Nursing Practice Problem of Interest

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Select a practice problem of interest to use as the focus of your research.

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative 

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative 

TELEHEALTH REPORT

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Details:

Telehealth encompasses a wide range of basic to complex health care delivery options, with an equally expansive array of technologies that may be employed. For this assignment, you will locate a scholarly article published within the last 3 years in a peer-reviewed journal on telehealth.

This assignment consists of two parts; Part One requires you to develop and present a two-paragraph assessment comprising a précis and critical evaluation of a scholarly article focusing on a telehealth technology, and the second part requires you to construct a Mind Map to generate ideas about how the telehealth technology you identified can be used in your current practice.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Directions:

PART I: Précis and Critical Evaluation.

Donald Davidson, in his book, American Composition and Rhetoric, discusses the précis as follows:

“A précis is not an outline, but a summary or digest. It is useful as an exercise in grasping the essential ideas of an already completed composition and in stating these ideas in concentrated form. The précis shears away all elaborations of the thought and gives only what is left, in such a way as to make the summary a complete composition. It does not, therefore, skeletonize the original composition so much as it reduces its scale. Many of the articles in The Reader’s Digest are only précis, so skillfully done that the average reader does not know that he is reading a summary. Since the précis says a great deal within a brief space, it is of great service in taking notes on library assignments and general reading.”

The précis should be an organization of ideas, include logical sequencing of points, contain clear and meaningful expression, and use language suitable to the situation. When finished, the précis should clearly state:

  • A statement of what was studied (i.e., argued, discussed, deliberated).
  • A statement of focus of the scholarly article you selected, (i.e., how it was organized and completed).
  • A statement of what information was identified or learned from the scholarly article.
  • A statement of why the information in the article is important to your field of study.

PART II: Mind Map.

Brainstorm to generate ideas about how the telehealth technology you identified can be used in your current practice using a mind map. Submit the final map along with the précis to the Topic drop box.

How to do it:

  • Take a sheet(s) of paper and write an identifiable main idea in the center of the page, using a one-three words. (You may also achieve this via an electronic sheet of “paper”).
  • Draw a branch off your main idea; on the branch write or draw a main topic related to your main idea.
  • Continue to branch off from your main idea with main topics as needed.
  • From your main topics, branch off with subtopics.
  • From your subtopics, branch off with supporting details (write and/or draw). Continue to add more details. You are free to add more topics, subtopics, or any other items.
  • When you stand back and survey your work, you should see a map: hence the name for this activity. At this point you can start to form conclusions about how to approach a potential area of practice change. At the end of the day, what you do with the particular “map” or “cluster set” or “web” that you produce depends on what you need.

Submit both the précis and the final mind map in fulfillment of this assignment.

EVALUATION OF HEALTH CARE TECHNOLOGY

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Details:

For this assignment, you will utilize content from the course materials as well as additional qualified resources to synthesize new information which you can apply towards your DPI Project, your future work area or your clinical practice as a DNP-prepared nurse.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Directions:

For this assignment, write a 1,000-1,250 word paper in which you:

  1. Select a technology that has been explored in the course.
  2. Perform an assessment using elements of user-technology interface or human factors methods to determine functionality.
  3. Using the content in the readings and textbook, list three elements that will be used to evaluate the user-technology interface.
  4. Select a technology and list the elements that will be evaluated. Include their definition and describe how the element would be measured or evaluated.
  5. For each element, propose practicable suggestions for improvement using support from the literature.

Portfolio Practice Hours

It may be possible to earn Portfolio Practice hours for this case report. Enter the following after the references section of your paper:

TREATMENT OF VARIOUS INFECTIONS

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Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death.

Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection.

In this Assignment, you consider the appropriate use of antimicrobial agents for infections.

To prepare:
  • Review this week’s media presentation on principles of antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
  • Consider the categories of antimicrobial agents.
  • Think about differences between viral and bacterial infections.
  • Reflect on why proper identification of the infection is key to selecting the proper antimicrobial agent.

Write a 3- to4- page paper that addresses the following:

  • Describe the categories of antimicrobial agents.
  • Describe differences between viral and bacterial infections.
  • Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.

ORGANIZATION CULTURES AND VALUES

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Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

  1. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.
  2. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving.
  3. Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

While APA style format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are not required to submit this assignment to Turnitin

ORGANIZATION CULTURE

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In ALF patients(P), does staff education and proper staffing (I), compared to lack of education and poor staffing (c)  decrease elderly abuse in ALF?(o), over duration of stay (T).

Describe the background of the problem. Identify the stakeholders/change agents and list the interested parties. Provide the PICOT question. State the purpose and project objectives in specific, realistic, and measurable terms. Develop an initial reference list.

The problem description and objectives are presented in detail and align. The stakeholders/change agents – who or what organizations are concerned, may benefit from, or are affected by this proposal – are described.

The problem is in the PICOT format and developed appropriately. Objectives are measurable. The problem selection is justified using literature and supportive examples, not just based on the most current evidence.

Expected changes before and after the evidence-based practice are integrated. An initial reference list is developed. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

1.Describe the background of the problem. Tell the story of the issue and why it deserves attention.

2.Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

3.Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

4.State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5.5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

6.Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7.7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

8.Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Steps to an Efficient Search to Answer a Clinical Question Box 3.3

Begin with PICOT question—generates keywords.

◆ Establish inclusion/exclusion criteria before searching so that the studies that answer the question are easily identifiable. Apply these criteria after search strategy is complete

◆ Use subject headings, when available.

◆ Expand the search using the explode option, if not automatic.

◆ Use available mechanisms to focus the search so that the topic of interest is the main point of the article.

◆Combine the searches generated from the PICOT keywords that mapped onto subject headings, if the database does not automatically do this for you.

◆ Limit the fina cohort of studies with meaningful limits, such as language, human, type of study, age, and gender.

◆ Organize studies in a meaningful way using reference management software. 

Search Method Example

Search Method

A comprehensive electronic search was completed using the following databases:

Cochrane Central Register of Controlled Trials 

Cochrane Database of Systematic Reviews

National Guideline Clearinghouse 

CINAHL 

Ovid 

Medline 

The search included English-only published articles between 1990 and 2005. 

Key words used in the search were: 

Pediatric asthma education

Self-management 

Self-monitoring

Grade school children

Systematic reviews 

Randomized controlled trials 

Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

Pharmacology

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The purpose of this assignment is to provide an opportunity for you to review an area of interest and apply the concepts you have learned in this course to a patient situation. In clinical decision making, you must combine knowledge and evidence to make a good decision. Using critical thinking and reading skills, you will meet multiple objectives for this assignment.

Criteria

  1. Synthesize relevant information, including research related to the diagnosis and treatment of the selected disorder.
  2. Recognize the assumptions inherent in the current literature and identify any unstated or missing information.
  3. Develop and justify various approaches to the stated problem, including nonpharmacological and pharmacological treatment.
  4. Clearly articulate at least two approaches to the treatment of the condition.
  5. Defend the choice of the treatment option. This must include a reflection on the availability of peer-reviewed information and your analysis of the credibility of that information.
  6. Create a plan for follow-up and referral if needed.

The following are examples of disease states that you might want to study. These are just examples. You can select whatever area is of interest to you.

  • Asthma
  • Chronic Obstructive Pulmunory Disease (COPD)
  • Hypertension
  • Diabetes Mellitus Type II
  • Major Depression
  • Migraine Headaches
  • Pneumonia
  • Tuberculosis
  • Human Immunodeficiency Virus (HIV)
  • Hyperlipidemia

Submit your answers in a Microsoft Word document of 10–15 pages. Include peer-reviewed references in APA format. Be sure to review the directions and grading criteria to assure that you will cover the content well.

HUMAN VACCINATION

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Mary’s one year old daughter is due to be given the Measles, Mumps, and Rubella (MMR) vaccine during her next visit to the doctor. Mary is upset and concerned because one of her friend’s sons became ill after a similar vaccination. She has also heard rumors that MMR vaccine causes rubella. Mary was also told that her daughter will need to be vaccinated before Mary returns to work.

Mary is not alone. Many parents face this issue. Therefore, it is important for Mary and all such parents to make decisions that are best for their children, based on facts and not emotions.

Place yourself in the role of a health care worker, submit to the discussion area your plan to validate the importance of vaccination by addressing the following questions:

  • Why are vaccinations necessary components of the healthcare programs?
  • Are there reasons for people not being vaccinated despite of such elaborate healthcare programs? Explain.
  • What are the consequences of people not being vaccinated?
  • What is the impact of religious, cultural, legal, and ethical issues that parents need to consider before vaccination?
  • What type of information will help the parents make an informed decision about vaccinating their childre

NURSING TUTOR

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This 2000 word written assignment has two distinct parts that you should address separately. Please use headings for each part.

You do not need to provide an introduction or a conclusion for the written assignment or any of the parts.

There are two family scenarios for you to choose from; select ONE scenario and use this for your entire assignment.

Part 1 – Nursing Care of the Family: Assessment (500 words)

 Create a genogram to visually depict the family’s structure. You must use the PowerPoint slide which will be supplied to you within the Assessment Folder on Learning@Griffith course site to create your genogram. Save the slide as a picture file (*.jpeg), and insert the picture into your document.

  •   Below the genogram, summarise the structure of the family to demonstrate your understanding of the family assessment findings.
  •   Use the Australian Family Strengths Nursing Assessment Guide (AFSNAG) to identify and briefly describe two (2) strengths of the family you are assessing.  Part 2 – Nursing Care of the Family: Planning, Implementing and Evaluating (1,500 words)
    •   Select two (2) issues/challenges for the family or a member of the family you have selected. These issues may be identified by the nurse, family or both. These can be health, social, or developmental family issues/challenges e.g., breastfeeding, social isolation, transition to parenting; they should not be ‘medical’ issues e.g., diabetes, high blood pressure.
    •   For each issue/challenge identified in the family assessment (allow approximately 750 words per issue):
     a) Describetheissue b) Plannursingcare c) Implement nursing care d) Evaluate nursing care o Use appropriate evidence from scholarly literature to describe the issue and discuss what is known about the issue/challenge. o Provide a relevant nursing goal and justify the goal (explain why it is relevant to the issue) using appropriate evidence or policies. o Outline one nursing intervention that supports the family to achieve the goal. Each nursing intervention should be supplemented by the recommendation of an existing online resource for the family and an appropriate referral

Nonadherence to Lifestyle Changes During Pregnancy

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After identifying potential health risks for pregnant patients, providers often recommend behavior changes in lifestyle choices such as drug use, alcohol consumption, dietary habits, and environmental exposures. Even with provider recommendations and patient education programs, some patients still struggle to adhere to recommended lifestyle changes during pregnancy, posing health risks for both the mother and child. In your role as the provider, you must be able to recognize signs of nonadherence to recommended lifestyle changes because not all patients will be forthcoming with the struggles they may be experiencing. Management plans are only successful if patients’ individual needs are recognized and met, so provider-patient collaboration is essential for mitigating nonadherence issues. For this Discussion, consider implications of nonadherence to recommended lifestyle changes and potential management strategies for pregnant patients.

To prepare:

Review the “During Pregnancy” article in this week’s Learning Resources.

Think about the health promotion topic that you selected for the Week 8 Discussion (i.e., smoking, drinking, taking drugs, eating habits, and caring for pets).

With the topic you selected in mind, consider early signs and symptoms that might indicate a patient’s nonadherence to recommended lifestyle changes during pregnancy. Think about the impact of nonadherence on the fetus and the patient.

Reflect on treatment and management strategies for patients presenting with signs and symptoms of nonadherence to recommended lifestyle changes.