Questions from students
the NCP is the problems, interventions and evaluation.
can nurses use cognitive behaviour therapy as an intervention?
Joan: No
Is Acceptance and Commitment Therapy (ACT) considered as part of CBT? (Cognitive-Behavioral Therapy)
Joan : ACT is a different therapy to CBT.
When considering your nursing interventions please consider what are your priorities and what may need to be in place prior to a person receiving psychotherapy. Additionally, I ask you to consider when delivering CBT or any other therapy if it is within scope of the nurse and what kind of context should it be delivered in.
As you answered that we can’t use Cognitive behaviral therapy.. I wonder if mindfulness meditation is considered as a CBT?
Joan: you need to research if mindfulness is CBT
I am a bit confused about the nursing interventions. Does trauma informed care belongs to the nursing interventions?
Joan: all our interventions come under the umbrella of TIC so you cannot state you will apply TIC as a specific intervention
Do we need to incorporate tools of how we would evaluate the assessment data which would indicate success for our interventions. Or is it just identifying what assessment data would indicate its success.
Joan: the second answer – what assessment data indicates success
For q4 are we allowed to use motivational interviewing as an intervention?
Joan: I am not going to say yes or no to any interventions, it is up to you to decide this.
All interventions need to be nursing interventions, relevant to the identified problem or issue and supported with literature.
Should we discuss one assessment data for each of the interventions we have identified for our priority problem or can we mention just one assessment data that can be used the evaluate the effectiveness of the two priority problems we have identified.
Joan: you are asked for assessment data that will show positive impact – it is up to you how you approach this. There is no set number, one thing might indicate success in both or many things might indicate success.
I am bit confused about this sentence: (Each intervention must identify how it will address the priority care area within a recovery orientated framework). I am not sure whether I am on the right track. Does the task mean that we need to describe how our nursing interventions address the priority problem by doing something, which make the client become more hopeful or self-management etc?
Joan: firstly, we cannot ‘make’ the client do anything – we encourage, support, assist etc but using the word ‘make’ implies we are forcing them.
“describe how our nursing interventions address the priority” – yes, with evidence to show that your approach/action/intervention such as communication style, will help the client. More hopeful and self-mgt are good goals to have.
Is increasing medication adherence with non-pharmacological way considered pharmacological???? It is sort of confusing
Joan: if I am understanding your question correctly, actions you take that improve a client’s medication adherence are not considered pharmacological interventions.
Am I only talking about how interventions integrate the recovery-model framework? or Do I need to talk about nursing role in specific intervention and how nursing role integrate the recovery-model framework?
Joan: yes, this second approach is better, but essentially, they are the same thing
When writing Q4, I wonder if I should summarize the symptoms or conditions of the patient in the case. In the task sheet, Q4 is a nursing care plan, and it said, to base my care plan on the information identified in my MSE and Clinical formulation. If so, at the beginning of Q4, should I write a summary of the patient’s symptoms and conditions? Or should I just start mentioning the two priority issues without explaining any information about the patient?
Joan: follow what the question asks you to do – there is insufficient word count available to add unnecessary info.
Should we discuss our own assessment which might indicate a positive affect on the case, or do we need to find out a journal that shows improvement with certain assessments? and would group therapy can be a nursing intervention?
Joan: I assume are you asking about how to evaluate the success of your intervention? If your intervention is evidence based, indicating it would help address your identified problem, then this evidence would be sufficient for you to be able to describe what the positive impact would look like.
When it says to describe one ‘evidence-based nursing intervention’, does this mean to find studies that show the intervention improves our problem? Joan: Yes Or simply talk about a problem that is evidence-based (i.e. peer support)? Joan: peer support is not a problem.
The CRA states “high quality evidence based literature”. We do not state how many refs you need, however students always want a guide hence the number suggested. You may not get to that number – that is not a problem so long as each point you make is supported by high quality evidence based literature.