nursing role and scope

nursing role and scope

After reading Chapter 8 and reviewing the lecture power point (located in lectures tab), please answer the following questions. Each question must have at least 3 paragraphs and you must use at 3 least references (APA) included in your post.

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Additionally, you are expected to reply to two other students and include a reference that justifies your post. Your reply must be at least 3 paragraphs.

1. Describe a clinical experience that was troubling to you. Describe what bothered you about the experience and what could have you done differently utilizing critical thinking.

2. Describe how patients, families, individual clinicians, health care teams, and systems can contribute to promoting safety and reducing errors.

3. Describe factors that create a culture of safety.

This is due next Sunday, June 23rd at 11:59 pm.

Population affected by disabilities. Rural and migrant health.

Population affected by disabilities. Rural and migrant health.

1. Define and discuss in your own words the definitions and models for disability.

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2. Discuss the difference between illness and disability.

3. Compare and contrast the characteristics of rural and urban communities.

4. Discuss the impact of structural and personal barriers on the health of rural aggregates.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font , in Turnitin to verify originality. A minimum of 2 evidence-based references besides the class textbook must be used. make sure that the references that you use in your assignment are properly quoted in it. A minimum of 700 words is required.

Assignment 1: Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System NURS 6512N-32

Assignment 1: Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System NURS 6512N-32

Take a moment to observe your breathing. Notice the sensation of your chest
expanding as air flows into your lungs. Feel your chest contract as you exhale. How
might this experience be different for someone with chronic lung disease or someone
experiencing an asthma attack?

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In order to adequately assess the chest region of a patient, nurses need to be aware of
a patient's history, potential abnormal findings, and what physical exams and diagnostic
tests should be conducted to determine the causes and severity of abnormalities.
In this DCE Assignment, you will conduct a focused exam related to chest pain using
the simulation too, Shadow Health. Consider how a patient's initial symptoms can result
in very different diagnoses when further assessment is conducted. Assignment 1: Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System NURS 6512N-32
To Prepare
 Review this week's Learning Resources and the Advanced Health Assessment and
Diagnostic Reasoning media program and consider the insights they provide related to
heart, lungs, and peripheral vascular system.
 Review the Shadow Health Resources provided in this week’s Learning Resources
specifically the tutorial to guide you through the documentation and interpretation with
the Shadow Health platform. Review the examples also provided.
 Review the DCE (Shadow Health) Documentation Template for Focused Exam: Chest
Pain found in this week’s Learning Resources and use this template to complete your
Documentation Notes for this DCE Assignment.
 Access and login to Shadow Health using the link in the left-hand navigation of the
Blackboard classroom.
 Review the Week 7 DCE Focused Exam: Chest Pain Rubric provided in the Assignment
submission area for details on completing the Assignment in Shadow Health.
 Consider what history would be necessary to collect from the patient.
 Consider what physical exams and diagnostic tests would be appropriate to gather
more information about the patient's condition. How would the results be used to make
a diagnosis?
DCE Focused Exam: Chest Pain Assignment:
Complete the following in Shadow Health:
 Cardiovascular Concept Lab (Recommended but not required) Assignment 1: Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System NURS 6512N-32
 Abdominal Concept Lab (Recommended but not required)
 Episodic/Focused Note for Focused Exam: Chest Pain
Note: Each Shadow Health Assessment may be attempted and reopened as many
times as necessary prior to the due date to achieve a total of 80% or better (this
includes your DCE and your Documentation Notes), but you must take all attempts by
the Week 7 Day 7 deadline.
Submission and Grading Information
By Day 7 of Week 7
 Complete your Focused Exam: Chest Pain DCE Assignment in Shadow Health via the
Shadow Health link in Blackboard.
 Once you complete your Assignment in Shadow Health, you will need to download your
lab pass and upload it to the corresponding Assignment in Blackboard for your faculty
review.

 (Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.) You
can find instructions for downloading your lab pass
here: https://link.shadowhealth.com/download-lab-pass
 Once you submit your Documentation Notes to Shadow Health, make sure to copy and
paste the same Documentation Notes into your Assignment submission link below.
 Download, sign, date, and submit your Student Acknowledgement Form found in the
Learning Resources for this week.
Grading Criteria
To access your rubric:
Week 7 Assignment 1 DCE Rubric
Submit Your Assignment by Day 7 of Week 7
To submit your Lab Pass:
Week 7 Lab Pass
To participate in this Assignment:
Week 7 Documentation Notes for Assignment 1
To Submit your Student Acknowledgement Form:
Submit your Week 7 Assignment 1 DCE Student Acknowledgement Form

 

Learning Resources

Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Seidel's guide to physical examination: An interprofessional
approach (9th ed.). St. Louis, MO: Elsevier Mosby.

 Chapter 14, “Chest and Lungs”
This chapter explains the physical exam process for the chest and lungs.
The authors also include descriptions of common abnormalities in the
chest and lungs.

 Chapter 15, “Heart”
The authors of this chapter explain the structure and function of the heart.
The text also describes the steps used to conduct an exam of the heart.

 Chapter 16, “Blood Vessels”
This chapter describes how to properly conduct a physical examination of
the blood vessels. The chapter also supplies descriptions of common
heart disorders.

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia,
PA: F. A. Davis.

 Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487) (previously read
in Week 6; specifically focus on pp. 480–481)
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health
assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO:
Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., &
Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
Chapter 8, “Chest Pain”
This chapter focuses on diagnosing the cause of chest pain and highlights
the importance of first determining whether the patient is in a life-
threatening condition. It includes questions that can help pinpoint the type
and severity of pain and then describes how to perform a physical
examination. Finally, the authors outline potential laboratory and
diagnostic studies. Assignment 1: Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System NURS 6512N-32
Chapter 11, “Cough”
A cough is a very common symptom in patients and usually indicates a
minor health problem. This chapter focuses on how to determine the
cause of the cough by asking questions and performing a physical exam.
Chapter 14, “Dyspnea”
The focus of this chapter is dyspnea, or shortness of breath. The chapter
includes strategies for determining the cause of the problem through
evaluation of the patient’s history, through physical examination, and
through additional laboratory and diagnostic tests.
Chapter 26, “Palpitations”
This chapter describes the different causes of heart palpitations and
details how the specific cause in a patient can be determined.
Chapter 33, “Syncope”
This chapter focuses on syncope, or loss of consciousness. The authors
describe the difficulty of ascertaining the cause, because the patient is
usually seen after the loss of consciousness has happened. The chapter
includes information on potential causes and the symptoms of each.
Note: Download the Student Checklists and Key Points to use during your
practice cardiac and respiratory examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Chest and lungs: Student checklist. In Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis, MO:
Elsevier Mosby.

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Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the
Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Chest and lungs: Key points. In Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis, MO:
Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the
Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Heart: Student checklist. In Seidel's guide to physical examination:
An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the
Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Heart: Key points. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &
Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the
Copyright Clearance Center.

Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., …
Losina, E. (2011). Medical decision-making among Hispanics and non-
Hispanic Whites with chronic back and knee pain: A qualitative study.
BMC Musculoskeletal Disorders, 12(1), 78–85.

This study examines the medical decision making among
Hispanics and non-Hispanic whites. The authors also analyze
the preferred information sources used for making decisions in
these populations.

Smuck, M., Kao, M., Brar, N., Martinez-Ith, A., Choi, J., & Tomkins-Lane,
C. C. (2014). Does physical activity influence the relationship between low
back pain and obesity? The Spine Journal, 14(2), 209–216. Assignment 1: Digital Clinical Experience: Assessing the Heart, Lungs, and Peripheral Vascular System NURS 6512N-32
doi:10.1016/j.spinee.2013.11.010

Shiri, R., Solovieva , S., Husgafvel-Pursiainen, K., Telama, R., Yang, X.,
Viikari, J., Raitakari, O. T., & Viikari-Juntura, E. (2013). The role of obesity

and physical activity in non-specific and radiating low back pain: The
Young Finns study. Seminars in Arthritis & Rheumatism, 42(6), 640–650.
doi:10.1016/j.semarthrit.2012.09.002

McCabe, C., & Wiggins, J. (2010a). Differential diagnosis of
respiratory disease part 1. Practice Nurse, 40(1), 35–41.
This article describes the warning signs of impending
deterioration of the respiratory system. The authors also
explain the features of common respiratory conditions.
McCabe, C., & Wiggins, J. (2010b). Differential diagnosis of respiratory
diseases part 2. Practice Nurse, 40(2), 33–41.

The authors of this article specify how to identify the major
causes of acute breathlessness. Additionally, they explain how
to interpret a variety of findings from respiratory investigations.
Shadow Health Support and Orientation Resources
Use the following resources to guide you through your Shadow Health orientation
as well as other support resources:
Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file].
Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY
Shadow Health. (n.d.). Shadow Health help desk. Retrieved
from https://support.shadowhealth.com/hc/en-us
Document: Shadow Health. (2014). Useful tips and tricks (Version 2)
(PDF)
Document: Student Acknowledgement Form (Word document)
Note: You will sign and date this form each time you complete your DCE
Assignment in Shadow Health to acknowledge your commitment to
Walden University’s Code of Conduct.
Document: DCE (Shadow Health) Documentation Template for Focused
Exam: Chest Pain (Word document)
Use this template to complete your Assignment 1 for this week.

Optional Resource

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s
diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

 Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular
Systems; The Breasts” (Section 1, “Chest Wall, Pulmonary, and
Cardiovascular Systems,” pp. 302–433)
Note: Section 2 of this chapter will be addressed in Week 10.
This section of Chapter 8 describes the anatomy of the chest wall,
pulmonary, and cardiovascular systems. Section 1 also explains how to
properly conduct examinations of these areas.
Required Media (click to expand/reduce)

Advanced Health Assessment and Diagnostic Reasoning
Thoughtful, reasoned questioning leads from initial complaint to diagnosis in these three scenarios.
Note: Close the viewing window after the intro segment and after each diagnosis segment to view the menu.

(12m)

Photo Credit:Provided courtesy of the Laureate International Network of Universities.
SkillStat Learning, Inc. (2019). The 6 second ECG. Retrieved from
http://www.skillstat.com/tools/ecg-simulator#/-home

This interactive website allows you to explore common cardiac rhythms. It
also offers the Six Second ECG game so you can practice identifying
rhythms.
Online media for Seidel's Guide to Physical Examination
In addition to this week's media, it is highly recommended that you access and
view the resources included with the course text, Seidel's Guide to Physical
Examination. Focus on the videos and animations in Chapters 13 and 14 that
relate to the assessment of the chest, heart, and lungs. Refer to Week 4 for
access instructions on https://evolve.elsevier.com/

Clinicians & Health Care Teams Contribution to Promoting Safety Questions

Clinicians & Health Care Teams Contribution to Promoting Safety Questions

1. Describe a clinical experience that was troubling to you. Describe what bothered you about the experience and what could have you done differently utilizing critical thinking.

2. Describe how patients, families, individual clinicians, health care teams, and systems can contribute to promoting safety and reducing errors.

3. Describe factors that create a culture of safety.

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Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

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To Prepare:

Review the concepts of technology application as presented in the Resources.
Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

Describe the project you propose.
Identify the stakeholders impacted by this project.
Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
Identify the technologies required to implement this project and explain why.
Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Members of the Project Team

The project group will comprise of the Quality Improvement Manager. At first, the Quality Improvement Manager should meet with the clinic heads to talk about the spending limit and money related support of the project. Eventually, the spending will decide whether another project is monetarily possible for the hospital at this time. The Quality Improvement Manager will be answerable for structuring and executing the new way to deal with accepting and acquiring bedside report at move change (Honey & Skiba, 2017). The person will likewise give and disclose the new changes to the nurse directors of each clinic unit. The nurse directors will assume instrumental jobs as individuals from the project group. The nurse directors will be liable for executing bedside nursing reports on their units. They are additionally liable for furnishing the nurses on the units with the best possible training to guarantee the implementation of next to report a smooth change.  The facility may likewise uphold a time-sensitive deadline for the project to be a functioning procedure on each clinic unit. The nurse manager will be answerable for complying with this time constraint on their units. Nurse informaticists must encourage the consideration of computational instruments and calculations to help handle the assortment, association, examination, preparing, introduction, and dispersal of organic information (Mcgonigle & Mastrian, 2017). The nurse informaticists would make a framework to track, measure, and assess the kinds of blunders discovered during bedside report. The following of this information would be valuable to give further upgrades to persistent security picked up with bedside report. Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

Conclusion

It concludes that planning and implementing change in nursing practice can introduce difficulties. Patient consideration and how the consideration is conveyed is the establishment wherein healthcare organizations started. Beyond question, technology improving apparatuses influence each part of the nursing procedure in each care delivery condition. To build patient fulfillment and safety, medicinal services offices must be focused on giving consistent consideration successfully and proficiently. Healthcare organizations can do this all the more adequately through such nurse communication forms as bedside nursing report.  Implementing the bedside nursing report forms into the nurse work process through technology that fabricates trust and connections and makes network with patients outside the emergency clinic dividers. Closing the communication gaps through bedside nursing report that different nurses, patients, and families improve patient and staff fulfillment and clinical results while carrying budgetary advantages to the organization.

References

Darvish, A., Bahramnezhad, F., & Keyhanian, S. (2014). The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education. Glob J Health Sci, 11-18.

Honey, M. L., & Skiba, D. J. (2017). Nursing Informatics Competencies for Entry to Practice: The Perspective of Six Countries. Forecasting Informatics Competencies for Nurses in the Future of Connected Health.

Mcgonigle & Mastrian, K. (2017). Nursing Informatics and the Foundation of Knowledge. Jones & Bartlett Learning.

Safdari, R., & Azad, Z. (2014). Solutions and Strategies for Nursing Informatics Development. International Journal of Nursing and Health Science, 4-12.

Thomas, T. W., & Seifert, P. C. (2016). Registered Nurses Leading Innovative Changes. OJIN: The Online Journal of Issues in Nursing.

Verma, M., & Gupta, S. (n.d.). Competency in informatics for nursing professional in India: Imbibing the tech-culture among nursing professionals. 2019.

Use APA format and include a title page and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work. Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051
By Day 7 of Week 4

Submit your completed Project Proposal.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 4 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment draft and review the originality report.

Module 2: The Role of the Informatics Specialist in Healthcare (Week 3)

Laureate Education (Producer). (2018). The Nurse Informaticist [Video file]. Baltimore, MD: Author.

Learning Objectives
Students will:
Analyze interactions between nurse informaticists, data/technology specialists, and other professionals in healthcare organizations
Recommend strategies to improve interactions between nurse informaticists and other professionals
Analyze how nursing informatics as a specialty and new technologies impact interactions between nurse informaticists and members of healthcare teams
Recommend nursing informatics projects to improve outcomes or efficiencies in healthcare organizations
Identify stakeholders impacted by nursing informatics projects
Analyze how nursing informatics projects improve outcomes or efficiencies in healthcare organizations
Identify technologies required for implementation of nursing informatics projects
Analyze the role of the nurse informaticist in nursing informatics project teams
Due By
Assignment
Week 3, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 3, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 3, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 3, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 3, Day 7
Wrap up Discussion.
Deadline to submit your Assignment.
Photo Credit: [Ariel Skelley]/[Blend Images]/Getty Images

Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)
American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/
Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf
Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/
Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf
Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

Note: You will access this article from the Walden Library databases.
Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html
Public Health Informatics Institute. (2017). Public Health Informatics: “shipping” information for better health [Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.

Public Health Informatics Institute. (2017). Public Health Informatics: knowledge “architecture” [Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU.

 

Click here to ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT:  Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051
Submit Your Assignment by Day 7 of Week 4

To participate in this Assignment:

Week 4 Assignment

Next Module

To go to the next module:

Module 3

 

Module 3: Data-Information-Knowledge-Wisdom (DIKW) (Week 5)

Laureate Education (Producer). (2018). Data-Information-Knowledge-Wisdom [Video file]. Baltimore, MD: Author.

Accessible player

Learning Objectives

Students will:

Analyze benefits, challenges, and risks of using big data in clinical systems
Recommend strategies to mitigate challenges and risks of using big data in clinical systems
Due By
Assignment
Week 5, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 5, Day 3
Post your initial Discussion post.
Week 5, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Week 5, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 5, Day 7
Wrap up Discussion.

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)
Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

 

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Accessible player

Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw

Rubric Detail

Select Grid View or List View to change the rubric’s layout.
Content
Name: NURS_5051_Module02_Week03_Assignment_Rubric

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Excellent
Good
Fair
Poor
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:

 

·   Describe the project you propose.

·   Identify the stakeholders impacted by this project.

·   Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples. Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

·   Identify the technologies required to implement this project and explain why.

·   Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Points Range: 77 (77%) – 85 (85%)
The response accurately and thoroughly describes in detail the project proposed.

The response accurately and clearly identifies the stakeholders impacted by the project proposed.

The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.

The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why.

The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.

Points Range: 68 (68%) – 76 (76%)
The response describes the project proposed.

The response identifies the stakeholders impacted by the project proposed.

The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.

The response identifies the technologies required to implement the project proposed with an explanation why.

The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.

Includes: 2 peer-reviewed sources and 2 course resources.

Points Range: 60 (60%) – 67 (67%)
The response describing the project proposed is vague or inaccurate.

The response identifying the stakeholders impacted by the project proposed is vague or inaccurate.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague or inaccurate, or includes little to no supporting evidence.

The response identifying the technologies required to implement the project proposed with an explanation why is vague or inaccurate.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague or inaccurate.

Includes: 1 peer-reviewed sources and 1 course resources.

Points Range: 0 (0%) – 59 (59%)
The response describing the project proposed is vague and inaccurate, or is missing.

The response identifying the stakeholders impacted by the project proposed is vague and inaccurate, or is missing.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague and inaccurate, includes no supporting evidence, or is missing.

The response identifying the technologies required to implement the project proposed with an explanation why is vague and inaccurate, or is missing.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague and inaccurate, or is missing.

Includes: 1 or fewer resources.
Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

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Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.

Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.

Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.

Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.

Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.

Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_5051_Module02_Week03_Assignment_Rubric

BIG DATA MEANS BIG POTENTIAL, CHALLENGES FOR NURSE EXECS
ANALYSIS | BY JENNIFER THEW RN | APRIL 19, 2016

TOPICS
Technology
Leadership
Business
Management
To ensure big data is used to influence outcomes that are meaningful to the nursing profession, nurse executives need to act as data visionaries and architects.
Have you ever found yourself poring over stacks of data, feeling more like a statistician than a nurse? If you have, welcome to the world of big data.

“You have all of these different data sources coming at you on a weekly, monthly, quarterly basis. The CFO has a stack of data for you, your productivity-management engineer people have a stack of data for you, HR has a stack of data for you, and then your quality director, your clinical folks, have a stack of data for you,” says Jane Englebright, RN, PhD, CEBP, FAAN, chief nursing executive and senior vice president at Nashville, Tennessee-based HCA.

“And your job is to sort through all that data and synthesize it in some way and come up with brilliant conclusions about how to run the organization.” Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051

Big data “typically refers to a large complex data set that yields substantially more information when analyzed as a fully integrated data set as compared to the outputs achieved with smaller sets of the same data that are not integrated,” according to the Online Journal of Nursing Informatics.

 

NUR3846 FNU Population Affected by Disabilities Discussion

NUR3846 FNU Population Affected by Disabilities Discussion

Population affected by disabilities.

Rural and migrant health.

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Read chapter 21 and 23 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions.

1. Define and discuss in your own words the definitions and models for disability.

2. Discuss the difference between illness and disability.

3. Compare and contrast the characteristics of rural and urban communities.

4. Discuss the impact of structural and personal barriers on the health of rural aggregates.

Present your assignment in an APA format word document, Arial 12 font. A minimum of 2 evidence-based references besides the class textbook must be used. A minimum of 700 words is required.

research paper outline

research paper outline

Miami Dade College Benjamín León School of Nursing RN-BSN Program NUR4945C Advanced Concepts Practicum

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Jane Doe Research Project Outline Title: Promoting a Clean Nursing Environment at HealthSouth Rehabilitation Hospital of Miami. Problem Statement: Hospital-acquired infections cost thousands of dollars each year. The CDC reports that there were an estimated 722,000 HAIs in U.S acute care hospitals in 2011. Numerous researches have demonstrated that a clean nursing environment promotes a safe healing process for patients. In addition, it will be beneficial for healthcare providers. A clean nursing environment will lead to a hospital setting free from hospital-acquired infections. Sections must have proper citations Goal statements: 1. HSRHM will decrease the number of hospital-acquired infections during 2017. 2. Healthcare personnel will consistently maintain a clean nursing environment. Behavioral Objectives: By the end of the presentation: 1. Healthcare personnel will identify the benefits of maintaining a safe clean nursing environment. 2. Healthcare personnel will validate the need for washing hands before and after every patient encounter. 3. Healthcare personnel will implement efficient and effective cleaning procedures to maintain a clean and healthy nursing environment. Teaching strategies: research and prepare a power point presentation about the importance of maintaining a clean nursing environment for patients and healthcare providers. Evaluation tools: 1. Healthcare personnel will verbalize understanding of the benefits of maintaining a clean nursing environment. 2. Healthcare personnel will demonstrate a proper hand washing technique. Implications for Nursing Practice: Several nurse scholars, including Florence Nightingale, have talked about the impact of the environment on human health and the healing process. Hospitals are places where pathogenic microorganisms exist, and therefore, patients are exposed to those pathogens while being treated for another illness or injury. In the same way, healthcare staff is exposed to those infections. The importance of a hygienic environment has been a basis of nursing care since the nineteenth century, and it is as important today as it was back them (Spruce, 2014). There are ways to achieve compliance with recommendations about reducing HAIs within hospitals. Numerous researches have been done regarding importance of maintaining a cleaning environment in hospitals and guidelines and policies exist that should be followed by healthcare team members to help ensure success. Education of patients and caregivers regarding infection control is also recommended. References Allen, G. (2014). Implementing AORN Recommended Practices for Environmental Cleaning. AORN Journal, 99(5), 570-582. doi:10.1016/j.aorn.2014.01.023 Centers for Disease Control and Prevention. (2016). Hand washing: Clean Hands Save Lives. Retrieved from http://www.cdc.gov/handwashing/ Florida health. (2016) Hand Washing. Retrieved from http://www.floridahealth.gov/programs-and-services/childrenshealth/school-health/hand-washing.html Jacobsen, K. (2014). Introduction to Global Health 2nd edition. Jones & Bartlett Learning LLC. Mayo Clinic. (2016). Hand washing: do’s and don’ts. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/handwashing/art-20046253 Ramphal, L., Sumhiro, S., McCracken, I. M., & Addai, A. (2014). Improving hospital staff compliance with environmental cleaning behavior. Baylor University Medical Center Proceedings, 27(2), 88-91. Spruce, L. (2014). Back to Basics: Surgical Attire and Cleanliness. AORN Journal, 99(1), 138-146. doi:10.1016/j.aorn.2013.10.013 Williams, L., Burton, C., & Rycroft-Malone, J. (2013). What works: a realist evaluation case study of intermediaries in infection control practice. Journal of Advanced Nursing, 69(4), 915-926. doi:10.1111/j.1365-2648.2012.06084.x World Health Organization. (2016). Clean Care is Safer Care. Retrieved from http://www.who.int/gpsc/5may/en/
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Capella University Formaldehyde Environmental Toxins Paper

Capella University Formaldehyde Environmental Toxins Paper

Hey Robert, thanks for helping me out the last one was beyond excellent the professor could not find not one thing

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wrong with the paper. Again, I’m putting the scoring guide at the end of the question. I need to score “basic” or above nothing in “non-performance”.

Overview
Write a 3–4-page analysis on the impact of a selected toxin on human health.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 2: Analyze the impact of contaminants in the environment to human health.
Analyze the impact of a toxic substance on human health.
Analyze possible sources of exposure to a toxic substance.
Analyze what happens when a toxin enters the environment.
Analyze the persistency of a specific toxic substance.
Analyze government recommendations for a specific toxic substance.
Context
Toxins are substances that can harm a living organism. When air, water, or soil is contaminated by toxins, it can lead to serious health problems. The Assessment 2 Context document provides a brief overview of topics related to toxicity. You may wish to review this document for key concepts and ideas related to this assessment
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
What is the role of an environmental health professional?
How do professionals define risks associated with environmental toxins?
What is an example of one technique people use to detoxify the body? Have you, or would you, use such a technique?
How has the federal government made recommendations to protect human health?
What is the role of the Consumer Product Safety Commission regarding product safety?
What is the role of OSHA regarding workplace safety?
Is your own workplace proactive when it comes to hazards?
In what ways are you, or could you, become proactive in reducing your own occupational hazards?
What are some ways occupational physical, biological, or chemical hazards could be decreased?
What are the perceived risks of nanotechnology?
How do the views of upstream scientists differ from downstream scientists, with respect to new technology like nanotechnology?
What are the differences in scientific approaches to risk assessment?
Resources
SUGGESTED RESOURCES
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.
CDC. (2014). Agency for toxic substances and disease registry. Retrieved from http://www.atsdr.cdc.gov/
United States Department of Labor. (2014). Occupational Safety and Health Administration – OSHA. Retrieved from https://www.osha.gov/
Assessment Instructions
The purpose of this assessment is for you to learn how to summarize and critically evaluate a scientific paper on environmental toxins.To begin, choose a toxin to research. Note: The CDC Web site and other materials listed in the Resources should provide you with a starting point in selecting a toxin.Then, select at least two peer-reviewed articles about your chosen toxin to read carefully. Craft a 3–4-page analysis of the toxin’s impact on human health based on what you have learned. Address the following in your analysis:
Highlight the main points presented in the articles you read. What message are the authors trying to convey about that toxin?
Describe the possible sources of human exposure to this toxin, and analyze their risk.
Analyze what happens when this toxin enters the environment.
Analyze the persistency of this toxin.
Analyze the federal government’s recommendations for protecting human health from this toxin.
Describe what other sources of information say about these toxins.
Identify any discrepancies you found in your research.
If the authors have different perspectives, how might these differing views affect environmental health?
Your analysis should follow a logical structure and be evidence based. Use the MEAL Plan to help guide the organization of your analysis:
Main Idea: Present the main point or idea that you are making about the environmental toxin you studied.
Evidence: What does the research say? Support your statements with evidence from your research and personal experience.
Analysis: Summarize main ideas from articles related to the points outlined for this assessment. Compare and contrast the ideas of the authors of the two articles. Identify those ideas and facts that relate directly or indirectly to your main point. Make explicit links between source articles, your personal experience, and your current analysis.
Link: Integrate and combine information from the source articles and your personal experience to your main point or idea.
ADDITIONAL REQUIREMENTS
Use the APA Paper Template (linked in the Resources under the Required Resources heading) to format your analysis.
Written Communication: Written communication should be free of errors that detract from the overall message.
Length: This analysis should be 3–4 pages in content length. Include a separate title page and a separate references page.
Font and Font Size: Times New Roman, 12-point, double-spaced. Use Microsoft Word.
APA Formatting: Resources and in-text citations should be formatted according to APA (6th edition) style and formatting.
Number of Resources: You are required to cite a minimum of 2 scholarly resources. You may conduct independent research for resources and references to support your analysis. Provide a reference list and in-text citations for all of your resources, using APA format. You may cite texts and authors from the Resources.
Competency 4: Communicate effectively in a variety of formats.
Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.
ASSESSMENT 2 CONTEXT
Determining ToxicityToxicity is determined by the following:
Observing people during normal use or accidental exposure.
Experimental studies using animals.
Cellular studies.
Toxins can be divided into categories based on their potential harm to humans.
Carcinogens are substances known to cause cancer.
Endocrine disruptors are agents that bind with hormones, blocking their normal function.
Teratogens are agents that cause malformation of a fetus through the mother.
Toxicologists are scientists that study toxins. They determine whether the toxins have any harmful effects on the environment or the human body. Toxicologists often describe toxins as either hazardous or poisonous. Hazardous substances are substances having the capacity to do harm. Poisonous substances are able to kill, injure, or impair living things with a small dose.
ASSESSING RISK
After determining that a substance is toxic, toxicologists and other scientists create risk assessment models. Risk assessment involves considering four steps:
Identification of the hazard and its potential health effects.
Dose-response (amount of pollutant to which a person is exposed).
Mode of exposure (inhalation, ingestion, absorption, and injection).
Determination of overall risk based on dose response and exposure.
Cost-benefit analysis can be used to determine if a risk should be taken, and what strategies can be used to regulate and control the risk. In some cases, after a risk assessment, a risk will be determined unavoidable.The Consumer Product Safety Commission (CPSC) is a government agency created in 1972 to address some products that have presented an unreasonable risk of injury. The CPSC requires safety labels, recalls hazardous products, and enforces bans upon them.
ACCIDENTS
According to the U.S. Department of Health and Human Services, more than 400 Americans die each day due to injuries caused by accidents (2014). In fact, most people experience a significant injury at least once in their lifetime (Hilgenkamp, 2006). Although not all accidents can be avoided, understanding where the risks are, and taking steps to avoid them, is important to protecting our health.Motor vehicle accidents are the leading cause of death in individuals between 1 and 44 years of age (CDC, 2006). The National Highway Traffic Safety Administration (NHTSA) is charged with increasing safety on the roads by writing and enforcing safety laws. Seat belts, safety seats for children, air bags, and anti-lock brakes are just some of the devices that can make traveling in a motor vehicle safer. We can reduce our risk of a motor vehicle accident by following traffic laws, and always considering what is prudent based on the driving conditions.Accidents can also occur when we are in our homes. Common occurrences involve falls, poisonings, accidental shootings, fires, and power equipment. Young children are particularly at risk, which is why child-proofing a home is so important. Cabinets with toxic materials, medicines, and guns should be locked. Matches and lighters should be kept in a safe place.
OSHA
Concerns of hazards in the workplace led to the development of the Occupational Safety and Health Administration (OSHA). OSHA’s mission is to prevent injuries and protect the health of United States workers by ensuring safe and healthful places to work (United States Department of Labor, n.d.). The major areas of concern in the workplace are air contaminants (dust, fibers, gases, and vapors), and physical (temperature, noise, and radiation), biological (pathogens), and chemical (inhaled, absorbed, ingested, or injected) issues.
References
CDC. (2006, June 28). Deaths: Preliminary data for 2004. National Vital Statistics Reports, 54(19). Retrieved from http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_19…Hilgenkamp, K. (2006). Environmental health: Ecological perspectives. Sudbury, MA: Jones and Bartlett.U.S. Department of Health and Human Services. (2014). Healthy people.gov. Retrieved from http://healthypeople.gov/2020/default.aspx
United States Department of Labor. (n.d.). About OSHA. Retrieved from https://www.osha.gov/about.html
Environmental Toxins Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Analyze the impact of a toxic substance on human health.
Does not describe the impact of a toxic substance on human health. Describes the impact of a toxic substance on human health. Analyzes the impact of a toxic substance on human health. Analyzes and evaluates the impact of a toxic substance on human health, providing opinions and supporting evidence.
Analyze possible sources of exposure to a toxic substance.
Does not describe possible sources of exposure to a toxic substance. Describes possible sources of exposure to a toxic substance. Analyzes possible sources of exposure to a toxic substance. Analyzes and evaluates possible sources of exposure to a toxic substance.
Analyze what happens when a toxin enters the environment.
Does not describe what happens when a toxin enters the environment. Describes what happens when a toxin enters the environment. Analyzes what happens when a toxin enters the environment. Analyzes what happens when a toxin enters the environment and assesses the options available to mitigate the risk of potential harm.
Analyze the persistency of a specific toxic substance.
Does not describe persistency of a toxic substance. Describes persistency of a toxic substance. Analyzes persistency of a toxic substance. Analyzes persistency of a toxic substance and discusses impact of the toxin’s lifecycle.
Analyze government recommendations for a specific toxic substance.
Does not describe government recommendations for a specific toxic substance. Describes government recommendations for a specific toxic substance. Analyzes government recommendations for a specific toxic substance. Analyzes and evaluates government recommendations for a specific toxic substance, and discusses whether and how the recommendations need updating.
Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.
Does not write in support a central idea in appropriate format. Does not use correct grammar, usage, and mechanics. Writes in support of an idea with consistent format, but includes major errors of grammar, usage, and mechanics. Writes coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics. Writes coherently, using evidence to support a central idea in a consistently appropriate format, with correct grammar, usage, and mechanics.

NUR 550 Topic 4 DQ 1 Distinguish between reliability and validity in research design

NUR 550 Topic 4 DQ 1 Distinguish between reliability and validity in research design

Distinguish between reliability and validity in research design. Using a translational research article from your graphic organizer, analyze the methods and results sections to discuss reliability and validity as it relates to the translational research. Include the permalink to the article in your reference.

Description

Welcome to Class Everyone! My name is L and I will be facilitating this class.

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In this class we will be exploring translational research and Evidence Based Practice as well as forming a PICOT question. This will be a very busy week as translational research may be a new topic for you and you will need to decide on a population and intervention to begin your PICOT question. Our goals for this week are: Distinguish between reliability and validity in research design NUR 550

Identify the different levels of translational research.
Differentiate translational research from evidence-based practice.
Discuss the application of translational research to population health management.
Evaluate sources of translational research.
Select a valid nursing practice problem for an evidence-based practice project proposal. NUR 550 Topic 4 DQ 1 Distinguish between reliability and validity in research design

peer responses

peer responses

1—- At my clinical site, one internal method for the dissemination of my EBP project would be a team of people

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elected by the corporation’s shareholders to represent the shareholders’ interests and ensure that the company’s management acts on their behalf. The head of the board of directors is the chairman or chairperson of the board. The external method for the dissemination of your EBP project who be “The American Nurses Association (ANA), they are a premier organization representing the interests of the nation’s four million registered nurses. ANA is at the forefront of improving the quality of health care for all. One that we, as nurses, practices every day.

It is important to report my results to both of these groups: a) Stakeholders can affect or be affected by the organization’s actions, objectives, and policies. b) On the other hand, ANA knows that recognizing the essential value of nurses is just the start. Nurses work in all health care settings and have a unique perspective given that we serve in so many diverse roles and specialties. As a result, nurses can offer insights and contributions on how to improve health care in this country.

One’s lines of communication need to be robust, monitored, and evaluated. This also relates to organizational influence and responsibilities of an individual, and one also needs to recognize their role and appreciate the roles of others, to change each group.

2——– At the Indian Health Council, it is important to share project results with the staff who are participating in the project and those who are affected by the changes. Change agents often use graphs or statistics to show that the project is making a positive impact on patient care. “Reporting of project results is essential to garner continued support and recognition for the program” (Cullen, Dawson, Hanrahan, & Dole, 2014, p. 285). When staff realize that they played an important role in the project, there is more support for the new project, and staff feel recognized for their hard work. This would be an internal method for sharing the EBP (evidence-based practice) project. Staff can see what is working and may have input to continually improve the project.

When looking at the results for a project on screening, brief intervention, and referral to treatment (SBIRT), staff may take ownership of the project when they see an increase in the number of patients with positive screens getting brief interventions or referrals to treatment. In addition, the project results can be shared with other directors in the clinic, which promotes more support for the project. According to Cherry (2017), an “…effective change agent will understand that a change in one area almost always will affect another group or department…” (p. 311).

An external method for sharing this nurse’s EBP project results might be sharing the results with tribal leaders, other Indian Health Clinics, or sharing the results in a community newsletter. This shows that the clinic is striving to use the best-evidence based practices to improve patient care and safety. Patients, family members, and community leaders can see the positive impact that the project is making on their community. This not only keeps the clinic in business, but it demonstrates that the clinic is providing quality care for its patients. When presenting the project to the community, the must use language that is understandable and culturally sensitive, which demonstrates that the staff at Indian Health Council cares about their patients. Confidentiality and the stigma of going to a behavioral health department can be barriers, so addressing these concerns can change the way the community thinks about counseling or seeking treatment.

When sharing a new project, both the community and staff need information so that everyone understands what the new project is about, but it may need to be disseminated differently. For example, staff may need a written policy and a PowerPoint presentation while the community may get a flier or newsletter explaining the new project. The change agent needs to communicate with leadership and tribal leaders, so that the project is supported. If the project results in positive changes, it may help the change agent obtain more resources to improve the project. For example, if SBIRT is more effective with a behavioral health counselor working out of the medical department, leadership may decide to fund or write a grant for a full-time person in the medical department to help perform counseling and interventions. Who disseminates changes in your practice?

3—–Communication is key to any new or changing initiative and can make or break the success of the project. With this realization, it’s important to outline a plan to communicate our capstone project; in turn, planning for the success of our project. The best way to promote communication of a project is to engage your audience and ensure there is a solid foundation of understanding regarding the project (Krizner, 2019). We can all appreciate that with the ever mounting list of tasks nurses have on their plate, resistance is often a factor when we are tasked with a new project without appreciating why it is needed. Communication can help curb some of this resistance by outlining the goal of the project and how it will help patient outcomes. The way I have and continue to plan for communication is the following.

Internal communication has been a relatively easy task for my project. I feel this is largely due to the strong argument that I made for my project early on; demonstrating it’s validity in research studies and outlining a solid plan for implementation in our department. During my research thus far, I have been able to communicate my project internally by means of email communications, presentations at meetings, and corroboration with other team members. This has allowed for better team collaboration and seemingly allowed for better acceptance by my peers and providers.

External communication has been more informal as my current capstone project is still in its infancies and doesn’t yet have a large “reach” into the community. An external member that I have worked with is meals on wheels, which is a community-based service that provides nutritional services to patient’s homes. For one of my patients, I was able to work with this organization to organize a low sodium diet to a patient suffering from heart failure. In this instance, I was able to work with the manager of our community service and explain the goal of the project and how this dietary need would help facilitate better outcomes for the patient. Through this contact, I was able to establish a line of communication with the manager and have since reached out to her multiple more times with similar patient care needs.

Communication is a constant state and continues to evolve, beyond this, nurses often need to mediate health care-related situations and effective communication skills are essential (as cited in Cherry, 2017). From the examples above, you can see that it has been easier to communicate when an established team has been identified; as is apparent with my immediate department. External communication has been more of a challenge as I’m still learning about new resources that may be beneficial to include with this project. Nonetheless, it is important to continue to leverage strong communication techniques as the project grows and changes. My plan is to summarize the conclusion findings of my study and send them to those stakeholders who have been involved in the project upon its completion.

4————When disseminating evidence based research there are three questions that need to be answered to be sure that the evidence found is effective to use. The ability to determine if evidence is trustworthy, valuable, and of high-quality is called critical appraisal. The three questions are:

Is the evidence of good quality?
Would the findings apply in the proposed setting? Are the subjects in the study similar to the patients under the nurse’s care, for example?
What are the consequences of the evidence for patients or clients? In other words, what would implementation of practice techniques in the evidence mean for patients or clients? What would be the pros and cons?
ALL PEER RESPONSES SHOULD BE MINIMUM OF 60 WORDS WITH PROPER CITATION AND REFERENCES.