CP – Week 8 Discussion 1st REPLY

Reply to the following discussion by supporting the post.  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources. Be objective, clear, and concise.It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.JA Discussion:Evaluation Plan: Evaluating the Changes to Clinical PracticeGoal: The main goal of this research project is to find out which intervention works better, for both, acute weight loss and long term weight loss maintenance in a primary care clinic setting. The two interventions being researched are pharmacological or nonpharmacological approach, along with a controlled diet and exercise plan. This research is evidence based with an aim to help develop an appropriate intervention for overweight and obese people. This evidence based research will demonstrate which intervention is more productive. Implementing an evidence based practice in a clinical setting will encourage patients to achieve acute weight loss and long term weight loss maintenance.ObjectivesObjective: to implement and assess if acute weight loss and long term weight loss maintenance can be achieved through using a pharmacological intervention such as, Phentermine, along with a controlled diet and exercise plan.Objective: to implement and assess if acute weight loss and long term weight loss maintenance can be achieved through nonpharmacological interventions such as, a controlled diet and exercise plan only.Objective: to create a viable acute weight loss and long term weight loss maintenance program to help patient reduce their weight and risk factors for other health disease (OMERAD, 2021).Description: This weight loss improvement project will take place in a primary care setting. Participants will be separated in to two groups, one that will take Phentermine, eat a controlled diet and exercise, and a second that will only eat a controlled diet and exercise. The participants will require a weekly weigh-in and status update, and blood work every three months. The research will take place over a 12 months period. Participants will be encouraged to keep track of their food intake, minutes of daily exercise, and blood pressure.QuestionsWho are my stakeholders?What are the barriers to successful implementation?When will the data be collected? (The start and the end date)How will data be collected?What conclusions can be drawn from the data?How will I communicate and share the results? (CDC, 2017)Source of Data: Initial and weekly weigh-ins, consistency of diet and exercise done by participant, medication taken and side effects record, providers’ notes, cost of research for the patient and the provider, participant outcome in each groups, and participant satisfaction with their weight loss and maintenance.Methods of data collectionReview data using descriptive statisticsInterview providers to determine their level of involvementReview participant feedback to analyze their understanding of how achieve acute weight loss and long term weight loss maintenance according to their perspective groupsGather participant laboratory values, weights, and demographicsSurvey questions before and after starting the weight loss programsReview and categorize comments as: “very likely,” “likely,” “somehow likely,” and “unlikely” as to whether participants recommend one program versus the other for future patients (OMERAD, 2021)ReferencesCenter for Disease Control and Prevention (CDC). (2017). A framework for program evaluation. https://www.cdc.gov/eval/framework/index.htmOffice of Medical Education Research and Development (OMERAD). (2021). The evaluation planning tool. https://omerad.msu.edu/meded/progeval/download.html

CP – Week 8 Discussion 2nd REPLY

Reply to the following discussion by challenging the post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language.It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.JO Discussion:PICOT Question: In young persons aged 18-24 years (P), can innovative communication and proactive health care delivery (I), compared to not providing sexual health education (C), increase the awareness of sexually transmitted diseases and encourage sexual decisiveness from the interventions provided to reduce the prevalence of sexually transmitted diseases (O), within 6 months (T)?The following is the plan for evaluating the effectiveness of sexually transmitted disease educational interventions and decreasing the rate of diagnosis in clinical practice.Clarifying the objectives and goals- The main objectives are to reduce the prevalence of sexually transmitted diseases in the target population through proactive health care delivery and use of innovative communication through social media platforms.  This will be accomplished by providing interventional education to patients in the clinic.  For the purpose of this project, I have chosen to focus on ‘young people’ aged 18-24 years, as this group accounts for over 50% of newly diagnosed sexually transmitted diseases in the United States.Focus of the evaluation- The stakeholders will be identified and assigned roles accordingly.  Stakeholder needs will be identified in part of the evaluation process.Developing evaluation questions- The following questions will be addressed: How have participant behaviors changed as a result of the program? Do the participants feel positive perception with the utilization of social media for sexual health communication with peers and healthcare providers? Are participants satisfied with the experience? Were there any negative results from participation in the program?Developing evaluation design methods- An STD-Knowledge Questionnaire (STD-KQ), comprised of 27 close-ended questions aimed at identifying behavioral risks and knowledge deficits pertaining to sexually transmitted diseases (Jaworski & Carey, 2007).  For this particular a dichotomous “yes/no” option will be used to organize responses vertically with ample space between responses to decrease the risk for error.  The nominal measurement will consist of the presence or absence of sexually transmitted diseases. Statistical conclusion validity will be used to conclude variances and associations drawn from studies to correctly reproduce reality (Gray et al., 2017).  The sample size will be comprised of 152 patients, 18-24 years of age.  The sample size was calculated by 250 patient population, 95% sampling confidence level, and 5% margin of error (SurveyMonkey, 2021).  The sampling strategy for the study will be stratified random sampling, the participants will be divided into subgroups based on gender. Stratified random sampling offers proper representation of the sample populations characteristics and can be divided into subgroups based on gender (Scribbr, 2020).Establishing a timeline for evaluation activities- The participants will receive the STD-KQ questionnaire at the beginning of the program, and will receive a second questionnaire at the end of a six-month time period. The independent variable pertaining to this project is innovative communication.  The dependent variable is the rate of sexually transmitted diseases being diagnosed.  Data on the prevalence of sexually transmitted diseases prior to and after the interventional program will be collected and documented in the participants electronic medical record.  Given the nature of the program, descriptive data will be used.  According to Gray and colleagues (2017), prevalence and incidence suggest a descriptive research design with the intent of appropriately and methodically defining populace, characteristics, tendencies, groupings, and incidences.  Data analysis will incorporate the use of a Chi-square test of independence, which is a non-parametric inferential statistic focused on nominal variables (Bhandari, 2020).ReferencesBhandari, P. (2020). An introduction to inferential statistics.  Retrieved fromhttps://www.scribbr.com/statistics/inferential-statistics/Gray, J., Grove, S., & Sutherland, S. (2017). Burns & Grove’s the Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. [South University]. Retrieved fromhttps://digitalbookshelf.southuniversity.edu/#/books/9780323377584/Jaworski, B. C., & Carey, M. P. (2007). Development and psychometric evaluation of a self-administered questionnaire to measure knowledge of sexually transmitted diseases. AIDS and behavior, 11(4), 557–574.https://doi.org/10.1007/s10461-006-9168-5Scribbr. (2020). How to use stratified sampling.  Retrieved from https://www.scribbr.com/methodology/stratified-sampling/SurveyMonkey. (2021). Calculate your sample size.  Retrieved from https://www.surveymonkey.com/mp/sample-size-calculator/

CP Week 9 Discussion

The Institute of Medicine has set a goal to have 90% of practice decisions to be based on Evidence by 2020 with the goal to improve care.The intent of the dissemination of EBP results is that the information and intervention are aimed at a specific clinical practice audience.  The main objective of dissemination is to increase and advance knowledge regarding evidence-based interventions for greater application and patient outcomes.In determining the best mode of EBP dissemination you must answer these questions:Who will benefit from receipt of this evidence?Where will this evidence have the greatest impact?What resources are needed?Who is the most appropriate audience?What are the benefits of this evidence to your selected audience?What are the potential risks of failing to disseminate this evidence?What are the barriers to dissemination of evidence?Choose one of the following modes of dissemination and discuss why it was chosen.  Assure you have attended to questions 1-7 above.Social media presentationPodcastsPowerpoint presentationPoster presentationBrochuresElectronic/digital mediaPodium presentationPublication

moral theory

InstructionsNow that you have had an opportunity to explore ethics formally, create a reflective assessment of your learning experience and the collaborations you engaged in throughout this session. You will submit both of the following:A written reflectionAn oral presentation using a PowerPoint narrated slide show.For the written reflection, address Jane Doe’s and respond to the following:Articulate again your moral theory from week eight discussion (You can revise it if you wish). What two ethical theories best apply to it? Why those two?Apply to Jane Doe’s case your personal moral philosophy as developed in week eight discussion and now. Use it to determine if what Jane Doe did was ethical or unethical per your own moral philosophy.Consider if some of these examples are more grave instances of ethical transgressions than others. Explain.Propose a course of social action and a solution by using the ethics of egoism, utilitarianism, the “veil of ignorance” method, deontological principles, and/or a theory of justice to deal with students like  Jane. Consider social values such as those concerning ways of life while appraising the interests of diverse populations (for instance, those of differing religions and economic status).For the oral presentation, briefly summarize your feelings about taking a course in Ethics and explore your process of transformation in this course.Discuss your experiences of the course, your beginnings, and where you are now. Consider your interaction in discussions.Should health care workers be required to take a course in Ethics? Why or why not

Contemplation and Consideration

Week 8 Discussion: Contemplation and ConsiderationRequired ResourcesRead/review the following resources for this activity:Textbook: Chapter 13LessonMinimum of 1 scholarly source (in addition to the textbook)IntroductionSome people believe that you can tell who a person is by what they do when no one is looking. Let’s look at the following case. John Doe, a nurse, has downloaded an application to her phone that allows him to download copyrighted textbooks for a nursing course (that Doe is going to take) without his Internet Service Provider knowing it. The application is called “Cloak” as in cloak of invisibility (a hooded coat one wears to make it so others cannot see you). The application disguises his phone and makes it so the information on it is inaccessible. John is aware that other people who are of a lower socio-economic status (like him) also use this software program for the same reason (and to save money). John Doe knows that his religion forbids him from using this application to download in this manner. John Doe is focused on his own economic situation and does not consider the publisher, author, and others involved in the books. Think about a course of social action; what social values should be used to address this moral issue and conflict.Initial Post InstructionsCreate a personal ethical philosophy and explain from which philosophy or philosophies (it must include at least one of the following: virtue ethics, Kantian ethics, utilitarianism, virtue ethics, or social contract ethics) you created it and why the contents are important and meaningful for you. List its precepts.Take your personal ethical philosophy statement and use it to work through John Doe’s case. What is moral and immoral per your theory?How would the veil of ignorance or a different theory of justice address John Doe’s case?

Visual Model

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Global health

Diseases that disproportionately affect the poor are typically prioritized by governments and donors. Some people believe that disorders such as depression are problems of the middle class and the affluent, or represent a “medicalization of misery,” and, therefore, do not deserve a share of scarce resources. What is the evidence linking poverty with mental disorders? How might poverty interact with mental health?

WK4 Legislation Grid and Testimony/Advocacy Statement

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Please reply to the following 2 Post

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Strategies for Effective Conflict Management

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