Reflect on how nurses can disseminate findings from evidence-based practice research.

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Creating a Culture of Evidence-Based Practice

 

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

 

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

 

To prepare:

 

  • Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.
  • Reflect on your own hospital’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?
  • Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your hospital.
  • Reflect on the significance of evidence-based practice (EBP) in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?
  • Reflect on how nurses can disseminate findings from evidence-based practice research.

 

Post on Tuesday 05/10/16 550 words in APA format

 

1)An evaluation of your hospital’s use of Evidence Based-Practice (EBP) and how it is furthered or hindered by organizational culture and policies.

 

2) Describe how you could disseminate the findings.

 

3) Propose a strategy for strengthening the culture of EBP within the organization.

 

4)Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources.

 

Include 4 references from the list below only.

 

Required Resources

 

 

 

Readings

 

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
    • Chapter 28, “Disseminating Evidence: Reporting Research Findings”

      In this chapter, the focus is on actually reporting on the research findings and how to determine the best approach for reaching the desired audience. The chapter also includes tips on how to organize the information and describes what is usually included in such reports.

  • Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. Australian Critical Care, 24(4), 244–254.
    Retrieved from the Walden Library databases.

    This article describes a multi-dimensional EBP program designed to generate sustainable improvement in patient care and patient outcome. The text details the program’s strategies for implementation along with achievements and lessons learned.

  • Barnsteiner, J. H., Reeder, V. C., Palma, W. H., Preston, A. M., & Walton, M. K. (2010). Promoting evidence-based practice and translational research. Nursing Administration Quarterly, 34(3), 217–225.
    Retrieved from the Walden Library databases.

    In this text, the authors highlight established systems and structures designed to supply staff with resources to translate research and deliver EBP. Additionally, the article explicates a multitude of initiatives designed to disseminate evidence to the point of care.

  • Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice.Journal of Nursing Administration, 42(4), 222–230.
    Retrieved from the Walden Library databases.

    This article provides several models for implementing evidence-based practice within an organization. It introduces four different phases through which an implementation should progress, and provides examples of each.

  • Estrada, N. (2009). Exploring perceptions of a learning organization by RNs and relationship to EBP beliefs and implementation in the acute care setting. Worldviews on Evidence-Based Nursing, 6(4), 200–209.
    Retrieved from the Walden Library databases.

    In this article, the authors detail a survey design study conducted to determine the relationship between a learning organization’s characteristics and the beliefs of registered nurses with respect to EBP. In addition, the study examines the impact of EBP beliefs on registered nurses’ implementation of EBP.

  • Fineout-Overholt, E., Williamson, K. M., Kent, B., & Hutchinson, A. M. (2010). Teaching EBP: Strategies for achieving sustainable organizational changetoward evidence-based practice. Worldviews on Evidence-Based Nursing, 7(1), 51–53.
    Retrieved from the Walden Library databases.

    The authors of this text suggest multiple strategies for integrating the EBP paradigm at the organizational level. The text provides rationale for why educators should also consider change at the individual level as an effective conduit for disseminating the EBP paradigm at the organizational level.

  • Munten, G. van den Bogaard, J., Cox, K., Garretsen, H., & Bongers, I. (2010). Implementation of evidence-based practice in nursing using action research: A review. Worldviews on Evidence-Based Nursing, 7(3), 135–157.
    Retrieved from the Walden Library databases.

    This text reviews 21 action research studies to determine what is known about using action research to implement evidence-based practice. The authors explicate the promising features and flaws that were common across the action research studies they used.

  • Satterfield, J. M., Spring, B., Brownson, R. C., Mullen, E. J., Newhouse, R. P., Walker, B. B., & Whitlock, E. P. (2009). Toward a transdisciplinary model of evidence-based practice. The Milbank Quarterly, 87(2), 368–390.
    Retrieved from the Walden Library databases.

    This article presents the primary issues and challenges in EBP across numerous health disciplines. The authors then posit a transdisciplinary EBP model designed to incorporate the strengths and diminish the flaws of each discipline’s EBP model.

  • Steurer, L. M.(2010). An evidence-based practice scholars program: One institution’s journey toward excellence. Journal of Continuing Education in Nursing, 41(3), 139–143.
    Retrieved from the Walden Library databases.

    The author of this article details the efforts of an EBP scholars program that was designed to teach an overview of EBP, along with the skills necessary to improve patient outcomes.  In addition to the program’s development and implementation, the article highlights lessons learned.

    Media

 

  • Laureate Education, Inc. (Executive Producer). (2012k). Translating evidence into practice. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 9 minutes.

    Dr. Kristen Mauk discusses the outcomes of her DNP project in this video. She explains how nurses in the rehabilitation unit where she conducted her project used the results of her project to improve their practices.

     

     

 

 

explore the research surrounding botanical healing which includes a variety of herbal medicines, dietary supplements, aromatherapy, and homeopathic medicines

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PLEASE READ ALL INSTRUCTIONS COMPLETELY BEFORE REQUESTING TO DO ASSIGNMENT.

 

READINGS: FONTAINE; CHAPTERS 2,3,6

 

Required Texts

American Psychological Association (2010). Publication Manual of the American Psychological Association (6th ed.).  Washington, DC: Author. (ISBN 1-4338-0561-8)

Fontaine, K. L. (2015). Complementary and Alternative Therapies for Nursing Practice (4rd ed.). Upper Saddle River, NJ: Prentice Hall. (ISBN 0-13-334650-3)

Forum # 3 Assignment Instructions

For this assignment you will explore the research surrounding botanical healing which includes a variety of herbal medicines, dietary supplements, aromatherapy, and homeopathic medicines. Select a specific botanical healing therapy that interests you such as the herbal medicine St. John’s Wort, lavender aromatherapy, or a homeopathic regiment. Then find a current (no older than 5 years) original research article. This must be from a peer reviewed journal. Please make this a human study not an animal or in vitro study. Write a critique of the article that follows the format used in your text book. See pg 141-142 in your text for an example. NO QUOTES THIS WEEK PLEASE!

  1. Being with posting the complete APA article reference. You will not have to do in text citations this week
  2. What is this Study About? This address the purpose of the study
  3. How was this Study done? This is what they actually did. Include framework if any, study design, sample, data collection any instruments.
  4. What were the Results of the Study?

  5. What additional Questions Might I have?

  6. How can I use this study? These are your nursing implications specific to the therapy and findings from this, not general implications for  any CAM  therapy
  7. DO NOT PLAGIARIZE. Often students restate the abstract, be sure you have put things in your own words.
  8. You do not have to have title page. Critiques will no more than 2 pages
  9. Post your critique in as an attachment of the forum # 3 by Midnight Wednesday. Post a substantial response to another by Midnight Saturday. (Eastern time)

 

 

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How is the training of a professional herbalist similar to that of a Western physician?

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Herbalism

Herbalists are specialized CAM practitioners who accumulate extensive knowledge of botanical sources and their proper applications. Professional herbalists maintain a distinct status, undergoing rigorous training as apprentices and gaining immense experience in identifying and preparing organic treatments. Herbalism, as with any healing practice, must observe the impact of treatment on specialized groups.

Based on the above statements, answer the following questions:

· How is the training of a professional herbalist similar to that of a Western physician?

· What are the differences between allopathic pharmacists and professional herbalists?

· Herbalism is sometimes cited as the precursor to modern pharmacy. Is this statement accurate? Justify.

· What is a potential danger of the lack of communication between herbalists and allopathic physicians concerning mutual patient safety?

· What caveats must exist when treating pregnant or breast-feeding women with herbal therapies?

· Parents may feel that herbal medicine is a safer remedy for their children. Is this supported by the herbalists and CAM practitioners?

· Why is herb use for the elderly a particularly important point of discussion for patients and practitioners?

· Have you ever experienced an allergy to a particular plant? How do such allergic reactions factor into herbal therapy practice?

How can personal health record systems and electronic health systems contribute to advancing the role of Consumer Health Informatics ?

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Consumer Health Informatics

Consumer Health Informatics (CHI) is the field that helps to connect the gap between patients and health resources. Its focus is to provide patients with the most complete health information possible.

Using the South University Online Library or the Internet, research on CHI. Based on your readings and understanding, create a 3- to 4-page Microsoft Word report that provides the answers to the following questions:

· What role will medical informatics professionals play in CHI? What are some of the barriers to the growing role of CHI?

· What do you believe is the most important thing that needs to happen next in order for CHI to continue evolving? How can it best be addressed?

· What are the key factors in training users of health information systems technologies?

· How can personal health record systems and electronic health systems contribute to advancing the role of CHI?

· What are the three options for CHI that could improve healthcare quality and lower costs in the future?

Support your responses with examples.

Cite any sources in APA format.

does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?

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Course Project: Part 3—Translating Evidence Into Practice

 

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

 

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

 

To prepare:

 

  • Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question? PLEASE REFER TO FILES ATTACHED BELOW
  • With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
  • Explore possible consequences of failing to adopt the evidence-based practice that you identified.
  • Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

    To complete:

    In a 3- to 4-page paper:

    1) Restate your PICOT question and its significance to nursing practice. My PICOT question is: does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?

    2) Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles. Please refer to the articles below:

     

 

Aiken, A. M., Karuri, D. M., Wanyoro, A. K., & Macleod, J. (2012). Interventional studies for preventing surgical site infections in sub-Saharan Africa. International Journal of Surgery, 242-249. Doi: 10.1016/j.ijsu.2012.04.004

 

Al-Khawaldeh, O., Al-Hussami, M., & Darawad, M. (2015). Influence of Nursing Students Handwashing Knowledge, Beliefs, and Attitudes on Their Handwashing Compliance. Scientific Research Publishing. Doi: http://dx.doi.org.ezp.waldenulibrary.org/10.4236/health.2015.75068

 

Bukhari, S., Hussain, W., Banjar, A., Almaimani, W., Karima, T., & Fatani, M. (2011). Hand hygiene compliance rate among healthcare professionals. PubMed – NCBI. Ncbi.nlm.nih.gov. Retrieved 1 April 2016, from http://www.ncbi.nlm.nih.gov/pubmed/21556474

 

 

 

3) Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.

 

4) Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

 

This part of the Course Project should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

 

Note:  In addition, include a 1-page summary of your project

 

 

 

COURSE REQUIRED RESOURCES

 

 

 

Readings

 

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.).Philadelphia, PA: Lippincott Williams & Wilkins.
    • Chapter 12, “Sampling in Quantitative Research”

      This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes suggestions for implementing a sampling plan.

    • Chapter 13, “Data Collection in Quantitative Research”

      Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures.

    • Chapter 21, “Sampling in Qualitative Research”

      The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted.

    • Chapter 22, “Data Collection in Qualitative Research”

      This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes.

  • Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research. Journal of Nursing Regulation, 1(4), 37–44.

    Retrieved from the Walden Library databases.

    This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.

 

Media

 

  • Laureate Education, Inc. (Executive Producer). (2012b). Data collection. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 4 minutes.

    Dr. Kristen Mauk discusses how she collected data for her DNP project in this video. She describes the details of her pre- and post-tests used to track nurses’ knowledge in a rehabilitation unit.

     

 

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.).Philadelphia, PA: Lippincott Williams & Wilkins.
    • Review Chapter 2, Fig. 2.1
    • Chapter 27, “Systematic Reviews of Research Evidence: Meta-analysis, Metasynthesis, and Mixed Studies Review”

      This chapter focuses on the different types of systematic reviews. The chapter discusses the advantages of this type of analysis and the steps for conducting a meta-analysis or metasynthesis.

  • Dingle, P. (2011). Statin statistics: Lies and deception. Positive Health, 180, 1.

    Retrieved from the Walden Library databases.

    In this article, the author outlines how misleading statistics are used to make false claims about the positive use of statin drugs in order to retain a market share of sales for pharmaceutical firms.

  • Katapodi, M. C., & Northouse, L. L. (2011). Comparative effectiveness research: Using systematic reviews and meta-analyses to synthesize empirical evidence. Research & Theory for Nursing Practice, 25(3), 191–209.

    Retrieved from the Walden Library databases.

    The authors of this article assert that more comparative effectiveness research (CER) is necessary to accommodate the elevated demand for evidence-based health care practices. The article supplies a summary of methodological issues relevant to systematic reviews and meta-analyses used in the process of CER.

  • Stichler, J. F. (2010). Evaluating the evidence in evidence-based design. Journal of Nursing Administration, 40(9), 348–351.

    Retrieved from the Walden Library databases.

    The quality of evidence used in EBP can vary considerably. This article highlights the necessity of critically appraising facility design research articles and using a hierarchical model to rate the strength of evidence.

  • Bernd, R., du Prel, J.-B., & Blettner, M. (2009). Study design in medical research: Part 2 of a series on the evaluation of scientific publications. Deutsches Aerzteblatt International, 106(11), 184–189. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695375/pdf/Dtsch_Arztebl_Int-106-0184.pdf

    This article provides guidance in evaluating the study design of scientific publications for reliability and credibility. The authors suggest that the most important elements to consider are the question to be answered, the study population, the unit of analysis, the type of study, the measuring technique, and the calculation of sample size.

  • Walden University. (n.d.a). Paper templates. Retrieved July 23, 2012, from http://writingcenter.waldenu.edu/57.htm (for review)

    This website provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.

 

Media

 

  • Laureate Education, Inc. (Executive Producer). (2012g). Hierarchy of evidence pyramid. Baltimore, MD: Author.  (for review)

    This multimedia piece explains the hierarchy of evidence pyramid. The piece offers definitions and key information for each level of the pyramid.

  • Laureate Education, Inc. (Executive Producer). (2012n). Weighing the evidence. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 6 minutes.

    In this video, Dr. Kristen Mauk provides insight about how she analyzed her data and interpreted meanings of what the data showed. She describes how she drew conclusions based on the results and how she explained unexpected findings that were contrary to her initial hypotheses.

     

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Why are models of cultural competence important as frameworks for program planning in multicultural populations?

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***I got 11 out of 23 correct***

of the different models:

Cultural sensitivity is most important for me- finding out what I know, and how to best take care of people from different cultures in a way that makes them feel most comfortable

Please use this part above in the discussion post ^^^

 

 

The Purnell and PEN-3 Models for Cultural Competence

  • Examine your own cultural competence through courses readings and personal reflection. You may want to incorporate the Quality and Culture Quiz, linked in Resources, into your personal reflection. Then, think about what you learned through the Purnell and PEN-3 models of cultural competence. If necessary, review Chapter 6 in your course textbook to ensure that you understand the models.
    • Why are models of cultural competence important as frameworks for program planning in multicultural populations?
    • Is there a model you gravitate to more than another? Explain why or why not.

Your initial posting should be at least 150 words, and you must reference the work of another writer (either as a quotation, paraphrase, or summary) to provide support for your ideas. The source can be the course text, another relevant book, any assigned reading, or an article you find on your own through the Capella University Library. When you incorporate the other writer’s ideas in your work, use APA citation style to give credit to that writer. Remember that an APA citation includes both the in-text citation (the author’s last name and the year of publication) and the full reference for the source.

How do management and leadership activities contribute to the success of change initiatives?

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Identify a Change Project

This week introduced the concepts of leadership and leadership theories. In addition, the media presentation and textbook readings discussed the difference between leadership and management. As you begin your practicum this week discuss with your manager possible change projects that focus on a quality and safety issue that are needed in the agency. Observe your manager and other leaders at your location. Identify how management and leadership activities contribute to successful change initiatives. Informally discuss options with your manager.

Please address the following:

  • What did you see as the difference between leadership activities and management activities?
  • How do management and leadership activities contribute to the success of change initiatives?
  • What change projects are needed in your agency at this time?
  • Which of these projects will you select for your practicum change project?

Support your response with references from the professional nursing literature.

how do you use health information technology to locate evidence-based practices

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Using Health Information Technology as a Source of Evidence-Based Practice

 

Using Health Information Technology as a Source of Evidence-Based Practice

 

Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

 

To prepare:

Read the following scenario from the text (McGonigle & Mastrian, 2012, p. 482):

Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.

Consider how the resources identified in the scenario above could influence an organization’s practice.

Select an issue in your practice that is of concern to you (my area of practice area of concern is the nursing shortage, we often have to work short in my hospital which creates many issues). Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

 

Required Resources

Readings

 

  • McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
    • Chapter 26, “Nursing Research: Data Collection, Processing, and Analysis”

      The authors of this chapter relate nursing research to the foundation of knowledge model. The chapter assesses informatics tools for collecting data, storing information, and processing and analyzing data.

    • Chapter 27, “Translational Research: Generating Evidence for Practice”

      In this chapter, the authors differentiate evidence-based practice and translation research. They also describe models used to introduce research findings intro practice.

  • Hynes, D. M., Weddle, T., Smith, N., Whittier, E., Atkins, D., & Francis, J. (2010). Use of health information technology to advance evidence-based care: Lessons from the VA QUERI program. Journal of General Internal Medicine, 25(Suppl. 1), S44–S49.

    Retrieved from the Walden Library databases.

    This article presents a study that evaluated the role of health information technology (HIT) in the Department of Veteran Affairs’ Quality Enhancement Research Initiative. The authors convey their findings on how HIT provided data and information to aid implementation research, and how implementation research helped further HIT development. Additionally, the text details methods of overcoming common HIT barriers to implementation research.

  • Jamal, A., McKenzie, K., & Clark, M. (2009). The impact of health information technology on the quality of medical and health care: A systematic review. Health Information Management Journal, 38(3), 26–37.

    Retrieved from the Walden Library databases.

    This text details a study that reviews the published evidence concerning the impact of health information technology (HIT) on the quality of health care. The study investigated the use of HIT in medical care and allied health and preventive services. The authors primarily focus on the impact of electronic health records, computerized provider order-entry, and decision support systems.

  • Umscheid, C. A., Williams, K., & Brennan, P. (2010). Hospital-based comparative effectiveness centers: Translating research into practice to improve the quality, safety and value of patient care. JGIM: Journal of General Internal Medicine, 25(12), 1,352–1,355.

    Retrieved from the Walden Library databases.

    This article revolves around the usage of the hospital-based comparative effectiveness (CE) center model. The authors highlight the model’s benefits and the increasing usage of CE evidence. The article also reviews solutions to overcoming many of the challenges to operating hospital-based CE centers.

     

    APA format

    1 1/2  to 2 pages

What are the steps involved and the enzymes used in DNA replication?

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Structure of DNA

Using the South University Online Library or the Internet, research DNA sequencing.

Based on your research, complete the following discussions:

  • DNA sequencing has become a valuable tool in many areas of science, including forensic medicine and biological research. In relation to this, answer the following questions.
    • Describe the steps by which DNA sequencing is performed.
    • Describe, using at least one example, of how DNA sequencing has become a valuable tool in forensic medicine and/or biological research.
  • What are the steps involved and the enzymes used in DNA replication? In your opinion, can a disorder result from the malfunction of any enzyme used during DNA replication? If yes, identify any one disorder and explain how it is caused. If no, why?
  • Since one transcription factor can control multiple genes, mutations in transcription factors can have long-reaching effects.
    • Can a disease result from a mutation in a transcription factor? If so, provide at least one example, naming the transcription factor, the mutation, and the congenital defect that arises.

What technologies or infrastructure are necessary for the successful practice of telemedicine?

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Telemedicine: Benefits and Challanges

Telemedicine can be extremely beneficial for people living in isolated regions and is currently being applied in virtually all medical domains. To address major health issues related to affordability, access, and quality of care, healthcare providers need to consider telemedicine as a reliable option when access to traditional medicine is difficult and out of reach. Healthcare providers, however, must consider legal and ethical issues when planning, designing, and implementing telemedicine. Key among these issues are those of patient confidentiality, privacy, data security, and transmission.

  • How does telemedicine differ from the traditional medicine?
  • What are other legal or ethical issues involved in telemedicine?
  • Which of these issues, in your opinion, will be the most difficult to address?
  • What technologies or infrastructure are necessary for the successful practice of telemedicine?
  • What obstacles can prevent healthcare providers from seeing telemedicine as a reliable option, even when access to traditional medicine is difficult or out of reach?

Drawing on course readings or outside scholarly sources, support your answer with references, examples, and clear rationales.