Examine the sources of evidence that contribute to professional nursing practice.

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Week 6: Data Results and Analysis 8080 unread replies . 9595 replies . This week’s graded discussion 

Week 6: Data Results and Analysis

8080 unread replies.9595 replies.

This week's graded discussion topic relates to the following Course Outcomes (COs).

  • CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
  • CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

After the data are collected, it is time to analyze the results!

  1. Discuss one of the four basic rules for understanding results in a research study.
  2. Compare clinical significance and statistical significance. Which one is more meaningful when considering applying evidence to your practice?
  3. Compare descriptive statistics and inferential statistics in research. Please give an example of each type that could be collected in a study that would be done on your nursing clinical issue you identified in previous weeks.

Evaluate of the nurse’s role in relation to nursing care of the child and family in the chosen scenario;

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NRSG210: Mental Health Nursing – Australian Nursing practice – Essay Writing Assessment Answer Task: 

NRSG210: Mental Health Nursing – Australian Nursing practice – Essay Writing Assessment Answer

Task:

1. The pathophysiology of the presenting complaint in the scenario. 
This section is science based and the expectation is that you have a pathophysiology text book and scientific journal articles to discuss the science related to the presenting problem in your chosen scenario. You should aim at 300-500 words for this section. The aim of this is that you attain knowledge of what is happening at a cellular, organ and system level so that you understand the presenting clinical manifestations

2. Evaluation of the nurse’s role in relation to nursing care of the child and family in the chosen scenario; which should include a reference to: –

i. growth and developmental theories, 
This part of the assessment task is concerned with ensuring the essay has a child and adolescent focus. Throughout the essay discussion, it is expected that you make reference to the child’s expected developmental milestones at that age, depending on which scenario you have chosen. It is expected that growth and development research is undertaken for your chosen scenario and you make reference to growth and developmental theories that you think are relevant in enhancing your essay argument. Some ideas include things like, at what age do you include a child in medical related conversation, how does a child/adolescent make decisions based on their developmental level, and 
even through your pathophysiology, you can make mention of underdeveloped organ systems that might influence your nursing care.

ii. developmentally appropriate care; 
This part is a follow on from discussing the growth and developmental expected milestones of the child and really focuses on how it influences your care. How does a nurse provide developmentally appropriate care to the specific age presented in your scenario inclusive of the presenting complaint?

iii. family centred care and, 
Neonatal/paediatric and adolescent nurses provide a family centred care model. It is important that this is reflected in your essay and may bring forward issues of consent, compliance and child presentation into care. How are siblings are affected, the role of the extended family, cultural influences and whatever may be specific to the scenario.

iv. Reference to the hospitalised child and family. 
This part follows on from the family centred care component where it is important to understand the effects of a child’s presentation to services particularly in a hospital setting on not only the child but the whole family. All of the above points should be in reference to how your nursing care will be guided in a paediatric setting.

Describe four cardiovascular conditions that may.

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November 20, 2018 admin No Comments Uncategorized Describe four cardiovascular conditions that may.. 

November 20, 2018 admin No Comments Uncategorized

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. 
DIRECTIONS 
Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions. 
Case Scenario 
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure. 
Subjective Data 
Is very anxious and asks whether she is going to die. 
Denies pain but says she feels like she cannot get enough air. 
Says her heart feels like it is “running away.” 
Reports that she is so exhausted she cannot eat or drink by herself. 
Objective Data 
Height 175 cm; Weight 95.5 kg 
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58 
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 
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82% 
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin 
Critical Thinking Questions 
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications? 
IV furosemide (Lasix) 
Enalapril (Vasotec) 
Metoprolol (Lopressor) 
IV morphine sulphate (Morphine) 
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. 
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 rationale for each of the interventions you recommend. 
The post 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. appeared first .

Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization.

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Translating Evidence Into Practice In Part 3 of the Course Project, you… 

1 answer below »Course Project: Part 3—Translating Evidence Into Practice

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

To prepare:

  • Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
  • With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
  • Explore possible consequences of failing to adopt the evidence-based practice that you identified.
  • Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

  • Restate your PICOT question and its significance to nursing practice.
  • Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
  • Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
  • Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

By Day 7 of Week 10

This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

Discuss how Course Outcomes were supported and met by the activities you have completed in this course.

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Week 1 Discussion Latest 2017 November Week 1: Integration of Nursing Informatics Skills and.. 

NR512 Week 1 Discussion Latest 2017 November

Week 1: Integration of Nursing Informatics Skills and Competencies

6363 unread replies.108108 replies.

Reflect on your own practice. Discuss how informatics is used in your practice. What is your primary area where you would use informatics?

NR512 Week 2 Discussion Latest 2017 November

Week 2: Wisdom Versus Judgment

9191 unread replies.110110 replies.

How does the concept of wisdom in nursing informatics compare to the concept of professional nursing judgment? What is DIKW and how do you “use” it in your practice?

NR512 Week 3 Discussion Latest 2017 November

Week 3: Reflections on Second Life Experiences

7070 unread replies.103103 replies.

You are working in Second Life now completing a number of activities. What do you see as a benefit to augmenting course assignments through the use of a virtual learning environment (VLE)?

NR512 Week 4 Discussion Latest 2017 November

Week 4: Informatics Skills

7474 unread replies.103103 replies.

How do the informatics skills you are now developing/expanding upon and validating help you meet current informatics skills levels? Did the TANIC self-assessment change your impression of your current informatics skill levels?

NR512 Week 5 Discussion Latest 2017 November

Week 5: Knowledge Generation Through Nursing Informatics

3232 unread replies.4747 replies.

In one of the reading assignments this week you reviewed advance nurse practitioner (APN) roles and the application of project management concepts, one of the major elements of NI, but new to most nurses. Does this have an application to your practice? Why or why not?

NR512 Week 6 Discussion Latest 2017 November

Week 6: HealthIT Topic of the Week and Impact on Practice

7777 unread replies.105105 replies.

What was the HealthIT Topic you selected related to your specialty? Why did you select it? How will this impact your practice?

NR512 Week 7 Discussion Latest 2017 November

Week 7: Safeguarding Health Information and Systems

8383 unread replies.9999 replies.

A new concept for some organizations is to allow nurses to bring in their own devices known as bring your own devices (BYOD) to use at work. What are some of the security issues you might encounter if this were allowed? How would you address these issues?

NR512 Week 8 Discussion Latest 2017 November

Week 8: Reflection on Second Life Experiences, Nursing Informatics Skills and Impact on Speciality

44 unread replies.44 replies.

Discuss how Course Outcomes were supported and met by the activities you have completed in this course.

Post your “HealthIT Topic” narrated PPT presentation here.

Describe four cardiovascular conditions that may lead to heart failure

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Describe four cardiovascular conditions that may lead to heart failure and what can be done in the.. 

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.
DIRECTIONS
Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
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
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
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.
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 rationale for each of the interventions you recommend.
The post 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. appeared first .

• Discuss the research methods that were used:

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2-3 pages research critique from oral presentation topic. Details: RESEARCH CRITIQUE NURSING ADN 004 

2-3 pages research critique from oral presentation topic.

Details:
RESEARCH CRITIQUE
NURSING ADN 004 Spring 2018

Choose one article from your Oral Presentation that is based on research. Write a 2-3 page, typewritten paper, double-spaced, using APA format. Include the following information in your analysis.
• Summarize the research question, research method and conclusions.
• Analyze the subject:
o Is it relevant to current practice?
o Can it be applied to any population?
o How can it be applied in the population that we see in clinical?
• Analyze the subjects researched
o Was the study group size adequate to demonstrate the hypothesis?
o Was the study group representative of any population or was it specific to the community/population studied?
o Does the group studied match the population that we serve in this community
• Discuss the research methods that were used:
o Were the methods employed in a balanced manner?
o Was there a control group?
o Were the groups chosen randomly or in a defined, controlled manner?
o Do you feel that the methods were unbiased?
• Describe the conclusions made by the research group:
o Do they make sense?
o Are the conclusions drawn in the study legitimate?
o Do you agree with the conclusions?
o How will this study impact your nursing practice?
• Was this study valuable to you and pertinent to nursing care of the childbearing family?

ORAL PRESENTATION GUIDELINES

1. Each student will be expected to provide a maximum 15 minute oral presentation on a subject related to Maternal, Newborn or Reproductive Nursing Care, with a focus on client education in the community setting. Students may choose a subject from the list of topics or a subject of the student’s choice may be presented upon approval of the clinical instructor. The focus of the presentation and supporting documents should be presented in a manner that would be appropriate for individual or group presentations to clients or community groups.

2. The subject is to be researched, utilizing current literature, texts, internet
articles and documents. These resources should be no older than 5 years, with a minimum of 3 resources to be used. Appropriate documentation, utilizing the provided APA format is to be included.

3. Oral presentation must include a description of the topic, as well as discussion of application in current clinical nursing practice. If appropriate, the discussion may be applied to a client situation that has been encountered during clinical. Documentation of patient condition, treatment and outcome should be included. It is expected that the topic will be thoroughly researched and presented, with attention to current trends, policies, evidence based practice and current research.

4. A typewritten outline is to be submitted to the instructor prior to the presentation.

Information presented in a clear, concise manner _______5 pts. Possible

Presentation completed on time _______1 pt. Possible

Included all required information _______5 pts. Possible

Integrated scientific principles & current research _______4 pts. Possible

Provided clear outline to instructor _______5 pts. Possible

Appropriate Nursing Diagnoses w/proper format _______5 pts. Possible

Complete Bibliography in APA format _______2 pts. Possible

Pamphlet provided to participants _______8 pts. Possible

TOTAL _______35 pts. Possible

Explain in detail, to a level appropriate to other health professionals, the disruptions to normal physiology that occur with Pneumonia, and explain how these disruptions have resulted in two (2) of the abnormal assessment findings you have identified.

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Apply the primary survey assessment framework in order to identify the relevant assessment data… 

This assessment task requires you to submit a report in which you discuss your initial assessment of John, your interpretation of the assessment findings and your subsequent nursing management. In addition to an introduction and conclusion, your paper should include all of the following sections:
Primary Survey
Apply the primary survey assessment framework in order to identify the relevant assessment data already provided in the case study and identify the additional assessments you would need to conduct in order to complete the primary survey. Your discussion should include interpretation of abnormal assessment findings in the context of the normal or expected findings.
Underlying Pathophysiology
Explain in detail, to a level appropriate to other health professionals, the disruptions to normal physiology that occur with Pneumonia, and explain how these disruptions have resulted in two (2) of the abnormal assessment findings you have identified.
Nursing Management
Utilise national, state or local best practice guidelines to prioritise the first 5 nursing interventions you would provide to John. This care should include nurse-initiated interventions and assessments in addition to any medications that would be prescribed. Each intervention, assessment or medication should be supported with a rationale that explains how it relates to, or addresses the underlying pathophysiology of Pneumonia.
The guidelines you access will provide you with the required interventions, however you will need to access other suitable resources to locate information to inform your rationales.

What are the ethical and scientific integrity issues related to the research?

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Module 8 Assignment Signature Assignment Title: Theory, Research, and Practice in Nursing Signature. 

Module 8 Assignment

Signature Assignment Title: Theory, Research, and Practice in Nursing

Signature Assignment Description/Directions: Presentation

A nurse on the research and practice committee is preparing for an update on evidence-based practice (EBP). There is a need to address the potential changes with several EBP policies.This presentation will examine the EBP policies as well as reasoning and rationale as to why changes may be needed.

Choose an EBP topic and two scholarly peer-reviewed journal articles

Compare the difference between theory, research, and practice in nursing

Choose a theory that best correlates with the EBP practice change that you would like to make

Compare and contrast the quantitative and qualitative research article that you choose for the EBP topic

What technology did you use to locate the articles? Databases? Search terms?

What are the philosophical, theoretical, and methodological perspectives in the research articles that were chosen?

What are the ethical and scientific integrity issues related to the research?

How did your nursing knowledge advance through the utilization of research?

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation.

Develop and/or evaluate effective strategies for managing the ethical dilemmas inherent in patient care, the healthcare organization, and research.

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You Decide Reflection Guidelines Purpose The purpose of this applicationis to provide the student an 

You Decide Reflection

Guidelines

Purpose

The purpose of this applicationis to provide the student an opportunity to reflect on selected DNP competencies acquired through the NR703 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

CO1: Compare and contrast existing theories of organizational behavior and leadership theory with that of quantum leadership (PO #6).

CO3: Differentiate attributes of effective leaders and followers and related roles in positively influencing advanced nursing practice (PO #6).

CO5: Synthesize evidence of transformational leadership and emotional intelligence necessary for intra-/ interprofessional collaboration in advanced nursing practice (PO #8).

CO10: Ascertain readiness of one’s practice setting for potential advanced nursing practice benefits from the forces of magnetism (PO #6).

Points

This assignment is worth a total of 100 points.

Due Date

Submit your completed application under the Dropbox tab by Wednesday11:59 p.m. MT of Week 8 as directed.

Requirements

1. The You Decide Reflectionis worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Create your essay using Microsoft Word(a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”

3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q&A forum.

4. The length of the reflection is to be within three to six pages excluding title page and reference pages.

5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association(2010, p. 63).

a. You Decide Reflection

b. Conclusion

Preparing Your Reflection

The DNP Essentials (AACN, 2006)outline a number oforganizational and systems leadership competencies in addition to competencies for interprofessional collaboration. Reflect on the NR703course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Develop and evaluate care delivery approaches that meet current and future needs of patient populations based on scientific findings in nursing and other clinical sciences, as well as organizational, political, and economic sciences.

2. Ensure accountability for quality of healthcare and patient safety for populations with whom they work;Use advanced communication skills/processes to lead quality improvement and patient safety initiatives in healthcare systems; Employ principles of business, finance, economics, and health policy to develop and implement effective plans for practice-level and/or system-wide practice initiatives that will improve the quality of care delivery; Develop and/or monitor budgets for practice initiatives; Analyze the cost-effectiveness of practice initiatives accounting for risk and improvement of healthcare outcomes; Demonstrate sensitivity to diverse organizational cultures and populations,including patients and providers.

3. Develop and/or evaluate effective strategies for managing the ethical dilemmas inherent in patient care, the healthcare organization, and research.

4. Employ effective communication and collaborative skills in the development and implementation of practice models, peer review, practice guidelines, health policy, standards of care, and/or other scholarly products.

5. Lead interprofessional teams in the analysis of complex practice and organizational issues.

6. Employ consultative and leadership skills with intraprofessional and interprofessional teams to create change in healthcare and complex healthcare delivery systems” (pp. 10-11, 15).

Reference:

American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for advanced nursing practice.Washington, DC: Author.