Applying Measurement Tools Paper

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Applying Measurement Tools Paper

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes. 

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Take on the role of the staff nurse in the scenario and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level.

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

 

Insomnia Case Study Paper

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Insomnia Case Study Paper

Insomnia Case Study

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed. Insomnia Case Study Paper

 

Decision Point One-Trazodone 50mg po at bedtime.

Trazodone po at bedtime

RESULTS OF DECISION POINT ONE

  • Patient returns to clinic in 2 weeks
  • Patient states medication works well but gives him an unpleasant side effect of an erection lasting approximately 15 minutes after waking
  • Patient states this makes it difficult to get ready for work or go downstairs and have coffee with his girlfriend and daughter in the morning
  • Patient denies auditory/visual hallucinations and is future oriented

Decision Point Two

Decrease trazodone to 25 mg daily at bedtime

RESULTS OF DECISION POINT TWO

  • Patient returns to clinic in 2 weeks
  • Patient states trazodone is very effective for sleep
  • Patient states sometimes the 25 mg dosage isn’t quite enough to help him sleep through the night
  • Patient denies auditory/visual hallucinations and is future oriented

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Decision Point Three

Continue dose. Encourage sleep hygiene. Follow up in 4 weeks

Feedback to Student

Since the patient is already showing a partial response from trazodone, it may not be prudent to switch therapy. A thorough sleep hygiene analysis should always be performed prior to initiation of pharmacotherapy as well as at reassessments. If you find the patient isn’t practicing proper sleep hygiene, you may continue the dose and encourage sleep hygiene. If the patient is practicing good sleep hygiene, you may consider discontinuing trazodone and initiating hydroxyzine. Although there are some negative side effects associated with hydroxyzine such as Xerostomia and Xerophthalmia, it is still a safer medication to prescribe than ramelteon. Insomnia Case Study Paper

 

ASSIGNMENT QUESTIONS. 5 pages please see below;

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options (Zolpidem: 10 mg daily at bedtime, Hydroxyzine 50mg daily at bedtime), provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options (Explain that an erection lasting 15 minutes is not considered a priapism and should diminish over time, continue with current dose, Discontinue trazodone. Initiate therapy with suvorexant 10 mg daily at bedtime) provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options (Discontinue trazodone. Initiate therapy with ramelteon 8 mg nightly at bedtime. Follow up in 4 weeks, Discontinue trazodone. Initiate therapy with hydroxyzine 50 mg nightly at bedtime. Follow up in 4 weeks), provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Insomnia Case Study Paper

 

 

APPLYING MEASUREMENT TOOLS TO A PRACTICE PROBLEM

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APPLYING MEASUREMENT TOOLS TO A PRACTICE PROBLEM

Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform an existing evidence review on your practice problem and search for evidence that demonstrates how your practice problem is measured across the country.

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Post a description of the measures identified from the interviews, the challenges to obtaining the data that were discussed, and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available.

Nursing homework help

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Topic #1

  1. What are some examples that you saw used to drive an increase in Covid-19 vaccination rate? (social media, news outlets, company policy etc) Why were some more successful than others?
  2. Do you have any new ideas or variations on existing ideas that you think could have driven increases in US Covid-19 vaccination rates?

 

Student Initial post #1

To drive an increase in Covid-19 vaccination rates, I saw various implementation tactics. On social media, many “influencers,” politicians, and healthcare professionals were encouraging their followers and the general population to get Covid-19 vaccinations, especially when they first became widely available to the public. I would often see commercials in between sporting events or popular television shows promoting Covid-19 vaccinations, like Pfizer for example. I was working at a Federally Qualified Health Center at the time the vaccinations became available, and it became mandatory that all workers received the vaccination. We were told this was company policy and made mandatory by the State of California. Workers that chose not to be vaccinated at that time had a window to which they could receive their first dose, and if they chose not to be, they were at risk for termination. This did make me feel safer coming to work, especially in an environment that was already high-risk, working in close contact with patients daily. Nursing homework help

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I believe there are many things that could influence people to get vaccinated, however, I don’t believe these ideas are necessarily ethical. For example, if there were incentives to be vaccinated, such as a gift card to grocery stores or extra relief funding. Companies could also advertise other possible health benefits if they could be side effects of the vaccine, for example, weight loss or stronger immunity to the flu (for combined vaccinations). Finally, there could be a task force directed towards “anti-vaxxers” that work toward answering people’s questions about the vaccine if they are skeptical, or debunking the myths around the vaccines and sharing videos on social media.

 

Student Intial post #2

 

In efforts to increase the the vaccination rate many different tactics were used to influence different groups of people in our society to get vaccinated. Public media campaigns focus on interpersonal relationships, getting vaccinated so you can visit loved ones and keep them “safe”. The community efforts that encourage families to get vaccinated together for sometime of reward like gift cards, sporting event tickets. There was even lotteries where if one was vaccinated in a certain time frame they could win $1,000,000 dollars or a scholarship to a state university if under 18 years of age. I believe for many adults like myself the requirement for work was the catalyst to agreeing to vaccination. I believe the thought of being without a job “voluntarily” was enough for many to get vaccinated, when so may others were losing their jobs or already without employment due to the quarantine and resulting business closures. For those who wanted to socialize and go back to “normal’ the requirement and proof of vaccination to travel, attend concerts, live shows and sporting events persuaded many.

I think that a lack of research and resulting data is a reason many continue to chose not be vaccinated for Covid-19. There are article and news stories published every few days that that highlight side effects of the vaccination that people are not comfortable with. As the vaccines still only have emergency use approval, it will take sometime to for the public to trust the vaccination where they do not need any mass campaigns efforts to drive vaccination rates up especially since you can now go back to most regular activities without providing vaccination status.

Topic #2

 

It shows that the graph of the use of leaded gasoline between 1937 and 1986 is similarly shaped to a graph of violent crime between the years of 1960 and 2009. The authors of the article argue that this shape similarity could imply a causal relationship. Do you agree or disagree? What other factors might play a role in this relationship? Please remember to comment on at least one other student’s post. Nursing homework help

 

Student Initial post #1

As we have heard so often throughout our program: “correlation does not equal causation.” In this week’s materials, we simply used the word “association” instead of “correlation.” While association is defined as an “identifiable relationship between an exposure and disease,” a cause only occurs when something actually makes the difference (Kim, 2023). As such, in order to determine if a situation involves a cause or is just an association, epidemiologists often ask: “Did the exposure cause the outcome?” (Kim, 2023).

The graph above shows that the use of leaded gasoline between 1937-1986 had a similar trajectory to the rate of violent crime between the years 1960 and 2009. While the authors of the article argue that this similarity could imply a causal relationship, it is more likely that the relationship is just an association. There are a variety of factors that could influence the similarity in the relationship. For example, the car industry began to really take off throughout the twentieth century, which could explain the increase in gasoline use. Additionally, given that Great Depression lasted until 1939, the graph shows a time in which many Americans may have been influenced to purchase a vehicle given that the economy was gradually improving. As for violent crimes, BBC remarks that “many violent crimes [during this period] emerged due to the rapid technological, social, and economic changes” (BBC, 2023). Additionally, increased rates of crime may have been simply a result of increased reporting. As such, given the variety of factors, it is unlikely that the use of leaded gasoline and violent crime in the twentieth century was a causal relationship.

Works Cited

BBC. (2023). The Growth of Crime in the 20th and 21st Centuries. https://www.bbc.co.uk/bitesize/guides/z2cqrwx/revision/8Links to an external site.

N.C. Government and Heritage Library. (2020, May 26). The Automobile: Social Game Changer. NCPedia. https://www.ncpedia.org/automobile-social-game-changer-k-8#:~:text=During%20the%20first%20decades%20of,things%20in%20their%20leisure%20time Links to an external site..

Edited by Maureen Murphy on Jan 17 at 1:06pm. Nursing homework help

 

 

 

 

 

 

 

 

Nursing homework help

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RUBRIC

  • Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
    • Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.
    • Justify why a developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
  • Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
    • Analyze the ways in which interprofessional aspects of a developed policy will support efficient and effective achievement of desired outcomes for the target population.
  • Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
    • Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.
    • Advocate for policy development in other care settings with regard to a specific issue in a target population. Nursing homework help
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
    • Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support assertions, correctly formatting citations and reference

Write a letter to the editor of a scholarly journal. The length and format of the letter is dictated by your choice of journal.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Advocating for new policies is an important aspect of the master’s-prepared nurse. For new policies to be compelling they need to be supported by evidence. Supporting data can be used to illustrate why new policies and interventions are needed to help address a specific health issue. Compelling data can help sway the stakeholders and gain support for your policy.

Another aspect of advocacy is disseminating new policies and interventions outside of the immediate care environment. This can be done by reaching out to professional organizations as well as academic and professional journals. A letter to the editor is one strategy for disseminating information to a wider audience and to potentially enlist support throughout the wider professional community. Nursing homework help

Professional Context

Nurses have the opportunity to use their skills and develop programs to keep individuals and communities healthy. Health is complex, however, and the nurse needs to possess strong advocacy skills to successfully support a cause or interest. The American Nurses Association’s (2015) code of ethics describes the responsibility of a nurse to include working through and with appropriate stakeholders to advocate for the health of people in and out of the work environment. To be an effective advocate, there are several important abilities a nurse must possess, including problem-solving, communication, and influencing others. One way a nurse can advocate to a broader population is through effective letter writing, both to legislators and through the media, such as with editorials and research articles.

Reference

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html

Scenario

Throughout this course, you have focused on a specific health issue occurring within a specific population. You researched position papers regarding this health concern, and you developed a health policy proposal to positively impact the health of the affected individuals. It is now time to reach a greater audience regarding your policy proposal.

You are going to write a letter to the editor of a peer-reviewed nursing journal. Choose from one of the journals in the Ultimate List of Nursing Journals and go to the journal’s Web site to find out the requirements for submitting an editorial, such as format requirements, topics, and word counts. Make sure you select a nursing journal that covers the topic about which you are going to write. If you want to use another journal that is not on this list, please make sure the journal does address health care, because this is the purpose of the assessment.

Instructions

For this assessment, you will write a letter to the editor of a scholarly journal. Your goal is to be informative about the policy that you developed for your previous Biopsychosocial Population Health Policy Proposal assessment, while also being persuasive about the need for and benefit of similar policies in other health care settings. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your assessment submission addresses all of them. You may also want to read the Letter to the Editor: Population Health Policy Advocacy Scoring Guide and Guiding Questions: Letter to the Editor: Population Health Policy Advocacy [DOC] to better understand how each grading criterion will be assessed.

  • Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.
  • Look back to the data or scenario you used in your previous assessment to address this criterion.
  • Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.
  • Justify why the developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
  • Advocate for policy development in other care settings with regard to a specific issue in a target population.
  • Analyze the ways in which interprofessional aspects of the policy will support efficient and effective achievement of desired outcomes for the target population.
  • Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style (or the journal’s preferred style). Nursing homework help

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Example assessment: You may use the Assessment 3 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Submission Requirements

The submission requirements for your editorial will depend on the journal you choose. To find out the requirements, go to the journal’s Web site. There should be a section regarding submissions that will address how to format letters to the editor, and whether there is a word count limit (there usually is a limit).

  • If the journal does not have submission guidelines for the number of resources required, use 3–5 sources.
  • To be sure that your faculty knows the submission and formatting requirements for your letter, include the journal’s guidelines on a separate page at the end of the document you submit for this assessment.

Competencies Measured

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

Write a letter to the editor of a scholarly journal. The length and format of the letter is dictated by your choice of journal.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Advocating for new policies is an important aspect of the master’s-prepared nurse. For new policies to be compelling they need to be supported by evidence. Supporting data can be used to illustrate why new policies and interventions are needed to help address a specific health issue. Compelling data can help sway the stakeholders and gain support for your policy.

Another aspect of advocacy is disseminating new policies and interventions outside of the immediate care environment. This can be done by reaching out to professional organizations as well as academic and professional journals. A letter to the editor is one strategy for disseminating information to a wider audience and to potentially enlist support throughout the wider professional community.

Professional Context

Nurses have the opportunity to use their skills and develop programs to keep individuals and communities healthy. Health is complex, however, and the nurse needs to possess strong advocacy skills to successfully support a cause or interest. The American Nurses Association’s (2015) code of ethics describes the responsibility of a nurse to include working through and with appropriate stakeholders to advocate for the health of people in and out of the work environment. To be an effective advocate, there are several important abilities a nurse must possess, including problem-solving, communication, and influencing others. One way a nurse can advocate to a broader population is through effective letter writing, both to legislators and through the media, such as with editorials and research articles.

Reference

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html

Scenario

Throughout this course, you have focused on a specific health issue occurring within a specific population. You researched position papers regarding this health concern, and you developed a health policy proposal to positively impact the health of the affected individuals. It is now time to reach a greater audience regarding your policy proposal.

You are going to write a letter to the editor of a peer-reviewed nursing journal. Choose from one of the journals in the Ultimate List of Nursing Journals and go to the journal’s Web site to find out the requirements for submitting an editorial, such as format requirements, topics, and word counts. Make sure you select a nursing journal that covers the topic about which you are going to write. If you want to use another journal that is not on this list, please make sure the journal does address health care, because this is the purpose of the assessment.

Instructions

For this assessment, you will write a letter to the editor of a scholarly journal. Your goal is to be informative about the policy that you developed for your previous Biopsychosocial Population Health Policy Proposal assessment, while also being persuasive about the need for and benefit of similar policies in other health care settings. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your assessment submission addresses all of them. You may also want to read the Letter to the Editor: Population Health Policy Advocacy Scoring Guide and Guiding Questions: Letter to the Editor: Population Health Policy Advocacy [DOC] to better understand how each grading criterion will be assessed.

  • Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.
  • Look back to the data or scenario you used in your previous assessment to address this criterion.
  • Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.
  • Justify why the developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
  • Advocate for policy development in other care settings with regard to a specific issue in a target population.
  • Analyze the ways in which interprofessional aspects of the policy will support efficient and effective achievement of desired outcomes for the target population.
  • Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style (or the journal’s preferred style).

Example assessment: You may use the Assessment 3 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Submission Requirements

The submission requirements for your editorial will depend on the journal you choose. To find out the requirements, go to the journal’s Web site. There should be a section regarding submissions that will address how to format letters to the editor, and whether there is a word count limit (there usually is a limit).

  • If the journal does not have submission guidelines for the number of resources required, use 3–5 sources.
  • To be sure that your faculty knows the submission and formatting requirements for your letter, include the journal’s guidelines on a separate page at the end of the document you submit for this assessment.

Competencies Measured

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

Write a letter to the editor of a scholarly journal. The length and format of the letter is dictated by your choice of journal.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Advocating for new policies is an important aspect of the master’s-prepared nurse. For new policies to be compelling they need to be supported by evidence. Supporting data can be used to illustrate why new policies and interventions are needed to help address a specific health issue. Compelling data can help sway the stakeholders and gain support for your policy.

Another aspect of advocacy is disseminating new policies and interventions outside of the immediate care environment. This can be done by reaching out to professional organizations as well as academic and professional journals. A letter to the editor is one strategy for disseminating information to a wider audience and to potentially enlist support throughout the wider professional community.

Professional Context

Nurses have the opportunity to use their skills and develop programs to keep individuals and communities healthy. Health is complex, however, and the nurse needs to possess strong advocacy skills to successfully support a cause or interest. The American Nurses Association’s (2015) code of ethics describes the responsibility of a nurse to include working through and with appropriate stakeholders to advocate for the health of people in and out of the work environment. To be an effective advocate, there are several important abilities a nurse must possess, including problem-solving, communication, and influencing others. One way a nurse can advocate to a broader population is through effective letter writing, both to legislators and through the media, such as with editorials and research articles. Nursing homework help

Reference

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html

Scenario

Throughout this course, you have focused on a specific health issue occurring within a specific population. You researched position papers regarding this health concern, and you developed a health policy proposal to positively impact the health of the affected individuals. It is now time to reach a greater audience regarding your policy proposal.

You are going to write a letter to the editor of a peer-reviewed nursing journal. Choose from one of the journals in the Ultimate List of Nursing Journals and go to the journal’s Web site to find out the requirements for submitting an editorial, such as format requirements, topics, and word counts. Make sure you select a nursing journal that covers the topic about which you are going to write. If you want to use another journal that is not on this list, please make sure the journal does address health care, because this is the purpose of the assessment.

Instructions

For this assessment, you will write a letter to the editor of a scholarly journal. Your goal is to be informative about the policy that you developed for your previous Biopsychosocial Population Health Policy Proposal assessment, while also being persuasive about the need for and benefit of similar policies in other health care settings. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your assessment submission addresses all of them. You may also want to read the Letter to the Editor: Population Health Policy Advocacy Scoring Guide and Guiding Questions: Letter to the Editor: Population Health Policy Advocacy [DOC] to better understand how each grading criterion will be assessed.

  • Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.
  • Look back to the data or scenario you used in your previous assessment to address this criterion.
  • Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.
  • Justify why the developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
  • Advocate for policy development in other care settings with regard to a specific issue in a target population.
  • Analyze the ways in which interprofessional aspects of the policy will support efficient and effective achievement of desired outcomes for the target population.
  • Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style (or the journal’s preferred style).

Example assessment: You may use the Assessment 3 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Submission Requirements

The submission requirements for your editorial will depend on the journal you choose. To find out the requirements, go to the journal’s Web site. There should be a section regarding submissions that will address how to format letters to the editor, and whether there is a word count limit (there usually is a limit).

  • If the journal does not have submission guidelines for the number of resources required, use 3–5 sources.
  • To be sure that your faculty knows the submission and formatting requirements for your letter, include the journal’s guidelines on a separate page at the end of the document you submit for this assessment.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: Nursing homework help

 

The Internal and External Criticism that is used to Evaluate Middle Range Theories

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The Internal and External Criticism that is used to Evaluate Middle Range Theories

The theories chosen to guide a research study should have a strong theoretical foundation and be appropriate for the research question being posed. To make this determination, it is important to consider both the strengths and weaknesses of the theory being evaluated. Internal and external criticism are two vital components of evaluating middle range theories. These two forms of criticism are used to assess the value of a middle range theory, as well as its durability and applicability to nursing research and practice. Internal criticism considers the structure, content, and internal consistency of the theory, while external criticism evaluates the usefulness, empirical support, and relevance of the theory (Kislov et al., 2019). These two forms of criticism are essential in determining whether a given theory can be adapted for use in research. The Internal and External Criticism that is used to Evaluate Middle Range Theories

Internal Criticism

Internal criticism is the process of evaluating a theory’s inner structure and content to assess its coherence and logical connection with the research it seeks to explain or predict. In assessing internal criticism, the following elements of the theory are evaluated: its conceptual framework, the logical structure of the theory, and the empirical support for it.

A theory’s conceptual framework is the foundation for its development and the basis for its application. It is important to assess the assumptions and premises upon which the theory is based, as well as its core concepts and definitions. This involves examining the theory’s underlying logic and the connections between its concepts and principles. The logical structure of a theory refers to the relationships between its various components, and how these components work together to explain or predict a phenomenon. It is important to assess the consistency and clarity of the theory’s logic, as well as the logical connections between its different parts. Empirical support refers to the evidence that supports the theory’s hypotheses and predictions. This evidence can come from both quantitative and qualitative sources. It is important to evaluate the theory’s empirical support in order to determine the validity of its claims.

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External criticism

External criticism is the process of evaluating a theory’s usefulness, relevance, and empirical support in order to determine its applicability to nursing research and practice (Giusti et al., 2020). In assessing external criticism, the following elements of the theory are evaluated: its practicality, its relevance to nursing research and practice, and its empirical support. Practicality refers to the practicality of the theory’s assumptions, premises, and principles. This involves assessing the theory’s ability to be applied to a wide range of nursing research and practice settings, as well as its potential to advance the profession.   Relevance refers to the theory’s ability to explain or predict phenomena in the real world. This involves assessing the theory’s applicability to the nursing profession, as well as its ability to provide useful and meaningful insights into nursing research and practice.

As with internal criticism, empirical support is essential in assessing a theory’s external validity. This involves evaluating the evidence that supports the theory’s claims and predictions. It is important to assess the quality and quantity of evidence that supports the theory’s hypotheses. The Internal and External Criticism that is used to Evaluate Middle Range Theories

Evaluation of Middle-Range Nursing Theories

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Evaluation of Middle-Range Nursing Theories

Evaluating the usefulness and applicability of a middle-range theory is crucial in determining its potential for use in research. The middle-range theories tend to be narrower than grand theories in terms of scope and deal with part of a discipline’s concerns related to a topic (Peterson & Bredow, 2019). Even though these theories are known to be useable due to their specificity as well as scope, it is important to test their adaptation to nursing research. Therefore, based on external and internal criticism, the middle range theories are sufficient in nursing research due to their clarity, logical development, consistency, and adequacy.

The coherence, structure, and understanding of middle-range theories are evaluated through internal criticism. Middle-range theories are considered relatively coherent to understand and implement. They are designed to be more specific and applicable to nursing practice than grand theories, which can be more abstract and difficult to understand (Risjord, 2019). This makes middle-range theories more accessible to nurses and other healthcare professionals, who can use them to guide their practice and make evidence-based decisions. Therefore, the middle-range theories can be adapted to research since they are coherent and can, therefore more specific and applicable in nursing research.

In addition, middle-range theories are considered easy to understand because they are specific and limited in scope. Unlike grand theories, which attempt to explain a wide range of phenomena, middle-range theories focus on a specific aspect of a phenomenon, making them more manageable to understand (Peterson & Bredow, 2019). They provide a framework for understanding a particular phenomenon and can be used to guide research, practice, and policy. In nursing, for example, middle-range theories can guide the development of specific interventions. Therefore, due to their specific and limited scope, middle-range theories are important in nursing research since they are easy to understand. Evaluation of Middle-Range Nursing Theories

On the other hand, external criticism evaluates the theory’s connection to well-being, nursing, and individuals. This criticism evaluates the theory’s difficulty, value, scope, and reality in relation to nursing practice. The scope of middle-range theories refers to the specific area of nursing or healthcare the theory addresses. These theories are designed to provide a specific framework for understanding and addressing a particular aspect of nursing practice, such as patient care or communication with patients (Peterson & Bredow, 2019). This makes them useful for guiding practice in specific areas rather than providing a broad overview of the entire field of nursing.  The theories also help to bridge the gap between practice and research by providing a theoretical basis for understanding and addressing specific issues in nursing practice.

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In addition, the value of middle-range theories also indicates that they can be adapted to nursing research. The theories can be used to guide research, practice, and policy and can be tested through empirical research (Risjord, 2019). Since the theories can be used to guide research, makes them a valuable tool for addressing specific problems in various fields, such as nursing. The reality of middle-range theories is that they are based on empirical research and are constantly being refined and revised as new evidence is discovered. Therefore, middle-range theories are important in nursing research due to their value.

In conclusion, using middle-range theories in nursing research is a valuable approach as it allows for a more specific and easy-to-implement framework for nursing care. These theories have been evaluated using internal and external criticism, ensuring that they are well-understood, relevant, and useful in the nursing field and can provide effective patient care. Evaluation of Middle-Range Nursing Theories

Module 03 Assignment- Interventions to Promote an Environment of Safety

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Module 03 Assignment- Interventions to Promote an Environment of Safety

Purpose of the Assignment

Identify strategies to reduce the risk for injury to clients in various environments.

Course Competencies

  • Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility.
  • Strategies for safe effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders. Module 03 Assignment- Interventions to Promote an Environment of Safety

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Instructions

In a one page Word Document, plan interventions with rationale which will promote an environment of safety for the described client below.  Consider the client’s medical history and medications.

Mr. Joe Smith, 75-year old man, recently suffered a left cerebrovascular accident.  He has right visual field deficits and residual weakness in this right arm and leg.  He uses a walker for mobility.  He takes Metoprolol for his blood pressure and the physician started him on Coumadin because he has recently been diagnosed with atrial fibrillation.

 

Module 03 Assignment- Interventions to Promote an Environment of Safety Rubric

Total Assessment Points – 30

Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Interventions and Rationale

(20 Pts)

 Lacks appropriate interventions and rationales to assist the client in resolving the concerns leading to the problem.

Failure to submit Interventions and Rationale will result in zero points for this criterion.

 Write 3 interventions and rationales to assist the client in resolving the concerns leading to the problem with appropriate references. Write 5 interventions and rationales to assist the client in resolving the concerns  leading to the problem with appropriate references. Writes more than 5 interventions and rationales to assist the client in resolving the concerns s leading to the problem with appropriate references.
Points – 15 Points – 16 Points – 18 Points –20
APA Citation

(5 Pts)

 APA in-text citations and references are missing. Attempted to use APA in-text citations and references. APA in-text citations and references are used with few errors. APA in-text citations and references are used correctly.
Points:2 Points:3 Points:4 Points:5
Spelling and Grammar

 (5 Pts)

 Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material.           Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. Module 03 Assignment- Interventions to Promote an Environment of Safety Few spelling and grammar errors. Minimal to no spelling and grammar errors.
Points: 2 Points: 3 Points: 4 Points:5

 

 

 

 

Nightingale’s Chronic Illness Paper

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Nightingale’s Chronic Illness Paper

There  are many theories about Nightingale’s chronic illness, which caused her  to be an invalid for most of her adult life. Many people have  interpreted this as hypochondriacal, something of a melodrama of the  Victorian times. Nightingale was rich and could take to her bed. She  became ill during the Crimean War in May 1855 and was diagnosed with a  severe case of Crimean fever. Today Crimean fever is recognized as  Mediterranean fever and is categorized as brucellosis. She developed  spondylitis, or inflammation of the spine. For the next 34 years, she  managed to continue her writing and advocacy, often predicting her  imminent death. Others have claimed that Nightingale suffered from  bipolar disorder, causing her to experience long periods of depression  alternating with remarkable bursts of productivity. Read about the  various theories of her chronic disabling condition and reflect on your  own conclusions about her mysterious illness.

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Answer the following question:

With supporting evidence, what are your conclusions about Nightingale’s health condition?

 

Nursing homework help

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Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).

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(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)

  • What additional information should the nurse obtain from the client?
  • What nursing intervention is most appropriate in this situation?
  • What screening tests should be obtained to determine the risk for preterm labor?
  • If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication). Nursing homework help