Category: Nursing

How does the use of tele medicine visits ( direct to consumer) for upper respiratory (URI) compared with in-person visits results in higher rates of antibiotics being given from 2015 to 2019 ?

In pediatric patients (0-17y/o) , how does the use of tele medicine visits ( direct to consumer) for upper respiratory (URI) compared with in-person visits results in higher rates of antibiotics being given from 2015 to 2019 ?

N331 Evidence Based Practice in Nursing

Evidence Base Practice Plan Paper Guidelines

Purpose: Learn about evidence base practice process and be able to apply concepts learned into a scholarly project plan.

Directions: You will write a short paper no more than 6-7 pages (title and references not included). The paper should include all areas from the guidelines below. Be sure and include a copy of each article used.

Guidelines:

1. Write a clinical question using the PICOT format (population/patient, intervention, comparison, outcome(s), and time.

a. Should reflect uncertainty in clinical practice

b. The question is phrased using the PICOT (i.e., Patient population, Intervention, Comparison or comparison group, Outcome(s), Time period [if applicable to the question/concern]) format. The following is an example of a PICOT question:

In newborn infants in the neonatal intensive care unit (NICU), does oral sucrose administration provide better non-pharmacologic pain management than non-nutritive sucking during heel sticks?

2. Collection of the strongest, most relevant evidence to answer the question. Search the evidence and define the level of evidence found (please use the hierarchy on page 23, Polit & Beck, 2018). Select three (3) research articles that address your PICOT question.

These must be reports of single, original research studies and can be either quantitative or qualitative studies.

Do not use reviews of literature, clinical practice guidelines, or meta-syntheses. You may use mixed-methods studies if they report on a single project.

You will be marked down if your articles do not meet these criteria. You may use articles that you have selected for previous assignments (i.e. discussion forums).

3. Appraise the evidence for evidence based practice (pages 32-33, Polit & Beck, 2018). Use critical appraisal guide.

a. What is the quality of the evidence? How rigorous and reliable is it?

b. What is the evidence-magnitude of effects?

c. What is precision of estimates?

d. What evidence is there of side effects/benefits?

e. What is financial cost of applying the evidence?

f. Is the evidence relevant to my practice?

4. Extract the data. Complete the evaluation table for your two articles chosen.

5. Develop a plan for implementation

Critical Appraisal Guide

Critical Appraisal Guide for Quantitative Studies

1. Why was the study done?

• Was there a clear explanation of the purpose of the study and, if so, what was it?

2. What is the sample size?

• Were there enough people in the study to establish that the findings did not occur by chance?

3. Are the instruments of the major variables valid and reliable?

• How were variables defined? Were the instruments designed to measure a concept valid (did they measure what the researchers said they measured)? Were they reliable (did they measure a concept the same way every time they were used)?

4. How were the data analyzed?

• What statistics were used to determine if the purpose of the study was achieved?

5. Were there any untoward events during the study?

• Did people leave the study and, if so, was there something special about them?

6. How do the results fit with previous research in the area?

• Did the researchers base their work on a thorough literature review?

7. What does this research mean for clinical practice?

• Is the study purpose an important clinical issue?

(Adapted with permission from Melnyk BM, Fineout-Overholt E, editors. Evidence-based practice in nursing and health

Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

Discussion: Prescribing for Older Adults and Pregnant Women

In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman.

Photo Credit: Getty Images/Blend Images

To Prepare:

Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5 to use.

Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.

By Day 3 of Week 9

Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.

Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.

Critically discuss how the values of recovery are developed and integrated into professional practice

 

Mental Health Nurses have a responsibility for developing mental health practice which works towards implementing the values and principles of empowerment and recovery.

Using recovery literature critically discuss how the values of recovery are developed and integrated into professional practice

Identifies and critically discusses values in society, professional, personal. Defines advocacy and empowerment as well as recovery models in mental health care both organisational and socially.

EMPOWERMENT AND RECOVERY

Module Learning Outcomes

All learning outcomes for this module are listed below. All of the modules learning outcomes are being assessed through this assessment task. Assessment criteria and guidance follow the learning outcomes which gives an indication as to how each outcome can be achieved.

LO 1: Identify and critically discuss the principles and values of empowerment and recovery in mental health care

Identifies and critically discusses values in society, professional, personal. Defines advocacy and empowerment as well as recovery models in mental health care both organisational and socially.

LO 2: Cultivate and develop critical thinking around ‘empowerment’ and ‘recovery’ using sociological, political, mental health service and economic frameworks as a backdrop.

Discusses the policy response on recovery both historically and currently Identifies the policy of recovery from a critical approach. Includes at least one social theory e.g., labelling theory; stigma; critical psychiatry, post psychiatry and refers to either the Conservative government administration’s five-year forward plan or the previous Coalition Government’s plan or the King’s Fund report and or the Task Force report and or the response from the Current government to the task force five year forward plan.

LO 3: Identify and critically appraise engagement skills that can create empowering and recovery based interventions for individuals and their families/carers when working in both crisis and non – crisis situations (assessment, core therapeutic skills, positive risk taking, care planning)

Discusses and critically appraises the issue of engagement within mental health services with service users.

Discusses how to engage with service users’ families and their recovery either with a relative or their own from caring.

Discusses how to engage with risk taking and planning for care with regards to recovery.

LO 4: Identify skills and conceptual challenges of inter disciplinary working in contemporary mental health practice and relate these to the principles and values of empowerment and recovery

Identifies at least one problem of integrated/Multi-Agency working.

Mentions the bio-medical model and social model approaches that can help or hinder the service user’s recovery.

Recognises the power by professionals and how they can collaborate with service users and services

LO 5: Evaluate practice experiences and relate these experiences to the principles and values of empowerment and recovery

Uses practice experiences as examples

Describe and support a position (values, attitudes, beliefs) on the issue, provide examples supported by current literature.

Subject > Euthanasia > movie YOU DO NOT KNOW JACK for my ethics class in nursing program

Develop a scholarly paper from one (1) of the following ethical topics/issues:

a. Professional Standards and Institutional Ethics b. Ethical Problems of Death and Dying This is the one chose

Assignment Criteria:

Each student will develop a scholarly paper and include the following:

1. Describe the ethical topic AND a potential ethical dilemma as it relates to the ethical topic/issue.

a. Identify the stakeholders who are impacted or who may potentially be impacted by this ethical topic/issue.

b. Identify the legal concerns associated with the topic/issue.

(what states in the united states agreed with this).

2. Explore professional and personal values related to the ethical topic/issue.

a. Describe and support a position (values, attitudes, beliefs) on the issue, provide examples supported by current literature.

b. Provide an alternative position on the issue, provide examples describing the alternative viewpoint with examples supported by current literature.

3. Identify and discuss any new knowledge gained related to the topic/issue

4. The scholarly paper should be 4-5 pages excluding the title and reference page.

5. Include an introductory paragraph, purpose statement, and a conclusion.

6. Include level 1 and 2 headings to organize the paper.

7. Write the paper in third person, not first person (meaning do not use ‘we’ or’) and in a scholarly manner. To clarify we, you, me, and our may not be used. In addition, describing yourself as the researcher or the author should not be used. The exception to this rule is if/when you do the reflective piece as it relates to your position (values) at the end.

8. Include a minimum of (4) professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old.

9. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

 

Describe the relationships between concepts and allow for an improved understand through critical thinking and analysis.

[Revision] Lesson Evaluation-Concept Map

The effective nurse educator employs a variety of formative and summative techniques during curriculum implementation to monitor student learning.

A well-developed lesson plan employs both formative and summative assessments. A nurse educator should plan to use data from these assessments to guide instruction.

Concept maps describe the relationships between concepts and allow for an improved understand through critical thinking and analysis. To understand the link between formative and summative assessment strategies, develop a concept map describing the flow of assessment strategies throughout your own lesson plan. Be creative in your design. A rationale should be included for your choice of assessments.

Use the Topic Materials and your own research, to develop your concept map. Include the following criteria to create your concept map for this assignment:

Description of one formative assessment strategy to be used in lesson plan with rationale.

Explanation of how the data from the formative assessment will guide your instruction.

Description of one summative assessment strategy to be used in the lesson plan with rationale.

Explanation of how the data from the summative assessment will guide your future lesson plan revisions.

Description of the instructor satisfaction survey to be administered to students.

Explanation of how data from the instructor satisfaction survey will guide your teaching practice.

Cite two or three peer‐reviewed/scholarly resources no more than 5 years old in your paper.

Prepare this assessment 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. 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. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Describe how the NPR podcast, If You Have Dementia, Can You Hasten Death As You Wished? case story meets the definition of a borderline case.

Borderline Case: Ethics of Patient Care
For this discussion, you will be applying defining attributes to an actual patient case.

listen to the NPR podcast, If You Have Dementia, Can You Hasten Death As You Wished? (4:00 minutes). Additionally, review Wilkinson’s (1997) defining attributes in Developing a Concept Analysis of Autonomy in Nursing Practice.

Respond to the following prompts:

Review Wilkinson’s (1997) defining attributes and describe how the NPR podcast, If You Have Dementia, Can You Hasten Death As You Wished? case story meets the definition of a borderline case.

Describe the ethical issues the case raises.

If it were changed to meet criteria for a model case, what ethical issues would come to the forefront?

Your initial post should contain two- to three-paragraphs with three- to four-sentences per paragraph.

The post should integrate a minimum of three readings and/or other evidence-based research articles no more than three years old and use APA formatting for citations and references.

Identify one contemporary health care issue in government and discuss the a. social, b. ethical and c. economic impact of the issue related to health policy. (List the issue and then address a, b, c.)

 

The focus of this discussion board is for you to gain a better understanding of how social, ethical, and economic issues can affect health policy.

In this assignment, you will have the opportunity to think about a practice issue that is of concern to you and then put together a plan for how you might get this issue addressed by a local politician.

Discussion Board Items

Identify one contemporary health care issue in government and discuss the a. social, b. ethical and c. economic impact of the issue related to health policy. (List the issue and then address a, b, c.)

With the increase in the number of baby boomers reaching retirement age and holding strong political power, what are two economic issues that both the federal and state governments will need to address?

Give one example of how nurses can affect public policy in various appointed positions.

Identify a practice issue and describe the steps you would take to influence a local politician to draft a bill in favor of your concerns.

Go to Congress.gov, (Links to an external site.), click Legislation at the very top, then check the current Congress on the left margin, and look for bills that are related to your practice issue.

List the bills that are related here, include the bill number and bill name. If none, write NONE and the search terms you used to search for bills of interest to you.

If you were to need the support of one of your legislators specific to a health policy of interest to you, which one of your representatives as you identified in previous Discussion Board Module 2 would you choose as your legislative contact?

Why? Go to either your state website or back to Congress.gov and see which committees your legislator is on and/or what their policy interests are….this could give you rationale for the why in this item.

Be specific and share what committees he/she is on and/or their policy interests…not all of them but the ones that relate to your rationale.

This DB item will be useful to you as you complete your Letter to a Legislator assignment.

How many slides would need to get it to be 5 minutes. preselected 10 but was un sure. let me know what all you need from me. My discipline is in nursing so it could be on anything from that discipline. It also asked for me to introduce myself.

How many slides would need to get it to be 5 minutes. preselected 10 but was un sure. let me know what all you need from me. My discipline is in nursing so it could be on anything from that discipline. It also asked for me to introduce myself.

My name is Benjamin Douglas Odum and am 31 years old. am a full time Paramedic supervisor and am currently working towards my Nursing degree.work # jobs and balance that with school.

Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.

Refer to the PICOT you developed for your evidence-based practice project proposal.

If your PICOT required revision, include those revisions in this assignment.

You will use your PICOT paper for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Write a 750-1,000-word paper that describes your PICOT.

Describe the population’s demographics and health concerns.

Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.

Compare your intervention to previous practice or research.

Explain what the expected outcome is for the intervention.

Describe the time for implementing the intervention and evaluating the outcome.

Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.

Create an Appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite at least four to six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

MS Nursing: Public Health

MS Nursing: Education

MS Nursing: Acute Care Nurse Practitioner

MS Nursing: Family Nurse Practitioner

MS Nursing: Health Care Quality and Patient Safety

4.1: Synthesize nursing science, determinants of health, and epidemiologic, genomic, and genetic data in the management of population health.