Recommending An Evidence-Based Practice Change

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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. Recommending An Evidence-Based Practice Change

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.

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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.

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. Recommending An Evidence-Based Practice Change
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • 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)

Recommending An Evidence-Based Practice Change

Pulmonary Education Infographic

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Pulmonary Education Infographic

Competency

Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders. Pulmonary Education Infographic

Scenario

You are a nurse on a pulmonary rehabilitation team at an outpatient clinic in your community. You are updating educational resources to educate clients who want to know more about health promotion and maintenance and improving pulmonary health related to their lung conditions.

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Instructions

Create an infographic for a lower respiratory system disorder that includes the following components:

  • Risk factors associated with the common lower respiratory system disorder.
  • Description of three priority treatments for the lower respiratory disorder.
  • Description of inter professional collaborative care team members and their roles to improve health outcomes for the lower respiratory system disorder.
  • Description of three multidimensional nursing care strategies that support health promotion and maintenance for clients with the lower respiratory system disorder.
  • Description of a national organization as a support resource for your client specific to the lower respiratory system disorder.

Pulmonary Education Infographic

 

Holistic Care And Treatments

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Holistic Care And Treatments

An important area in nursing practice is in palliative and end-of-life care. Palliative care provides a more holistic approach to patient care and attempts to slow the progression of a disease. Palliative care can include an array of non-pharmaceutical therapies such as massage therapy or yoga. It can also include shorter or smaller treatments aimed at reducing negative side effects. Holistic Care And Treatments

End-of-life care is about the process of dying. Helping patients and their families through this time can be difficult yet rewarding. Patients deserve respect and quality care through this time as well. Like nurses who practice in palliative care organizations, hospice nurses are moving toward alternative therapies to aid in comforting the terminally ill patient. As more care is being delivered in the home, the role of the nurse in providing palliative and end-of-life care will continue to evolve.

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The use of complementary and alternative therapies in the treatment of cancer patients, terminal patients, and many other types of patients is steadily increasing. The  Resources also contain much information about the various alternative therapies currently being used.

Consider alternative therapies and discuss the challenges associated with them.

To prepare 

· Review the Resources pertaining to alternative therapies.

· Select one of the following areas where alternative therapies are being used:

o Cancer treatment

o Cancer symptom management

o End-of-life care

o Palliative care

·  · Find at least two scholarly journal articles discussing alternative therapies in your chosen subtopic.

  • Identify at least one challenge associated with the nurse’s role in providing alternative therapies for patient care. Holistic Care And Treatments
  • Explain how the nurse might integrate the use of Complementary and Alternative      Medicine (CAM) approaches in your chosen subtopic and discuss the ethical issues nurses may face.
  • What are the main elements you would include in a teaching plan for nurses on the use of CAM in your chosen subtopic?
  • What is the shared role of the nurse and patient in developing care plans?

Support your response with references from the professional nursing literature.

Note Initial Post: A 5-paragraph (at least 550 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).

https://ethnomed.org/

http://www.qualityforum.org/Topics/Palliative_Care_and_End-of-Life_Care.aspx

https://www.cancer.gov/about-cancer/treatment/cam/hp

https://www.cancer.org/

Holistic Care And Treatments

Health Promotion In Minority Populations

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Health Promotion In Minority Populations

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group. Health Promotion In Minority Populations

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In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors. Health Promotion In Minority Populations
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Health Promotion In Minority Populations

Assessment Health Screening

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Assessment Health Screening

Details:
In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following: Assessment Health Screening

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

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Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Complete the assignment as outlined on the worksheet, including:

Biographical data
Past health history
Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
Review of systems
All components of the health history Assessment Health Screening
Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
Rationale for the choice of each nursing diagnosis.
A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.
Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Assessment Health Screening

Quality Improvement

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Quality Improvement

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word , describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Quality Improvement

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Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

Quality Improvement

 

 

APNs As Healthcare Policy Leaders

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APNs As Healthcare Policy Leaders

Explanation of how healthcare policy can impact the advanced practice nurse profession

2-Explanation of why advocacy is considered an essential component of the advance practice nurse’s role

3- Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change  APNs As Healthcare Policy Leaders

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Description

Explanation of how healthcare policy can impact the advanced practice nurse profession

Research healthcare policy for APNs on a state and national level and the impact on the APN profession

Explanation of why advocacy is considered an essential component of the advance practice nurse’s role

Describe advocacy in healthcare terminology.

Discuss how advocacy is an essential role of the APN and the impact on patient care.

Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change

Define Transformational leadership.

Discuss how Transformational Leadership may have an effect on influencing policy change

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors.  APNs As Healthcare Policy Leaders

Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings.

Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice.

All writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references. 1500 words

APNs As Healthcare Policy Leaders

 

Benchmark – Effective Approaches In Leadership And Management

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Benchmark – Effective Approaches In Leadership And Management

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation. Benchmark – Effective Approaches In Leadership And Management
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

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  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Benchmark – Effective Approaches In Leadership And Management

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4:       Demonstrate professional standards of practice.

Benchmark – Effective Approaches In Leadership And Management

Epidemiology And Communicable Diseases

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Epidemiology And Communicable Diseases

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment. Epidemiology And Communicable Diseases

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Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease. Epidemiology And Communicable Diseases
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Epidemiology And Communicable Diseases

Geriatrics OTC Medication Use

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Geriatrics OTC Medication Use

To prepare:

  • Review the American Geriatrics Society article and interactive media piece in this week’s Learning Resources.
  • Select one of the following over-the-counter drugs commonly used by geriatric patients:
    • Antacids or acid suppressants Geriatrics OTC Medication Use

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    • Antidiarrheal

    • Antihistamines
    • Antimicrobial ointments
    • Antispasmodics for the bladder
    • Cough suppressants
    • Laxatives
    • Neutraceuticals (choose one; e.g., ginseng, St. John’s wart, etc.)
    • Pain medications (choose one; e.g., acetaminophen, ibuprofen, rub-on pain ointments/patches, etc.)
    • Supplements (choose one; e.g., calcium, iron, etc.)
    • Vaginal creams
  • Research the over-the-counter drug you selected. Visit a local pharmacy and explore the types/varieties of the drug that are available. Reflect on the ingredients in each type/variety, including additional active ingredients.
  • Consult with the pharmacist about the ingredients in each type/variety, including how to make safe and effective clinical decisions in relation to this drug. Discuss potential interactions in frail elders and precautions related to the drug based on Beers Criteria. If one is available, you may consult with a pharmacist at your practicum site as an alternative to visiting a pharmacy.
  • Consider ways to educate elders about the OTC drug you selected. Geriatrics OTC Medication Use

By Day 5

Post a PowerPoint presentation that addresses the following:

  • Describe the over-the-counter drug that you selected.
  • Identify the types/varieties of the drug that are available. Describe the ingredients in each type/variety including additional active ingredients.
  • Explain the key information that you need to know about this OTC drug to make safe and effective clinical decisions. Include potential interactions in frail elders and describe any precautions related to the drug based on Beers Criteria.
  • Explain how you would educate elders about the OTC drug you selected.

Geriatrics OTC Medication Use