Briefly describe humanistic-existential psychotherapy and the second approach you selected. Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP. Implementing Quality Measures in Healthcare- Process and Outcome Measures for Continuous Improvement Implementing Quality Measures in Healthcare- Process and Outcome Measures for Continuous Improvement Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Note: The School of Nursing requires that all papers submitted include a title page, i
Assigning Delegating, Supervising and Prioritizing Care
Delegation and assignment of duty can be defined as an authoritative transfer of duty from one individual to another while closely monitoring them. In the nursing profession, duty delegation is an important factor because it helps save time and also prioritizes patients from those who are very ill to those who are stable without any form of negligence ( Lacharity et al., 2021). In a clinical setting where there are Licensed practice nurses (LPN) and certified nursing assistants (CNA), it is the responsibility of the registered nurse to assign duties and supervise them. However, it is important to understand the capabilities of the licensed practice nurse and the certified nursing assistant before delegating tasks to them.
Patients to be Assigned to the LPN
Before assigning tasks to licensed practice nurses, the registered nurse should assess the patient’s needs and note the level of care the client needs. It is also important for registered nurses in charge of delegation to ensure that they are assigning duties that are within the scope of the licensed practice nurse (Haugen & Galura, 2019). The roles of licensed practical nurses include the admission of new clients, assisting clinicians during ward rounds, and performing procedures such as chest tube care in a patient with a chest tube in situ (Lacharity et al., 2021). For instance, in this case, study patients who appear stable and don’t require urgent attention should be delegated to the licensed practical nurse. Examples of the Clients that could be delegated to licensed practice nurses include:
Client number 1, who had normal vitals
Client number 5, who was diagnosed with new dementia and is awaiting lab results,
Client number 6, who was getting discharged,
Client number 3, who was post-surgery and was in pain
Client number 1 was stable, and his outcome was predictable; therefore, he did not require special attention. Client number 5, with newly diagnosed dementia awaiting result, was not an emergency case but required close monitoring. However, Client number 3, who is post-surgery, needs close monitoring and urgent administration of analgesic, which the licensed practical nurse can do under the supervision of the registered nurse.
Nursing Care to be Delegated to LPN and CAN
As stated above, delegation refers to the direct transfer of responsibility from one individual to the other. According to the National Council of State Boards and the American Association of Nurses, delegation should be done using the five rights of delegation, which include the right task, appropriate circumstance, the right person, right communication and direction, right supervision, and evaluation (NCSBN & NCSBN, 2017). The right task to be delegated to licensed practical nurse and certified nurse assistant should meet the following criteria: the care should be within the nurses’ scope, they should be tasks that often recur in daily client care, the task should have a sequence of steps to be followed, should not require modification from one client to another, should have a predictable outcome, should be safe to the client and lastly, the tasks should not require frequent assessment, interpretation or critical decision making (Haugen & Galura, 2019). It is important to ensure that the nurses are well-equipped with the skills and knowledge to perform the delegated duties. Even though the nurses might be meeting the above outlined criteria, accountability remains the duty of the registered nurse.
From the case study, the tasks that meet the criteria include wound dressing of Client number 2 because the change of dressing is a task that might have been daily recurring care for the Client. Secondly is the care for Client Number 1, who had stable vitals because his outcome is predictable. Thirdly is the discharge of Client number 6, the patient discharge has steps that can be followed, and therefore it would not be complex for a licensed practical nurse and certified nurse assistant. Lastly, Client Number 3 has pain after fracture repair because pain is expected in patients post-surgery, and the intervention required is the administration of analgesics. The registered nurse can direct the licensed practical nurse on what to do. For Clients 5 and 4, their care might be a bit complex because it will require urgent decision-making and interpretation, respectively.
Supervised Interventions
Supervision can be defined as the process of following up on the delegatee’s performance after duty delegation. To ensure accountability, the registered nurse delegating duties should do close monitoring of the delegated task. As stated in the previous paragraph, tasks that require supervision are tasks t