Identify the best type of evidence to use to solve this patient care issue

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You are a NP in a leadership role on an Inpatient Adult/Gero psychiatric unit.  In the past 4 months you have noticed a pattern of elderly female patients falling and injuring themselves in the middle of the night.  Using the 3 major components of Evidence Based Practice (Melnyk & Fineout-Overholt, 2011, page 4 figure 1.1)  Discuss the following in relation to your decision to make a practice change on the Unit:
  1. Identify the best type of evidence to use to solve this patient care issue
  2. Name the level of the evidence,
  3. Briefly discuss Why you would use that particular type of Research Evidence.
  4. Name and describe how you would use the other 2 Components essential for Evidence-based   Clinical decision making and describe what changes you might institute on this unit.
example of how the answer should look:
I am a PMHNP in a leadership role on an inpatient adult/gero psychiatric unit.  In the past four months I have noticed a pattern of elderly female patients falling and injuring themselves in the middle of the night.  This is unacceptable.  My goal is to improve the falls rate on the unit and to accomplish this I will utilize evidenced based practice (EBP).  Evidenced based practice is a problem-solving approach to the delivery of health care that integrates the best evidence from well-designed studies and patient care data, and combines it with patient preferences and values and nurse expertise (Melnyk et al., 2010). Evidenced based practice is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes and holds great promise for producing the intended health outcome (Stevens, 2013).
The first step in integrating the best evidence and the patient data is to search for the best evidence (Fineout-Overholt et al., 2010). The search for evidence to inform clinical practice is tremendously streamlined when questions are asked in PICOT format.  Inquiries in this format take into account the patient population of interest (P), intervention or area of interest (I), comparison intervention or group (C), outcome (O), and time (T). Once articles are selected for review, they must be rapidly appraised to determine which are most relevant, valid, reliable, and applicable to the clinical question. Rapid critical appraisal uses three important questions to evaluate a study’s worth: 1) are the results of the study valid (level of evidence),  2) what are the results and are they important (how well was the study conducted), and 3) will the results help me care for my patients (how useful it is to practice)?

Address the health disparity among different segments of the population on mental health.

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Address the health disparity among different segments of the population on mental health.

Compare differential diagnostic features of anxiety disorder

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· Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale.
· Explain the diagnostic criteria for your assigned anxiety disorder. Which is “Generalized Anxiety Disorder”
· Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder. Which is “Generalized Anxiety Disorder”
· Compare differential diagnostic features of anxiety disorder
· Support your rationale with recent references (<5yrs) to the Learning Resources or other academic resource.

When have you encountered a tension between the individual right and the collective good in your nursing practice?

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Most of the recent successes in improving the public’4 s health has had to address the tension of individual rights versus the collective good. Anti-smoking campaigns and laws banning smoking in public places protect people from the negative health effects of second-hand smoke, yet some believe that they infringe on the individual rights of those who choose to smoke. Requiring childhood immunizations has helped prevent diseases such as polio and measles, but some parents assert that they have the right to decide if being immunized is in the best interest of their children.
This tension also exists in the allocation of scarce resources, from providing adequate staff coverage to making decisions about the amount of health care to provide. Given the nurse’s involvement in policy and health care delivery, it is important to understand the dynamics of this tension, as well as the legal and ethical implications.
To prepare:
When have you encountered a tension between the individual right and the collective good in your nursing practice?
With information from the Learning Resources in mind, consider relatively recent examples of health care policy that demonstrate this tension. For this Discussion, select one example of timely health care policy that allows you to evaluate the tension between individual rights and the collective good. Conduct additional research as necessary using credible websites and the Walden Library.
By tomorrow 04/04/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”
Post a cohesive response that addresses the following:
In the first line of your posting, identify a health care policy.
Explain the tension between individual rights and the collective good.
Analyze the ethical and legal considerations of the policy