Evidence-based practice in Nursing
Select an article from a peer-reviewed nursing journal regarding an EBP process or implementation.
Write a summary of 1,000 words that includes the following criteria:
- An introduction that explains the focus of the article.
- A summary of key points of the article.
- A list of the steps taken by nursing to develop and implement an EBP.
- Application of the learned information to a practice setting where the student either identifies an EBP that has been applied to your setting or a practice problem that would benefit from the implementation of an EBP.
- A clear and concise conclusion.
APA Format please with in-text citations and reference. Thank you
RTP D1 (4667)
Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years from database and not internet.
APA format required.
The Health Belief Model
Maya Maman posted Mar 21, 2019 10:03 PM SubscribePrevious Next This page automatically marks posts as read as you scroll.Adjust automatic marking as read setting
Globally different cultures have different beliefs in well-being, medicine, and health-promoting behaviors. The Health Belief Model is a theory that individual change in behavior depends on the person’s belief of the gravity of the disease process and the vulnerability to the disease. As such, change in behavior depends on the belief of the advantages that would come with assuming healthier habits (Jacobsen, 2019). This means that in order for a given individual to change their current behavior to a health-promoting behavior, they must fear the disease process and the consequences at hand if a change is not made. In addition, individuals require motivational cues or environmental stimulus to trigger a change in behavior by way of news, adds, healthcare providers, or loved one’s hospitalizations (Jacobsen, 2019). Again, globally stimulus differs with access to healthcare, television, internet, and population. An individual living in a remote area would have less exposure to stimulus than a person living in a highly populated city and therefore less motivation for change. The Health Belief Model-based training has been shown to have positive effects on behavioral change (Bakan & Erci, 2018). As health care providers, we must take advantage of every approach to promote healthier behavior change in patients for improved outcomes.
Preparedness & Disaster Mgmt
Signature Assignment
Scenario:
You are applying for an internship within the Emergency Preparedness and Response department at your local county health department. The application process requires that you submit a public health disaster management plan for a natural or man-made event in the community.
The plan should adapt best practices and lessons learned from a recent event in a similar community to prepare your local community. The most comprehensive, evidence-based and realistic plans will be selected for in-person interviews which will include a presentation of the proposal. The plans should also be mindful of an all-hazards approach. Earning an internship will provide you opportunities to network with experts that can help improve your skills and provide you a competitive advantage when applying for employment and/or graduate school.
Please limit your paper to 10-15 pages.
(CLO 1-7; PLO 1-7, ILO 1-7)
- Overview of COH 440 Project Element
– Word Document (121 KB) - COH 440 Signiture Assignment Sample Paper – Word Document (39 KB)
Components:
2. Signature Assignment Paper
Scenario:
You are applying for an internship within the Emergency Preparedness and Response department at your local county health department. The application process requires that you submit a public health disaster management plan for a natural or man-made event in the community. The plan should adapt best practices and lessons learned from a recent event in a similar community to prepare your local community. The most comprehensive, evidence-based and realistic plans will be selected for in-person interviews which will include a presentation of the proposal. The plans should also be mindful of an all-hazards approach. Earning an internship will provide you opportunities to network with experts that can help improve your skills and provide you a competitive advantage when applying for employment and/or graduate school.
Step 1: Pick an area with hazards that are interesting to you (e.g., San Diego)
HVA:
To write and present a disaster management plan for your chosen local jurisdiction, it is necessary to know what hazards are present. A HVA is a way to determine top hazards for an area. Choose the area on which you want to do your project, and complete the HVA worksheet for your chosen jurisdiction.
Step 2: Identify the top threats to the jurisdiction based on results of your HVA and chose a high-ranking hazard on which you would like to focus (e.g., wildfires in San Diego)
Step 3: Complete the paper and presentation, following the rubric.
Paper:
Following the scenario above, write your paper as if you were creating a public health disaster management plan for your chosen jurisdiction, using the hazard you chose from the HVA and acknowledging the HVA process for your paper (e.g., write a plan for public health management of wildfires in San Diego).
Thanks
medicare Part C
Medicare Part C (aka Medicare Advantage) provides beneficiaries with a managed care option to parts A and B with D.
Review the plan at: https://www.medicare.gov/what-medicare-covers/what-medicare-health-plans-cover (Links to an external site.)Links to an external site.
Investigate and come back and summarize what you learned about these plans.
Be specific.
250 Minimum word count
health communication
1-project topic, (An Assessment of Quality Cancer Treatment in Saudi’s Hospitals in Riyadh)
5- Post communication strategies
6- Post action and evaluation plans
7-The project is organized, Complete, and based on scientific knowledge
Dysrhythmia
A 78-year old woman is admitted to a Medical unit directly from her physician’s office for evaluation and management of congestive heart failure. She has a history of systemic hypertension.
The initial assessment completed by the RN of the assigned patient reveals a pulse rate that is rapid and very irregular. The patient is restless, her skin is pale and cool, she states she is dizzy when she stands up and she is slightly short of breath and anxious. Her BP is 106/88. Her ECG monitor pattern shows uncontrolled atrial fibrillation with a heart rate ranging from 150 -170 beats/min. Her respirations are 20/min and her O2 saturation is 90%.
- Given the findings, what should be the first action of the practical nurse?
- What additional data would the practical nurse collect?
- Discuss the potential complications of cardioversion and patient preparation for an elective cardioversion. Because the length of time the patient has been in atrial fibrillation is unknown, what adverse reaction may occur?
Later that evening the patient calls the nurse because she feels “like something terrible is going to happen.” She reports chest pain, has increased shortness of breath, and has coughed up blood-tinged sputum.
- Based on these symptoms, what might you suspect is happening?
- What is the first thing the practical nurse should do and what further information would you expect to be collected?
How neurological disorder help to relate the condition of spinal cord tumor/cancers to neurological dysfunction
The final discussion is a concluding argument revealing a “defensible solution to the topic “What facts about neurological disorder help to relate the condition of spinal cord tumor/cancers to neurological dysfunction”, supported by the “evidence” explained in the first two papers.
- Revise and re-order each of the informative papers you have composed for the course, placing them in a strategic arrangement that supports the final section of this final paper, your argument for a “defensible solution” to the health care issue you have studied, researched, and written about. As a result, this final paper will be comprehensive and summative.
- Important: this final paper should include a newly composed introductory section, and a final conclusion section which presents your discussion of (and argument for) the solution. Your argument for the defensible solution that you propose should be the focus of this paper.
Your paper must:
- Be 15–20 pages in length
- Title page (1 page)
- Introduction (1–2 pages)
- Reworked informative papers (10-15 pages)
- Conclusion (1–2 pages)
- References page (1–2 pages)
- Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all of the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)
- Follow all APA formatting guidelines for this paper, with each of your previous four papers being presented as “sections” of this fifth paper, using Level 1 headings.
- Use the provided template.
Refer to the rubric for evaluation details and to assist in preparing the paper.
Due: Submit by 11:59 pm (Pacific time) the evening before the Week 8 onsite class
Points: 150
Team Meeting Notes:
- In your team meetings this week (both in-class and online) focus on sharing your solutions as you develop them.
- Pay attention to (and learn from) the unique aspects of each team member’s solutions, but do not reference them in your final paper. (You will reference one another’s solutions in your final presentation assignment.)
Other Important Notes:
- Use the Learning Resources that address introductions and conclusions to help understand best practices and procedures for argumentative paper
- That being said, realize that this paper is unique, as it is a culmination of Informative Papers (rather than a traditional argumentative essay). Use the aforementioned Learning Modules as guidelines for best practices, not as procedural requirements.
- It is highly recommended that you compose the conclusion section of your paper (your solution) first, then move backward into the introduction, and finally the abstract.
- Use the final paper template provided, adapting the titles of each of your four short papers as headings in this final paper, and following instructions and examples provided in our in-class meeting.
- Make sure to review the SafeAssign report generated when you submit your paper, and address and revise any portions of your work which might be plagiarized.
Cross post to discussion
Substantial cross posts to peer response.
-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion.
-Be sure to include at least one reference from Substantial cross posts peer response.(No not use the same reference from the original post
-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion.
-Be sure to include at least one reference from a scholarly source. APA formatting with reference citations. References should be timely, published within the previous five (5) years.
-Discussion cross posts should elaborate upon the ideas and content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information.
-The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.)
-There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.
-Listed below is the discussion post you must respond to in 300-350 words max. APA formatting with reference citations. References should be timely, published within the previous five (5) years. And please check for grammatical errors.
Make sure the cross post is a response and not a whole new discussion. Try to engage in a conversation while stating a new point of view that relates to the original discussion.
ORIGINAL DISCUSSION POST YOU MUST REPLY TO
The Background and Significance of the CNIO
Healthcare is a field that is constantly changing, facing new challenges, and overcoming problems with patient care; which is why technology is becoming one of the most important aspects of healthcare. Nurses are at the forefront of patient care as they spend the most time with the patient, chart, and care for patients over a twelve-hour period. The CNIO, short for the Chief Nursing Informatics Officer, is a role that was introduced to healthcare facilities directly to overlook the electronic medical record, and to better optimize its use and functionality (McCleerey, 2019). The role was meant to solely manage healthcare providers use of the EMR, but new research is showing the need for a paradigm shift from the CNIO’s focus on its own EMR, to working with developers and vendors to create better programs and change weak links in the current EMR. (McCleerey, 2019).
How the CNIO Relates to Healthcare Informatics
The Chief Nursing Informatics Officer directly relates to healthcare as the forefront of health care is based off the development of new technology (McCleerey, 2019). Documentation, research, education, and evidence-based practice have all shifted to using software, computers and cloud data storage. The CNIO overlooks the technology adopted by facilities to better optimize patient care and time management in healthcare and will soon move on to helping developers create better software that focuses on patient care rather than time optimization (McCleerey, 2019). Because CNIO’s directly overlook hospital technology, they have a strong relationship with today’s healthcare system.
The Opportunities and Challenges CNIO’s Face
CNIO’s, just like other nursing specialists, face many opportunities and challenges, but CNIO’s have a rapidly evolving job description, allowing for a variety of rewards and problems to come up. CNIO’s can change nursing for the better by implement systems that give patients better and safer care. The challenges that CNIO’s face directly relate to the new role that the must adopt: relaying information to developers and working with vendors to change and create better software and technology (McCleerey, 2019). Both the opportunities and challenges allow for a rewarding and exciting career as a nurse.
The Benefits of the Electronic Health Record on Quality and Safety in Patient Care
The EHR help health care providers access patient’s medical history: which is an important aspect of treatment. From the EHR alone, nurses and doctors can see allergies, past procedures, scans and x-rays, and other important patient history and problems. By accessing this, providers can help to make the best decisions using evidence-based practice to give the highest quality care to patients (Sewell, 2019).
References
McCleerey, M. (Winter 2019). Vendor support of the expanded role of the CNIO. Online Journal of Nursing Informatics (OJNI), 23 (1), Available at http://www.himss.org/ojni
Pathophysiology of Diabetes Mellitus
Respond on two different days who selected different factors than you, in one or more of the following ways:
Share insights on how the factor you selected impacts the pathophysiology of diabetes mellitus and diabetes insipidus.
Offer alternative diagnoses and prescription of treatment options for diabetes mellitus and diabetes insipidus.
Validate an idea with your own experience and additional research.
Main post
Diabetes affects millions of Americans and the cost of diabetes is a constant healthcare stressor as Insulin costs continue to rise. Diabetes mellitus is separated into three classes; Type 1, the pancreas fails to produce enough insulin to meet the body’s demand and Type 2, where the body’s cells do not respond to the insulin production and can be managed with lifestyle modifications, and gestational diabetes. Diabetes insipidus is not as common as diabetes mellitus but can have a severe effect on the human body due to the fluid imbalance that is created. It is important for the practitioner to understand the pathophysiologies and the roles behavior and ethnicity play in the diagnosis and treatment.
Pathophysiology of Diabetes Mellitus
Type 1 diabetes mellitus is an autoimmune disease that results from beta-cell destruction in pancreatic islets. Beta-cell death via virus directed or physiological mechanisms induces the release of antigens and initiation of immune responses against other beta-cells (Saberzadeh-Ardestani et al., 2018). Type 2 diabetes also has beta-cell destruction more but, more variable different degrees of beta-cell failure relative to varying degrees of insulin resistance. Kumar et al. (2018) acknowledge that insulin resistance impairs the ability of muscle cells to take up and store glucose and triglycerides, which results in high levels of glucose and triglycerides circulating in the blood. Type 2 diabetes can be managed with diet and exercise; like these, both can improve insulin resistance and delay the long-term complications associated with diabetes mellitus.
Pathophysiology of Diabetes Insipidus
Diabetes insipidus is separated into four classifications; central, nephrogenic, dipsogenic, and gestational. The results are that the body excretes an abundance of urine, causing the patient to have an unquenchable thirst. Kalra et al. (2016) describe central diabetes insipidus due to impaired secretion of arginine vasopressin could result from traumatic brain injury, surgery, or tumors whereas nephrogenic diabetes insipidus due to failure of the kidney to respond to arginine vasopressin is usually inherited.
Differences and Similarities of Hormonal Regulation
Despite sharing a name, the differences between diabetes mellitus and diabetes insipidus are great, from the pathophysiology to the treatment. Similarities between diabetes insipidus and diabetes mellitus due to hormonal changes lie within the symptoms that the patient is experiencing. Diabetes mellitus involves blood sugar levels and insulin resistance; diabetes insipidus, it isn’t blood sugar that is the problem, but blood water levels. The similarities of these diseases lie within the signs and symptoms that the patients may be present. Diabetes insipidus, excessive fatigue occurs because of an overall lack of hydration or an electrolyte imbalance. For diabetes mellitus, excessive fatigue generally occurs because blood sugar levels are too low or too high. Excessive thirst occurs in diabetes insipidus because the body senses a lack of Vasopressin, and so it demands more fluids because it thinks it needs them. For diabetes mellitus, excessive thirst occurs because of excessive glucose levels that need to be expelled from the body.
Ethnicity and Behavior’s Impact
Research by Saberzadeh-Ardestani et al. (2018) shows environmental factors include reduction in gut microbiota, obesity, early introduction to fruit or cow milk during childhood, gluten, toxins, lack of vitamins, and viruses play a role in the development of diabetes mellitus type 1; while previously most prevalent in Europeans, it is becoming more common in other ethnic groups. Diet and exercise can help delay diabetes mellitus type 2 from other disease processes related to diabetes mellitus. Diabetes insipidus is common when a traumatic brain injury (TBI) occurs, wearing seatbelts when driving and helmets when participating in cycling or sporting events can decrease the opportunity for diabetes insipidus to occur.
Conclusion
It is important for a practitioner to distinguish between the multiple types of diabetes that patients may present with, although signs and symptoms may be similar, the diagnosis and treatments are completely different. Patient education for each disease is also important because diabetes mellitus type 1 cannot be managed with diet and exercise alone. Diabetes insipidus can occur, but the underlying cause must be singled out to classify and treat. Central diabetes insipidus may require long term treatment depending on the extent of trauma, whereas gestational diabetes insipidus is usually a short term treatment, but the treatments remain the same.
References
Kalra, S., Zargar, A. H., Jain, S. M., Sethi, B., Chowdhury, S., Singh, A. K., … Malve, H. (2016). Diabetes insipidus: The other diabetes. Indian Journal of Endocrinology & Metabolism, 20(1), 9–21. https://doi-org.ezp.waldenulibrary.org/10.4103/2230-8210.172273Kumar, A. S., Maiya, A. G., Shastry, B. A., Vaishali, K., Ravishankar, N., Hazari, A., … & Jadhav, R. (2018). Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Annals of physical and rehabilitation medicine. https://doi-org.ezp.waldenulibrary.org/10.1016/j.rehab.2018.11.001Saberzadeh-Ardestani, B., Karamzadeh, R., Basiri, M., Hajizadeh-Saffar, E., Farhadi, A., Shapiro, A. M. J., … Baharvand, H. (2018). Type 1 Diabetes Mellitus: Cellular and Molecular Pathophysiology at A Glance. Cell Journal (Yakhteh), 20(3), 294–301. https://doi-org.ezp.waldenulibrary.org/10.22074/cellj.2018.5513
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