• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

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 (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected? Healthcare Program/Policy Evaluation Analysis
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy . Healthcare Program/Policy Evaluation Analysis

Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

1.  Identify the following PICO components of the clinical practice problem:

•   patient/population/problem (P)

•   intervention (I)

•   comparison (C)

•   outcome (O)

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1. Impact of a clinical practice problem on the patient(s) and the organization it Effects

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Note:  Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question.

B.  Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the research article.

2.  Describe the research methodology.

3.  Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the article.

5.  Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

C.  Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal. Impact of a clinical practice problem on the patient(s) and the organization it Effects

1.  Discuss the background or introduction (i.e., the purpose) of the non-research article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).

3.  Identify the level of evidence using the JHNEBP model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendation(s) in the article helps to answer your EBP question.

D.  Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation.

3.  Identify one strategy that could be used to overcome the barrier discussed in part D2.

4.  Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

E.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

F.  Demonstrate professional communication in the content and presentation of your submission. Impact of a clinical practice problem on the patient(s) and the organization it Effects

I need the following in 200 words each.

Team Testimony Part 1 – Peer-Reviewed Articles

• Bodenheimer & Grumbach,
  • Chapter 3
  • Chapter 12
• WHO Facts on Disability and Health: 

The Convention on the Rights of Persons with Disabilities

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With the WHO Convention on the Rights of Persons with Disabilities

Write in 200 words for each of the following 5 health policies using peer- reviewed articles

1. Focus on the mental health aspect of disability

2. Addressing the cost of health transport.

3. Universal Health Coverage (UHC)

4. Mental Health Policy.

5. National policy for America to provide a wheelchair to every person in need for free and to establish and support a market for collecting, repairing, refurbishing, and distributing used wheelchairs. NR524: Health Policy, Advocacy And Economics In Healthcare

Nurses can be an integral part of designing public policy as political leaders. As a registered nurse, you have a professional commitment to improve health care. However, many nurses are not politically active and do not lobby for important aspects of their profession.

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• What are the reasons many nurses do not actively engage in lobbying efforts?
• What actions can nurses take to encourage themselves and their peers to get involved politically and lobby for specific issues such as healthcare policy changes? Provide a detailed example. Course NURS440 Issues and Trends in Nursing

cite at least one scholarly reference

• Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
• Based on the Episodic note case study:
  • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
  • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Nursing Assessment Paper

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The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation.
• Analyze the objective portion of the note. List additional information that should be included in the documentation.
• Is the assessment supported by the subjective and objective information? Why or why not?
• Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

 

GENITALIA ASSESSMENT (Review the requirements in this week’s course resources.  You can write this assignment in narrative format.

Subjective:

• CC: dysuria and urinary frequency
• HPI: RG is a 30 year old female with increase urinary frequency and dysuria that began 3 days ago. Pain is intermittent and described a burning only in urination, but c/o flank pain since last night. Reports intermittent chills and fever. Used Tylenol for pain with no relief. She rates her pain 6/10 on urination. Reports a similar episode 3 years ago.
• PMH: UTI 3 years ago
• PSHx: Hysterectomy at 25 years
• Medication: Tylenol 1000 mg PO every 6 hours for pain
• FHx: Mother breast cancer ( alive) Father hypertension (alive)
• Social: Single, no tobacco , works as a bartender, positive for ETOH
• Allergies: PCN and Sulfa
• LMP: N/A

Review of Symptoms:

• General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.
• Abdominal: Denies nausea and vomiting. No appetite

Objective:

• VS: Temp 100.9; BP: 136/80; RR 18; HT 6’.0”; WT 135lbs
• Abdominal: Bowel sounds present x 4. Palpation pain in both lower quadrants. CVA tenderness
• Diagnostics: Urine specimen collected, STD testing. Nursing Assessment Paper

Assessment:

• UTI
• STD