The Nurse Leader as Knowledge WorkerHWalden Univer.docx

The Nurse Leader as Knowledge Worker
H
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of
a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter
Drucker. Ducker defined knowledge workers as high-level
workers who apply theoretical and analytical knowledge,
acquired through formal training, to develop products and
services (CFI, 2019). He emphasized that due to the high level
of productivity and creativity of knowledge worker, that they
would be the most valuable assets in the 21st century
organization. Professionals that can be referred to as knowledge
worker includes engineers, pharmacists, architects, financial
analysts, public accountants, physicians, scientists, design
thinkers, and lawyers. Furthermore, knowledge workers have a
high degree of expertise, experience, education and the primary
purpose of their jobs involve the distribution, creation and
application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker

Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the
nursing field and the role of the nurse in the healthcare setting.
There has been several interpretation of nursing informatics.
The American Nurses Association (ANA), identified nursing
informatics as a specialty that integrates nursing, science,
computer science, and information science to manage and
communicate data, information, and knowledge in nursing
practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to
achieve a common goal, for instance enhanced patient care or
satisfaction. All nurses are called to nurse leadership, however
there are different levels of nurse leadership. Nurse leaders are
expected to help the organization to fulfill the organization’s
mission, vision, values, and strategies to achieve long-range
plans. Nurse leaders part take in policy setting, overseeing
quality measures are carried out, accountability for overall
quality of patient care delivery, staff satisfaction and
organizational outcomes. For a nurse leader as a knowledge
worker to be productive in an organization, the nurse leader
must understand that knowledge work requires continuous
learning on the part of the knowledge worker, but equally
continuous teaching on the part of the knowledge worker.
Having said that, a knowledge worker nurse leader will depend

hugely on evidenced based practice to be productive in a
healthcare organization. The use of EBP by knowledge worker
nurse leader will require learning and teaching. Most
healthcare organizations or hospitals rely on evidenced based
practice to improve patient care, increase job satisfaction,
decrease cost etc. Utilization of EBP can increase job
satisfaction thereby decreasing turnover, foster organizational
cohesion, improve patient outcomes, and decrease hospital costs
(Kim et al., 2016).
5
Definition of a nurse leader
Nurse Leader as a knowledge worker
Organizational outcomes and productivity of a healthcare
organization
The use of Evidenced Based Practice (EBP) by knowledge
worker
What is an evidenced based practice and how can EBP help
improve the role of nurse leader as a knowledge worker.
Stevens (2013) defined EBP as the “integration of best research
evidence with clinical expertise and patient values” (p.2).
Evidence-based practice (EBP) was also defined by Melnyk and
Fineout-Overholt (2018) as a life-long problem-solving

approach, that is characterized by using the external evidence
from the most relevant research, the internal evidence from
clinical expertise, and patients’ preferences and values. The
intention of EBP is to utilize science and research evidence to
standardize healthcare practices to create optimal and
predictable health outcomes (Stevens, 2013). Nursing decisions
using Evidence Based Practice (EBP) is achieved through the
best research available, combined with knowledge,
collaboration and clinical guidelines (Farokhzadian, Khajouei
and Ahmadian, 2015).
Flowing from the scenario used in my discussion about the 85
years old female that was admitted into the unit with little or no
medical information. The nurse was able to determine that this
patient was admitted into the same hospital last month by
searching the Electronic Health Record (EHR) using the patient
name and birth date. The nurse pulled the record of the last visit
and was able to determine that patient tested positive for
methicillin resistant staphylococcus aureus (MRSA) of the nares
and also a Do Not Resuscitate (DNR). EHR is an evidenced
based assessment tool which has been translated into practice,
nurse managers and their staff are uniquely positioned to lead or
join the effort to make a difference with nursing documentation
and HER design.
6
Inforgraph

References
8
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There are several personality inventories. Some examples are
the Predictive Index, Myers-Briggs, and the Kiersey
Termperament Sorter. (Note: this is not a comprehensive list.)
Understanding the value of these measures for screening and
assessment in hiring decisions is of the upmost importance. For
this assignment, you will analyze two personality inventories
used in human resources and industrial/organizational
psychology. The analysis will include: title, author and
publisher, theoretical foundation of the test; a description of
each test content, purpose, structure, administration, and
scoring guidelines; an evaluation of the reliability and validity
of each test; a critique of the strengths and weaknesses of using
each test in an applied setting; and an analysis of the
multicultural application of each test. Frame your answer from a
theoretical perspective. Lastly, determine the impact personality
assessment has for the individual and group to improve

organizational performance.
General Requirements:
Use the following information to ensure successful completion
of the assignment:
· This assignment uses a rubric. Please review the rubric prior
to beginning the assignment to become familiar with the
expectations for successful completion.
· Doctoral learners are required to use APA style for their
writing assignments. The APA Style Guide is located in the
Student Success Center.
· You are required to submit this assignment to LopesWrite.
Refer to the directions in the Student Success Center.
Directions:
Write an essay (1,750-2,000 words) in which you will analyze
two personality inventories. Be sure to address the following:
1. Critically evaluate two personality inventories.
2. Develop an empirical examination theoretical foundation for
each inventory.
3. Assess each personality inventory for reliability and validity.
4. Evaluate the applied use as well as multicultural use of each
inventory.
5. Evaluate the impact personality assessment has for the
individual and group to improve organizational performance.
the Predictive Index, Myers
-
Briggs, and the Kiersey Termperament Sorter.
(Note: this is not a comprehensive list.)
assessment in hiring decisions is of
the upmost importance. For this assignment, you will analyze
two personality inventories used in
human resources and

industrial/organizational psychology. The analysis will include:
title, author
and publisher, theoretical foundation of the test; a description
of each test content, purpose,
structure, administration, and scoring guidelines; an evaluation
of the reliabili
ty and validity of
each test; a critique of the strengths and weaknesses of using
each test in an applied setting; and
an analysis of the multicultural application of each test. Frame
your answer from a theoretical
perspective. Lastly, determine the impact
personality assessment has for the individual and group
to improve organizational performance.
of the assignment:
·
This assignment uses a rubric. Please review the rubric prior to
beginning the assignment
to become familiar with the expectations for succ
essful completion.
·
Doctoral learners are required to use APA style for their writing
assignments. The APA
Style Guide is located in the Student Success Center.
·

You are required to submit this assignment to LopesWrite.
Refer to the directions in the
Student
Success Center.
Directions:
Write an essay (1,750
-
2,000 words) in which you will analyze two personality
inventories. Be
sure to address the following:
1.
Critically evaluate two personality inventories.
2.
Develop an empirical examination theoretical foundatio
n for each inventory.
3.
Assess each personality inventory for reliability and validity.
4.
Evaluate the applied use as well as multicultural use of each
inventory.
5.
Evaluate the impact personality assessment has for the
individual and group to improve

organizati
onal performance.
the Predictive Index, Myers-
Briggs, and the Kiersey Termperament Sorter. (Note: this is not
a comprehensive list.)
assessment in hiring decisions is of
the upmost importance. For this assignment, you will analyze
two personality inventories used in
human resources and industrial/organizational psychology. The
analysis will include: title, author
and publisher, theoretical foundation of the test; a description
of each test content, purpose,
structure, administration, and scoring guidelines; an evaluation
of the reliability and validity of
each test; a critique of the strengths and weaknesses of using
each test in an applied setting; and
an analysis of the multicultural application of each test. Frame
your answer from a theoretical
perspective. Lastly, determine the impact personality
assessment has for the individual and group
to improve organizational performance.
of the assignment:
to beginning the assignment
to become familiar with the expectations for successful
completion.
e required to use APA style for their
writing assignments. The APA
Style Guide is located in the Student Success Center.

Refer to the directions in the
Student Success Center.
Directions:
Write an essay (1,750-2,000 words) in which you will analyze
two personality inventories. Be
sure to address the following:
1. Critically evaluate two personality inventories.
2. Develop an empirical examination theoretical foundation for
each inventory.
3. Assess each personality inventory for reliability and validity.
4. Evaluate the applied use as well as multicultural use of each
inventory.
5. Evaluate the impact personality assessment has for the
individual and group to improve
organizational performance.
mywaldenu.edu
[email protected]
Password [email protected]
Nurs6052n Module1 (WK1) Remember to check for plagiarism.
RE: Discussion - Week 1
Top of Form
Response to Kodi about half a page, with two references
Healthcare websites are an abundance and at the palm of our
hands. We access them from computers, tablets and phones.
While many websites are resourceful and have a wealth of
information not all are good. A few things to keep in mind when
looking at websites include the ending i.e., .org, .edu and .gov.
We also need to look at the information and who puts the

information on these websites. One website and organization
that we may have all heard of is the Mayo Clinic. The Mayo
Clinic is plethora of resources, knowledge and evidence-based
practices (EBP) with patient care at its focus.
The Mayo Clinic embodies evidence-based and
knowledge. To inspire hope and contribute to health and well-
being by providing the best care to every patient through
integrated clinical practice, education and research (Mayo
Clinic, n.d.). This is the mission statement for the Mayo Clinic.
Its primary value is the needs of the patient. The values include
respect, integrity, compassion, healing, teamwork, innovation,
excellence and stewardship. These values are shared by many
organizations like this. Research supports that EBP improves
healthcare quality and safety, patient outcomes, and healthcare
costs as well as empowers clinicians, leading to higher job
satisfaction (Melnyk & Fineout-Overholt, 2018). EBP is
embedded throughout the website. For instance, if a patient
wanted to research a disease or medication the can search for it
and the most current and up-to-date information is readily
available.
The website offers many resources on the home screen
and has an area to do specific searches about anything. When
you search EBP within the website over 656 areas of
information are available to look at. Another well known
organization is the Institute of Medicine (ION). A subsequent
IOM report (2003) called for all health professionals to be
better prepared to keep patients safe, focusing on five core
competencies for health professions education: patient-centered
care, interprofessional collaboration, evidence-based practice,
quality improvement, and informatics (Boller, 2017). Much like
the IOM the Mayo Clinic is embedded in EBP. The article goes
on to mention how utilizing EBP, research and education
provided a better outcome for patients.

The Mayo Clinic was not new to me as I have used it in
the past for school and resources. After thoroughly looking
through the website it is eye opening to say the least how
purposeful and the focus of EBP to provide better outcomes.
This is accomplished through patient focus at its center. So, it is
safe to say EBP is at the foundation of this organization as they
are patient focused and use EBP to continue to provide care,
research, education and cutting-edge medicine that many others
within the healthcare industry use and adhere too.
Resources
Boller, J. (2017). Nurse educators: Leading health care to the
quadruple aim sweet spot. Journal
of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-
20171120-01
Mayo Clinic. (n.d.). Retrieved
from https://www.mayoclinic.org/
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based
practice in nursing & healthcare:
a guide to best practice (4th ed.). Philadelphia, PA: Wolters
Kluwer.
Bottom of Form
Hi Heidi, indeed mental health is an area that requires
consistent and correct analysis of the patients’ data. Mental

issues affect millions of people in the world and medical
practitioners have taken advantage of the data-driven
technologies available today to help administer the correct
therapies to their patients (Limb,2012).I like how you have
clearly demonstrated how access to data in mental health can be
used in various tasks.To expound on your post, every mentally
ill person creates a hypothesis for a particular condition. Thus,
doctors can use such data to create a picture of how to treat
them or which treatment option is best suited for a specific
situation just like you have stated, the history of a patient in
mental health is very crucial during the treatment process. To
determine the progress of the patients, the health care providers
need up to date data, records on weather their health has
improved based on specific measuring parameters (Rosenfeld et
al.,2019).
Mental disorders usually are unique compared to other forms of
illnesses and therefore they require specific diagnostic models.
The different interventions to several mental sicknesses out
there significantly rely upon the amount and type of data
available to the therapists. Luckily, Contemporary society has
been saved by technology in that computerized systems.
References
Rosenfeld, A., Benrimoh, D., Armstrong, C., Mirchi, N.,
Langlois-Therien, T.,& Rollins, C et al. (2019). Big Data
Analytics an Al in Mental Healthcare. Retrieved 28 November
2019, from https:// arxv.org/abs/1903.12071
Limb, M. (2012). Digital technologies offer new ways to tackle
mental health problems. BMJ, 345(jul30 1), e5163. Doi:
10.1136/ bmj.e5163
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2

Nurs6052n EBP
Initial post Instructions
Discussion - Week 1
Top of FormWhere in the World Is Evidence-Based Practice?
March 21, 2010, was not EBP’s date of birth, but it may be the
date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a
requirement of empirical evidence. Research on EBP increased
significantly. Application of EBP spread to allied health
professions, education, healthcare technology, and more. Health
organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will
examine healthcare organization websites and analyze to what
extent these organizations use EBP.
To Prepare:
1. Review the Resources and reflect on the definition and goal
of EBP.
2. Choose a professional healthcare organization’s website (e.g.,
a reimbursing body, an accredited body, or a national
initiative).
3. Explore the website to determine where and to what extent
EBP is evident.By Day 3 of Week 1
Post a description of the healthcare organization website you
reviewed. Describe where, if at all, EBP appears (e.g., the
mission, vision, philosophy, and/or goals of the healthcare
organization, or in other locations on the website). Then,
explain whether this healthcare organization’s work is grounded

in EBP and why or why not. Finally, explain whether the
information you discovered on the healthcare organization’s
website has changed your perception of the healthcare
organization. Be specific and provide examples.By Day 6 of
Week 1
Respond to at least two of your colleagues on two different
days by visiting the websites they shared and offering additional
examples of EBP or alternative views/interpretations to those
shared in your colleagues’ posts.
Bottom of Form
Nurs6052n
Assignment: Evidence-Based Practice and the Quadruple Aim
Healthcare organizations continually seek to optimize
healthcare performance. For years, this approach was a three-
pronged one known as the Triple Aim, with efforts focused on
improved population health, enhanced patient experience, and
lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim
by including a focus on improving the work life of healthcare
providers. Each of these measures are impacted by decisions
made at the organizational level, and organizations have

increasingly turned to EBP to inform and justify these
decisions.
To Prepare:
· Read the articles by Sikka, Morath, & Leape (2015); Crabtree,
Brennan, Davis, & Coyle (2016); and Kim et al. (2016)
provided in the Resources.
· Reflect on how EBP might impact (or not impact) the
Quadruple Aim in healthcare.
· Consider the impact that EBP may have on factors impacting
these quadruple aim elements, such as preventable medical
errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection
between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not)
help reach the Quadruple Aim, including each of the four
measures of:
· Patient experience
· Population health
· Costs
· Work life of healthcare providers
Please reference the above atticles (resources) . IN APA style
Thanks
1

2
Nur6051n Module1(week1-2) Informatics
Initial post instructionsThe Application of Data to Problem-
Solving
In the modern era, there are few professions that do not to some
extent rely on data. Stockbrokers rely on market data to advise
clients on financial matters. Meteorologists rely on weather data
to forecast weather conditions, while realtors rely on data to
advise on the purchase and sale of property. In these and other
cases, data not only helps solve problems, but adds to the
practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data.
The field of nursing informatics aims to make sure nurses have
access to the appropriate date to solve healthcare problems,
make decisions in the interest of patients, and add to
knowledge.
In this Discussion, you will consider a scenario that would
benefit from access to data and how such access could facilitate
both problem-solving and knowledge formation.
To Prepare:
· Reflect on the concepts of informatics and knowledge work as
presented in the Resources.
· Consider a hypothetical scenario based on your own healthcare
practice or organization that would require or benefit from the
access/collection and application of data. Your scenario may
involve a patient, staff, or management problem or gap.By Day
3 of Week 1
Post a description of the focus of your scenario. Describe the
data that could be used and how the data might be collected and
accessed. What knowledge might be derived from that data?
How would a nurse leader use clinical reasoning and judgment
in the formation of knowledge from this experience?By Day 6
of Week 1
Respond to at least two of your colleagues* on two different
days, asking questions to help clarify the scenario and

application of data, or offering additional/alternative ideas for
the application of nursing informatics principles.
Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post
your message.
*Note: Throughout this program, your fellow students are
referred to as colleagues.
22 hours ago
Respond 1 to Heidi in about half a page , cite 2 reference s.
COLLAPSE
Top of Form
Mental health disorders can range from mild depression to
severe psychosis. Depending on how severe the mental health
disorder is can sometimes determine treatment compliance. An
important part of treatment is to be consistent and comply with
the providers’ recommendations, which includes attending
regular appointments for medication management. In most
scenarios a behavioral health patient must attend regular
provider visits in order to keep receiving medication. The
provider will not prescribe for a patient who misses numerous
appointments and therefore the patient may end up going
without medication and declining in health. Behavioral health
disorders have worsened as a result of poor compliance
(Semahegn, Torpey, Manu, Assefa, Tesfaye, & Ankomah,
2018). It is critical that these patients see the provider in order
to not decline in health. According to Gajwani (2014), poor
medical adherence such as not seeing the provider, can lead to
exacerbation of symptoms, relapse and hospitalization. With
technology available today we are able to consult and keep
appointments with providers via the computer, or Telehealth, to
maintain patients’ health status and medication regimen without
interruption. Non-adherence with appointment keeping has
been reported as high as 50% and telepsychiatry could help
alleviate that inconvenience with clinic attendance (Shulman,

John, & Kane, 2017). For patients who frequently miss
appointments they could still comply via a telepsychiatry visit.
The data that could be collected would be if telepsychiatry
helps with compliance by those patients who frequently cancel
or no- show appointments to help with medication management
and decrease risk of inpatient hospitalization. The first data we
could gather is if telepsychiatry helps with missed
appointments. The second data we could collect is if the
patients’ health has stayed the same or improved due to having
a virtual visit with the provider versus missing an appointment
and declining in health. The information we collect could help
us to determine which patients, in the future, may benefit from a
virtual visit based on their ability and willingness to show up
for face to face appointments. A nurse leader could use this
information to plan and implement care based on each
individual patients’ needs versus treating each patient uniformly
for the best possible outcome. The behavioral health population
is very unique in that they need care tailored to each specific
individual and diagnoses.
References
Gajwani, P. (2014, September). Can what we learned about
reducing no-shows in our clinic work for you? Retrieved from
https://www.mdedge.com/psychiatry/article/86564/practice-
management/can-what-we-learned-about-reducing-no-shows-
our-clinic
Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., &
Ankomah, A. (2018). Psychotropic medication non-
adherence and associated factors among adult patients with
major psychiatric disorders: a protocol for a systematic
review. Systematic reviews, 7(1), 10. doi:10.1186/s13643-
018-0676-yA
Shulman, M., John, M., & Kane, J. M. (2017, March 1). Home-
Based Outpatient Telepsychiatry to Improve Adherence
With Treatment Appointments: A Pilot Study. Retrieved
from
https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.2016002

44
Bottom of Form
Bottom of Form
1
2
Nurs6052n
Assignment: Evidence-Based Practice and the Quadruple Aim
Healthcare organizations continually seek to optimize
healthcare performance. For years, this approach was a three-
pronged one known as the Triple Aim, with efforts focused on
improved population health, enhanced patient experience, and
lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim
by including a focus on improving the work life of healthcare
providers. Each of these measures are impacted by decisions
made at the organizational level, and organizations have
increasingly turned to EBP to inform and justify these

decisions.
To Prepare:
· Read the articles by Sikka, Morath, & Leape (2015); Crabtree,
Brennan, Davis, & Coyle (2016); and Kim et al. (2016)
provided in the Resources.
· Reflect on how EBP might impact (or not impact) the
Quadruple Aim in healthcare.
· Consider the impact that EBP may have on factors impacting
these quadruple aim elements, such as preventable medical
errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection
between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not)
help reach the Quadruple Aim, including each of the four
measures of:
· Patient experience
· Population health
· Costs
· Work life of healthcare providers
Please try to reference the above resources. Thanks
1
2

Nurs6051n Week1-2
Assignment: The Nurse Leader as Knowledge Worker
The term “knowledge worker” was first coined by management
consultant and author Peter Drucker in his book, The Landmarks
of Tomorrow (1959). Drucker defined knowledge workers as
high-level workers who apply theoretical and analytical
knowledge, acquired through formal training, to develop
products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed
since Drucker’s time are the ways that knowledge can be
acquired. The volume of data that can now be generated and the
tools used to access this data have evolved significantly in
recent years and helped healthcare professionals (among many
others) to assume the role of knowledge worker in new and
powerful ways.
In this Assignment, you will consider the evolving role of the
nurse leader and how this evolution has led nurse leaders to
assume the role of knowledge worker. You will prepare a
PowerPoint presentation with an infographic (graphic that
visually represents information, data, or knowledge.
Infographics are intended to present information quickly and
clearly.) to educate others on the role of nurse as knowledge
worker.
Reference: Drucker, P. (1959). The landmarks of tomorrow.
New York, NY: HarperCollins Publishers.
To Prepare:
· Review the concepts of informatics as presented in the
Resources.
· Reflect on the role of a nurse leader as a knowledge worker.
· Consider how knowledge may be informed by data that is
collected/accessed.
The Assignment:
· Explain the concept of a knowledge worker.
· Define and explain nursing informatics and highlight the role
of a nurse leader as a knowledge worker.

· Develop a simple infographic to help explain these concepts.
NOTE: For guidance on infographics, including how to create
one in PowerPoint, see “How to Make an Infographic in
PowerPoint” presented in the Resources.
· Your PowerPoint should Include the hypothetical scenario you
originally shared in the Discussion Forum. Include your
examination of the data that you could use, how the data might
be accessed/collected, and what knowledge might be derived
from that data. Be sure to incorporate feedback received from
your colleagues’ responses.
Nurs6052n Module1 (WK1)
COLLAPSE
Top of Form
Response 1 to Kodi about half a page, with one or two
references
Healthcare websites are an abundance and at the palm of our
hands. We access them from computers, tablets and phones.
While many websites are resourceful and have a wealth of
information not all are good. A few things to keep in mind when
looking at websites include the ending i.e., .org, .edu and .gov.
We also need to look at the information and who puts the

The Mayo Clinic was not new to me as I have used it in
the past for school and resources. After thoroughly looking
through the website it is eye opening to say the least how
purposeful and the focus of EBP to provide better outcomes.
This is accomplished through patient focus at its center. So, it is
safe to say EBP is at the foundation of this organization as they
are patient focused and use EBP to continue to provide care,
research, education and cutting-edge medicine that many others
within the healthcare industry use and adhere too.
Resources
Boller, J. (2017). Nurse educators: Leading health care to the
quadruple aim sweet spot. Journal
of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-
20171120-01
Mayo Clinic. (n.d.). Retrieved
from https://www.mayoclinic.org/
practice in nursing & healthcare:
a guide to best practice (4th ed.). Philadelphia, PA: Wolters
Kluwer.
Bottom of Form
13 hours ago
Response2 to Mackenzie

COLLAPSE
Top of Form
Evidence-based practice (EBP) is an approach that guides
clinical decision-making to integrate the best evidence that is
available with an individual’s experience and patient data to
improve patient care (Melnyk & Fineout-Overholt, 2018).
Compared to traditional approaches to care, EBP is associated
with high-quality care, improved patient outcomes, decreased
health care costs, and improved nurse satisfaction (Melnyk,
Fineout-Overholt, Stillwell, & Williamson, 2010). Nurses have
a crucial role in implementing EBP changes into practice since
they provide the majority of direct patient care (Crabtree,
Brennan, Davis, & Coyle, 2016). Nurses must continue to
question the decisions of treatment and care, encompass the
skills and resources to research evidence, implement the
findings into their practice, and evaluate the effectiveness of the
findings (Crabtree et al., 2016).
The National Council of State Boards of Nursing
(NCSBN) is a not-for-profit organization that serves as a
regulatory body for the state boards of nursing, conducts
licensure examinations, and advises on how to protect the
public best (National Council of State Boards of Nursing, n.d.-
b). The NCSBM regularly contributes to evidence-based nursing
with projects and resources (National Council of State Boards
of Nursing, n.d.-e). The NCSBN also has the Center for
Regulatory Excellence (CRE), that provides funding for
scientific research projects, create programs to improve
evidence-based nursing, and provides regulatory experience to
prepare future nurse leaders for the field (National Council of
State Boards of Nursing, n.d.-c). The NCSBN appears to be
grounded in EBP with the programs and resources the
organization offers. The NCSBN’s mission is ultimately to
protect the public, which could be achieved by incorporating
EBP theories (National Council of State Boards of Nursing,
n.d.-a).

I was already aware that the NCSBN regulates the state
boards of nursing. However, I did not know the extent to which
the NCSBN contributes to EBP until I further researched the
organization. The organization has helped contribute to EBP by
writing journals, creating programs, conducting studies, and
regulating and improving nursing education (National Council
of State Boards of Nursing, n.d.-e). The NCSBN collaborates
with nursing educators and keeps educators updated on new
information and resources (National Council of State Boards of
Nursing, n.d.-d).
References
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016).
Improving patient care through nursing
engagement in evidence-based practice. Worldviews on
Evidence-Based Nursing, 13(2),
172–175. doi:10.1111/wvn.12126
practice in nursing &
healthcare: A guide to best practice (4th ed.).
Philadelphia, PA: Wolters Kluwer.
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., &
Williamson, K. M. (2010). Evidence-
based practice: Step by step. The seven steps of
evidence-based practice. American Journal of Nursing, 110(1),
51–53.
doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved
from
http://download.lww.com/wolterskluwer_vitalstream_com/Per
maLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_
1651
_SDC516.pdf
National Council of State Boards of Nursing. (n.d.-a). About
NCSBN.
Retrieved November 25, 2019, from
https://www.ncsbn.org/about.htm

National Council of State Boards of Nursing. (n.d.-b). About
U.S. boards of nursing.
https://www.ncsbn.org/about-boards-of-nursing.htm
National Council of State Boards of Nursing. (n.d.-c). Center
for regulatory excellence.
https://www.ncsbn.org/center-for-regulatory-
excellence.htm
National Council of State Boards of Nursing. (n.d.-d).
Education. Retrieved November 25, 2019,
from https://www.ncsbn.org/education.htm
National Council of State Boards of Nursing. (n.d.-e).
Evidence-based regulation of nursing
education. Retrieved November 25, 2019, from
https://www.ncsbn.org/668.htm
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1
2
Nur6051n Module1(week1-2) Informatics
22 hours ago
Respond 1 to Heidi in about half a page , cite 2 reference s.
COLLAPSE
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Mental health disorders can range from mild depression to
severe psychosis. Depending on how severe the mental health
disorder is can sometimes determine treatment compliance. An
important part of treatment is to be consistent and comply with
the providers’ recommendations, which includes attending
regular appointments for medication management. In most
scenarios a behavioral health patient must attend regular

provider visits in order to keep receiving medication. The
provider will not prescribe for a patient who misses numerous
appointments and therefore the patient may end up going
without medication and declining in health. Behavioral health
disorders have worsened as a result of poor compliance
(Semahegn, Torpey, Manu, Assefa, Tesfaye, & Ankomah,
2018). It is critical that these patients see the provider in order
to not decline in health. According to Gajwani (2014), poor
medical adherence such as not seeing the provider, can lead to
exacerbation of symptoms, relapse and hospitalization. With
technology available today we are able to consult and keep
appointments with providers via the computer, or Telehealth, to
maintain patients’ health status and medication regimen without
interruption. Non-adherence with appointment keeping has
been reported as high as 50% and telepsychiatry could help
alleviate that inconvenience with clinic attendance (Shulman,
John, & Kane, 2017). For patients who frequently miss
appointments they could still comply via a telepsychiatry visit.
The data that could be collected would be if telepsychiatry
helps with compliance by those patients who frequently cancel
or no- show appointments to help with medication management
and decrease risk of inpatient hospitalization. The first data we
could gather is if telepsychiatry helps with missed
appointments. The second data we could collect is if the
patients’ health has stayed the same or improved due to having
a virtual visit with the provider versus missing an appointment
and declining in health. The information we collect could help
us to determine which patients, in the future, may benefit from a
virtual visit based on their ability and willingness to show up
for face to face appointments. A nurse leader could use this
information to plan and implement care based on each
individual patients’ needs versus treating each patient uniformly
for the best possible outcome. The behavioral health population
is very unique in that they need care tailored to each specific
individual and diagnoses.
References

Gajwani, P. (2014, September). Can what we learned about
reducing no-shows in our clinic work for you? Retrieved from
https://www.mdedge.com/psychiatry/article/86564/practice-
management/can-what-we-learned-about-reducing-no-shows-
our-clinic
Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., &
Ankomah, A. (2018). Psychotropic medication non-
adherence and associated factors among adult patients with
major psychiatric disorders: a protocol for a systematic
review. Systematic reviews, 7(1), 10. doi:10.1186/s13643-
018-0676-yA
Shulman, M., John, M., & Kane, J. M. (2017, March 1). Home-
Based Outpatient Telepsychiatry to Improve Adherence
With Treatment Appointments: A Pilot Study. Retrieved
from
https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.2016002
44
Response 2 to Kayla . same way
COLLAPSE
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In the intensive care unit, (ICU), delirium is a major risk for
patients, especially the elderly. To gauge the onset of diagnosis
there are tools that nurses use such as the Richmond Agitation
Sedation Scale and the Confusion Assessment method, (Sajjad,
et.al, 2019). There are also data tools available that monitor the
disparities involved with delirium such as the sub distribution
hazard ratio, (Sajjaad, et.al., 2019). Although knowing the onset
is helpful with gaining timeliness in interventions post delirium,
there is not a data collection tool that monitors what
preventative measures are used and if these measures are
successful. The one exception is that ventilated patients
receiving continuous sedation have documentation that provides
when the sedative drips are paused for sedation vacation. Given

the amount of preventative interventions that exist a tool used
daily or every four hours that allots a check off system for
preventative measures could be used and thus help determine
whether preventative interventions decreased ICU delirium.
Suggestions that are non-pharmacologic included reorientation
to time and place at least twice daily, daily screening of
prescribed drugs, sleep hygiene, visible clocks in rooms, and
invitation for family to aide in re-orientation, (Martinez, et.al.,
2017). Although these interventions may take place in the
hospital setting, there is no data tool to link the occurrence of
intervention to the occurrence of delirium onset.
A study providing the feasibility and safety of providing both
cognitive and physical intervention that would assist in
preventing delirium was done in 2014. Brummel’s study proved
that the ability for both set of interventions was safe and
effective for critical patients within the first 72 hours of
hospital admission. In my personal hospital we try to prevent
ICU delirium every shift, however a tool that monitored the
outcome of our interventions is not thorough. We can detect the
onset of delirium but not the measures that were provided
beforehand. With a checkoff tool for preventative interventions
we could gather data and make a connection to whether there
was a short coming of interventions being completed, or if the
interventions that are being done are successful.
References
Brummel, N. E., Girard, T. D., Ely, E. W., Pandharipande, P. P.,
Morandi, A., Hughes, C. G., … Jackson, J. C. (n.d.). Feasibility
and safety of early combined cognitive and physical therapy for
critically ill medical and surgical patients: the Activity and
Cognitive Therapy in ICU (ACT-ICU) trial. INTENSIVE CARE
MEDICINE, 40(3), 370–379. https://doi-
org.ezp.waldenulibrary.org/10.1007/s00134-013-3136-0
Martinez, F., Maria Donoso, A., Marquez, C., & Labarca, E.
(n.d.). Implementing a Multicomponent Intervention to Prevent
Delirium Among Critically Ill Patients. CRITICAL CARE
NURSE, 37(6), 36–46. https://doi-

org.ezp.waldenulibrary.org/10.4037/ccn2017531
Sajjad, A., Wolters, A. E., Veldhuijzen, D. S., Peelen, L. M.,
Welling, M. C., Zaal, I. J., … Slooter, A. J. C. (2018).
Psychopathology prior to critical illness and the risk of delirium
onset during intensive care unit stay. Intensive Care
Medicine, 44(8), 1355–1356. https://doi-
org.ezp.waldenulibrary.org/10.1007/s00134-018-5195-8
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