Sample Answer for NSG 7220 Week 3 Discussion SU Included After Question
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
Psychological Evidence and Application
In this assignment, we will discuss psychosocial evidence as it pertains to your topic. Everything we do in nursing should be supported by evidence. Whether we are looking to understand someone’s growth and social interactions or understand social patterns in society or a patient population, there is evidence (or sometimes theory) to support why people behave the way they do. Visit the South University Online Library and retrieve two peer-reviewed articles pertaining to psychosocial research and your topic of interest. Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results. Finally, analyze the feasibility of applying this evidence to your topic of interest in your current practicum setting. Both articles should support nursing standards and patient safety within your chosen topic.
A Sample Answer For the Assignment: NSG 7220 Week 3 Discussion SU
Title: NSG 7220 Week 3 Discussion SU
Psychosocial factors can include psychological and social aspects that can be related to human behavior. This may include how many stressors one is faced with each day, whether they have a good support system, coping strategies, and socioeconomic factors, among other things. A person may react in crisis when having difficulty functioning due to several psychosocial factors. An important part of helping clients is to assess and identify what types of things are causing the patient to have a crisis. Some examples of psychosocial reasons that may lead to crisis may be having a difficult time managing chronic illness, living through traumatic events such as a war, and surviving a harmful and abusive relationship or situation (Mayo Clinic, 2022).
For the doctor of nursing (DNP) project focus, I am thinking about how staff nurses will be able to de-escalate and help clients recover from crises using improved therapeutic interventions. The hope is that the improvement will involve the use of nonpharmacological interventions and the avoidance of restraint use since that can increase distress in clients in crisis. Some examples of interventions that can be used are demonstrating active listening, being empathetic, and being available for the client to offer comfort and protect the client from harm. Regular training and continued education on how to comfort those experiencing crises will be necessary to help improve how we care for vulnerable populations in need.
Franks et al. (2020) conducted a study to discover how the use of mechanical restraints could affect individuals in critical care units and if mechanical restraints increased distress and trauma. Franks et al. (2020) noted that the use of restraints is to help prevent the clients from pulling lines or harming themselves when they are being cared for in the critical care setting, but it is also connected to increased physical and mental trauma. Almost eight hundred articles were collected to complete their review, and many of the articles revealed that there was a link between using restraints and the patient suffering from altered mental status and increased trauma (Franks et al., 2020).
They narrowed down the critically analyzed articles to just over fifty, though (Franks et al., 2020). The researchers reported that there was a statistical significance related to using the restraints and altered mental status and confusion since p < 0.05 (Franks et al., 2020). I would want to know if the patient was having signs of delirium or distress leading up to the use of restraints or if the altered mental status and trauma were a result of the use of restraints. The researchers concluded that it would be pertinent to continue further studies that aimed at trying to definitively confirm that the use of restraints led to increased emotional trauma and altered mental status (Franks et al., 2020).
Tripathi et al. (2023) noted that many types of crises occur due to internal and external factors affecting the individual. The article I located by Tripathi et al. (2023) is not a research study. However, it is relevant to me since it involves practice setting guidance on caring for individuals in crisis. It is essential to understand that a person can struggle with sudden and acute crises or have lingering chronic problems with various types of crises that can lead to the diagnosis of mental health disorders. Healthcare providers who are intervening and helping during a crisis need to be aware of the most effective techniques for helping clients during a crisis, and this will often start with finding out what has caused the crisis and using therapeutic communication interventions to develop rapport and build a therapeutic relationship with the patient (Tripathi et al., 2023).
Through experience working in mental health, patients may not reach out for help until things are in a crisis mode because they are reluctant, and some have noted that it is because they thought they could figure out how to handle the situation on their own. Some of this, I believe, is related to the stigma of having mental struggles. Patients may feel that they are alone and need to find ways of dealing with their problems. This type of thought process may have come from their childhood or how they were raised. Their social and external environment may have also influenced their ability to develop healthy coping strategies. Unfortunately, I have cared for many individuals who have turned to self-medicating instead of seeking help to try and deal with their problems, but that caused an addiction to alcohol or drugs that compounded the problem.
Applying therapeutic interventions and strategies to help clients during crises is a feasible plan for the projected project that I have in mind. Nursing staff and healthcare workers must be trained regularly to help patients experiencing crisis so that the patient can be helped and retraumatizing the patient does not occur. Like when recertifying for essential life support, healthcare workers need to learn the best up-to-date protocols and practices to help clients overcome their difficulties and learn new coping strategies to prevent the crisis’s reoccurrence.
Franks, Z. M., Alcock, J. A., Lam, T., Haines, K. J., Arora, N., & Ramanan, M. (2020). Physical
restraints and post-traumatic stress disorder in survivors of critical illness. A systematic
review and meta-analysis. Annals of the American Thoracic Society, 18(4), 689-697.
Mayo Clinic. (2022, December 13). Mental illness. https://www.mayoclinic.org/diseases-conditions/mental-illness/symptoms-causes/syc-20374968
Tripathi, A., Brahma, A., Malhotra, S., & Akula, V. (2023). Clinical practice guidelines for
assessment and management of patients presenting with psychosocial crisis. Indian
Journal of Psychiatry, 65(2), 212–220.