Assignment: NURSFPX 4900 Assessment Problem Identification Template

I need the attached file “Problem Identification Template” completed with Opioid Addiction as the topic.

Please refer to the 2nd file attached called “Assessment 1-3 COPY” for reference to complete this template.

The template entitled ” Problem Identification Template” needs to be in association with the attached file. They should flow together as they are part of a large project.

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Below is the competency points that need to be adhered to for a satisfactory answer.

• Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
  • Define a patient, family, or population health problem that is relevant to personal practice.
• Competency 2: Make clinical and operational decisions based upon the best available evidence.
  • Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem.
• Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
  • Propose strategies to improve patient or population outcomes related to a health problem.
• Competency 8: Integrate professional standards and values into practice.
  • Reflect on state board nursing practice standards relevant to a selected health problem.
  • Communicate professionally with clear, logically organized writing, using correct grammar, spelling, and APA style.

The following is a guide to organize your assignment. Please be sure to remove the guiding questions and comments for each section. You are expected to write in a professional and academically appropriate manner throughout. Make sure you are using proper APA style and citations throughout.

Define a patient, family, or population health problem, and realistic goals, that are relevant to personal practice.

• Introduce a general summary of the health problem that you will be exploring.
• Provide a brief context for the patient, family, or population struggling with this health problem.
• Propose one or more goals that you deem appropriate and relevant to the health problem.
• Briefly state why this health problem is relevant to your personal practice.

Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem.

• Compare and contrast the authors you will be citing, discussing pros and cons of the evidence you are reading about.
• Note whether the authors provide supporting evidence from the literature that is consistent with what you see in your nursing practice.
• Assess the quality of the data presented in the articles you are reading.
• Discuss how you would know if the data were unreliable.
• Include what the literature says about barriers to evidence-based practice.
• Describe research studies that present opposing views regarding this health problem.
• Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum.

Propose potential strategies to improve patient or population outcomes related to a health problem.

• Cite any known authors who have recommended leadership strategies for nurses to use when providing care to this patient population.
• Discuss research on the effectiveness of these strategies in improving patient or population outcomes regarding this health problem.
• Describe what the literature says about patient-centered care, empowering patients to make health care decisions, involving families in patient care, incorporating patient preferences to improve outcomes, prevent illness, and lower readmissions to hospitals.
• Discuss ways your role as a nurse leader will help improve patient outcomes as described in the literature.

Reflect on state board nursing practice standards relevant to a project related to a health problem.

• Discuss how your state’s nurse practice act will guide your actions in terms of this health problem for this patient or population.
• Identify the most surprising thing that you found while reading your state’s nurse practice act.
• Describe the effects of local, state, and federal laws on your nursing scope of practice and care for this patient or population.
• Explain how nursing ethics will inform your intervention in this clinical practicum.

Remember to compile your APA-formatted reference list.

The adverse effects of opioids have adverse effects on families, individuals, and American society as a whole. The opioid epidemic is a major problem to the health care system hence the need to address this problem. It leads to poor quality of life and the high cost of medication.

Research indicates that the majority of individuals who develop an addiction to opioids are people who, at some point, received the prescription as pain medication (Addiction Center, 2018). In line with the phrase ‘prevention is better than cure,’ the proposed intervention is to increase access to prevention service to people at risk of the opioid epidemic.

Implementation of the proposed plan can help prevent adverse social, health and economic effects associated with opioid abuse, misuse, and addition. Early intervention to people at risk, education to create awareness to people at risk and the public, digital and social media campaigns, community and school-based programs. Patients prescribed opioids as pain relievers and adolescents will be the main target for intervention services.

Collaboration between various agencies such as national health institute, FDA, and NIDA with private sectors are necessary for developing alternative pain relievers and analgesics and analgesics that cannot be abused easily (US Department of Health and Human Services, n. d). Collaboration with state agencies is essential in improving technologies that can detect trafficking and import of illegal opioids.

The interprofessional collaborators will comprise the local caregivers including both clinicians/nurses and behavioural therapists (psychiatrists, social workers, pharmacists, department of justice, training institutions, faith-based organizations, local authority, and community-based organizations

The proposal will be submitted to the health staff and collaborators to give their feedback on making the project better. The refined proposal will be submitted by the nurse manager to the facility board members for approval. If approved, the plan will be implemented in the community and hospital with the help of my mentor and the nurse manager as the project managers as well as the support of collaborators.

Technolicical Analysis

Digital and social media technology can be used in the proposed intervention to improve access to prevention services. Chassiakos et al (2016) found a high rate of internet usage among adolescents and young adults than any other demographic groups. Therefore, digital and social media is relevant in disseminating health information about opioid prevention services to our target population.

Riley et al (2011 ) observed that digital health interventions such as eHealth and mHealth are crucial tools in amplifying the public health messages and promoting behavior change to promote healthy living. A study by Årsand et al (2012) found that health services through social media, automated phone, and SMS services (to people with previous opioid prescriptions) prevented potential opioid addiction and misuse.

Overall, these studies indicate that digital and social media technologies are crucial tools in amplifying public health messages and manage health conditions. Hence, literature offers supportive evidence on the use of digital and social media tools in nursing practice. These are evident in the use of eHealth and mHealth in managing diabetes and cardiovascular disorders.

However, given that 23% of Americans do not use a smartphone can hinder the use of digital and social media tools in the prevention of opioid addiction, overdose, and misuse. Instead, combining it with an automatic phone and SMS technology could be most appropriate. Lack of reliability, privacy and confidentiality issues, information overload, and dissemination of false information are other factors that deter the use of digital and social media platforms to disseminate information on opioid prevention services.

However, Murray et al (2011) and Mair et al (2012) argued that digital health interventions are complex and cumbersome to implement due to factors like interoperability, unfit to the current system, high cost, disrupting face-to-face interaction between patients and health professionals.

Governmental & Organizational Policies

Health care policies support projects aimed at preventing, treatment, and recovery of those affected by opioids. Both state and Federal governments have enacted policies to curb increased deaths fro opioids overdose. This includes the collection and dissemination of information on opioids abuse and addiction. These policies seek to promote public education and awareness campaigns- this is consistent with the proposed plan.

It also covers community and school-based methods of preventing opioid addiction and misuse (Taft, & Nanna, 2008). Other areas of covered include reducing access and availability of opioids, investing in research to develop less abusive analgesics and alternative pain relievers. Therefore, the design and implementation of the proposed plan are consistent with state and federal policies.

RNs are increasingly influencing health care policies, making to improve patient outcomes and prevention of diseases. With the evolving role of nurses in health care, nurse managers have taken up the role previously reserved for physicians. As a unit manager, nurse managers are tasked with ensuring the safety of patients. The managers should encourage a nurse to engage in research and policy initiatives and changes to improve quality of care.

As a nurse manager, I will seek to propose prevention intervention for opioids through the local government commissions and county health department board. This will be accomplished after the trials at the community and my current facility. The proposed intervention, which based on EBP can then be rolled out to communities and health facilities in the state to help prevent opioid misuse and addiction.

Communicating and Collaborating to Improve Health Outcomes

Interprofessional teams communication and collaboration strategies will be fostered through training of doctors, nurses, and other participants together on opioid prevention services. It can be enriched by retraining these participants on how they can work together as a team to prevent, treat, and help in the recovery of patients from opioid disorders.

The other strategies include the use of interdisciplinary rounds consisting of various professionals in health care. Team huddles method can be used to outline the work that is ahead by clarifying issues to be tackled. Effective communication aided by digital and social media and digital platforms will be used to improve interprofessional communication and collaboration.

Communication strategies between patients and health professionals will involve the digital and social media tools targeted youths- the groups at high risk of opioid addiction and misuse. The second strategy is automatic phone and SMS messaging to the potential opioid addicts and abusers.  For one-on-one communication, there is a need to create a rapport with patients and people risk to give them insight regarding the negative effects of opioid addictions.

In my clinical practicum environment, a nurse manager, mentor, nurses, patients, physicians, and administrative staff are critical in implementing the proposed plan. Accordingly, I get unwavering support from my mentor and nurse manager to ensure the project succeeds. I also plan to interact with patients on opioid prescriptions and disorders to gain their opinions on how they react to the proposed plan.

Surprisingly, I realized that initially, facility management was unwilling to support education and behavior change in opioid addicts, but rather prefer the use of medications such as naloxone (Narran) as opposed to prevention interventions.

There are benefits of getting input from participants. First, patient input helps to understand their feelings and possible reaction to the intervention. Secondly, input from nurses and doctors will improve the proposed intervention to generate better patient outcomes.

Reference

Årsand, E., Frøisland, D. H., Skrøvseth, S. O., Chomutare, T., Tatara, N., Hartvigsen, G., & Tufano, J. T. (2012). Mobile health applications to assist patients with diabetes: lessons learned and design implications. Journal of diabetes science and technology, 6(5), 1197-1206.

Chassiakos, Y. L. R., Radesky, J., Christakis, D., Moreno, M. A., & Cross, C. (2016). Children and adolescents and digital media. Pediatrics, 138(5), e20162593. https://pubmed.ncbi.nlm.nih.gov/27940795/

Mair FS, May C, O’Donnell C, Finch T, Sullivan F, Murray E. Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review. Bull World Health Organ. 2012;90(5):357–64

Murray E, Burns J, May C, Finch T, O’Donnell C, Wallace P, et al. Why is it difficult to implement e-health initiatives? A qualitative study. Implement Sci. 2011;6(1):6.

Riley, W. T., Rivera, D. E., Atienza, A. A., Nilsen, W., Allison, S. M., & Mermelstein, R. (2011). Health behavior models in the age of mobile interventions: are our theories up to the task?. Translational behavioral medicine, 1(1), 53-71. NURSFPX 4900 ASSESSMENT Problem Identification Template

Taft, S. H., & Nanna, K. M. (2008). What are the sources of health policy that influence nursing practice?. Policy, Politics, & Nursing Practice, 9(4), 274-287.

US Department of Health and Human Services. (n. d) Straegy to Combat Opioid Abuse, Misuse, and Overdose. A framework Based on the Five Point Strategy. Retrieved from https://www.hhs.gov/opioids/sites/default/files/2018-09/opioid-fivepoint-strategy-20180917-508compliant.pdf

ORDER A CUSTOMIZED, PLAGIARISM-FREE Assignment: NURSFPX 4900 Assessment Problem Identification Template HERE

Define a patient, family, or population health problem, and realistic goals, that are relevant to personal practice.