Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role.

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Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role.

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Construct a professional paper that outlines the advanced practice role – as a nurse educator, a nurse leader, or a nurse practitioner – to advance the CDC’s antibiotic resistance initiative. The paper needs to be a minimum of six (6) pages [excluding title and reference pages] consistent with APA style without an abstract page. The paper is worth 40 points.

Please include the following:

1. Introduction that identifies your advanced practice role and your view of how that role will be able to impact the antibiotic resistance dilemma. Support your discussion with at least two references from the literature.

2. Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role. Support your discussion with at least two references from the literature.

3. Discuss three activities/actions that you will develop to support the promotion of the key strategy that you identified in item 2 above. Each action/activity needs to be well designed and supported with at least one reference from the literature. [For example, if you are a nurse educator student – in what course(s) will you be able to promote your identified key strategies, be specific about what that would look like using example lesson plan(s), identify any active learning strategies you will utilize, etc., and provide justification for your strategies, etc.; if you are a nurse leader student – what program(s) and activities will you engage with relative to your organization, be that existing programs or creation of new programs, reporting mechanisms, development of collaborative committees, etc., and provide justification for your strategies, etc.; if you are a nurse practitioner student – what prescribing practices, patient education practices, monitoring programs, etc., will you engage with, and provide justification for your strategies, etc.

4. The paper is to be formatted according to APA style

Estimated time to complete: 3 hours

Rubric

NU634 Unit 6 Assignment Rubric

NU634 Unit 6 Assignment Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeFirst Prompt

10 pts

5

Well-developed introduction, with a minimum of two references identified.

8 pts

4

An introduction, with a minimum of two references identified.

6 pts

3

An introduction, missing a minimum of two references identified.

0 pts

0

No introduction or references

10 pts

This criterion is linked to a Learning OutcomeSecond Prompt

15 pts

5

Identified one key CDC strategy, with a minimum of two references identified.

12 pts

4

Identified one key CDC strategy, with only one reference identified.

9 pts

3

Identified one key CDC strategy, no reference identified.

0 pts

0

No key CDC strategy, no reference identified.

15 pts

This criterion is linked to a Learning OutcomeThird Prompt

10 pts

5

Identified 3 activities/actions each supported with at least one reference.

9 pts

4

Identified 2 activities/actions each supported with at least one reference.

7 pts

3

Identified 1 activities/actions each supported with at least one reference.

0 pts

0

No activities/actions each supported with at least one reference.

10 pts

This criterion is linked to a Learning OutcomeAPA and Grammar

5 pts

5

Paper is constructed in APA style and demonstrates graduate level grammar competency

4 pts

4

Paper is constructed in APA style and demonstrates less than graduate level grammar competency

3 pts

3

Paper is NOT constructed in APA style and demonstrates undergraduate level grammar competency

0 pts

0

Paper is NOT constructed in APA style and demonstrates less than graduate level grammar competency

5 pts

Total Points: 40

SAMPLE PAPER

CDC Antibiotic Stewardship Initiative Discussion Paper Identify your advanced practice role and your view of how that role will be able to impact the antibiotic resistance dilemma. Antibiotic resistance (AR) has been deemed to be a threat to treatments discovery. Antibiotic resistance is described as the natural process by which microorganisms develop resistance against drugs that are used against them. AR is brought forth by abuse and misuse that also enhances spread of the resistant microorganisms (Van Buul et al., 2012). In response, the Centre of Diseases Control (CDC) has established initiatives to detect, respond and contain the spread of infections. The CDC is the leader in the fight against the antimicrobial resistance through several laid down solutions strategies to comprehensively respond to the threat. The CDC also partners with other health care stakeholders to enhance the implementation of the antimicrobial resistance initiatives that will in turn eliminate the threat (Centre of Disease Control et al., n.d). It would be right to say that nurse practitioners are the most significant stakeholders in the fight against antimicrobial resistance. Nurse practitioners spend most of the time with their patients to implement care interventions which consequently enhances their deep understanding of patients. Nurse’s roles on patient care can enhance the effort against antimicrobial resistance. Nurse practitioners are trained to handle vast roles that contribute to the primary concept of care provision. Besides, advanced nurse practitioners take active part in patient advocacy and representation including politically through their organizations. In patent care, nurse practitioners are nowadays permitted to assess, diagnose and treat patient through interventions of their choice among the laid down practice guidelines. Antimicrobial drugs can be prescribed by nurses and This study source was downloaded by 100000760925736 from CourseHero.com on 12-07-2021 10:27:31 GMT -06:00 https://www.coursehero.com/file/62428862/CDC-Antibiotic-Stewardship-Initiative-Discussion-Paperdocx/ This study resource was shared via CourseHero.com CDC ANTIBIOTIC STEWARDSHIP INITIATIVE DISCUSSION PAPER 3 thus making nurse practitioners to be a critical component in the fight against antimicrobial resistance (McKenna, 2013). A major role of advanced nurse practitioners is to offer care and treatment to their patients. patient care involves maintenance of health through preventing, diagnosing, treating and recovery of diseases or other health issues. In the process, nurse practitioners are mandated to prescribe medication or implement any other best available intervention to restore health of their patients. therefore, nurses have a great role in the process to help in the fight against antimicrobial resistance. First, during treatment intervention, nurse practitioners have the option of prescribing the best available intervention to treat their patients. if there are other available interventions that does not involve the use f drugs, nurses can opt for that provided the best interest of the given patient is served. Besides, nurse providers can play a significant role in educating their patient about the prescribed medications that may involve antimicrobials to prevent abuse or misuse by patients. Many drugs are said to be addictive and consequently bring forth adverse effects on patients’ health (Frieri et al., 2017). According to Manning et al. (2016), nurse practitioners need to ensure that any drug prescription is justifiable and evidence-based. Nurse practitioners ought to ensure that their patients do not abuse or misuse antimicrobial medications through overdosing. Besides, nurse practitioners need to ensure that the prescribed medications are of not harmful to patients through proper assessment, diagnosis and treatment. If patients are prescribed with antimicrobials that are undesired by the body, they are likely to develop resistance against the medications over time because of wrong treatment that result from malpractice or medical errors (Van Buul et al., 2012). Nurse practitioners can also play a significant role politically on the fight against antimicrobial resistance. Nurse practitioners, through their organizations are mandated to This study source was downloaded by 100000760925736 from CourseHero.com on 12-07-2021 10:27:31 GMT -06:00 https://www.coursehero.com/file/62428862/CDC-Antibiotic-Stewardship-Initiative-Discussion-Paperdocx/ This study resource was shared via CourseHero.com CDC ANTIBIOTIC STEWARDSHIP INITIATIVE DISCUSSION PAPER 4 advocate for their patients and thus involving them in political processes to develop and implement policies tat may help in the fight against antimicrobial resistance. National nursing standards and practice guidelines are approved and implanted into law through a political process that directly involve nurse practitioners who participate in the congressional law-making processes. The policies can be used as guidelines that help nurse practitioners in making decisions in their clinical practice (Manning et al., 2016). Review the CDC’s goals and identify one of the CDC’s key strategies that you will be able to promote/support in your advanced practice role. According to the Centers of Disease Control (n.d), about 30% of the antimicrobials that are prescribed in the United States acute hospitals are unnecessary or could be avoided. Besides, improving the antibiotic use in hospitals is important especially in improving patient outcomes and quality of care. It is estimated that in the United States, about 2.8 million people are affected by infections that cannot be treated by the usual antibiotics and 35,000 of these die from conditions secondary to antibiotic use. Therefore, as aforementioned, nurse practitioners are involved in prescription of drugs and thus making them an integral component in the fight against antimicrobial resistance that is attributed to misuse of unnecessary prescription. Despite the fact that prompt initiation o antibiotics saves lives, it is also important for practitioners to ensure that their clinical practice is evidence-based. The CDC offers guidelines that cover the whole continuum regarding the fight against antimicrobial resistance. The CDC program are focused on enhancing antibiotic use or antibiotic stewardship programs that are deemed effective in combating the dilemma (Centers of Disease Control, n.d). The CDC has established stewardship programs that identify structural and functional aspects of the fight against antibiotic resistance. In 2014, the CDC established seven core This study source was downloaded by 100000760925736 from CourseHero.com on 12-07-2021 10:27:31 GMT -06:00 https://www.coursehero.com/file/62428862/CDC-Antibiotic-Stewardship-Initiative-Discussion-Paperdocx/ This study resource was shared via CourseHero.com CDC ANTIBIOTIC STEWARDSHIP INITIATIVE DISCUSSION PAPER 5 elements to be used in facilitation of implementing the fight against antimicrobial resistance in hospitals. Each hospital is mandated to chose the most effective option among the strategies. The first core element designed by the CDC is leadership commitment and accountability (Centers of Disease Control, n.d). Hospital leadership is required to ensure that all allocations that re necessary in supporting the fight antibiotic stewardship programs. The leaders are required to designate experienced physicians who will be accountable for outcomes of antibiotic stewardship (Manning et al., 2016). Leadership accountability may involve training of other hospital stewardship leaders that take part in the programs against antibiotic resistance. Leaders are also called to create a functional structure for the stewardship programs and outcomes that will ensure success (Manning et al., 2016). Another element established by the CDC include drug expertise which is key component in hospital and the whole continuum of antibiotic use. Nurse practitioners need to have adequate expertise on drugs to enhance their competency and patients’ outcomes. when drugs are wrongly used, they are likely to cause adverse effects that ay be fatal to health and thus necessitating the importance of drug expertise for anyone prescribing drugs to patients (Centers of Disease Control, n.d). Besides, nurse practitioners are called to implement evidence-based practice which involves consultation either remotely or on-site. The practice enhances holistic advanced nursing practice. besides, hospitals can offer access to training and shadowing to students to enhance their experience and drug expertise in clinical settings and consequently help in the fight against antibiotic resistance. The CDC also established an element that involves action. The action element involves implementation of interventions that target at improving the antibiotic use and in return enhance the fight against antibiotic resistance. Nurse practitioners are always called to ensure that their This study source was downloaded by 100000760925736 from CourseHero.com on 12-07-2021 10:27:31 GMT -06:00 https://www.coursehero.com/file/62428862/CDC-Antibiotic-Stewardship-Initiative-Discussion-Paperdocx/ This study resource was shared via CourseHero.com CDC ANTIBIOTIC STEWARDSHIP INITIATIVE DISCUSSION PAPER 6 clinical actions are evidence-based to eliminate clinical malpractice. Therefore, action should always serve the patient’s best interests follow clinical guidelines (Centers of Disease Control, n.d). The fight against antimicrobial resistance can best be fought through action that should is derived from a proper decision that may involve collaboration with other providers or professionals. As aforementioned, any strategy directly depends on action that will be implemented and thus making it an important aspect in the whole continuum of the fight against antimicrobial resistance. Nurse practitioners’ actions directly affect patient outcomes and quality of care. as a result, nurse practitioners ought to make informed decisions that will positively affect patient outcomes. The CDC further established that stewardship actions that can be implemented by all stakeholders in the fight against antimicrobial use. The actions include review of antibiotics to ensure they are necessary before prescribing. Monitoring can also play a significant role in the fight against antimicrobial resistance. Patients can be monitored if they are properly adhering to their drug prescription to minimize cases of defaulting which in turn may contribute to antimicrobial resistance. Besides, the CDC explains that nurses play a significant role in implementing actions that propel the fight against antimicrobial resistance through several ways (Centers of Disease Control, n.d). Some of the ways include: Reviewing culture results with other professionals that are involved in patient care and treatment such as pharmacists and clinicians Reviewing culture techniques that will enhance proper clinical practice which include proper processes and following guidelines. Assessing oral intake of antibiotics and changing patient’s perspective on different available interventions measures. This study source was downloaded by 100000760925736 from CourseHero.com on 12-07-2021 10:27:31 GMT -06:00 https://www.coursehero.com/file/62428862/CDC-Antibiotic-Stewardship-Initiative-Discussion-Paperdocx/ This study resource was shared via CourseHero.com CDC ANTIBIOTIC STEWARDSHIP INITIATIVE DISCUSSION PAPER 7 Educating patients about the potential adverse effects associated with antibiotics to enhance knowledge and awareness among. Initiating antibiotics time-outs with other professionals involved in treatment of the given patient and reviewing the antibiotic therapy after about 48 hours of treatment. Another critical element involves tracking of patients and assessing stewardship actions using patient’s clinical data. Some hospitals have properly and strict guidelines that enhances tracking or monitoring of the implemented programs that target antimicrobial use and resistance (Brown, 2017). Data tracking may involve implementation of latest technology and health informatics such as telemedicine to enhance quality of care and outcomes. This element may involve reporting where nurse practitioners are mandated with the duty to warn, especially where patients seem dangerous to the health of others (Centers of Disease Control, n.d). Discuss three activities/actions that you will develop to support the promotion of the key strategy that you identified in item 2 above. In my role as a practitioner in the fight against antimicrobial resistance, I would develop three activities that include drug expertise, leadership and accountability and acting properly. In the strategy, I will ensure that I follow every laid down guideline in my clinical practice. besides, the freedom of decision making and implementation, I would ensure that all my clinical actions are evidence based and justifiable especially when dealing with antimicrobial drugs or associated diseases. Secondly, as a nurse practitioner, I would ensure that my clinical practice that involve drugs therapy is well decided upon and only serves the best interest of the patient. I plan to learn the skill of drug expertise through research, consultation and collaboration with other professionals or more experienced providers. drugs prescription requires excellent decision This study source was downloaded by 100000760925736 from CourseHero.com on 12-07-2021 10:27:31 GMT -06:00 https://www.coursehero.com/file/62428862/CDC-Antibiotic-Stewardship-Initiative-Discussion-Paperdocx/ This study resource was shared via CourseHero.com CDC ANTIBIOTIC STEWARDSHIP INITIATIVE DISCUSSION PAPER 8 making and problem-solving skills and thus necessitating the need of acquiring excellent expertise (Perry & Hall, 2017). Moreover, I have practiced as a nurse leader in my advanced nursing practice and thus realized the effort that can be implemented by advanced nurse practitioners. From the CDC laid core elements, I would ensure an accountable leadership in the fight against antimicrobial resistance (Perry & Hall, 2017). Therefore, as a leader, it will be my responsibility to ensure that critical cases are monitored closely and resources equally distributed to ensure a successful fight against antimicrobial abuse (Brown, 2017).

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