Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience.

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The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Part 4: Disseminating Results

Create a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project:

Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation.

Explain how you would plan knowledge transfer and dissemination.

Describe measurable outcomes with the implementation of EBP best practice.

Summarize lessons learned.

The narrated presentation accurately and completely summarizes the

evidence-based project. The narrated presentation is professional in

nature and thoroughly addresses all components of the evidence-based

project.

The narrated presentation accurately and clearly describes in detail

the healthcare organization and culture, current opportunity for change,

scope of the issue, and EBP best practice recommendation.

The narrated presentation accurately and clearly describes how to plan

for knowledge transfer, disseminate the results of the project to an

audience, citing specific and relevant examples.

The narrated presentation clearly and accurately describes measurable

outcomes with the implementation of the EBP best practice and

summarizes lessons learned.

Resource Synthesis

The narrated presentation fully integrates at least two outside resources

and two or three course-specific resources that fully support the

presentation.

Presentation Narration

Narration is present.

PowerPoint Presentation:

The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

The presentation must be professional; images are appropriately attributed;

images are clear. The presentation text is readable. Presentation flows well

and is presented in a logical order.

Written Expression and Formatting—English Writing Standards:

Correct grammar, mechanics, and proper punctuation.

Uses correct grammar, spelling, and punctuation with no errors. Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

Assignment MCN Perspectives On Maternal & Child Health Care

Assignment MCN Perspectives On Maternal & Child Health Care

Topic One

1. Assess the factors that affect maternal and child health.

2. Differentiate the structures, roles, and functions of the family and how they affect the health of women and children.

3. Evaluate how society and culture can influence the health of women, children, and families.

4. Examine access and barriers to health care and its effect on women, children, and family’s health.

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Topic 2

                    Discussion Post Perspectives on Maternal & Child Health Care

. Identify the ethical and legal issues that may arise when caring for women, children, and families.

Caring For Women & Children Assignment

Caring For Women & Children Assignment

1. Identify the core concepts associated with the nursing management of women, children, and families.

2. Examine the major components and key elements of family-centered care.

3. Explain the different levels of prevention in nursing, providing examples of each.

4. Determine examples of cultural issues that may be faced when providing nursing care to women and children.

5. Outline the various roles and functions assumed by the nurse working with women, children, and families.

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Topic 2

 

Discussion Post Caring for Women & Children
1. Demonstrate the ability to use excellent therapeutic communication skills when interacting with women, children, and families.

2. Apply the process of health teaching as it relates to women, children, and families. Caring For Women & Children Assignment

Anatomy & Physiology Of The Reproductive System

Anatomy & Physiology Of The Reproductive System

Answer the following questions and include your references.

  1. Students’ answers should include the following and explain each hormone’s functions related to women’s health.

2. Students’ answers should include the following:

  • Ovarian cycle and events associated with each phase
    • Follicular phase
    • Ovulation
    • Luteal phase
  • Endometrial cycle and events associated with each phase
    • Proliferative phase
    • Secretory phase
    • Ischemic phase
    • Menstrual phase

3. Students’ answers should include the following:

  •  Ovaries
  • Testes

Topic 2

Discussion Post- Anatomy & Physiology of the Reproductive System

  1. Differentiate the structures and functions of the major external and internal female genital organs.
  2. Outline the phases of the menstrual cycle, the dominant hormones involved, and the changes taking place in each phase.
  3. Identify external and internal male reproductive structures and the function of each in hormonal regulation. Anatomy & Physiology Of The Reproductive System

 

Nursing homework help

Consider an EHR system you have used while you were a student or in your current practice. If this system was new and you were helping direct implementation, consider the following questions regarding easing the implementation of new systems. Nursing homework help

  • Describe 3 implementation strategies that you would use to ease the transition to a new system.
  • What are the likely barriers to successful implementation and how could you address them?
  • Name and explain at least two staff education strategies you would use.
  • List and describe the phases of the Life Cycle of an information system.

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Additionally, please read and answer the following:

1.  Reflect on the SDLC in relation to the quality of the organizational decision making throughout the project. What are some of the major stumbling blocks faced by healthcare organizations?

2.  Think of a clinical setting you are familiar with and envision artificial intelligence tools. Are there any current tools in use? What tools would enhance practice in this setting and why?

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Write this in 300 words . APA format .At least 2 two 3 references. Nursing homework help

Disaster Planning Assignment

Disaster Planning Assignment

Disaster Planning

Scenario: You are the PHN working at your local public health department in the nursing division. It is the middle of summer, and you have been receiving telephone calls asking about “the flu season” since the vaccine wasn’t accurate in predicting the strains of influenza that affected your community last year, and many people contracted the virus. Business and community leaders are concerned because they don’t want a repeat performance of last year. You have been asked to develop some solutions to community concerns. Select two of the following scenarios and respond to the questions that are posed in each.

Scenario 1: Imagine that initial pandemic flu cases have been identified in your jurisdiction. Some people are home sick, and others are staying home fearful that they may become infected with the flu. What advice would you give to local business owners to prepare for this event? Name two actions that business owners can take to keep their businesses open.

Scenario 1, Part B. As incidents of influenza continue to rise, local business owners are worried about loss of revenue if several large planned conventions are forced to cancel due to the flu. What advice can you give these business owners? Should all events be cancelled? Disaster Planning Assignment

Scenario 2: Disease rates are rising, and estimates are that as many as 20% of the population are ill with confirmed influenza. Several businesses have closed and services have been suspended. What advice would you give to local law enforcement officials so they can continue to serve the needs of the people? Describe two actions that law enforcement workers can take to remain on the job. How will the gaps in personnel created by those who are ill be covered by those who are still well? What advice will you give?

Scenario 3: Disease rates are remaining at 20% of the population, and many schools have closed due to teacher absence. Since parents still have to work if they are not sick with the flu, what advice can you give day care providers? What two ideas can you share with them so they can stay open and able to care for the children of working parents? Should all school sporting events be cancelled? What information should parents be given? Should announcements be given daily?

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Scenario 4: The numbers of influenza victims has reached 25% of the population. Many of the large grocery stores in your community are short-staffed due to employee sick calls. Shelves are bare since many of the workers are home with the flu, and even if the storeowner could stock the shelves, cashiers are home sick, too. In-store pharmacists are struggling to keep their pharmacies open to serve the public. Consumables like bread and milk are in short supply since many delivery drivers are home sick. What two actions can you recommend to these storeowners so that your community doesn’t suffer?

Scenario 5: With 25% of the total population sick with influenza, your hospital is short of staff at a time of very high census. While many of the administrative positions are unaffected by illness, at least 40% of the nurses have called in sick or are at home caring for very sick children. Name two recommendations that you can give your hospital administration to keep their services available for the community.

Scenario 6: The community is turning to the Health Department for assistance because reported incidents of influenza have risen from 5% of the population to 10% of the population in a matter of days. What is your first response to this situation? What steps will you take? Where will you start? Disaster Planning Assignment

 

Post your response to two sets of scenario-specific questions as well as the following:

  • Which agencies are available to lead and assist in the disaster response?
  • What resources are available in your community?
  • How might resources be used most efficiently?
  • Are there any gaps that may pose a problem?
  • Identify potential strengths and weaknesses in the community.

Support your response with references from professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). Disaster Planning Assignment

 

Discussion 3 Pulmonary Function

Discussion 3 Pulmonary Function

Discussion 3

 

Pulmonary Function: 
D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.  Discussion 3 Pulmonary Function

Case Study Questions

  1. According to the case study information, how would you classify the severity of D.R. asthma attack?
  2. Name the most common triggers for asthma in any given patients and specify in your answer which ones you consider applied to D.R. on the case study.
  3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

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Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:

  • Serum glucose 412 mg/dL
  • Serum sodium (Na+) 156 mEq/L
  • Serum potassium (K+) 5.6 mEq/L
  • Serum chloride (Cl–) 115 mEq/L
  • Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq/L


Case Study Questions

  1. Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she has?
  2. Describe the signs and symptoms to the different types of water imbalance and described clinical manifestation she might exhibit with the potassium level she has.
  3. In the specific case presented which would be the most appropriate treatment for Ms. Brown and why?
  4. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
  5. Based on your readings and your research define and describe Anion Gaps and its clinical significance.

 

Submission Instructions:

Include both case studies in your post.

  • Your initial post should be at least 550 words in total, formatted and cited in current APA style with support from at least 4 academic sources. Discussion 3 Pulmonary Function