PICOT Statement

/in /by

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement

Revise the PICOT statement you wrote in the Topic 1 assignment.

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA 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. Please refer to the directions in the Student Success Center.

Legal and Ethical Conduct

/in /by

Legal and Ethical Conduct

As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice, specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma.

To prepare:

Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics.
Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice.
Read the following scenario:

Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status.
Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act (I LIVE IN CALIFORNIA), the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care.
Consider what action you would take if you were Lena and why.
Determine whether the law and the ANA’s standards support or conflict with that action.
Post by Day 3 a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines.

Required Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Readings
Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers.
Chapter 4, “Government Regulation: Parallel and Powerful” (pp. 73–109)

This chapter explains the major concepts of the regulation of health professionals, with emphasis on advanced practice nurses (APN) and the process of licensure and credentialing.
ANA’s Foundation of Nursing Package- (Access this resource from the Walden Library databases through your NURS 6050 Course Readings List)
Guide to the Code of Ethics: Interpretation and Application

This guide details the history, purpose and theory, application, and case studies of this must-have Code of Ethics.
Nursing Social Policy Statement

The Nursing Social Policy Statement provides an understanding of the social framework and obligations of the nursing profession.
Nursing: Scope & Standards of Practice

This book contains several national standards of practice that can be used to inform the decision-making process, development, implementation, and evaluation of several functions and aspects of advanced practice nursing.
Gallagher, T. H. (2009). A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA: Journal of the American Medical Association, 302(6), 669–677.

Retrieved from the Walden Library databases.

The article showcases the different sides of medical error, from a 62-year-old patient who suffered and the components of the medical error’s impact and aftermath.
Reinhardt, U. E. (2010, Jan 30). Repercussions of simplicity. New York Times, p. A14.

Retrieved from the Walden Library databases.

This article determines that the government should take low-income families into account when determining mandatory health insurance because many Americans choose to go without insurance despite preexisting conditions presumably no longer being an issue.
Board on Health Care Services. (2007). Preventing medication errors: Quality Chasm Series. Washington, DC: The National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=11623&page=43
Part 1, “Understanding the Causes and Costs of Medication Errors” (pp. 43–49)
This article discusses the multilayered nature of medication error as a system of failures due to individual behaviors and conditions.

NOTE: 1 1/2 TO 2 PAGES; Consult at least two resources to help you establish Lena’s legal and ethical position.

Qualitative Research Critique And Ethical Considerations

/in /by

Details:

Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.

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 Turnitin. Please refer to the directions in the Student Success Center.

Morals

/in /by

watch the films “Gone Baby Gone” and “Sleepers”. Pick one and judge the main FINAL action as moral or immoral. Support your position by applying Kant’s moral philosophy. 500 words minimum MLA format. Due on June 10th, NO LATER than at 11:50 pm. Minimum 3 sources from LIRN *Not applying Kant’s Categorical Imperative results in an automatic F. Nature of the Concept 1. The first premise is that a person acts morally if his or her conduct would, without condition, be the “right” conduct for any person in similar circumstances (the “First Maxim”). 2. The second premise is that conduct is “right” if it treats others/yourself as ends in themselves/yourself and not as means to an end (the “Second Maxim”). 3. The conclusion is that a person acts morally when he or she acts as if his or her conduct was establishing a universal law governing others in similar circumstances (the “Third Maxim”).

Technology And Patient Care, Nanohealth

/in /by

Needs to be in PPT form or ready to be put into PPT, rubric needs to be followed

Explore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via their website

Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:

  1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
  2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
  3. Discuss how the real-time data encourages outcome-focused planning.
  4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.

Presentations must include speakers’ notes on each slide, as well as references for the presentation. A minimum of three academic references from credible sources are required for this assignment. The slide count (8-10 slides) does not include the introduction and References slide(s).

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

You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.

Rubric:

  1. Presentation identifies two technology innovations to connect patients, providers, and insurers across the care continuum.
  2. Presentation’s description for how the technologies work to provide patients and providers with data necessary for health care decision is offered in an accurate manner with details and supported with examples.
  3. Discussion for how the real-time data encourages outcome-focused planning is offered in an accurate manner with details and supported with examples.
  4. Prediction to the impact the technology will have on future health care delivery offered in a specific terms and supported with rationale and examples.
  5. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.
  6. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Health promotion and illness prevention risk factors in a multicultural context

/in /by

Class 505 Unit 5 Overview and Outcomes

Clinical Application of Epidemiology

After completing this unit, you should be able to:

· Discuss the key epidemiological terms related to diagnosis, prognosis and treatment.

· Explain examples of how epidemiological studies impacted knowledge of diagnosis, prognosis or clinical treatment.

· Identify the use epidemiology in of outbreak investigations.

Course Outcome(s) practiced in this unit:

MN505-3: Assess health promotion and illness prevention risk factors in a multicultural context.

This unit you will learn how epidemiology impacts diagnosis, prognosis and treatment. Without intervention, conditions and diseases have a natural history or natural course of evolution. Through analysis of clinical intervention standards, developed via epidemiological studies, the most effective probable positive outcome of a specific treatment can be chosen. Estimation of survival time and clinical prediction can be made based on historical probabilities or rules, tied to studies. Likelihood and probabilities are not used alone in determining treatment course. The patient specific characteristics, personal condition variability factors, risks and preferences are also to be considered when looking at desired outcomes.

Evaluation of randomized controlled clinical trials (RCCT) are considered the “Gold” standard in epidemiological studies for the evaluation of treatment options. Due consideration is also given to observational type study outcomes and expert authority opinion as well, though the RCCT’s carry the strongest weight of support. Guidelines, protocols and meta-analysis are developed from epidemiological studies for use in determining, diagnosis, prognosis and treatment. Additionally in this unit you will explore concepts such as chain of infection and outbreak solution processes, which are also developed from the use of epidemiological tools.

Environmental Health: Local To Global:

/in /by

Question 1

In environmental health, the term toxin refers to a toxic substance that ___.

[removed]

is naturally produced by a plant or animal

[removed]

occurs in the occupational setting

[removed]

results from human activity

[removed]

a man-made product introduced into the environment due to human activity

1 points

Question 2

In toxicity testing in rodents, the LD50 is a dose that is ___.

[removed]

acutely fatal to 50 percent of test animals

[removed]

fatal to 50 percent of test animals within a 90-day period

[removed]

fatal to 50 percent of test animals after lifetime bioaccumulation

1 points

Question 3

Which of the following is not characteristic of a health impact assessment?

[removed]

It evaluates a site or activity as it is, rather than looking forward in time

[removed]

It includes social and economic factors in the assessment

[removed]

It incorporates input from community members

1 points

Question 4

An exposure pathway connects ___ to ___.

[removed]

an exposure / a change in tissue structure or function

[removed]

inhalation / absorption

[removed]

the environmental source of a contaminant / the point of exposure

1 points

Question 5

The three major routes of human exposure to environmental contaminants are ___.

[removed]

by air, water, and soil

[removed]

environmental, occupational, and residential

[removed]

ingestion, inhalation, and dermal contact

1 points

Question 6

The phrase contact with the human envelope is a common definition of ___.

[removed]

absorption

[removed]

disposition

[removed]

exposure

1 points

Question 7

The quantity of a toxicant (or its breakdown product) that is available to interact with some vulnerable tissue in the body is called the ___.

[removed]

absorbed dose

[removed]

biologically effective dose

[removed]

body burden

1 points

Question 8

The body burden of a chemical in the body reflects the net effect of ___.

[removed]

absorption and biological effectiveness

[removed]

synergism and antagonism

[removed]

the processes of toxicokinetics

1 points

Question 9

Bioaccumulation is the ___.

[removed]

gradual building up of a chemical in the tissue of an organism

[removed]

increase of concentrations of a chemical at higher levels of a food pyramid

[removed]

movement of a chemical from water to living tissue

1 points

Question 10

Which of the following is an example of a biomarker?

[removed]

Body mass index calculated from measured height and weight

[removed]

Concentration of a pesticide in blood

[removed]

Inhalation rate in liters per hour

1 points

Question 11

The Ames test is a test of a chemical’s ___.

[removed]

acute lethality, and is conducted in rodents

[removed]

mutagenicity, and is conducted in bacteria

[removed]

teratogenic potential, and is conducted mammalian cells

1 points

Question 12

Exposure modeling is used to estimate the ___.

[removed]

biologically effective dose of a toxicant

[removed]

fate and transport of a toxicant

[removed]

ingestion of, inhalation of, or dermal contact with a toxicant

1 points

Question 13

Conceptually, a reference dose is a dose that has no adverse effects in ___.

[removed]

sensitive subpopulations over a long-term exposure

[removed]

sensitive subpopulations over a short-term exposure

[removed]

the general population over a long-term exposure

[removed]

the general population over a short-term exposure

1 points

Question 14

Which of the following is one of the major processes which together make up toxicokinetics?

[removed]

Bioconcentration

[removed]

Distribution

[removed]

Mutation

[removed]

Synergism

1 points

Question 15

In doing a risk assessment for a chemical, the usual assumption is that ___.

[removed]

carcinogenicity has a threshold; non-cancer effects do not

[removed]

non-cancer effects have a threshold; carcinogenicity does not

[removed]

both carcinogenicity and non-cancer effects have thresholds

[removed]

neither carcinogenicity nor non-cancer effects has a threshold

1 points

Click Save and Submit to save and submit. Click Save All Answers to save all answers.

The implementation of additional quality metrics, and these changes impact reimbursement rates

/in /by

Read the scenario that you will use for the Individual Projects in each week of the course. The Centers for Medicare and Medicaid Services (CMS) has taken on a more visible role in health care delivery. Many changes have transpired to improve patient safety along with the implementation of additional quality metrics, and these changes impact reimbursement rates.

Likewise, the Patient Protection and Affordable Care Act has changed the reimbursement fee structure of Medicare and Medicaid reimbursement for health care services. Other legislation including the HITECH Act and the Medicare Authorization and CHIP Reactivation Act of 2015 (MACRA) all impact how healthcare organizations receive reimbursement and demonstrate use of data to improve quality and delivery of patient care.

Scenario

Mr. Magone, CEO of Healing Hands Hospital, has asked you to join the “Future of Healing Hands” Task Force. Your first assignment is to work with the Hospital Chief Financial Officer, Mr. Johnson, and provide a summary of the current regulations regarding Medicare reimbursement including how MACRA will impact reimbursement if/when Healing Hands coordinates delivery of services by affiliating with physician practices.  
 

For this assignment, write a 2-page report, not including the title page and reference page, on how the new CMS initiatives and regulations will impact the organization’s revenue structure. The HCM Learning Center page for this class has excellent resources for more information within the Unit 1 tab. This is Section 1 of your report to the Task Force. This first section should be titled “Impact of CMS Regulations and Reimbursement Models”. In your report include:

  • How does CMS impact the reimbursement model for Healing Hands Hospital and other health care organizations? If CMS reimbursement regulations for Medicare and Medicaid change, does it follow that other insurance providers change their policies on reimbursement? 
  • The CMS website on Innovation Models provides examples of healthcare payment and service delivery models designed to increase quality of care while reducing costs. 
    • Choose one example of ongoing or planned models for Accountable Care Organizations or Episode-Based Payment Initiatives and explain how participation in the models would be beneficial to Healing Hands Hospital. 

Be sure to include at least two reference sources and cite them using APA formatting.

Evidence Based Practice-Pediatric Acute Bacterial Sinusitis

/in /by

Please read instructions carefully to ensure maximum grade.

Applying Current Evidence Based Practice Guidelines for the Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.

This assignment will demonstrate your ability to use healthcare informatics to apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis.

The guidelines that you are to use are in the following article available in the online Purdue Global library.

Hauk, L. (2014). AAP releases guideline on diagnosis and management of acute bacterial sinusitis in children one to 18 years of age. American Family Physician, 89(8), 676-681.

This assignment has a template that you will use to fill in the requested information.