pain management

1. Practice experience Description

 

This practiceexperience builds on the skills obtained in MSN coursework leading up to nurse informatics practice experiencecourses. Through this practice experience, the student will continue to develop in the clinical/administrative role of the nurse informaticists.  This practice experience provides opportunity to demonstrate mastery of the core competencies of the nursing informatics field (ANA, 2015) through identification of a problem, issue, or need in professional practice. A community assessment will be performed to identify the problem, issue or need at hand.

 

 

1. Rationale

 

Nurses prepared as informaticists are called upon to provide informatics knowledge and clinical leadershipin a complex arena of educating future nursing professionals. This practice experience experience provides the MSN student with the opportunity, under the guidance of a experienced clinician, to explore, analyze, and refine mechanisms to implement technological strength. This module will provide the student with the ability to enhance his/her knowledge and skills of nursing informatics and preparation for the nurse informatics role.

 

III. Professional Standards

 

American Nurses Association (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Springs, MD: Author. ISBN: 9781558105799.

 

American Psychological Association. Publication manual of the American Psychological Association (Current ed.). Washington, DC: Author.

 

McGonigle, D. & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett. ISBN: 9781284121247

 

 

 

1. Required Purchases

 

American Nurses Association (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Springs, MD: Author. ISBN: 9781558105799.

 

American Psychological Association. Publication manual of the American Psychological Association (Current ed.). Washington, DC: Author.

 

McGonigle, D. & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett. ISBN: 9781284121247

 

 

 

1. Additional Materials for Learning

 

1. Computer with basic audio/video output equipment.
2. Internet access (broadband recommended)
3. Microsoft Office (Available at a special discount to Liberty University students.)
4. Typhon NPST Tracking System Account

 

VII.   Measurable Learning Outcomes

 

1. Articulate a philosophy of nursing education and the role of a nurse informatics.
2. Analyze various teaching strategies and modes of evaluation.
3. Identify competencies of an effective nurse informatics and the attributes of a positive teacher-learner relationship and learningenvironment.

 

 

VIII.  Practice experience Requirements

 

1. Practice experience Objectives

 

The Practice experience Objectives affords the student the opportunity to develop measurablepractice experience learning objectives that are consistent with the practice experience focus.  The student must provide a copy of their MSNPractice Experience Faculty-Approved Objectives to the MSNexperienced clinician.

 

 

1. Practice experience Hours

 

The completion of thisMSNPracticeexperience may provide up to 50-75MSNPractice experience hours.  See Practice Experience Hour Verification and MSN Student Handbook for Practice experience Hour Policies.

 

 

 

 

Practice experience Hour Verification

 

Students are required to maintain anexperienced clinician-verified, log documenting practice experience hours for each Practice experience Course (MSNPractice experience Tracking Record). Failure to maintain signed Practice Experience Log verifying practice experience hours will result in an Incomplete for the Practice experience Course and the student will not be permitted to progress to the subsequent Practice experience Course.

 

Students are required to enter practice experience hours into the Typhon Time Log.  The informatics faculty will monitor the practice experienceTime Log throughout the practice experiencee and will be endorsed by practice experienceclinician at the end of each practice experience course. Students must document the practice experience in Typhon within 24 hours of completion, otherwise it will not be able to be recorded or tracked.

 

1. Student Performance Evaluation

 

The MSNInformaticsPractice experience adheres to the student performance and evaluation requirements set forth in the current Liberty University MSN Student Handbook

 

1. MSN Portfolio

           

Upon completion of the MSNInformaticsPractice experience, the student will utilize information from this practice experience to place in their MSN Portfolio.  The purpose of the MSN Portfolio is for the student to showcase their growth and accomplishments throughout the Nurse InformaticsPractice experience, specifically in the development of nurseinformaticsleadership strengths, strategies, and skills essential for developing nurse informatics.

 

1. Practice ExperienceExperienced clinician Communication

 

The student is expected to maintain open communication with the MSNPractice Experience Experienced clinician on a weekly basis via email.  The student will keep the Experienced clinician updated on their progress in completing the MSNPractice Experience activities and the MSN Portfolio.

 

 

 

1. Policies
   1. Written Assignments
2. All assignments are expected to be written at the graduate level adhering to the MSN Program Handbook.
3. The MSN Portfolio is to be written in APA (current edition) format.
4. All assignments are expected to free of grammatical, spelling, and format errors

 

 

 

 

 

 

 

1. XI. Bibliography

American Nurses Association (2015). Nursing informatics: Scope and standards of practice (2nd

 

ed.). Silver Springs, MD: Author. ISBN: 9781558105799.

 

American Psychological Association. Publication manual of the American Psychological

 

Association (Current ed.). Washington, DC: Author.

 

McGonigle, D. & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge

 

(4th ed.). Burlington, MA: Jones & Bartlett. ISBN: 9781284121247

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MSN Nursing Informatics Practice Experience

Managing the Opioid Crisis: Taking the Lead

 

Goals and Objectives  Review practice experience document first before writing goals and objectives.  Create personal goals and objectives that can be met through this plan.

 

The purpose of these modules is to expand administrative and/or leadership perspectives related to the current opioid crisis. There are four separate modules designed to be completed separately or in total to earn practicum credit. Each module is worth 25 points.

 

Module I

(Worth 25 practicum hours)

 

Title:               The History of the Opioid Crisis in the United States and Impact on Health

Objectives:

1. Understand the history of the opioid crises that has influenced the shaping of the current policy related to opioid use (MSN Essentials VI, ANA Nursing Informatics, 1)
2. Apply information published on the opioid crisis in shaping family and other social structures (MSN Essentials 1, ANA-Nursing Inform. 1, 4, 5)
3. Create a chronology of the opioid crisis and discuss lessons learned that influence safe and effective pain management (MSN Essentials IV, ANA-Nursing Inform. 2,5, )

Directions:

• Secure resources (texts, Harvard website, current journals and so on) and discuss the history of the opioid crisis in the United States (for example the current crisis is the third crisis in the United States).

Harvard_Resources_Pain

• Identify common themes of the various crises across the identified time span that have contributed to the growth of an opioid crisis.
• Discuss the lessons learned through the crises, as you view them, and how those lessons could be used to alter policies related to the appropriate use of opioids for all citizens. Be sure to include political, economic, and social considerations for individuals, organizations, and government agencies (micro, meso, and macro levels).
• Secure 10-15 sources to support the development of this assignment.
• The assignment should be between 10-12 pages.
• Include a title page using current APA format
• Include a reference page using current APA format
• Submit the completed module/assignment to Dr. Goodrich at cgoodrich@liberty.edu. Dr. Goodrich will review and approve the assignment and send a follow up email to you. Once approved, upload the approval email from Dr. Goodrich, the completed module/assignment into Typhon and record the earned hours in Typhon.

 

 

Module II

(Worth 25 practicum hours)

 

Title:               Foundational Documents Guiding the Opioid Crisis

Objectives:

1. Understand the information presented by the identified foundational documents as they pertain to the opioid crisis (DNP Essential II).
2. Apply information stated in the foundational documents to current practice. (DNP Essentials II, III).
3. Create interventions to support using a non-pharmacologic approach to patient care (DNP Essentials I, II, and VI).

Directions:

Part 1

• Access the following foundational documents as they pertain to the management and/or prescribing of opioids: The joint Commission Standards (2018 response to the opioid crisis), Centers for Medicare and Medicaid perspective on prescribing opioids, The Centers for Disease Control and Prevention guidelines for prescribing opioids, Nurse Practice Act, and the ANA Code of Ethics. For each standard, state the standard and discuss how the standard supports safe and effective pain management.

Display the information using a MS Word document. State the standard, the sources of the standard, and the implication for practice. See example:

 

Standard	Source of the Standard	Implications for Practice
Patient advocacy	ANA Code of Ethics	Discuss how the standard supports patient care

Part 2

• The Joint Commission Pain Standards (2018) requires the hospital offer non-pharmacologic pain modalities. There is a great deal in the literature related to non-pharmacologic approaches. Select one approach you want to pursue using in practice and develop an action plan to support implementation of the non-pharmacologic modality. (Examples: Pet Therapy, massage, distraction, music therapy, aroma therapy and so on). Remember there may be other healthcare professionals you want to include in the development of the action plan. Include a plan for evaluating the selected modality. Be sure to include political, economic, and social considerations for individuals, organizations, and government agencies (micro, meso, and macro levels).

 

 

• The link to the Joint commission and resource information for an action plan are provided below:

The Joint Commission Pain Standards _2018

ActionPlan_Resource

• Use the Template below to guide the development of your action plan.
• Secure 10-15 peer reviewed sources to support the development of this assignment based on the non-pharmacologic intervention selected.
• The entire assignment should be between 8-10 pages.
• Include a title page using current APA format
• Include a reference page using current APA format
• Submit the completed module/assignment to Dr. Goodrich at cgoodrich@liberty.edu. Dr. Goodrich will review and approve the assignment and send a follow up email to you. Once approved, upload the approval email from Dr. Goodrich, the completed module/assignment into Typhon and record the earned hours in Typhon.

 

 

Action Plan Template (Boswell & Cannon, 2020)

Implementation of a non-pharmacologic intervention into the practice setting

Target Date Completion	Action Steps	Accountable Person(s)	Assigned Person(s)	Actual Completion Date

 

 

Evidence supporting the change/implementation: Develop a narrative describing support from the literature and practice guidelines for the selected non-pharmacologic modality:

 

 

 

 

Setting where implementation will take place:

 

 

 

Stakeholders:

 

 

 

Barriers to implementation:

 

 

 

Education of stakeholders/users:

 

 

Communication/dissemination of the plan:

 

 

Evaluation of the plan:

 

 

 

 

 

 

 

 

 

Module III

(Worth 25 practicum hours)

 

Title:               Debatable Issues in Pain Management

Objectives:

1. Recognize issues in pain management that influence safe and quality patient care (DNP Essential II, V, VII).
2. Evaluate opposing statements pertaining to effective pain management. (DNP Essentials III, V).
3. Develop position statements both supporting and opposing the statements provided (DNP Essentials I, II, and VI).

 

Directions:

• You will essentially be having a debate with yourself. For each of the opposing statements stated below, create a discussion for both supporting the statements and opposing the statements. Support your position for each perspective with current evidence. There are four total topics to address.Be sure to include political, economic, and social considerations for individuals, organizations, and government agencies (micro, meso, and macro levels).
• Secure 10-12 peer reviewed journal articles supporting and opposing the statements.
• The assignment will be 10-12 pages in length.
• Include a title page using current APA format
• Include a reference page using current APA format
• Submit the completed module/assignment to Dr. Goodrich at cgoodrich@liberty.edu. Dr. Goodrich will review and approve the assignment and send a follow up email to you. Once approved, upload the approval email from Dr. Goodrich, the completed module/assignment into Typhon and record the earned hours in Typhon.

 

Defense Statements: (address all Defense Statements per the instructions above).

First Defense:

• The policies from the Joint Commission (2018) support proper pain management from the nursing perspective.
• The policies from the Joint Commission (2018) hinder proper pain management from the nursing perspective.

 

 

 

Second Defense:

• The nurse must take on the role of healthcare team leader in order to help manage the patient’s perception of his/her own pain experience.
• The nurse cannot take on the role of healthcare team leader since this is outside the realm of his/her scope of practice according to the ANA Nursing Scope and Standards for Practice document.

Third Defense:

• Safe houses are an effective and valid method for helping those with opioid addictions.
• Safe houses are one of the worst methods for helping those with opioid addictions.

 

Fourth Defense

• Providing access to clean syringes is one of the best methods for decreasing the spread of disease related to the opioid crisis.
• Providing access to clean syringes only increases the negative effects of the opioid crisis instead of decreasing the effects of the crisis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Module IV

(Worth 25 practicum hours)

 

Title:               Crisis after Crisis….

Objectives:

1. Recognize societal influence of the opioid crisis (DNP Essential II).
2. Analyze the various results the opioid crisis has had on the culture. (DNP Essentials II, V).
3. Evaluate how the current opioid crisis has cascaded to create other issues that impact healthcare. (DNP Essentials I, II,).

 

Directions:

The opioid crisis has had a significant impact on the current generation and generations to follow. For example the Neonatal Abstinence Syndrome, patients with chronic pain issues not receiving prescriptions any longer so they take to the streets for drugs, the inconsistencies in prescribing opioids for those in acute pain from surgery, procedures and so on).

• For each of the entities identified above, discuss the implications for administrators and/or providers in managing these situations beyond today. Discuss the implications for healthcare and needs moving forward and the impact on resources and the healthcare industry as a whole. Include other issues as you identify them in the literature. Be sure to include political, economic, and social considerations for individuals, organizations, and government agencies (micro, meso, and macro levels).
• Support your discussion using the current evidence.
• Secure 10-12 peer reviewed journal articles to support your work.
• The assignment will be 8-10 pages in length.
• Include a title page using current APA format
• Include a reference page using current APA format
• Submit the completed module/assignment to Dr. Goodrich at cgoodrich@liberty.edu. Dr. Goodrich will review and approve the assignment and send a follow up email to you. Once approved, upload the approval email from Dr. Goodrich, the completed module/assignment into Typhon and record the earned hours in Typhon.