Essentials Of Evidence-Based Practice

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Essentials Of Evidence-Based Practice

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Essentials Of Evidence-Based Practice

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Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Essentials Of Evidence-Based Practice

 

Health Care Organization Assignment

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Health Care Organization Assignment

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Health Care Organization Assignment

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Prepare a 1,000-1,250 word that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

  1. Describe the health care organization or network.
  2. Describe the organization’s overall readiness based on your findings. Health Care Organization Assignment
  3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
  4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
  5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Health Care Organization Assignment

 

Palliative Research Assignment Paper

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Palliative Research Assignment Paper

Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment for the lymphoma and to develop a plan of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.  Palliative Research Assignment Paper

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1. The students should focus their thoughts on the dynamics of this family meeting. If you were the nurse in this situation, how would you address meeting? Here are some questions that may help your thinking. What is your impression regarding this scenario? What are some concerns you have with this case? What do you anticipate would happen? How would you handle all the family members and friends wanting to be included in the discussion? There is not right or wrong answer. But remember you need a professional journal to support the discussion.

2. Now think about you being the patient. How would the situation be handle within your family? Have you thought about what kind of care you would want? Does someone know what you would want if you had a catastrophic event? Would family members support the decision maker’s decision for for you? Palliative Research Assignment Paper

Joint Commission National Patient Safety Goal Paper

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Joint Commission National Patient Safety Goal Paper

4 PAGES -APA 7th edition. A running head AND abstract are not required. Use appropriate APA headings. No plagiarism! Please follow instructions/rubric below: Joint Commission National Patient Safety Goal Paper

Topic:

  1. Choose OFFICE BASED SURGERY National Patient Safety Goal. Be sure to identify the chosen program of interest and the specific National Patient Safety Goal you will be discussing in the introduction of your paper. https://www.jointcommission.org/standards/national-patient-safety-goals/office-based-surgery-national-patient-safety-goals/
  2. Follow the assignment rubric (see bottom of your screen) closely to write your paper.

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**Please be sure to use the above linked and topic; OFFICE BASED SURGERY****

Rubic

Identify the chosen program of interest and ONE National Patient Safety Goal including the assigned number. Be sure to include a thesis statement (tell the reader what the paper is about). (4-5 sentences) Joint Commission National Patient Safety Goal Paper
*Note you do not include a boldface heading Introduction. Instead you type a non-boldface abbreviated title of paper (see APA 7th edition for example)

Discussion: Address why it is important to have this goal and provide specific examples of why this has been a problem in your practice setting. Scholarly references cited to support this section. (1/2 page)

Discussion: National Patient Safety GoalDiscuss if you believe this goal is realistic. Specifically describe obstacles/barriers that impede implementation and identify actions that will facilitate implementation. (1/2 page)

Summary: Provide a summary of main ideas from your paper. Use the term, “In summary” or “In conclusion”. Do not provide any new information in this section. (4-5 sentences)

APA format, Spelling, Grammar, Headings, References Turnitin Similarity ReportsFollows APA 7th edition format (no abstract or running head required), correct grammar and spelling, uses correct headings, minimum of 4 scholarly references (textbook can be 1 reference), and maximum of 2 direct quotes. Joint Commission National Patient Safety Goal Paper

Nurs 6051 Discussion Walden

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Nurs 6051 Discussion Walden

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge. Nurs 6051 Discussion Walden

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Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap. Nurs 6051 Discussion Walden

Personal Health Assessment Assignment

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Personal Health Assessment Assignment

Prepare a report to assess your personal health status and possible associated health risks.  Personal Health Assessment Assignment

Your report should include the following 6 parts:

  1. Please provide the information that is relevant to this assignment based on your physical characteristics and behavior.  You will decide on a PA (Physical Activity) factor. Justify the number you chose based upon your level of physical activity.
  2. Calculate the individual energy requirements (EER) using the appropriate equation for the age and gender. Please refer to page 521 (Section 14.3) of your textbook  (“What’s Your Estimated Energy Requirement?”) for further details and the calculation equations.  Be sure to provide the appropriate equation, and list each of the variables (height, weight, age, and physical activity level). Convert weight and height into kilograms and meters. Show every step of your calculations!

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  3. Calculate your BMI (body mass index) using one of the formulas provided on page 527 of the textbook (Section 14.5). You can also use “How To Determine BMI” on page 249 as a reference. Be sure to provide the equation you used, the variables, and show every step of your calculations! According to the 14.10 (“What’s Your BMI?”, page 528), what is your assessment of your BMI?
  4. Waist circumference measurement and assessment. Use a tape to measure your waist circumference at the level of the belly button. List your measurement. According to the information in your textbook concerning waist circumference and health risks (p. 526 in Section 14.4), provide an assessment of your waist circumference.
  5. Provide a brief summary of your family medical history. Include close family members (parents, brothers/sisters, children) as well as extended family members (grandparents, aunts/uncles, cousins, etc.). Do any of the family members have diabetes? High blood pressure? Heart disease? High cholesterol levels? Cancer?  Given your medical history and the results of your calculations of body weight and body fat distribution in the steps above, explain whether you are at risk for developing heart disease, cancer, and/or diabetes – either now or in the future. Personal Health Assessment Assignment
  6. Consider the knowledge you have gained from this activity and from the readings of Chapter 14 and Chapter 15 on weight control. What is your assessment of your body weight? Do you believe you should lose/maintain/gain weight? And if so, how much weight should you lose/gain? Provide justification for your response.

Additional Resources:
NIH: Health Risks of Being Overweight (Links to an external site.)
MedlinePlus: Health Risks of Obesity (Links to an external site.)
WebMD: Health Risks Linked to Obesity (Links to an external site.)

Personal Health Assessment Assignment

Transforming Nursing And Healthcare Through Technology

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Transforming Nursing And Healthcare Through Technology

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar? Transforming Nursing And Healthcare Through Technology

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

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In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

  • Review the concepts of informatics as presented in the Resources.
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed. Transforming Nursing And Healthcare Through Technology

The Assignment:

  • Explain the concept of a knowledge worker.
  • Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
  • Include one slide that visually represents the role of a nurse leader as knowledge worker.
  • Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

Transforming Nursing And Healthcare Through Technology

Health History and Medical Information

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Health History and Medical Information

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Health History and Medical Information

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

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Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5kg.
  2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
  5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Health History and Medical Information

Intervention

The following medications administered through drug therapy control her symptoms:

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)
  5. Inhaled short-acting bronchodilator (ProAir HFA)
  6. Inhaled corticosteroid (Flovent HFA)
  7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mrs. J.
  2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
  3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
  4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
  5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
  6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
  7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. Health History and Medical Information

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Health History and Medical Information

Care Of Adults Case Study

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Care Of Adults Case Study

You are a nurse caring for an 87-year-old retired teacher who underwent hip replacement surgery 2 weeks ago and has transferred to your rehabilitation unit for physical therapy and nursing care until she is physically able to return home. Before her surgery, she lived alone, maintained an immaculately clean house, and was very socially active, with several events scheduled throughout her week. She traveled extensively but limited her personal driving to daylight hours. Upon admission to your rehab unit, the patient wonders aloud how she’ll return to her former lifestyle and who will help her.

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  1. What data can you gather based on available patient information?
  2. How should you assist the patient to facilitate maximal health?
  3. What questions should you ask yourself when caring for this patient to help ensure the quality of life?

Hello, this task has 3 parts 1, 2, and 3. Answer Sections Separately

Required Textbooks and Reading Material:

Touhy, Theris DNP, and Jett, Kathleen, (2018). Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition. Elsevier. ISBN: 9780323401678 Care Of Adults Case Study

Difference Between A Nursing Conceptual Model And A Nursing Theory

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Difference Between A Nursing Conceptual Model And A Nursing Theory

1 postsRe: Topic 3 DQ 2

A theory, as classically understood, is made up of interrelated concepts. Together these concepts aim to explain why actions or events take place. Nursing theories, also composed of concepts, models, and propositions, seek to explain and guide our thinking and understanding about nursing. In nursing, the four most common and influential concepts are the person, the environment, health, and nursing (2020). Nurses will often choose theories that best align with their way of thinking and their values, ultimately leading to meaningful nursing practice (Smith et al., 2020) Difference Between A Nursing Conceptual Model And A Nursing Theory

On the other hand, the nursing conceptual model looks at how various concepts relate to each other. Using theories allows us to see alternative effects when variables are changed (2020). As it applies to nursing, the conceptual model can help with research to find solutions to problems in the practice that will lead to improved patient outcomes. Difference Between A Nursing Conceptual Model And A Nursing Theory

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The first know theorist was Florence Nightingale. She formulated the Environmental Theory. As defined in the nursing practice, this theory uses a patient’s environment to aid in healing. Nurses need to arrange factors such as cleanliness, noise, ventilation, light, and nutrition to help re-establish a patient’s health (Gonzalo, 2021). From my experience, nursing units nationwide are designed with the Environmental Theory in mind. For example, to reduce noise levels, my unit installed carpets and designated quiet times. The nursing staff makes sure every patient has a supply of fresh water and appropriate meals. We ensure rooms are clean and free of clutter. Sadly, we see patients being admitted to hospitals because such factors are not in place in their current care settings. Currently, the Corona Virus is a prime example of the application of the Environmental Theory to nursing. With the knowledge that the virus was easily transmissible, it was crucial for staff to maintain patient rooms clean. With this outcome in mind, practices changed, and the staff meticulously cleaned all equipment in between patients, properly donned and doffed personal protective equipment in between patients.

References

Gonzalo, A. (2021, March 5). Florence Nightingale’s Biography and Environmental Theory: Study Guide. Nurseslabs. https://nurseslabs.com/florence-nightingales-environmental-theory/#environmental_theory.

Nursing theories. (2020, November 29). Retrieved March 09, 2021, from https://currentnursing.com/nursing_theory/

Please just respond to this discussion above using 200-250 words with at least two references. Difference Between A Nursing Conceptual Model And A Nursing Theory