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Tag: Care Plans

  • [Solved] Create a Reply for a Discussion using APA 7 format, and scholarly references no older than 5 years.

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    **Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.** An application of attachment theory in nursing practice to promote healthy attachment Attachment theory, first proposed by John Bowlby, continues to be the primary p…

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    **Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.**

    An application of attachment theory in nursing practice to promote healthy attachment

    Attachment theory, first proposed by John Bowlby, continues to be the primary paradigm for studying early childhood development and relationship between caregivers. Many researchers moved to investigate the impact of secure attachment on health, and clinical practice started with an emphasis on the importance of achieving secure attachment (Schore, 2012a; Schonkoff et al., 2000), especially as clinicians such as nurses are uniquely positioned to impact parent-child bonding during these critical periods. Nurses may help facilitate secure attachment (Granqvist et al., 2020) among parents by eliciting behaviors such as emotional responsiveness, physical closeness, consistent caregiving, and reflective attunement—all of which provide the opportunity for optimal emotional and neurological development in infants.

    Centreing responsive caregiving is key to fostering secure attachment. When caregivers respond in a timely way to a baby’s cues — feeding when hungry, soothing when distressed — it fosters trust and security. Nurses can educate and coach parents on how to identify and respond to their infant’s nonverbal cues in order support parents to become more attuned to their child’s needs (Cooijmans et al., 2021). This attunement not only enhances infant emotional regulation but also deepens the dyadic bond between parent and child.

    Another behavior that promotes attachment is encouraging positive physical interaction. Physical touch (skin-to-skin contact), soft touch and steady holding stimulate oxytocin levels and pave the way for neurobiological pathways connected with trust and bonding (Hardin et al., 2020). Nurses also can model and demonstrate practices such as kangaroo care, particularly in the neonatal or postpartum setting, to facilitate physiological and emotional synchrony between parent and child.

    Being consistent and flexible in his caregiving routines also helps him develop secure attachment pattern. When infants are exposed to predictable, structured care — regular schedules of feeding and sleep, for example — they feel safe, and they learn to trust that their caregiver will be there when needed. The provision of routine (predictable) time with emotional security can be developed and enhanced by nurses working with parents (McKelvey et al., 2021).

    Furthermore, the development of emotional attunement—the tuned-in caregiver who reflects and validates the child's emotional experience—is important, too. More specific strategies, such as reflective question asking and emotional coaching, allow nurses to teach parents to recognize their infant’s emotional states, as well as how to respond to them in a way that is appropriate to their developmental stage. Such emotional validation aids the cultivation of emotional intelligence and guides the infant in learning how to manage stress (Ensink et al., 2021).

    Lastly, promoting parental mental health is essential for healthy attachment. The sensitivity and responsiveness needed as a parent can be impaired by parental depression, anxiety, and stress. Nurses should screen for risk factors and refer moms to the appropriate psychological or community resources as indicated (Zajicek-Farber et al., 2022). So addressing these barriers also makes sure that we are emotionally available, where the caregiver is emotionally available — and that a secure attachment can form between the caregiver and the child.

    Overall, nurses can encourage families to promote secure attachment by modelling and promoting responsive caregiving, physical closeness, routine, emotional attunement and mental health support. These science-based practice strategies are based on current attachment research and can improve life trajectory for both parents and children.

    References

    Cooijmans, K. H., Beijers, R., Rovers, A. C., & de Weerth, C. (2021). Maternal prenatal anxiety and infant behavior: The mediating role of maternal postpartum sensitivity. Journal of Child and Family Studies, 30(1), 136–147. https://doi.org/10.1007/s10826-020-01823-5

    Ensink, K., Normandin, L., & Fonagy, P. (2021). Parental reflective functioning and its association with parenting behaviors in infancy and early childhood: A meta-analytic review. Attachment & Human Development, 23(5), 479–501. https://doi.org/10.1080/14616734.2020.1840760

    Granqvist, P., Forslund, T., Fransson, M., Springer, L., Duschinsky, R., & Sroufe, L. A. (2020). Disorganized attachment in infancy: A review of the phenomenon and its implications for clinicians and policy-makers. Attachment & Human Development, 22(3), 309–329. https://doi.org/10.1080/14616734.2019.1589055

    Hardin, H. K., Jones, K. D., & Muddana, A. (2020). Promoting parent-infant bonding and attachment in the NICU: Evidence-based interventions. Advances in Neonatal Care, 20(1), 68–76. https://doi.org/10.1097/ANC.0000000000000662

    McKelvey, L., Edge, N., Mesman, G. R., Whiteside-Mansell, L., & Bradley, R. H. (2021). Adverse experiences in infancy and toddlerhood: Relations to parenting and attachment security. Child Abuse & Neglect, 111, 104772. https://doi.org/10.1016/j.chiabu.2020.104772

    Zajicek-Farber, M. L., Mayer, L. M., & Kaufman, R. L. (2022). Integrating maternal mental health and infant attachment: A clinical model for early intervention. Infant Mental Health Journal, 43(2), 243–261. https://doi.org/10.1002/imhj.21967

    – 2 years ago

  • [Solved] see below

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    In-depth study guidance and analytical solution covering see below.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] WK7 DISC

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    – Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy. – Review the health policy you identified and reflect on the background and development of this health policy. – 2 years ago

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    – Review      the Congress website provided in the Resources and identify one recent      (within the past 5 years) proposed health policy.
    – Review      the health policy you identified and reflect on the background and      development of this health policy.

    – 2 years ago

  • [Solved] WEEK 6ASS

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    Nurses can advocate for healthcare policies to promote justice, fairness, and health equity at facility, local, state, national, and global levels. Writing a letter of concern for or support towards a particular policy or legislation is an effective way to hold leaders accountable in their positions…

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    Assignment Prompt & Instructions

    Nurses can advocate for healthcare policies to promote justice, fairness, and health equity at facility, local, state, national, and global levels. Writing a letter of concern for or support towards a particular policy or legislation is an effective way to hold leaders accountable in their positions.

    **Assignment Instructions:**

    In the Week 2 Policy Letter Checkpoint, you began this assignment by completing the following:

    – Identifying a pending healthcare bill that needs improvement or proposing a new bill recommendation relevant to your current practice, community health needs, or personal interests.
    – Explaining why that bill or recommendation is important.
    – Identifying the leader or change agent (local, state, and national leader/legislator) who is appropriate to advocate for this policy change or adoption.
    – Identifying the official mailing or email address of this leader. _Note: Your elected officials’ email and physical addresses are available on their websites. You can find out who represents you on the_ [_House_Links to an external site.](https://www.house.gov/representatives) _and_ [_Senate_Links to an external site.](https://www.senate.gov/general/contact_information/senators_cfm.cfm) websites.
    – Identified and discussed your advocacy efforts with community members.

    For this assignment you will use the bill and leader identified in Week 2 to compose a letter or email to the leader or change agent using the following sections. Use proper letter or email format including address lines, greeting, subject line, date, salutation, and professional closing. Use this [sample letterLinks to an external site.](https://www.apa.org/advocacy/guide/sample-letters.pdf) [Open this document with ReadSpeaker docReader](https://docreader-na.readspeaker.com/docreader/?cid=7255&lang=en_us&url=https%3A%2F%2Fwww.apa.org%2Fadvocacy%2Fguide%2Fsample-letters.pdf "Open this document with ReadSpeaker docReader") as a guide. Use complete sentences with professional language and accurate grammar/sentence structure. The letter or email should be concise, with a maximum of 2 pages. Use APA-recommended font.

    **Paragraph 1 Introduction:**

    – Introduce yourself, your current role, and your relationship to the leader or change agent.
    – Summarize why this issue is important to your role.
    – Explain your perspective on this issue.
    – State your position/request/reason for writing.
    – _Note: If your letter pertains to a specific piece of legislation, identify it accordingly as federal or state, e.g., H.R. 1234 (for a House resolution) or S.B. 234 (for a Senate bill)._

    **Paragraph 2 Summary & History:**

    – Summarize the pending healthcare bill or the lack there of if you chose to recommend a new bill. (Attach existing bill or link to piece of legislation to this letter.)
    – Outline the history or evolution of this piece of pending legislation.
    – Outline the policy development process at this level.
    – Explain your rationale for recommending a new or changed healthcare bill.

    **Paragraphs 3 & 4 Recommendations:**

    – **If you are supporting the recommended changes proposed by the bill,** describe its impact on patient care and your nursing role at bedside, higher organizational levels, local, state, national, and global levels.
    – **If you are recommending a new piece of legislation**, describe the need for it and the impact(s) of the lack of policy on patient care and your nursing role at bedside, higher organizational levels, local, state, national, and global levels (as applicable). Draft a proposal for the new bill.
    – **If you are recommending an improvement or additions to an existing piece of legislation**, propose specific areas within the existing bill that need improvement. Refer to specifics in the existing bill or legislation and draft changes.  Describe the areas that you would want to change and how they could benefit patient care, community or population health, or nursing practice at the bedside, higher organizational levels, local, state, national, and global levels (as applicable).
    – Provide justification and at least 2 pieces of factual evidence to support your recommendations with proper APA in-text citations.
    – Describe the conversation you had with your identified community member. You should have met with this person (face to face, over the phone, or online) to discuss the policy you are advocating for during week 2. In your letter to your representative, explain:
    – The community member's positive feedback towards your efforts.
    – The community member's concerns or additions they think you should include.

    **Paragraph 5 Closing:**

    – Explain what you want the leader to do or steps you want them to take and request a response from them on the issue.
    – Explain how you can help facilitate this change or be involved in the policy development process.
    – Provide additional resources or recommendations as applicable.

    **Appendix:**

    – On a separate page, include a 2-4 paragraph reflection on this assignment addressing the following prompts:
    – State if you mailed or emailed the letter and include the date it was sent.
    – Describe your experience, feelings, and perceptions throughout this assignment.
    – Do you think this is an effective way to advocate for your changes? Why or why not?
    – Describe the conversation with your community member(s). State their name, date, and location the conversation took place. How did including stakeholder validation tool help your advocacy efforts?
    – What is your expected response from your legislator or representative?
    – How will you follow up or what are your next steps or other actions you can take?
    – What are your views about the nurse’s role in healthcare policy advocacy after completing this assignment?

    **Assignment Submission Requirement:**

    – Submit the assignment (letter and appendix) to dropbox as a Word document.
    – Send the letter or email to the leader after completing the assignment.

    – [\
    \
    PolicyAdvocacyLetter1.docx](https://www.sweetstudy.com/files/policyadvocacyletter1-docx "PolicyAdvocacyLetter1.docx")

    – 2 years ago

  • [Solved] Veteran

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    Please see attached. At least 350 words times new roman, 12-point font. Need by 4/8 or 4/9 – 2 years ago **files (1)** – ## Veteran.docx **## Veteran.docx** **Veteran** A 28-year-old female veteran presents for complaints of fatigue, increased sleeping, and weight gain. She states she has had depres…

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    Assignment Prompt & Instructions

    Please see attached.

    At least 350 words times new roman, 12-point font.

    Need by 4/8 or 4/9

    – 2 years ago

    **files (1)**

    – ## Veteran.docx

    **## Veteran.docx**

    **Veteran**

    A 28-year-old female veteran presents for complaints of fatigue, increased sleeping, and weight gain. She states she has had depression off and on since she was discharged from the Army four years ago but denies any other health problems. She is not currently on any prescription medication and has never been hospitalized. She tells you that she is between jobs and currently doesn’t have a home, so she ‘couch-surfs’ with friends and relatives or sometimes sleeps in her car.

    What are your differentials? What diagnostics should you perform? Discuss and name the specific veteran resources in your clinic’s community for referral. Include these specific resources in your treatment plan, as well as diagnostics, treatment, education, and follow-up.

    **Differentials:**

    1. Major depressive disorder (Please explain what depression is and why it fits the patient’s condition)

    2. Post-traumatic stress disorder (please explain what PTSD is and why it might fit the patient’s condition)

    3. Adjustment disorder (please explain what it is and why it might fit the patient’s condition)

    **Diagnostics**

    **Treatment**

    **Education**

    **Follow-up**

    **Veteran resources**

    **## Veteran.docx**

    **Veteran**

    A 28-year-old female veteran presents for complaints of fatigue, increased sleeping, and weight gain. She states she has had depression off and on since she was discharged from the Army four years ago but denies any other health problems. She is not currently on any prescription medication and has never been hospitalized. She tells you that she is between jobs and currently doesn’t have a home, so she ‘couch-surfs’ with friends and relatives or sometimes sleeps in her car.

    What are your differentials? What diagnostics should you perform? Discuss and name the specific veteran resources in your clinic’s community for referral. Include these specific resources in your treatment plan, as well as diagnostics, treatment, education, and follow-up.

    **Differentials:**

    1. Major depressive disorder (Please explain what depression is and why it fits the patient’s condition)

    2. Post-traumatic stress disorder (please explain what PTSD is and why it might fit the patient’s condition)

    3. Adjustment disorder (please explain what it is and why it might fit the patient’s condition)

    **Diagnostics**

    **Treatment**

    **Education**

    **Follow-up**

    **Veteran resources**

  • [Solved] clinical work

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    Use an imaginary patient to complete the uploaded file. All fields must be filled appropriately. – 2 years ago **files (1)** – RNPracticumIVMaternity_LaborDeliveryDailyClinicalAssignmentSheet.docx **RNPracticumIVMaternity_LaborDeliveryDailyClinicalAssignmentSheet.docx** This file is too large to d…

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    Assignment Prompt & Instructions

    Use an imaginary patient to complete the uploaded file. All fields must be filled appropriately.

    – 2 years ago

    **files (1)**

    – RNPracticumIVMaternity_LaborDeliveryDailyClinicalAssignmentSheet.docx

    **RNPracticumIVMaternity_LaborDeliveryDailyClinicalAssignmentSheet.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/rnpracticumivmaternity-labordeliverydailyclinicalassignmentsheet-docx)

    **RNPracticumIVMaternity_LaborDeliveryDailyClinicalAssignmentSheet.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/rnpracticumivmaternity-labordeliverydailyclinicalassignmentsheet-docx)

  • [Solved] Health Assessment

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    – 2 years ago **files (2)** – ## handoutppquiz.docx – ProductsCreatedby.pdf **## handoutppquiz.docx** Products Created by the Student Attach the product(s) created for your PEEP to the assignment submission link. **Product(s) must be designed and created by the student. Your product should include…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## handoutppquiz.docx

    – ProductsCreatedby.pdf

    **## handoutppquiz.docx**

    Products Created by the Student

    Attach the product(s) created for your PEEP to the assignment submission link.

    **Product(s) must be designed and created by the student.

    Your product should include the Healthy People 2030 topic and objective and behavioral objectives.

    ****My Healthy People 2030 topic: Pregnancy and Childbirth-Objective is Increasing the proportion of women who receives early and adequate prenatal care – MICH-08.

    AND Behavioral objective.

    References must be cited on the product you created using correct 7th edition APA and include a minimum of four references: two professional websites and two evidence-based articles from peer-reviewed scholarly journals. Don't forget in-text citations.

    On your teaching you stated that:

    1. PowerPoint presentation with large fonts that were easily readable, brief bullet-pointed text per slide, and illustrations.

    2. Simple quiz that was given after teaching event.

    Please see Rubic for grading

    **ProductsCreatedby.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/productscreatedby-pdf)

    **ProductsCreatedby.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/productscreatedby-pdf)

    **## handoutppquiz.docx**

    Products Created by the Student

    Attach the product(s) created for your PEEP to the assignment submission link.

    **Product(s) must be designed and created by the student.

    Your product should include the Healthy People 2030 topic and objective and behavioral objectives.

    ****My Healthy People 2030 topic: Pregnancy and Childbirth-Objective is Increasing the proportion of women who receives early and adequate prenatal care – MICH-08.

    AND Behavioral objective.

    References must be cited on the product you created using correct 7th edition APA and include a minimum of four references: two professional websites and two evidence-based articles from peer-reviewed scholarly journals. Don't forget in-text citations.

    On your teaching you stated that:

    1. PowerPoint presentation with large fonts that were easily readable, brief bullet-pointed text per slide, and illustrations.

    2. Simple quiz that was given after teaching event.

    Please see Rubic for grading

    **ProductsCreatedby.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/productscreatedby-pdf)

    **## handoutppquiz.docx**

    Products Created by the Student

    Attach the product(s) created for your PEEP to the assignment submission link.

    **Product(s) must be designed and created by the student.

    Your product should include the Healthy People 2030 topic and objective and behavioral objectives.

    ****My Healthy People 2030 topic: Pregnancy and Childbirth-Objective is Increasing the proportion of women who receives early and adequate prenatal care – MICH-08.

    AND Behavioral objective.

    References must be cited on the product you created using correct 7th edition APA and include a minimum of four references: two professional websites and two evidence-based articles from peer-reviewed scholarly journals. Don't forget in-text citations.

    On your teaching you stated that:

    1. PowerPoint presentation with large fonts that were easily readable, brief bullet-pointed text per slide, and illustrations.

    2. Simple quiz that was given after teaching event.

    Please see Rubic for grading

    **ProductsCreatedby.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/productscreatedby-pdf)

  • [Solved] Evidence-Based Project, Part 3: Critical Appraisal of Research

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    You will use an appraisal tool to critically appraise published research and then present the results of your efforts. – 2 years ago

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    You will use an appraisal tool to critically appraise published research and then present the results of your efforts.

    – 2 years ago

  • [Solved] hi

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    can you do this – 2 years ago

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    can you do this

    – 2 years ago

  • [Solved] Nursing written assignment

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    2 pages max follow a format no plagiarism Im providing the resources for the answers APA format No title page – 2 years ago **files (1)** – ## WittenAssigment705instructions.docx **## WittenAssigment705instructions.docx** 2 pages maximun No title page APA format No copy and paste Please use the info…

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    Assignment Prompt & Instructions

    2 pages max

    follow a format

    no plagiarism

    Im providing the resources for the answers

    APA format

    No title page

    – 2 years ago

    **files (1)**

    – ## WittenAssigment705instructions.docx

    **## WittenAssigment705instructions.docx**

    2 pages maximun

    No title page

    APA format No copy and paste

    Please use the info I typed in red to answer the questions

    Reference page on APA format

    Answer the questions
    [USING THIS TEMPLATE here](https://frontiernursing.instructure.com/courses/4863/files/2831850?wrap=1) [Download USING THIS TEMPLATE here](https://frontiernursing.instructure.com/courses/4863/files/2831850/download?download_frd=1) [Open this document with ReadSpeaker docReader](https://docreader.readspeaker.com/docreader/?cid=14495&lang=en_us&url=https%3A%2F%2Finst-fs-iad-prod.inscloudgate.net%2Ffiles%2Fc2e80b18-a436-4450-98a1-af40a60deb54%2FScope%2520of%2520Practice%2520Template.docx%3Ftoken%3DeyJ0eXAiOiJKV1QiLCJhbGciOiJIUzUxMiJ9.eyJpYXQiOjE3NDQwNDUyMjUsInVzZXJfaWQiOm51bGwsInJlc291cmNlIjoiL2ZpbGVzL2MyZTgwYjE4LWE0MzYtNDQ1MC05OGExLWFmNDBhNjBkZWI1NC9TY29wZSUyMG9mJTIwUHJhY3RpY2UlMjBUZW1wbGF0ZS5kb2N4IiwianRpIjoiNjA1NWI5NWItMTUzZi00ZTAwLThjYTUtYjE0NDJhZDlhZGIzIiwiaG9zdCI6bnVsbCwiZXhwIjoxNzQ0MTMxNjI1fQ.2jp7_Lr-8PrRtx26JEitjyv3x1-sCXgr8Njj8nNpEgyscgoVHju_tCxfEdpy_nd89ynwQYkaSrJU1iOClPlXeQ) to complete this assignment by summarizing information from the board of nursing or another website. Please do not cut and paste technical information here as you need to be familiar with the requirements in the state where you will be working as a PMHNP.

    Step 2:

    Submit the assignment to your individual dropbox by the due date. Don't forget citations.  Looking forward to reading your responses to this very important activity.

    ### **Rubric**

    **Scope of Practice Assignment**

    | | | |
    | — | — | — |
    | Scope of Practice Assignment |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeAll questions are answered with thoughtful responses. | | | | |
    | — | — | — |
    | **6 pts**<br>**All questions are thoughtfully answered** | **4 pts**<br>**Half to one third of questions are answered with some thought.** | **2 pts**<br>**Poor responses, not well thought out or not addressed.** | | 6 pts |
    | This criterion is linked to a Learning OutcomeWell written, no spelling or grammatical errors. If citations required APA format is followed. | | | | |
    | — | — | — |
    | **3 pts**<br>**Well written, no spelling or grammar errors. APA citations used if applicable.** | **2 pts**<br>**Less than 1 – 3 spelling or grammar errors. No citations if they had been necessary.** | **1 pts**<br>**More than 3 spelling or grammar errors, no citations if needed.** | | 3 pts |
    | This criterion is linked to a Learning OutcomeSummary of the practice guidelines is clear and succinct | | | | |
    | — | — | — |
    | **6 pts**<br>**Summary reflects synthesis of the information and is easily followed** | **4 pts**<br>**Summary contains some technical information; but, for the most part, provides a good overivew of the important information** | **2 pts**<br>**There is no summary. Information was taken directly from the standards and does not reflect synthesis and summarization of the important points** | | 6 pts |
    | Total Points: 15 |

    SCOPE OF PRACTICE FOR THE PMHNP IN
    \_\_\_______________________
    Name of State: Florida
    Provide a link to the Board of Nursing website:
    [https://floridasnursing.gov](https://floridasnursing.gov/)

    1. What influenced you to consider the role of the PMHNP for your
    future practice?

    The obvious need for psych care I’ve seen in my current practice and limited resources: long wait times for pscyh specialist referrals, limited number support groups, patient lacking education about psychiatric conditions, evidenced by stigma preventing patient to seek psychiatric care

    2. As a PMHNP, you will be able to practice in your state with:
    o Restricted practice
    o Reduced practice
    o Full practice

    3. What are the requirements to obtain/maintain prescriptive authority
    in this state?

    filing of original signed protocols gives you prescriptive privileges.

    To obtain prescriptive authority in Florida as a PMHNP, you must hold an active Florida Registered Nurse (RN) license, a master's or doctoral degree in a nursing specialty area, and national certification from an approved specialty board,
    [according to the Florida Board of Nursing](https://floridasnursing.gov/licensing/advanced-practice-registered-nurse/). Additionally, you must complete continuing education, including three hours every two years on the safe and effective prescription of controlled substances. You must also be compliant with electronic prescribing requirements.

    The ability to prescribe controlled substances, even with a physician's protocol, is a key part of the PMHNP scope of practice in Florida

    4. Does your state require any collaboration or supervision for PMHNP
    practice, including hours required immediately following completion
    of the program? If so, what are the guidelines?

    HB 771, signed in 2024, amended the law to authorize certified psychiatric APRNs to practice autonomously in psychiatric mental health services, setting the effective date as July 1, 2024

    Psychiatric nurses with two years of post-master’s clinical experience under the supervision of

    a physician may, within an established psychiatrist’s protocol, prescribe psychotropic controlled substances for

    the treatment of mental disorders and initiate an involuntary examination and provide related services as

    permitted under the Florida Mental Health Act.

    All APRN specialties are eligible for autonomous practice, however, only certified midwives are

    currently authorized to practice any specific functions related to their specialty area without an

    established physician protocol when registered for autonomous practice.

    23 Psychiatric nurses may only

    autonomously provide primary care-related services and must still adhere to an established protocol

    with a psychiatrist when performing acts related to psychiatric mental health treatment.

    For Registration as an Autonomous Advanced Practice Registered Nurse, the requirements are as follows and can be found in Section 464.0123, F.S.

    1. You must hold a Clear, Active, Florida APRN License.

    2. You must have completed at least 3000 clinical hours under the supervision of an allopathic or osteopathic physician within the past 5 years.  These hours may include clinical instructional hours as faculty.  See 464.123(1)(c), F.S. for complete requirements.

    3. You must submit proof of three graduate-level semester hours (or the equivalent) in differential diagnosis, and three graduate-level semester hours (or the equivalent) in pharmacology completed within the last five years. Please
    [click here](https://floridasnursing.gov/help-center/what-ce-courses-are-accepted-as-equivalent-to-the-graduate-level-semester-hours-required-for-autonomous-aprn-registration/) for a description of equivalent courses.

    4. You must not have been subject to disciplinary action as specified in s. 456.072, F.S. or s. 464.018, F.S., or any similar disciplinary action in any state or jurisdiction within the past five years.

    References:

    5.
    [https://floridasnursing.gov/licensing/autonomous-advanced-practice-registered-nurse/](https://floridasnursing.gov/licensing/autonomous-advanced-practice-registered-nurse/)

    6.
    [https://www.flsenate.gov/Session/Bill/2024/771/Analyses/h0771.HRS.PDF](https://www.flsenate.gov/Session/Bill/2024/771/Analyses/h0771.HRS.PDF)

    5. Does your state have specific scope of practice guidelines for the
    PMHNP? Provide a summary of these guidelines and a link to where
    they are located.

    A psychiatric nurse, who meets the requirements in s. 394.455(35), within the framework of an established protocol with a psychiatrist, may prescribe psychotropic controlled substances for the treatment of mental disorders.

    Advanced Practice Registered Nurse (APRN) who has met the necessary requirements outlined in statute is recognized as a psychiatric nurse.

    Pursuant to s.394.455(35), F.S., “Psychiatric nurse” means an advanced practice registered nurse certified under s.464.012 who has a master’s or doctoral degree in psychiatric nursing, holds a national advanced practice certification as a psychiatric mental health advanced practice nurse, and has 1 year of post-master’s clinical experience under the supervision of a physician.

    In addition, Section 464.012(4), FS, references: (e) A psychiatric nurse, who meets the requirements in s. 394.455(35), within the framework of an established protocol with a psychiatrist, may prescribe psychotropic controlled substances for the treatment of mental disorders.

    The new law allows a Psychiatric Nurse, as defined in Section 394.455, Florida Statutes, and working within the framework of an established protocol with a Psychiatrist, to prescribe psychotropic controlled substances for the treatment of mental disorders. Grounds for discipline or denial of a license for Psychiatric Nurses are described in Section 8 of the law.  Advanced Registered Nurse Practitioners are now authorized to seek certification as Psychiatric Nurses through the Board of Nursing.  Existing ARNPs who hold this certification can add it to their license by writing the Board, along with a copy of the certification, at
    [MQA.Nursing@FlHealth.gov](mailto:MQA.Nursing@FlHealth.gov).  A revised protocol agreement with a supervising Psychiatrist will also be required unless the ARNP indicates he or she does not intend to prescribe controlled substances as indicated above.  New applicants for ARNP certification will submit documentation as part of the initial licensure process.

    In addition, the bill amends Chapter 893, Florida Statutes, by revising the term “practitioner’ to include Psychiatric Nurses. The prescribing of medication on the premises of a pain-management clinic is still limited to a physician licensed under Chapter 458 or 459, Florida Statutes.

    References:

    [https://floridasnursing.gov/important-legislative-update-regarding-hb-977/](https://floridasnursing.gov/important-legislative-update-regarding-hb-977/)

    6. What is the legal title you are to use in your state as a PMHNP? ANCC
    recommends PMHNP-BC once you pass your boards. Does this
    suffice in your state or must you use additional credentials (i.e.
    APRN, ARNP, NP, etc.)

    In Florida NP are legally recognized as APRN.

    7. Describe the community where you plan to set up your practice as a
    PMHNP, including demographics? If you are not sure where you will
    be practicing, describe the community where you currently live.

    • Name of the community: Homestead
    • Approximate population: 80,737 people
    • Would you consider your community rural or urban? It has both, but generally considered rural

    • Is this considered a medically underserved community?

    Reference:
    https://bhw.hrsa.gov/workforce-shortage-areas/shortage-
    designation

    It is considered underserved community

    8. In general, what resources are available for mental health services in
    your community? You can look at Healthgrades.com, google, or word-
    of-mouth to identify providers. For this assignment, provide the
    number of each type of service available.
    • Private psychiatric practices (physician or NP practices): 10 offices
    • Inpatient psychiatric facilities: 1
    • Outpatient psychiatric services: 3 facilities
    • Geriatric-specific mental health services: 4 practices
    • Community mental health services: 3
    • Pediatric/adolescent-specific psychiatric services: 4
    • Crisis centers for psychiatric-specific emergencies: 2
    • School-based mental health services: 2
    • Substance-abuse treatment facilities: 6

    9. Do you think there are adequate resources within your community for patients. Tell us why you feel this way

    No there is not adequate resources

    Homestead, Florida, is part of a bigger community called Miami-dade County with an approximate population of 2.7 million people

    In the Spring of 2017, Florida’s Governor Rick Scott signed an executive order declaring a statewide public health emergency for the opioid epidemic.

    2019 data indicates that the percentage of adults reporting binge or heavy drinking in Miami- Dade County and state is 18%.

    There are only 4 crisis stabilization facilities in all Miami Dade. 2 of these facilities are in the Homestead area where I plan to practice. However, given the large population of Miami Dade county, and specifically of the Homestead area, those 4 facilities are inadequate to serve the entire community.

    In 2020, there were only 1363 mental health counselors in all Miami Dade-County

    Reference:

    [https://www.floridahealth.gov/_media/miami-dade/community-reports/miamidade-cha.pdf](https://www.floridahealth.gov/_media/miami-dade/community-reports/miamidade-cha.pdf)

    **## WittenAssigment705instructions.docx**

    2 pages maximun

    No title page

    APA format No copy and paste

    Please use the info I typed in red to answer the questions

    Reference page on APA format

    Answer the questions
    [USING THIS TEMPLATE here](https://frontiernursing.instructure.com/courses/4863/files/2831850?wrap=1) [Download USING THIS TEMPLATE here](https://frontiernursing.instructure.com/courses/4863/files/2831850/download?download_frd=1) [Open this document with ReadSpeaker docReader](https://docreader.readspeaker.com/docreader/?cid=14495&lang=en_us&url=https%3A%2F%2Finst-fs-iad-prod.inscloudgate.net%2Ffiles%2Fc2e80b18-a436-4450-98a1-af40a60deb54%2FScope%2520of%2520Practice%2520Template.docx%3Ftoken%3DeyJ0eXAiOiJKV1QiLCJhbGciOiJIUzUxMiJ9.eyJpYXQiOjE3NDQwNDUyMjUsInVzZXJfaWQiOm51bGwsInJlc291cmNlIjoiL2ZpbGVzL2MyZTgwYjE4LWE0MzYtNDQ1MC05OGExLWFmNDBhNjBkZWI1NC9TY29wZSUyMG9mJTIwUHJhY3RpY2UlMjBUZW1wbGF0ZS5kb2N4IiwianRpIjoiNjA1NWI5NWItMTUzZi00ZTAwLThjYTUtYjE0NDJhZDlhZGIzIiwiaG9zdCI6bnVsbCwiZXhwIjoxNzQ0MTMxNjI1fQ.2jp7_Lr-8PrRtx26JEitjyv3x1-sCXgr8Njj8nNpEgyscgoVHju_tCxfEdpy_nd89ynwQYkaSrJU1iOClPlXeQ) to complete this assignment by summarizing information from the board of nursing or another website. Please do not cut and paste technical information here as you need to be familiar with the requirements in the state where you will be working as a PMHNP.

    Step 2:

    Submit the assignment to your individual dropbox by the due date. Don't forget citations.  Looking forward to reading your responses to this very important activity.

    ### **Rubric**

    **Scope of Practice Assignment**

    | | | |
    | — | — | — |
    | Scope of Practice Assignment |
    | **Criteria** | **Ratings** | **Pts** |
    | This criterion is linked to a Learning OutcomeAll questions are answered with thoughtful responses. | | | | |
    | — | — | — |
    | **6 pts**<br>**All questions are thoughtfully answered** | **4 pts**<br>**Half to one third of questions are answered with some thought.** | **2 pts**<br>**Poor responses, not well thought out or not addressed.** | | 6 pts |
    | This criterion is linked to a Learning OutcomeWell written, no spelling or grammatical errors. If citations required APA format is followed. | | | | |
    | — | — | — |
    | **3 pts**<br>**Well written, no spelling or grammar errors. APA citations used if applicable.** | **2 pts**<br>**Less than 1 – 3 spelling or grammar errors. No citations if they had been necessary.** | **1 pts**<br>**More than 3 spelling or grammar errors, no citations if needed.** | | 3 pts |
    | This criterion is linked to a Learning OutcomeSummary of the practice guidelines is clear and succinct | | | | |
    | — | — | — |
    | **6 pts**<br>**Summary reflects synthesis of the information and is easily followed** | **4 pts**<br>**Summary contains some technical information; but, for the most part, provides a good overivew of the important information** | **2 pts**<br>**There is no summary. Information was taken directly from the standards and does not reflect synthesis and summarization of the important points** | | 6 pts |
    | Total Points: 15 |

    SCOPE OF PRACTICE FOR THE PMHNP IN
    \_\_\_______________________
    Name of State: Florida
    Provide a link to the Board of Nursing website:
    [https://floridasnursing.gov](https://floridasnursing.gov/)

    1. What influenced you to consider the role of the PMHNP for your
    future practice?

    The obvious need for psych care I’ve seen in my current practice and limited resources: long wait times for pscyh specialist referrals, limited number support groups, patient lacking education about psychiatric conditions, evidenced by stigma preventing patient to seek psychiatric care

    2. As a PMHNP, you will be able to practice in your state with:
    o Restricted practice
    o Reduced practice
    o Full practice

    3. What are the requirements to obtain/maintain prescriptive authority
    in this state?

    filing of original signed protocols gives you prescriptive privileges.

    To obtain prescriptive authority in Florida as a PMHNP, you must hold an active Florida Registered Nurse (RN) license, a master's or doctoral degree in a nursing specialty area, and national certification from an approved specialty board,
    [according to the Florida Board of Nursing](https://floridasnursing.gov/licensing/advanced-practice-registered-nurse/). Additionally, you must complete continuing education, including three hours every two years on the safe and effective prescription of controlled substances. You must also be compliant with electronic prescribing requirements.

    The ability to prescribe controlled substances, even with a physician's protocol, is a key part of the PMHNP scope of practice in Florida

    4. Does your state require any collaboration or supervision for PMHNP
    practice, including hours required immediately following completion
    of the program? If so, what are the guidelines?

    HB 771, signed in 2024, amended the law to authorize certified psychiatric APRNs to practice autonomously in psychiatric mental health services, setting the effective date as July 1, 2024

    Psychiatric nurses with two years of post-master’s clinical experience under the supervision of

    a physician may, within an established psychiatrist’s protocol, prescribe psychotropic controlled substances for

    the treatment of mental disorders and initiate an involuntary examination and provide related services as

    permitted under the Florida Mental Health Act.

    All APRN specialties are eligible for autonomous practice, however, only certified midwives are

    currently authorized to practice any specific functions related to their specialty area without an

    established physician protocol when registered for autonomous practice.

    23 Psychiatric nurses may only

    autonomously provide primary care-related services and must still adhere to an established protocol

    with a psychiatrist when performing acts related to psychiatric mental health treatment.

    For Registration as an Autonomous Advanced Practice Registered Nurse, the requirements are as follows and can be found in Section 464.0123, F.S.

    1. You must hold a Clear, Active, Florida APRN License.

    2. You must have completed at least 3000 clinical hours under the supervision of an allopathic or osteopathic physician within the past 5 years.  These hours may include clinical instructional hours as faculty.  See 464.123(1)(c), F.S. for complete requirements.

    3. You must submit proof of three graduate-level semester hours (or the equivalent) in differential diagnosis, and three graduate-level semester hours (or the equivalent) in pharmacology completed within the last five years. Please
    [click here](https://floridasnursing.gov/help-center/what-ce-courses-are-accepted-as-equivalent-to-the-graduate-level-semester-hours-required-for-autonomous-aprn-registration/) for a description of equivalent courses.

    4. You must not have been subject to disciplinary action as specified in s. 456.072, F.S. or s. 464.018, F.S., or any similar disciplinary action in any state or jurisdiction within the past five years.

    References:

    5.
    [https://floridasnursing.gov/licensing/autonomous-advanced-practice-registered-nurse/](https://floridasnursing.gov/licensing/autonomous-advanced-practice-registered-nurse/)

    6.
    [https://www.flsenate.gov/Session/Bill/2024/771/Analyses/h0771.HRS.PDF](https://www.flsenate.gov/Session/Bill/2024/771/Analyses/h0771.HRS.PDF)

    5. Does your state have specific scope of practice guidelines for the
    PMHNP? Provide a summary of these guidelines and a link to where
    they are located.

    A psychiatric nurse, who meets the requirements in s. 394.455(35), within the framework of an established protocol with a psychiatrist, may prescribe psychotropic controlled substances for the treatment of mental disorders.

    Advanced Practice Registered Nurse (APRN) who has met the necessary requirements outlined in statute is recognized as a psychiatric nurse.

    Pursuant to s.394.455(35), F.S., “Psychiatric nurse” means an advanced practice registered nurse certified under s.464.012 who has a master’s or doctoral degree in psychiatric nursing, holds a national advanced practice certification as a psychiatric mental health advanced practice nurse, and has 1 year of post-master’s clinical experience under the supervision of a physician.

    In addition, Section 464.012(4), FS, references: (e) A psychiatric nurse, who meets the requirements in s. 394.455(35), within the framework of an established protocol with a psychiatrist, may prescribe psychotropic controlled substances for the treatment of mental disorders.

    The new law allows a Psychiatric Nurse, as defined in Section 394.455, Florida Statutes, and working within the framework of an established protocol with a Psychiatrist, to prescribe psychotropic controlled substances for the treatment of mental disorders. Grounds for discipline or denial of a license for Psychiatric Nurses are described in Section 8 of the law.  Advanced Registered Nurse Practitioners are now authorized to seek certification as Psychiatric Nurses through the Board of Nursing.  Existing ARNPs who hold this certification can add it to their license by writing the Board, along with a copy of the certification, at
    [MQA.Nursing@FlHealth.gov](mailto:MQA.Nursing@FlHealth.gov).  A revised protocol agreement with a supervising Psychiatrist will also be required unless the ARNP indicates he or she does not intend to prescribe controlled substances as indicated above.  New applicants for ARNP certification will submit documentation as part of the initial licensure process.

    In addition, the bill amends Chapter 893, Florida Statutes, by revising the term “practitioner’ to include Psychiatric Nurses. The prescribing of medication on the premises of a pain-management clinic is still limited to a physician licensed under Chapter 458 or 459, Florida Statutes.

    References:

    [https://floridasnursing.gov/important-legislative-update-regarding-hb-977/](https://floridasnursing.gov/important-legislative-update-regarding-hb-977/)

    6. What is the legal title you are to use in your state as a PMHNP? ANCC
    recommends PMHNP-BC once you pass your boards. Does this
    suffice in your state or must you use additional credentials (i.e.
    APRN, ARNP, NP, etc.)

    In Florida NP are legally recognized as APRN.

    7. Describe the community where you plan to set up your practice as a
    PMHNP, including demographics? If you are not sure where you will
    be practicing, describe the community where you currently live.

    • Name of the community: Homestead
    • Approximate population: 80,737 people
    • Would you consider your community rural or urban? It has both, but generally considered rural

    • Is this considered a medically underserved community?

    Reference:
    https://bhw.hrsa.gov/workforce-shortage-areas/shortage-
    designation

    It is considered underserved community

    8. In general, what resources are available for mental health services in
    your community? You can look at Healthgrades.com, google, or word-
    of-mouth to identify providers. For this assignment, provide the
    number of each type of service available.
    • Private psychiatric practices (physician or NP practices): 10 offices
    • Inpatient psychiatric facilities: 1
    • Outpatient psychiatric services: 3 facilities
    • Geriatric-specific mental health services: 4 practices
    • Community mental health services: 3
    • Pediatric/adolescent-specific psychiatric services: 4
    • Crisis centers for psychiatric-specific emergencies: 2
    • School-based mental health services: 2
    • Substance-abuse treatment facilities: 6

    9. Do you think there are adequate resources within your community for patients. Tell us why you feel this way

    No there is not adequate resources

    Homestead, Florida, is part of a bigger community called Miami-dade County with an approximate population of 2.7 million people

    In the Spring of 2017, Florida’s Governor Rick Scott signed an executive order declaring a statewide public health emergency for the opioid epidemic.

    2019 data indicates that the percentage of adults reporting binge or heavy drinking in Miami- Dade County and state is 18%.

    There are only 4 crisis stabilization facilities in all Miami Dade. 2 of these facilities are in the Homestead area where I plan to practice. However, given the large population of Miami Dade county, and specifically of the Homestead area, those 4 facilities are inadequate to serve the entire community.

    In 2020, there were only 1363 mental health counselors in all Miami Dade-County

    Reference:

    [https://www.floridahealth.gov/_media/miami-dade/community-reports/miamidade-cha.pdf](https://www.floridahealth.gov/_media/miami-dade/community-reports/miamidade-cha.pdf)