Ethics And Evidence-Based Research

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Assignment:

Ethics and Evidence-Based Research

Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment. Ethics And Evidence-Based Research

Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Part 2:  Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles. 

Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

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Assignment Expectations:

Length: 1250 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment. Ethics And Evidence-Based Research

The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

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Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

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To Prepare:

Review the concepts of technology application as presented in the Resources.

Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

Describe the project you propose.

Identify the stakeholders impacted by this project.

Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

Identify the technologies required to implement this project and explain why.

Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team. The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

Quality Improvement Proposal

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Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, 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.

Include the following:

  1. Provide an overview 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 Quality Improvement Proposal.

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  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.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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. 

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

Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants

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The growth, development, and learned behaviors that occur during the   first year of infancy have a direct effect on the individual   throughout a lifetime. For this assignment, research an environmental   factor that poses a threat to the health or safety of infants and   develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker   notes, that outlines a teaching plan. For the presentation of your   PowerPoint, use Loom to create a voice over or a video. Include an   additional slide for the Loom link at the beginning, and an additional   slide for references at the end Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants.

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Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the     environmental factor you selected can potentially affect the health     or safety of infants.
  2. Create a health promotion plan that     can be presented to caregivers to address the environmental factor     and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety     promotion as they relate to the selected environmental factor and     the health or safety of infants.
  4. Offer examples,     interventions, and suggestions from evidence-based research. At     least three scholarly resources are required. Two of the three     resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national     resource, and a Web-based resource. Include a brief description and     contact information for each resource.
  6. In developing your     PowerPoint, take into consideration the health care literacy level     of your target audience, as well as the demographic of the     caregiver/patient (socioeconomic level, language, culture, and any     other relevant characteristic of the caregiver) for which the     presentation is tailored Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants

challenges of providing health care for the world’s neediest citizens

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                             Discussion: What Can Nurses Do?

    Many people, most of them in tropical countries of the Third World, die of preventable, curable diseases. . . . Malaria, tuberculosis, acute lower-respiratory infections—in 1998, these claimed 6.1 million lives. People died because the drugs to treat those illnesses are nonexistent or are no longer effective. They died because it doesn’t pay to keep them alive.

    –Ken Silverstein, Millions for Viagra. Pennies for Diseases of the Poor, The Nation, July 19, 1999

Unfortunately, since 1998, little has changed. For many individuals living in impoverished underdeveloped countries, even basic medical care is difficult to obtain. Although international agencies sponsor outreach programs and corporations, and although nonprofit organizations donate goods and services, the level of health care remains far below what is necessary to meet the needs of struggling populations. Polluted water supplies, unsanitary conditions, and poor nutrition only exacerbate the poor health prevalent in these environments. Nurses working in developed nations have many opportunities/advantages that typically are not available to those in underdeveloped countries. What can nurses do to support their international colleagues and advocate for the poor and underserved of the world?

In this Discussion, you will consider the challenges of providing health care for the world’s neediest citizens, as well as how nurses can advocate for these citizens.

                                                  To prepare:

    Consider the challenges of providing health care in underdeveloped countries.

    Conduct research in the Walden Library and other reliable resources to determine strategies being used to address these challenges.

    Using this week’s Learning Resources, note the factors that impact the ability of individuals in underdeveloped nations to obtain adequate health care.

    Consider strategies nurses can use to advocate for health care at the global level. What can one nurse do to make a difference?

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CITE AT LEAST 3 REFERENCES

                                        Required Readings

    Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

        Chapter 4, “Comparative Health Systems” (pp. 53–72)

        The chapter showcases different models of health care systems in order to help policymakers and managers critically assess and improve health care in the United States.

        Chapter 10, “The Health Workforce” (pp. 213–225)

        Review this section of Chapter 10, which details health workforce issues for nurses and nurse practitioners.

    Milstead,  J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.).  Burlington, MA: Jones and Bartlett Publishers.

        Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 192-204)

        This chapter addresses how the health status of individuals and populations around the world can affect policymaking in a country.

    Bloch, G., Rozmovits, L., & Giambrone, B. (2011). Barriers to primary care responsiveness to poverty as a risk factor for health. BMC Family Practice, 12(1), 62–67.

    Retrieved from the Walden Library databases.

    This article details a qualitative study that was conducted to explore the barriers to primary care responsiveness to poverty. The authors explicate a variety of health impacts attributable to poverty.

    Harrowing, J. N. (2009). The impact of HIV education on the lives of Ugandan nurses and nurse-midwives. Advances in Nursing Science, 32(2), E94–E108.

    Retrieved from the Walden Library databases.

    This article explores the impact of an HIV/AIDS education program for Ugandan nurses and nurse-midwives. The author details the motivations behind the program and recommendations for the future.

    Koplan, J. P., Bond, C., Merson, M. H., Reddy, K. S., Rodriquez, M. H., Sewankambo, N. K., & Wasserheit, J. N. (2009). Towards a common definition of global health. The Lancet, 373(9679), 1993–1995.

    Retrieved from the Walden Library databases challenges of providing health care for the world’s neediest citizens.

    This article provides a full description of the components that comprise global health care in detail.

    Gapminder. (2011). Retrieved from http://www.gapminder.org

    This website explains statistical graphs and tables of life expectancy and incomes around the world.

    Global Health Council. (2012). Retrieved from http://www.globalhealth.org

    This website houses the productivity and efforts of the Global Health Council as the world’s largest alliance dedicated to improving health throughout the world.

    Henry J. Kaiser Family Foundation: U.S. Global Health Policy. (2010). Retrieved from http://kff.org/globaldata/

    This website focuses on major health care issues facing the United States, as well as the U.S. role in global health policy.

    International Council of Nurses. (2011). Retrieved from http://www.icn.ch/

    This website documents the efforts of the International Council of Nurses to ensure quality nursing care for all, as well as sound health policies globally through the advancement of nursing knowledge and presence worldwide.

    United Nations Statistics Division. (2011). Retrieved from http://unstats.un.org/unsd/default.htm

    This website examines global statistical information compiled by the United Nations Statistics Division.

    University of Pittsburgh Center for Global Health. (2009). Retrieved from http://www.globalhealth.pitt.edu/

    This website analyzes health issues that affect populations around the globe through research at the University of Pittsburgh.

    The World Bank (n.d.) The costs of attaining the millennium development goals. Retrieved from http://www.nationalacademies.org/hmd/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx.

    This article states that many countries will have to reform their policies and improve service delivery to make additional spending effective because the additional aid for education and health with not be enough challenges of providing health care for the world’s neediest citizens.

Healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach

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Submit Section III of the case study, in which you will address the chosen organization’s financial incentives and quality improvement processes. Specifically, you will critique the organization’s population-health oriented policies, the organization’s approach to care and the extent to which it is patient-centered, and any strategies the organization uses in its population-health approach.

USE THIS for the chosen organization>>>>healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach. Please also read the supplemental Interpreting Services Program document to ensure that you have all of the information about the Montefiore Medical Center you will need to address the critical elements. Healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach

Specifically the following critical elements must be addressed:

III. Financial incentives and quality improvement processes

a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.

b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims.

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c) What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?

d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning.

Guidelines for Submission: Milestone Three must be submitted as a two- to three-page Microsoft Word document with double spacing, 12-point Times NewRoman font, one-inch margins, with sources cited in APA format. Healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach

EBP and the Quadruple Aim

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Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions EBP and the Quadruple Aim.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

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To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Summary And Descriptive Statistics

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There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education Summary And Descriptive Statistics. 

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

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Provide the following descriptive statistics:

  • Measures of Central Tendency: Mean, Median, and Mode
  • Measures of Variation:  Variance, Standard Deviation, and Range (a formula is not needed for Range).
  • Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing?is expected.

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 not required to submit this assignment to LopesWrite. Summary And Descriptive Statistics

Diagnosis and Management of Skin Disorders

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Diagnosis and Management of Skin Disorders:

Case Study 2: Address this case as your patient and you are the nurse practitioner seeing the patient:

 An 8-month-old presents to your office with a rash on both cheeks that has progressively worsened over the last week. Mom first noticed the rash after his 6-month checkup. He has generalized dry skin and rubs at his cheeks often

To prepare:

•Review the DermNet NZ and Dermnet Skin Disease Atlas websites in this week’s Learning Resources.

•Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings.

•Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.

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•Think about a treatment and management plan for this disorder. Consider appropriate dosages for any recommended treatments.

POST  1 TO 2 PAGES  DISCUSSION PAPER ON  : An explanation of the skin disorder in the case study you selected.

Include in your explanation the lesion type, lesion distribution, color, and any ancillary findings.

Then, present a differential diagnosis and explain which is the most likely diagnosis for the patient and why.

Finally, explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments.

References

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

Chapter 36, “Dermatologic Disorders” (pp. 877–927)

DermNet New Zealand Trust. (2014). DermNet NZ. Retrieved from http://www.dermnetnz.org/

•Dermnet.com. (2011). Dermnet Skin Disease Atlas. Retrieved from http://www.dermnet.com/

Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America by  Stevens, D.L.,  Bisno, A.L., Chambers, H.F., Dellinger, E.P.,  Goldstein,  E.J.C., Gorbach, S.L., Hirschmann, J.V., Kaplan, S.L., Montoya, J.G., & Wade, J.C. in Clinical Infectious Diseases , 59(2), 10-52.Diagnosis and Management of Skin Disorders

Primary Care of Women

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Primary Care of Women (OBGYN CLASS)

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week you complete an Assignment such as Journal Entries or SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week you begin documenting your Practicum Experiences in your Practicum Journal. Primary Care of Women

To prepare for this course’s Practicum Experience, address the following in your Practicum Journal: 1 TO 2 PAGES

Select and explain a nursing theory or feminist perspective to guide your clinical practice. SELECTED THEORY (Jean Watson Theory of Human Caring)

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Develop goals and objectives for the Practicum Experience in this course. When developing your goals and objectives, be sure to keep women’s health guidelines and best practices in mind.

Create a timeline of practicum activities based on your practicum requirements

IMPORTANT INFORMATION;  Your goal need to also be measurable, for example by the end of week 3 with the supervision of my preceptor will perform a complete physical examination including speculum examination and adequately document.

References

Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.

Chapter 1, “Women’s Health from a Feminist Perspective” (pp. 3–19)

Chapter 2, “Women’s Growth and Development Across the Life Span” (pp. 21–38)

Fitzgerald, C. (2010). Improving nurse practitioner assessment of woman veterans. Journal of the American Academy of Nurse Practitioners, 22(7), 339–345.