MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement Assignment Prompt

The purpose of assignments Part 1 – Part 3 is to gradually guide the student in developing the signature assignment. The idea is for the student to take a stepwise approach to completing the signature assignment. The signature assignment will be broken up into three steps: STEP 1 – Introduction and Overview of the Problem; STEP 2 – Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question; and STEP 3 – Literature Review and Critical Appraisal of the Literature. The three steps, when completed, will be combined in the final Signature Assignment formal paper in Week 8. MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

This week’s assignment is STEP 1 – Introduction and Problem Statement.

First, the student will select a clinical question from the Approved List of PICOt/Clinical Questions or seek approval for a question from the course professor only for Nurse Educator and Health Care Leadership MSN majors who wish to tailor their research question to their specialized major. The student will select an approved topic from the list (or with faculty approval as previously stated) and will customize the question to meet his or her interest.

Next, the student will use the outline below and submit via a Word doc to the assignment link.

1. Provide a title that conveys or describes the assignment.
2. Introduction – Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
3. Overview of the Problem – Provide a synopsis of the problem and some indication of why the problem is worth exploring or what contribution the proposed project is apt to make to practice.
4. References – Cite references using APA 6th ed. Manual.
   

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MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement Expectations

• Due: Monday 5/25/20, 11:59 pm PT
• Format: Completed Word doc with references in APA 6th ed. format
• File name: Save the file with Student First Name_Last Name_Part 1

See USU NUR Writing Assignment Rubric for additional details and point weighting. MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

Instructions for Week 3 Research Paper.

The paper for Week 3 should be 3 to 5 pages not including the title page or references.  An abstract is not required and will neither add to or subtract from the grade for inclusion or exclusion.

You are writing the first two chapters of a research paper.  Yes, chapters.  A master’s thesis of 100 pages or so would frequently have 40% of the thesis in these two sections.   All research papers have the exact same five chapters.  

Remember that every fact stated must be appropriately referenced. MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

Assignment Prompt

This week’s assignment is STEP 2 – Project Purpose Statement, Background & Significance and PICOT Formatted Clinical Project Question.

The student will answer the items below in a Word doc and submit to the assignment link.

1. Provide a title that conveys or describes the assignment.
2. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
3. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
4. PICOt formatted Clinical Project Questions – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
5. References – Cite references using APA 6th ed format.

Expectations

• Due: Monday, 11:59 pm PT
• Length: See section requirements above
• Format: Completed template with references in APA 6th ed. format
• File name: Save the file with Student First Name_Last Name_Part 2

Approved Clinical Questions For PICOt Development List

Implementing a clinical practice protocol/guideline for the management of [hypertension or disease] in [the homeless or population/clinic type]

Developing a clinical protocol to prevent [community acquired pneumonia or disease] in [vulnerable populations] in primary care

Identifying barriers to [diabetic treatment or disease or health promotion] adherence in a community primary care clinic

An educational program to improve [influenza and/or pneumococcal or type] vaccination rates among [population]

Evaluation of an intervention protocol to improve adult vaccination rates among [older adults or population]

Primary care providers’ adherence to treatment guidelines for the management of [Type II diabetes or disease] in a [rural or type] clinic

The implementation of a clinical protocol to identify and manage [COPD or disease] in [the working poor or vulnerable population or setting] MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

Evaluation on implementing [smoking cessation or disease prevention/health promotion] primary clinic in long-term care

Improvement of screening rates for [sexually transmitted diseases or disease prevention targets] in a primary care clinic

Implementing a peer review process in a primary care clinic or setting

The effectiveness of implementing the [Geriatric Depression Scale or standardized assessment instrument] for the treatment and management of [depression or disease] in primary care

Evaluating the use of computer reminder systems for providers to improve treatment guideline adherence in [community care or setting]

Screening for mild cognitive impairment in a primary care setting

Primary care provider practice patterns for the treatment and management of [pain or disease] in [older adults or population]

Effectiveness of obesity management strategies in [working adults or population] with [cardiac risk factors or disease] in primary care

The impact of the Adult-Gerontology Primary Care Nurse Practitioner’s role in a healthcare home model

Identification of perceived barriers to care of [women or population] seeking treatment for [depression or disease] in primary care

Culturally sensitive care for [Asian Americans or population] seeking treatment for chronic [hypertension or disease] management in primary care

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Barriers and facilitators to implementing a culturally sensitive clinical protocol in [Hispanic men or population] with [prostate cancer or disease]

Evaluation of [cost or type] outcomes of a primary care model that includes a psychiatric-mental health care nurse practitioner overlay service

Development of a [cardiac or disease/type] risk profile to identify high risk [women or population] in primary care

Effective [ADHD/Other] Screening of Children in the Primary Care Setting

Reducing BMI of Overweight and Obese [Children or population]: Evidence-Based Approach

Expedited Partner Therapy: An Option in the Treatment of [Genital Chlamydial Infection or other STI]

Effectiveness of the Use of Insulin [pens/pump]: An Analysis of the [Hispanic adult or population] Patient’s Satisfaction and Outcomes

An Effective Plan to Reduce Polypharmacy in a [State Prison or Long-term Care Facility]

The Role of Reminder Cards and Telephone Follow -Up on Office Visits on Adherence of Patient with [T2DM or other chronic disease]

Effects on A1C among Insulin Managed Diabetic Patients following an Electronic, Patient-Centered, Feedback System: An Evidence-Based Practice

The Effect of Language in the Delivery of Care in [Home Health or other community setting]

The Effect of Culture and Eating Habits on [Childhood or population] Obesity in [United States or state]

The Effectiveness of [Basic Daily Monitoring or other intervention] for [Elderly or population] with Heart Failure to Reduce Hospital Readmission

Adherence to Diet and Exercise to Reduce Hyperlipidemia in [Adults or population]

Evidence-Based Practice in Management of Acute Otitis Media: Topical versus Systemic Treatments

[Walking 3x/week or Other exercise activity] for 45-minutes Reduce Blood Sugar levels in [African- Americans or population] with Type II Diabetes

Implement a [Brisk Physical Activity or other activity} to Improve BS Levels in [Women with GDM or population]?

Asthma Treatment in Pediatric Patients: Spacer versus Conventional Inhaler

Concurrent use of Probiotics during Antibiotic Therapy Reduce the Incidence of Developing Antibiotic-associated Diarrhea

The Role of Nurse Practitioner in the [Breast Cancer Risk Assessment or other Assessment] on [Hispanic Women or populations]

Brain Exercise Reduce the Cognitive Decline in Patients with [Cognitive Decline or population]

Measuring the Effectiveness of 5-2-1-0 every day to Reduce Obesity in [Children or population]

Spiritual Care: The Missing Link in Health Care Among Patients with [Advanced Cancer in Palliative Care or population]

Effectiveness of Nurse Practitioner’s Home Visits in Improving Patient Adherence in the Management of [Hypertension or population]

Nurse Practitioner’s Focus Patient Education to Prevent Complications of [Pre-eclampsia or population]

Providing Education to [Reduce Hb1Ac or Other measure] in Adherence with Current [Diabetes or other chronic disease] Guidelines

Utilization of Nurse Practitioners in the [Emergency Department or other Community Settings] on Patient Satisfaction, Provider to Patient time, and Length of Stay

Use of NP-led Triage Orders in Emergency Department for Early Patient’s Discharge

Screening of Patients with Drug-Seeking Behaviors in [Emergency Department or other Community Setting]

Developing an Education-based Approach to Increase Awareness on [Prostate Cancer or other] Screening

Reducing [HPV or other preventable disease] Incidences with Vaccination among the [Latino Population ages 11-­26 in the United States or population]

Evaluate the Effectiveness Of Post-Discharge Follow-Up Among [Congestive Heart Failure or high-risk population] Patients on Reduction of Hospital Readmission, Improve Quality Of Life, Medication Reconciliation, Self-Care Skills and Coordination of Care During Transition to Home [Other]

Primary Care Provider Practice Patterns for the Identification, Treatment, and Management of [early onset sepsis disease or other disease] in [pediatric or populations]

Evaluation on Implementing and Follow-up with Health Screening Guidelines [Colonoscopy or other Screening] in a Primary Clinic or other Community Setting

Primary Care Provider Practice Patterns for the Treatment and Management Follow-up after UC or ED visit in [older adults or population]

Barriers and facilitators to implementing a culturally sensitive clinical protocol in [refugee men or population] with [depression or other chronic disease] MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

General MSN 563 Assignment Guidelines:

There are a lot of instructors and everyone one of us grades differently.  So, to help with the confusion, here are some tips for my class.  I sleep with the APA manual under my pillow.  The 6th edition is the model for this class.  Here are common errors that frequently lose points:

• There are two spaces after sentences in APA format (APA Manual 4.01)
• EBSCO Host and CINAHL are not reference locations.  They are indexing services.  They should NEVER appear in a reference list.
• Fonts between the heading and body must match.
• Indents are best handled using the indent on the ruler in Word, not by spaces.  Be careful that the indent is corrected for all headings so that they are not skewed to the right of center.
• Word inserts extra line spacing after paragraphs automatically.  Turn it off in HOME|PARAGRAPH|LINE AND PARAGRAPH SPACING.
• First person is used to describe your own activity and research.  Indirect references are inappropriate (the use of “one”).
• Quotes are rarely appropriate.  They should be saved for phrases that cannot be reworded without changing the context such as “Give me liberty or give me death.” (Patrick Henry).
• Less is more.  Simple language, short sentences, and clear statements are assets.
• Do not announce the paper or the conclusion.  In this paper, we will ….is verboten.  In conclusion, this paper reviewed…. and such wording is also verboten.  These are redundancies that take up space without adding to the paper.  Editors hate them and will sometimes reject a paper only because they are there.
• There are no feelings in a scholarly paper.  Just the facts ma’am.  Opinions are not stated until the conclusion and are based on the facts stated in the paper.
• All statements of facts must be referenced.  If you report that it was warm on a particular day, provide a reference to a weather report.
• Turn on grammar and spelling checking in your word processor.  It is on in the instructor’s view.  Little blue or red squiggles are hard to miss and so easy to grade.
• Turn on the ruler.  You will see the indent and tab settings that way.
• Use Turn-It-In.  Look at the results before submitting your final version.
• Plagiarism is a major issue and will severely affect your progress.
  • Read https://www.washingtontimes.com/news/2008/aug/09/2-uva-students-booted-off-ship/.
• Do NOT cut and paste into your paper.  You will insert non-printable characters that will show up like a red flag.

The purpose of this attention to detail is to help prepare you for the dissemination of scholarly work.  A publication manual is a method to assure continuity across writings in a publication.  When a paper is submitted to a journal, the editor has to know if it will fit in the space available in an edition.  If a paper follows the formatting, the editor can tell exactly how many column inches will be required to publish the paper.  A significant concern is wordiness.  Clear, concise language saves space.  Words are money in both directions to an editor.  Papers that the editor does not have to edit are more likely to be published.

Read the assignment.  Answer the points of the assignment.  Going off on a tangent or discussing issues not part of the assignment does not help a grade.

An instructor has about 3 days to grade 40+ papers.  If the specific items of the assignment are easy to find, such as having a heading, then it is easier to grade.  When it is hard to find or see if the point is covered, the instructor has to look harder and is MUCH MORE likely to find little issues to grade. MSN 563 Week 3: Assignment – Part 1: Introduction and Problem Statement

Details

As a DNP-prepared nurse, you may be called upon to assist in the design of a clinical database for your organization. This assignment requires you to integrate a clinical problem with data technologies to better understand the components as well as how those components can lead to better clinical outcomes.

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. DNP 805 Week 4 Assignment EHR Database and Data Management Essay
• 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 clinically-based patient problem in which using a database management approach provides clear benefit potential.
2. Identify the data needed to manage this patient problem using information from the electronic health record (EHR).
3. Include a brief description of the patient problem which incorporates information needed to manage the specific problem.
4. Identifies whether the EHR-supplied data is structured or unstructured with an explanation as to why.
5. Provide a complete description of the structured and unstructured data from the EHR that are needed to organize a hypothetical database.
6. Provide a complete description of data relationships that apply to the hypothetical database.

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:

Practice Hours Completion Statement DNP-805

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.EHR Database and Data Management Essay

DNP805 Topic 2 DQ 1 Sample Approach

Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage.

During the last decade, healthcare has witnessed the development and implementation of electronic health records (EHRs). The initial theory was that EHRs would improve patient safety and quality outcomes.  Silverman (1998) stated that some of the obvious advantages to an EHR would have included and were not limited to the ease of access and immediate availability of patient information, history, and treatment plans in routine or emergency situations.  He stated the potential to decrease adverse outcomes such as missed diagnoses, unnecessary or repeated treatments and procedures, international drug interactions and contraindicated treatments.  If all EHRs were connected, one could also have a complete and up to date medical record always immediately available to caregivers.

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Reimbursement incentives to increase the use of EHRs were put into place by the Health Information Technology for Economic and Clinical Health Act in 2009.  This Act allocated $27 billion of reimbursement for the demonstration of the meaningful use of EHRs.  Clinical decision support rules that are specialty specific were expected to be implemented in the EHR to guide professional practice at the point of care with a purpose of improving overall patient safety and quality outcomes (Moja et al, 2014).

The impact of the EHR on the mortality, morbidity and costs of healthcare has been examined by several researchers throughout the years. Moja et al. (2014), conducted a systematic review of computerized decision support systems (CDSSs) that provided guidance messages such as “diagnostic test ordering and interpretation, treatment planning, therapy recommendations, primary preventive care, therapeutic drug monitoring and dosing, drug prescribing, or chronic disease management” to identify the impact of CDSSs on patient safety and quality outcomes.   The researchers compared systems with CDSSs to those without access to CDSSs, those that did not generate advice for care and those that did not have evidence based advice for care (Moja et al., 2014).

The results of 28 randomized control trials was surprising as it  indicated little evidence for a difference in mortality.  The small differences were primarily identified in particular settings with specific diseases and circumstances only. However, most studies were considered too short to prove or exclude a mortality effect.  Morbidity outcomes of the studies were found to be too diverse and limited to make inferences.  However, there was a 10% to 18% decrease of morbidity due to CDSSs linked to EHRs.  This indicates that some studies showed an improvement in the health outcomes and quality of patient care as it pertained to the overall morbidity of patients. Finally, the differences observed for cost and utilization of health services among the studies was found to be small between the study groups (Moja et al, 2014). DNP 805 Week 4 Assignment EHR Database and Data Management Essay

While this study had several limitations such as not including the processes of different facilities or the level of compliance of practice professionals to guideline recommendations, the study indicates that there are several advantages to the use of CDSSs within an EHR to improve patient safety and quality of care.  Although more research is needed to prove the benefits of CDSSs within EHRs, several advantages have been observed.

However, disadvantages have also been observed in relation to EHRs.  There is concern for the privacy of medical record information and the accuracy of information entered into permanent medical records (Thede, 2010). The implementation of information technology systems is expensive, time consuming and at times is perceived as disruptive to the care being delivered by healthcare professionals. The adoption of a universal electronic health record is still yet to be achieved and the use of the EHR by some practice professionals still seems daunting and time consuming (Kreidler, 2019).

References

Kreidler, M. L. (2019). Health Care and Information Technology. Salem Press Encyclopedia. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ers&AN=89163746&site=eds-live&scope=site

Moja, L., Kwag, K. H., Lytras, T., Bertizzolo, L., Ruggiero, F., Brandt, L., … Bonovas, S. (2014). Effectiveness of computerized decision support systems linked to electronic health records: A systematic review and meta-analysis. American Journal of Public Health, (12), e12. https://doi-org.lopes.idm.oclc.org/10.2105/AJPH.2014.302164

Silverman, D. D. (1998). The electronic medical record system: Health care marvel or morass? Physician Executive, 24(3), 26. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=bth&AN=619793&site=eds-live&scope=site

Thede, L. (2010). Informatics: Electronic Health Records: A Boon or Privacy Nightmare? Online Journal of Issues in Nursing, 15(2), 8. EHR Database and Data Management Essay https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol15No02InfoCol01 DNP 805 Week 4 Assignment EHR Database and Data Management Essay

Assignment 5: Improved safety in healthcare?

Assignment 5: Improved safety in healthcare?

According to the report To Err is Human—To Delay is Deadly, what are the findings that are related to improved safety in healthcare?

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Guidelines for Submission: Short papers should use double spacing, 12-point Times New Roman font, and one-inch margins. Sources should be cited according to a discipline-appropriate citation method. Page-length requirements: 2–4 pages. Critical Elements Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value Main Elements Includes all of the main elements and requirements and cites multiple examples to illustrate each element Includes most of the main elements and requirements and cites many examples to illustrate each element Includes some of the main elements and requirements Does not include any of the main elements and requirements 25 Inquiry and Analysis Provides in-depth analysis that demonstrates complete understanding of multiple concepts Provides in-depth analysis that demonstrates complete understanding of some concepts Provides in-depth analysis that demonstrates complete understanding of minimal concepts Does not provide in-depth analysis 20 Integration and Application All of the course concepts are correctly applied Most of the course concepts are correctly applied Some of the course concepts are correctly applied Does not correctly apply any of the course concepts 10 Critical Thinking Draws insightful conclusions that are thoroughly defended with evidence and examples Draws informed conclusions that are justified with evidence Draws logical conclusions, but does not defend with evidence Does not draw logical conclusions 20 Research Incorporates many scholarly resources effectively that reflect depth and breadth of research Incorporates some scholarly resources effectively that reflect depth and breadth of research Incorporates very few scholarly resources that reflect depth and breadth of research Does not incorporate scholarly resources that reflect depth and breadth of research 15 Writing (Mechanics/Citations) No errors related to organization, grammar and style, and citations Minor errors related to organization, grammar and style, and citations Some errors related to organization, grammar and style, and citations Major errors related to organization, grammar and style, and citations 10
https://web.archive.org/web/20150906235538/http://… Assignment 5: Improved safety in healthcare?