in providing to those who experience a mental health crisis (SAMHSA, 2020). Frequently, this experience is made worse with the delay, arrest, and even denial of service, which compromises the person, law enforcement, emergency department, and justice system resources in a manner that creates an undue burden on these people. In the absence of or insufficient crisis care, the costs increase as there is only an option of excessive dependent shorter-period hospital stays that leads to readmissions, over-use of police, and human catastrophes that arise from a lack of access to care.
It should be emphasized that the current emergency service delivery model is fragmented and offers little counseling or help to some individuals who are left untreated or ignored instead of being admitted to the hospital. These individuals often fall back into the cycle of rehospitalizations, the criminal justice system, living homeless, imminent death, and committing suicide (SAMHSA, 2020). A comprehensive and integrated public health system is the front line for preventing outbreaks of public and patient safety, civil rights, extraordinary and unacceptable loss of lives, and waste of resources. Crisis care that saves lives and dollars consistently needs a systems-based approach. This section explores how these crises affect quality of care, patient safety, and costs. Additionally, it proposes strategies to improve these areas and analyzes the impact of state board nursing practice standards and organizational policies.
Quality of Care
Mental crisis response services are an essential part of any mental health services framework. A thoroughly functioning crisis response system can fill the gap between community-based public providers, perform outreach by establishing connections between community-run help and mental health care services, and build better relationships with communities by providing comfort to the affected persons that their health needs are met during mental health crisis (National Alliance on Mental Illness, 2024). Sometimes, immediate and qualified assistance is the most critical need during a crisis. Nevertheless, the lack of mental health professionals, especially in rural areas, may lead to delayed treatment (National Alliance on Mental Illness [NAMI], 2024). Such delay may exacerbate the situation and slow the recovery process. A fragmented healthcare system can be a barrier containing crisis intervention, aftercare treatment, and community-based support services (Maulik et al., 2020). People may fall into the cracks, resulting in lapses in care and, thus, in the compromising of recovery (SAMHSA, 2020). SAMHSA’s research in 2021 indicated that only 47.2% of adults experiencing mental illness had been treated in the preceding year. This clearly underlines the vast disparity between the need for and the availability of quality mental health care.
Moreover, the stigma associated with mental illness is a factor that can lead to a widening of the gap in the quality of care received by individuals in crisis (Naslund & Deng, 2021). Studies have demonstrated that people with mental health crises often face difficulties in searching for the right healthcare services, which results in poor information sharing among providers. This gap in integration may limit the reach of the behavioral health care system that we, nurses, are able to see in action. The crisis individuals go through when they cannot find either a psychiatrist or a therapist who is able to accommodate them is a common situation that most frequently leads to frustration and only worsens the affected person’s condition.
Patient Safety
Mental health crises pose tremendous difficulties for the safety of patients, as during crisis periods, those experiencing the situation may have a high probability of self-harm, committing suicide, or hurting others. Inadequate provision of the right help promptly may increase the possibility of these tragic outcomes (American Foundation for Suicide Prevention [AFSP], 2023). The emergency departments during a crisis often become overcrowded. In this situation, medication errors can happen more often (The Joint Commission, 2023).
Moreover, as Savva et al. (2022), medication errors are most likely to occur in high-pressure situations like emergency departments, where crisis intervention is usually required. Nurses are a vital element of patient care during the crisis period to achieve the safety of the patients. By implementing calmness and a supportive presence, appraising suicide risk, and administering drugs properly, nurses can protect those in crisis.
Costs
Patients in crisis may go to the ED for an acute intervention, leading to more significant healthcare costs. In more complex cases, when the problem worsens, inpatient services or further healthcare expenses may be required (Roennfeldt et al., 2021). As per Bommersbach et al. (2023), people with mental health conditions make up a substantial portion of ED visits or hospital admissions. Mental health crises can also contribute to indirect costs like lost productivity caused by taking days off (de Oliveira et al., 2022). Nurses understand the hospital financial burden that psychiatric emergencies might bring to the system. Promoting the establishment of early interventions and outside hospital care models where they can attend to alternative treatment options are the ways through which nurses can contribute to cost-effective care.
Impact of State Board Nursing Practice Standards and Organizational Policies
The state board’s standards of nursing practice and organizational policies can create quality care, ensure patients’ safety, and reduce mental health crisis costs. State nursing practice standards typically define that the nurses should assess for mental health problems and issue referrals to appropriate clinics. These standards serve as a helpful guide for nurses to recognize patients in crisis and promptly respond to their needs ( National Council of State Boards of Nursing [NCSBN], 2023).
NCSBN has created a comprehensive framework for mental health nursing practice that emphasizes a well-rounded approach, encompassing assessment, intervention, and appropriate referrals for individuals facing psychological challenges. How nurses respond to mental health crises is heavily influenced by organizational guidelines on mental health crisis intervention protocols, the use of technology, and collaboration with other healthcare professionals (ANA, 2023). The American Nurses Association (ANA) has released position statements on telehealth and crisis intervention, emphasizing the importance of following best practices and ethical guidelines.
Strategies to Improve Quality of Care, Enhance Patient Safety, and Reduce Costs
Building upon the challenges discussed earlier, the following strategies have the potential to lower expenses, improve patient safety, and raise the quality of care for adults experiencing mental health crises:
- Enhance the Availability of Crisis Intervention Services:
- Increased financial resources and the development of infrastructure can facilitate the expansion of telehealth services, particularly in the context of crisis intervention. This would enable individuals residing in geographically isolated regions or facing physical limitations to obtain assistance from certified mental health practitioners promptly (McBain et al., 2023).
- The expansion of crisis text lines offers an alternative means of communication for those who are unable to use phones or are reticent to make phone calls.
- Culturally Competent Services: Establishing culturally competent crisis intervention services guarantees that all individuals, irrespective of their ethnicity or heritage, feel at ease when seeking assistance.
- Transitions and Care Coordination Improvements: Standardized Protocols:
- A more coordinated approach can be achieved by implementing standardized protocols for crisis intervention and referrals among various healthcare organizations (National Alliance on Mental Illness [NAMI], 2023).
- The implementation of “warm handoffs,” which involve a crisis hotline staff member establishing a direct connection with a mental health professional at a community center, has the potential to optimize transitions and guarantee that individuals receive suitable subsequent care (SAMHSA, 2023).
- The implementation of peer support programs as part of the continuum of care has the potential to offer sustained assistance and facilitate social integration for individuals who have experienced a crisis (SAMHSA, 2023).
Part 2: Practicum Experience Report
Meeting with Individuals Affected by Mental Health Crises:
During my initial two hours of practicum, I had the chance to connect with individuals and their loved ones who were in the process of recovering from a mental health episode. Using open and emphatic discussions, I was able to understand their experiences in accessing mental health care, maneuvering the healthcare system, as well as how they handle stress in times of crisis.
Learning from Patient Experiences:
Listening to open discussions among patients demonstrated a clear picture of mental health crises’ significance to health care provision, patient care, and expenses. Some people have shared experiences of being overwhelmed and upset with the fact that they could not see a mental health professional promptly, which led to prolonged suffering and, sometimes, further deterioration of their condition. Aside from the affordability of medications and the effects of the medicines, patients shared these issues as common themes during our discussions.
Reviewing Evidence-Based Practice Documents
I studied several evidence-based practice documents and tried to familiarize myself with the contours of crisis intervention, mental health treatment modalities, and healthcare policy. These resources proved tremendously valuable as they provided external guidance to help understand the best possible ways of dealing with a mental health crisis, such as early intervention, thorough assessment, and multi-disciplinary teamwork. Furthermore, beyond these insights, I understood the role of nursing standards and practice as well as policy initiatives as the fundamental drivers and tips for mental health care provision and improving patient outcomes.
Leadership, collaboration, communication, change management, and policy study.
In the course of my direct care to patients and families, I happened to meet with numerous difficulties in managing mental health crises temporarily. Stigma, difficulty in receiving services, and continuous discrepancies in care delivery were among the major issues discovered. Harnessing my leadership, communication, and collaboration skills, my perseverance allowed me to move the barriers and foster a conducive environment that was free of discrimination for open dialogue and shared decision-making.
Barriers Encountered
The initial doubts and fears of some patients and family members about the condition of the patients who suffer from mental health crises were evoked by their worries about the judgment from society and discrimination from other people. Nevertheless, with education, empathy, and evidence-based reasoning, I could talk about accessing timely intervention and seeking appropriate help from these peers.
Effecting Change
The mental health crisis is, therefore, associated with reduced competence of care, patient safety, and costs. It was inducing interesting debates about potential approaches to this issue. Cooperation with the patients, relatives, and community stakeholders I suggested that education on crisis intervention protocols, improving care coordination, and promoting mental health literacy can be changed for the better. Through empowering individuals to become advocates for change, my goal is to contribute to the development of mental health care systems that are more responsive and compassionate.
Conclusion
By improving access to resources, coordinating care more effectively, and integrating technology strategically, we can make significant strides in addressing mental health emergencies. This will result in better quality of care, increased patient safety, and reduced costs. Nurses play a crucial role in advocating for these reforms and ensuring the welfare of individuals experiencing mental health crises. The assessment thoroughly analyzed the issue, suggested evidence-based solutions, and emphasized the impact of nursing practice standards and organizational policies. Through interdisciplinary collaboration and the implementation of these measures, we may establish a more efficient and helpful system to treat mental health crises.
NURS-FPX4900 Assessment 2 References
American Foundation for Suicide Prevention [AFSP]. (2023). AFSP 2023 annual report | Talk away the dark. Annual2023.Afsp.org. Accessed April 9th 2024 from https://annual2023.afsp.org/research-grants
American Nurses Association. (2020). Ethics and human rights. ANA. Accessed April 9th 2024 from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/
Bommersbach, T. J., McKean, A. J., Olfson, M., & Rhee, T. G. (2023). National trends in mental health-related emergency department visits among youth, 2011-2020. JAMA, 329(17), 1469. https://doi.org/10.1001/jama.2023.4809
Cuomo, A., Koukouna, D., Macchiarini, L., & Fagiolini, A. (2020). Patient safety and risk management in mental health. Textbook of Patient Safety and Clinical Risk Management, 287–298. https://doi.org/10.1007/978-3-030-59403-9_20
de Oliveira, C., Saka, M., Bone, L., & Jacobs, R. (2022). The role of mental health on workplace productivity: A critical review of the literature. Applied Health Economics and Health Policy, 21(2). https://doi.org/10.1007/s40258-022-00761-w
Maulik, P. K., Thornicroft, G., & Saxena, S. (2020). Roadmap to strengthen global mental health systems to tackle the impact of the COVID-19 pandemic. International Journal of Mental Health Systems, 14(57). https://doi.org/10.1186/s13033-020-00393-4
McBain, R. K., Schuler, M. S., Qureshi, N., Matthews, S., Kofner, A., Breslau, J., & Cantor, J. H. (2023). Expansion of telehealth availability for mental health care after state-level policy changes from 2019 to 2022. JAMA Network Open, 6(6), e2318045–e2318045. https://doi.org/10.1001/jamanetworkopen.2023.18045
Naslund, J. A., & Deng, D. (2021). Addressing mental health stigma in low-income and middle-income countries: A new frontier for digital mental health. Ethics, Medicine and Public Health, 19, 100719. https://doi.org/10.1016/j.jemep.2021.100719
National Alliance on Mental Illness. (2024). Getting Treatment During a Crisis | NAMI: National Alliance on Mental Illness. Www.nami.org. Accessed April 9th 2024 from https://www.nami.org/About-Mental-Illness/Treatment/Getting-Treatment-During-a-Crisis
NCSBN. (2023). Nursing Regulation. NCSBN. https://www.ncsbn.org/boards.page
Roennfeldt, H., Wyder, M., Byrne, L., Hill, N., Randall, R., & Hamilton, B. (2021). Subjective experiences of mental health crisis care in emergency departments: A narrative review of the qualitative literature. International Journal of Environmental Research and Public Health, 18(18), 9650. https://doi.org/10.3390/ijerph18189650
SAMHSA. (2020). National guidelines for behavioral health crisis care -A best practice toolkit knowledge informing transformation national guidelines for behavioral health crisis care best practice toolkit national guidelines for behavioral health crisis care -A best practice toolkit knowledge informing transformation. Accessed April 9th 2024 from https://www.samhsa.gov/sites/default/files/national-guidelines-for-behavioral-health-crisis-care-02242020.pdf
Savva, G., Papastavrou, E., Charalambous, A., Vryonides, S., & Merkouris, A. (2022). Exploring nurses’ perceptions of medication error risk factors: Findings from a sequential qualitative study. Global Qualitative Nursing Research, 9. https://doi.org/10.1177/23333936221094857
The Joint Commission. (2023). Emergency department boarding’s impact on patient care and clinician well-being | the joint commission. Www.jointcommission.org. Accessed April 9th 2024 from https://www.jointcommission.org/resources/news-and-multimedia/news/2023/11/ed-boarding-impact-on-patient-care-and-clinician-well-being/
How is your progress so far with this capstone class of NURS-FPX4900? Are you finding our guidelines useful? With assessment 2 complete, start looking ahead for NURS-FPX4900 Assessment 3 Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations.
Frequently Asked Questions (FAQs)
When approaching a 500-word essay, it’s essential to understand the nuances of this compact form of writing. These frequently asked questions will guide you through the process of crafting a concise and impactful essay.
How many pages is a 500-word essay typically?
A 500-word essay usually spans about one page if single-spaced or two pages when double-spaced, with standard margins and a 12-point font size.
Can you provide examples of a well-structured 500-word essay?
Certainly, to see the structure and flow of a well-written essay, you might want to take a look at a student’s writing guide that provides insights and examples.
Are there specific formatting guidelines for a 500-word essay?
Formatting guidelines typically involve using a legible font like Times New Roman or Arial, size 12, with double-spacing and one-inch margins on all sides. Check any specific requirements your instructor might have provided.
What are some effective strategies for writing a personal essay of 500 words?
For a personal essay, focus on a singular event or characteristic, ensuring your ideas are clear and you reflect on the significance of the subject matter. Use concise language and powerful imagery to maximize impact.
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Choose topics you can thoroughly address within the word limit, such as a personal anecdote, a critical analysis of a poem, or a focused argument on a singular point or issue.
How much time should you allocate to write a 500-word essay effectively?
Depending on your familiarity with the topic and writing proficiency, allocate anywhere from one to several hours for planning, drafting, and revising to ensure a well-presented essay.
