Describe the study approach, sample size, and population studied.

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class 504 unit 5 assignment

Evidence-Based Clinical Question Search Assignment

Purpose:

The purpose of this Assignment is to give you a practical application to implement your PICOT idea, supported by the evidence-based research you have obtained in during your systematic review. You will apply evidence-based research findings, discovered from your clinical question, and then integrate those to support your suggested change in nursing practice. 

Directions:

  1. Identify your refined PICOT question.
  2. Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.
  3. Describe your systematic review and include an errors analysis. 
  4. Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.
  5. Summarize the case study selected.
  6. Describe the study approach, sample size, and population studied.
  7. Apply the evidence from this review to your practice specifically in your overview. 
  8. Evaluate the outcomes, identifying the validity and reliability.
  9. Discuss if the study contained any bias.
  10. Determine the level of evidence identified in the review.
  11. The length should be no less than 10 Pages in APA format.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
  • utilize spelling and grammar check to minimize errors; and

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and;
  • use APA 6th edition format

· Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

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It is not uncommon to experience a night or two of disrupted sleep when there is something major going on in your life. However, sleep/wake disorders are much more than an occasional night of disrupte

It is not uncommon to experience a night or two of disrupted sleep when there is something major going on in your life. However, sleep/wake disorders are much more than an occasional night of disrupted sleep. A recent report from the Centers for Disease Control and Prevention estimated that between 50 and 70 million American have problems with sleep/wake disorders (CDC, 2015). Although the vast majority of Americans will visit their primary care provider for treatment of these disorders, many providers will refer patients for further evaluation. For this Discussion, you consider how you might assess and treat the individuals based on the provided client factors.

To prepare for this Discussion: 

Note: By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number.

Case 1: Volume 2, Case #16: The woman who liked late-night TV

· Take the pretest for the case study.

· Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office. 

· Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

· Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

· Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance. 

· Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.

· Review the posttest for the case study.

Identify any problems or areas that could be improved in your organization’s current selection process. If you were the nurse manager, how would you modify this process?

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Review Chapter 6, “Selecting New Employees” in the course text, Human Resource Management: Functions, Applications, Skill Development, to examine the various selection processes health care settin

  • Review Chapter 6, “Selecting New Employees” in the course text, Human Resource Management: Functions, Applications, Skill Development, to examine the various selection processes health care settings and other organizations may employ. In addition, reflect upon the three types of “fit” nurse managers should take into consideration when selecting new employees.
  • Identify a position that is open or has recently been filled in your organization.
  • Using what you know about the position, the culture and expectations of the organization, your own hiring and selection experiences, and this week’s readings, investigate the following:
    • Identify the selection steps that have been or will be taken, as well as the members involved. For example, which steps did human resources complete? In which steps did the nursing manager engage?
    • Identify the skills, educational and work background, and “fit” required for this position. How do these align with the advertised job description?
    • Identify any problems or areas that could be improved in your organization’s current selection process. If you were the nurse manager, how would you modify this process?

Submit a 3- to 5-page paper in which you do the following:

  • Briefly describe the selection process used in your setting.
    • Identify the team members involved in conducting each step. For example, explain which steps HR performs and which steps managers perform.
      • Explain how effective you believe the current system is.
      • Briefly describe any problems (e.g., rushing, stereotyping, “like me” syndrome, halo and horn effect, premature selection) your setting has experienced with this current selection system (if applicable).
      • Explain how you would modify the process and why.
  • Identify the job title for the open or recently filled position.
    • Describe the skills and background a desirable applicant would have.
    • Describe the type of “fit” that would make this applicant the “right” person for this specific job.
  • Compare the job description with the expectations of the position.
    • Explain whether or not the job description aligns with the skills, background, and “fit” needed to excel in this position.
    • Explain the specific attributes or characteristics you, as the nurse manager responsible for selecting a candidate for the position, might seek that are not specifically outlined in the job description. Describe how you could you elicit this information during an interview.

4. Complete the template, basing your responses on the case study above.

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Case Study: Prescribed Drugs with CAMsA 35-year-old male, Mr. NX, presents to your clinic today with complaints of back pain and “just not feeling good.” Regarding his back, he states that his bac

Case Study: Prescribed Drugs with CAMs

A 35-year-old male, Mr. NX, presents to your clinic today with complaints of back pain and “just not feeling good.” Regarding his back, he states that his back pain is a chronic condition that he has suffered with for about the last 10 years. He has not suffered any specific injury to his back. He denies weakness of the lower extremities, denies bowel or bladder changes or dysfunction, and denies radiation of pain to the lower extremities and no numbness or tingling of the lower extremities. He describes the pain as a constant dull ache and tightness across the low back.

He states he started a workout program about 3 weeks ago. He states he is working out with a friend who is a body builder. He states his friend suggested taking Creatine to help build muscle and Coenzyme Q10 as an antioxidant so he started those medications at the same time he began working out. He states he also takes Kava Kava for his anxiety and garlic to help lower his blood pressure.

His historical diagnoses, currently under control, are:

Type II diabetes since age 27

High blood pressure

Recurrent DVTs

His prescribed medications include:

Glyburide 3 mg daily with breakfast

Lisinopril 20 mg daily

Coumadin 5 mg daily

Directions:

*****This Assignment may be submitted in a PowerPoint presentation with at least 10 slides or as an APA formatted paper of no more than five (5) pages excluding title page and references.

Based on the above case study, address each section of the Unit 9 Assignment template. Be sure to first view the Unit 9 Assignment Grading Rubric (found in the Grading Rubrics section under Course Resources) and use it to guide your completion.

1.    Download the Unit 9 Assignment template or make a PowerPoint presentation.

2.    Rename the downloaded template file as “FirstInitial+LastName_ MN553_Unit9.docx” (e.g., JDoe_MN553_Unit4.docx).

3.    Review the Assignment grading rubric.

4.    Complete the template, basing your responses on the case study above.

5.    Support your arguments with appropriate evidence from the literature, citing and referencing in APA 6th edition style.

6.    Upload your completed file to the unit 9 Assignment Dropbox. Please be sure to confirm that your file uploaded correctly.

***********Please see attachment and see template and follow it in powerpoint presentation mode thanks********************

Nursing Recruitment and Retention in Health Care

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Strategic Management Action Plan Introduction: For your project in this unit, you will be developing what is known as a strategic management action plan (MAP). When all the strategic planning is done,

Strategic Management Action Plan

Introduction: For your project in this unit, you will be developing what is known as a strategic management action plan (MAP). When all the strategic planning is done, it is time for management action planning based upon our strategies. This is where many healthcare organizations of all types fall short. The same level of effort that went into creating the strategic plan needs to continue as we take action, measure progress, and reassess over time. Management action planning is a step-by-step approach developed to help healthcare leaders plan the action steps that will lead to positive change for our organizations.

The strategic plan sets the direction for us, and our MAPs get the work done, turning strategy into reality. Developing a MAP is a six-step process, and you will actually be practicing this MAP process as you create your project. Refer to the steps in your textbook for guidance. Some suggested MAP topics are provided here, and you are certainly free to propose your own topic. Perhaps you will choose something that truly needs to be addressed in your own organization. You may even find the MAP to be a valuable tool as you lead your own organization.

Suggested health care subjects include the topics listed below. Please select one of these topics, or a topic of your own choosing. Focus on identified problems and improvement opportunities, key issues for planning, and implementation via your MAP components.

Nursing Recruitment and Retention in Health Care

Continuing Education Challenges

Patient Care Technology

Staff Safety on Duty

Patient Safety in Hospitals

Stakeholder Relationships

Community Education Programs

Disaster Preparedness

Medical Director Involvement

Quality Improvement Program for Health Care

Patient Satisfaction

Rural Health Issues

Funding for Hospital Programs

Neonatal/Pediatric Services

Your project should be a minimum of three to four pages in length and should include a cover page and reference page (cover and reference pages do not count toward the minimum page requirement). You need to include at least one graph, table, or chart to identify, analyze, and interpret your data for key issues concerning your MAP components. Also, show how this information and technology supports your MAP components. To supplement your MAP, you should include at least four sources, one should be from the CSU Online Library, and you can include your textbook. References and citations must be provided using APA style. All sources used must be referenced; paraphrased and quoted material must have accompanying citations.

Describe what action needs to be taken to create evidence to answer the research question. For instance, does a study need to be developed or does an intervention need to be piloted.

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Your poster presentation should have the following components:  Title Page This should be the title of the project along with a listing of the authors of the project with identifying information (i.e.

Your poster presentation should have the following components: 

Title Page

This should be the title of the project along with a listing of the authors of the project with identifying information (i.e.: Valparaiso University, College of Nursing).

PICOT Question

What is the PICOT question being answered by the project? Provide some background information about why this is important.

Review of the Literature

Outline the method for finding evidence. What key terms were identified in the literature search? How were articles chosen and critiqued? What criteria were used to determine inclusion in the review? Who critiqued the articles?

Synthesis of Research Findings

Make some comparisons across the evidence. What levels of evidence are present? What kinds of samples and designs were used by the researchers? Do the researchers measure the variables in the same manner? What were the overall findings in relationship to the PICOT question? 

Decision to Change Practice

What is the decision for practice based on the research in light of the PICOT question?

If there is sufficient evidence for practice:

Best Practice 

Describe the policy that has been created for this project.

Implementation/Evaluation

Describe a process for implementing the change (who would be involved, how much time, etc).  Identify an indicator and describe how that would be measured to show if the outcome improves.

If there is not sufficient evidence for determining practice:

Bridging the Gap

Describe what action needs to be taken to create evidence to answer the research question. For instance, does a study need to be developed or does an intervention need to be piloted. 

Generating New Knowledge

Describe the manner in which the research question could be answered. If a study is indicated, then discuss the sample, design, data collection instruments, and procedure that would be used to gather data.  

Assignment 1: Differentiate the Major Regulatory Restrictions on NP Practice.

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Differentiate the Major Regulatory Restrictions on NP Practice.

Assignment 1: Differentiate the Major Regulatory Restrictions on NP Practice.

Purpose

Depending on location, NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement. There are several sources of restrictions to NP practice such as state laws. Federal regulations include who may prescribe controlled substances and which substances NPs can prescribe as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges.

Directions

Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Florida requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. Because Florida does not allow any controlled substances to be prescribed by NPs, the DEA will not issue a license to prescribe these medications. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.

Assignment Template

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary
  • utilize spelling and grammar check to minimize errors

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.)
  • be well ordered, logical, and unified, as well as original and insightful
  • display superior content, organization, style, and mechanics
  • use APA 6th Edition format for organization, style, and crediting sources. Refer to the APA Progression Ladder.

USE THE ATTACHED RUBRIC AND TEMPLATE TO COMPLETE THE ASSIGNMENT. FOR ONE STATE YOU MUST INCLUDE ALABAMA. RESOURCES MUST BE NO OLDER THAN 3 YEARS!!!!!!!

Analyze how health information technology supports evidence-based practice.

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TO SURAYA ONLY

Discussion: Using Health Information Technology as a Source of Evidence-Based Practice

Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

  • Read the following scenario from the text (McGonigle & Mastrian, 2015, p. 445):

Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.

  • Consider how the resources identified in the scenario above could influence an organization’s practice.
  • Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

By Day 3

Post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

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Transitioning From Closed to Open Systems

Transitioning From Closed to Open Systems

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.

To prepare:

  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

By Day 3

Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

Read a selection of your colleagues’ responses.

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

  • Review Chapter 7, “Strategic and Operational Planning”See especially Figure 7.1 on page 147.
  • Chapter 8, “Planned Change”
    • Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.
  • “Organizational Culture” (pp. 274–276)There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.

Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

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Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady

Post a response to the following: Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady

  • Review this week’s Learning Resources and reflect on the insights they provide.
  • Go to the Stahl Online website and examine the case study you were assigned.
  • Take the pretest for the case study.
  • Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.
  • Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).
  • Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.
  • Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.
  • Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.
  • Review the posttest for the case study.
  • Provide the case number in the subject line of the Discussion.
  • List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
  • Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
  • List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
  • If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
  • Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.