Decision – Nursing Essay Tutors

Describe components of a clinical based decision-making model impacted by clinical expertise and explain how clinical expertise informs evidence-based practice.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.
Learning Materials Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 13 and 14.

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2 responses | Nursing School Essays

I

Response Guidelines
Respond  peers, analyzing the case that they presented and the one that you reviewed for this assignment. What were the similarities and differences? Provide a final analysis of some of the challenges that seem to be present when applying a multidisciplinary approach.

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[u04d2] Unit 4 Discussion 2

ntroduction
The article that the learner selected that addresses a real-world the problem is residential care placement of young children in rural areas. The concern is that these children should be in foster homes instead they are not receiving adequate treatments and have been found to learn different behaviors from other children.  80 percent of children who are in state custody are put in residential facilities are often found to have both mental and behavioral health problems (Rishel, Morris, Colyer & Gurley-Calvez, 2014).  These children who are removed from their homes are often place in facilities outside of their state, hand have limited stability academically. This article strives to identify efficient components that assist in the residential placement of young children and discover ways to support the needs of children mentally and behaviorally. The residential placement of children should be address through the multidiscipline approach and include a collaboration of professionals.   
Body
As a human service professional in order to address the issue of residential care placement amongst young children, I must first be aware of the five competencies of the multidisciplinary approach: gathering information, synthesizing ideas, collaborating, conceptualizing a course of action and communicating. Gathered information would be obtain through perspectives in a conference from professional who work closely with the placement procedure to get their views on the effectiveness of residential placement and determine if it is cost effective. Some of these professionals who would be included in the dialogue would be involve Child Protective Services, caseworkers, residential counselors, judge, lawyers and psychiatrist who represent the children in various settings and environments such as the court room, residential facility or office buildings. These professionals questioned about their role and the part they play in their placement.  
During this collaboration foster care and referral policies, placement plans, monitoring protocols and rehabilitation would be analyzed to determine if children who need proper mental and behavioral health problems are getting fair and appropriate treatment. The recommend course of action would be to lower the amount of young children being place in residential placement. Focusing on meeting the children’s needs during the early years of their life  and including the family as a whole will prevent behavioral and mental problems from happen so frequently and allow these children to remain home with their families. According to Rishel, Morris, Colyer & Gurley-Calvez,( 2014) the United States spend about $247 Billion per year on mental and behavioral disorders. Another way to prevent placement is to provide additional resources so children especially those I rural state are not placed in areas outside of their community.  The learner believes this course of action should be communicated through the legislatives but implemented through human services professionals in the communities who work closely with the children such as therapist, case workers, judges, lawyers and placement specialist. The discussion of these professionals should ways to deliver services to families who have children that may have disabilities or issues who need additional support to help the family obtain stability, wholeness and good mental and behavioral health.
Conclusion
The problem of residential placement has been a concern for the children who have not been given effective treatment to help cope with mental and behavioral issues. Utilizing the multidisciplinary approach allows human service professionals of different disciplines to work together to come up with solutions to improve services to the families and children being placed in residential services. In this way everyone would be involved, these ideas would have a great impact on the polices eliminate cost on residential treatment for young children and provide more resources such as early intervention and head start that can reduce mental, emotional or behavioral concerns. Gathering information through meetings and using this information to create plan is vital to the human service professionals and allows helpers to provide the best services to their clients.  
Liz
Response
Response Guidelines
Respond to at least two of your peers, addressing the following:

What additional data points might you recommend that your peer consider and why?
What are some of the challenges your peer might face when seeking data from the sources they have identified?
How might they address these challenges?

Daynette Deloatch 
Daynette DeLoatch Unit 4 D2 Gathering information
COLLAPSE
Introduction
This week discussion is based around gathering information from a case to support the helping process for the client.
Body
This case is about a 16-year-old female teenager, who was abandon four years prior by her mother. Her mother told her she would come back and pick her up, but that never happened. Therefore, her grandmother had to raise her. This teenage female endured a lot of pain after her mother left. She was picked on in school, her peer’s called her mother names, which this created her to become unruly, then she dropped out of school. She didn’t know how to channel her anger, so she started making illogical decisions. She fell in love with a guy name Victor, in addition to that Victor was in a gang, and he got her pregnant. Since, her decision making skills were that strong she believed the gang would be the family and protection that she desired. Victor and her lived together, but he was still involved with gang activities. Until one night his gang friends decided to do a drive in the wrong neighborhood and that resulted to killing of Victor.
Conclusion  
This teenage female is going through a four-year cycle of being deserted, this cycle must be broken. She’s trying to better her disadvantages for her and her son. She’s in a great group home, back in school, her son is in a special school due to his special needs, and positive energy is surrounding her. She’s taking the right steps to create better advantages that will hopefully break this four-year bad cycle.As stated, people do not experience problems and automatically go directly to the appropriate human service agency. Individuals can become involved with the human service delivery system in several ways, including self-referral and referral by other professionals (Woodside, 2015).
Response

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Position Paper – DUE 3/28/20

Research an article defending the position on the advancement of healthcare informatics and technology in healthcare. Be prepared to discuss in class. 
# of words: 750 words excluding title page, abstract, and references # of sources: PRN
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Part Two to The debate on ADHD Meds

—>>This is part 2 to another assignment. I would like the same person to do both.
The required textbook for this course is:

Berger, K. (2014).  The Developing Person, Through the Life Span (9th ed.).   New York:  Worth.

Present your personal opinion regarding this topic. What do you think about ADHD medication based on the research you did and what you read from other students? Was your opinon changed or strengthened as a result? Please make sure that your opinion is informed by the research you did and the comments you read. You will post your opinion in the Class Discussion Board forum titled: Is medication the only effective treatment for childhood ADHD – Part 2.  Please write at least 150 words or a very well informed critical opinion.
Please note that you will not be able to see other posts until you submit your own work.
Purpose
This assignment will deepen your ability to think critically about the current treatment methods for childhood psychiatric disorders.  It will help you to develop stronger skills in research and supporting an opinion with quality evidence. It will also expose you to other students’ perspectives on a controversial topic.

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K7

  
KC7 Scenario 7. Include  Two Matching citations and references. APA style
In 2 to 3 paragraphs.
Scenario: A 12-year-old girl is brought to the emergency room (ER) by her mother with a complaint of shortness of breath, wheezing, tachypnea, tachycardia, and a nonproductive cough. The mother states they had just come from a fall festival, where the entire family enjoyed a hale ride. They also participated in the corn maze challenge. The symptoms began shortly after they left the festival , but got better a couple of hours after they returned home. The symptoms began again about six hours later and seemed to be worse. The mother states there is no history of allergies or frequent respiratory infections. The child is up to date on all vaccinations. The child was diagnosed with asthma. The nurse practitioner explained to the mother that her child was exhibiting symptoms of asthma, and probably had an early asthmatic response and a late asthmatic response.
Question1 of 2. Explain early asthmatic responses and the cells responsible for the responses, then relate it to the scenario
Question 2 of 2. 
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If the axon terminal synapses with a skeletal muscle cell, we know the neurotransmitter is what? Is it acetylcholine, norepinephrine, epinephrine, serotonin, or can it be any of these?

it is acetylecholine
when action potential reach axon terminal , activation of Ca channel occur leading to Ca influx with rupture of vesicles and release of acetyle choline at the motor end plate to stimulate nicotinic sodium channel on muscle membrane leading to influx of Ca and contraction of muscle

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Answer this question

Here’s an example of another subtle difference between qualitative and quantitative research in statistics. Consider the very interesting subject of interaction: we may be able to find out if fast driving or drinking causes more fatalities, such as vehicle accidents. But the situation is more complicated here…
When you measure the effects, will drinking in fact be responsible for more wrecks? Or will it just cause people to drive fast and hence cause those wrecks? I hope everyone understands that both fast driving and drinking-and-driving are two independent variables, but you couldn’t often tell if one has an effect upon the other.
In this case, how do you make a determination about the qualitative vs. quantitative aspects? Thoughts?
Reference: Gravetter, F. J., & Wallinau, L. B. (Eds.). (2011). Essentials of statistics for the behavioral sciences (7 ed.). Belmount, CA: Wadsworth, Cengage Learning.
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M1_A2

Components and Applications of a Mental Status Exam
Tasks:
In a minimum of 300 words, respond to the following:

What are the functions of the components of mental status and an interview in determining the competence of clients? Explain with examples and rationales.
For which types of psycholegal evaluations (competency, risk of dangerousness, and insanity), if any, might an MSE provide useful information? State reasons for your answers.
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NURS 6052 ESSENTIALS OF EVIDENCE -BASED PRACTICE

  QUESTION 1 When trying to determine what type of research study is described in an article, which two sections of the article will give you the best information to make that determination?A.Abstract and conclusionB.Methods and limitationsC.Methods and resultsD.Introduction and resultsE.Abstract and discussionF.Literature review and data analysis
5 points    QUESTION 2 Order the following types of research evidence reviews in order of rigor from most rigorous to least rigorous: – 1. 2. 3. 4. Systematic review with meta-analysis– 1. 2. 3. 4. Integrative review– 1. 2. 3. 4. Systematic review without meta-analysis– 1. 2. 3. 4. Narrative review
5 points    QUESTION 3 What types of information would help you identify a research study as quantitative? (Select all that apply.)A.Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys.B.Data is collected using Likert scales on surveys.C.Results are reported using numbers and statistics.D.Results are reported using themes and words.
5 points    QUESTION 4 What kind of study is described in the following excerpt?Researchers are interested in studying the impact of living in a family where a child has been diagnosed with cancer. They collaborate with the oncology department at a large children’s hospital to identify and receive consent from families that have a child with a cancer diagnosis. Participants are consented and data is collected and triangulated using one-on-one interviews, focus groups, and surveys. Data is analyzed for thematic analysis.A.Quantitative researchB.Qualitative researchC.Mixed-methods researchD.Systematic reviewsE.Literature reviewsF.Cohort studies
5 points    QUESTION 5 Both literature reviews and systematic reviews are types of research evidence reviews. TrueFalse
5 points    QUESTION 6 Which of the following is a type of quantitative research study?A.PhenomenologyB.Case studyC.Randomized controlled trialD.EthnographyE.Participative action researchF.Ground theory
5 points    QUESTION 7 What type of information would help you identify a research study as qualitative? (Select all that apply.)A.Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys.B.Data is collected using Likert scales on surveys.C.Results are reported using numbers and statistics.D.Results are reported using themes and words.E.Data is collected using surveys with fill-in-the-blank questions.F.Results are reported using a mixture of numbers and themes.
5 points    QUESTION 8 What type of literature may a systematic review include to be considered Level 1 evidence on the Melnyk & Fineout-Overholt levels of evidence hierarchy?A.Phenomenology studiesB.Grounded theory studiesC.Descriptive studiesD.Cohort studiesE.Controlled trials without randomizationF.Randomized controlled trials
5 points    QUESTION 9 Mixed-methods studies are a combination of which two methodologies?A.Quantitative research methodologies and literature reviewsB.Quantitative and qualitative research methodologiesC.Qualitative research methodologies and systematic reviewsD.Literature reviews and qualitative research methodologiesE.Quasi-experimental and program evaluation
5 points    QUESTION 10 The methods used in conducting a systematic review are specific and rigorous.  TrueFalse
5 points    QUESTION 11 Which of the following types of research can be categorized as primary research? Select all that apply. A.Cohort studyB.Literature reviewC.Grounded theory studyD.Randomized controlled trialE.Systematic reviewF.Controlled trial without randomization
5 points    QUESTION 12 What type of study is described in the following excerpt?Surveys to evaluate nurse satisfaction, medical errors, depression and anxiety, and demographics were given to 5,432 nurses from hospitals of various sizes and geographic locations; some had nurses working 8-hour shifts and 12-hour shifts. Nurses were asked to complete the survey. Upon completion of the survey, nurses were invited to participate in video conference focus groups and one-on-one interviews with a research assistant by video conferencing. Survey results were reported using descriptive statistics, and themes were identified and reported from the data collected in the focus groups and one-on-one interviews.A.Quantitative researchB.Qualitative researchC.Quasi-experimental researchD.Mixed-methods researchE.Systematic reviews
5 points    QUESTION 13 Which of the following statements is true of narrative reviews? (Select all that apply.)A.Narrative reviews engage a highly structured and rigorous approach to reviewing research evidence.B.Narrative reviews provide a general background discussion of a particular issue.C.Narrative reviews require a rigorous, systematic approach to searching the databases for evidence.D.Narrative reviews generally review literature that support the author’s point of view on an issue or topic.E.Narrative reviews are a type of primary research.
5 points    QUESTION 14 You are forming a team to do a systematic review of the literature about interventions to treat post-traumatic stress disorder (PTSD). Which of the following would be your first step?A.Critically appraise the literature identified.B.Conduct an exhaustive search of multiple databases to identify the literature.C.Identify an explicit, reproducible methodology.D.Create a clearly stated set of objectives with predefined eligibility criteria for study inclusion.E.Create a dissemination plan for your systematic review.
5 points    QUESTION 15 Randomized controlled trials are which type of research?A.Quantitative researchB.Qualitative researchC.Mixed-methods researchD.Systematic reviewE.Literature reviewF.Cohort study
5 points    QUESTION 16 What type of study is described in the following excerpt?An interprofessional team wants to test a new intervention to see whether it will improve central-line associated bloodstream infection (CLABSI) rates. Subjects were randomized into either the intervention or the control group by pulling a slip of paper with either a one or a two written on it from a manila envelope (those pulling ones were randomized to the intervention group; those pulling twos were randomized to the control group). When the study began, the intervention group received the intervention and the control group received equal attention. Data was collected and analyzed using the Statistical Package for the Social Sciences (SPSS). Descriptive statistics were used to report the data.What type of research article is this?A.Quantitative researchB.Qualitative researchC.Systematic reviewsD.Literature reviewsE.Mixed methodsF.Program evaluation
5 points    QUESTION 17 A key characteristic of a systematic review is that it contains a meta-analysis. TrueFalse
5 points    QUESTION 18 In quantitative studies, results are reported using words or themes. TrueFalse
5 points    QUESTION 19 In qualitative studies, results are reported using words or themes. TrueFalse
5 points    QUESTION 20 In a systematic review with a meta-analysis, researchers combine the results of each of the individual studies to create a larger sample size (and therefore greater power), then re-run the statistics to capture the true magnitude of the effect. The single-effect measure calculated and reported when the results from all the studies are combined is called what?A.Summary statisticB.Power analysisC.Confidence IntervalD.Chi squareE.Pearson’s co-efficient
5 points   
 

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Know Your Senator | Nursing School Essays

For this Assignment, minimum of 500 words in APA format with other credible references and including one from O’Connor, K., Sabato, L. J., Yanus, A. B. (2015-05-01). American Government, 2014 Elections and Updates Edition, 12th Edition. ,
You will identify your Congressional Senators. Using the Senate (senate.gov) website you will research your senators’ legislative accomplishments.
 Compose a 500 word essay in which you declare your support or opposition to your senators’ re-election.
Within a 500 Word essay please include:

An introduction
Describe your state. What are its major cities? Is it predominantly rural or urban? Does your state have important industry, finance, and tourist centers? Does the unique ‘make-up’ of your state influence legislation or policy positions?
Does your state lean Republican or Democrat? Why?
Who are your senators? What are their party affiliation, background, length of service, voting record, and key issues?
Given what you have read for this week, do your senators follow the delegate or trustee concept of a legislator?
Would you support your senators’ re-election to office? Why or why not?
Support your answer(s) with information obtained from the text and at least two academic sources.
A conclusion
Correct grammar and syntax
APA format

The Assignment should be at least 500 words, and must use and cite the text and primary documents as sources. Cite the work internally and in full reference at the end, following APA style guidelines. Citation is important to build the definitions, demonstrate your research, and to make it clear which ideas are yours and which are from the source.
Turnitin Analysis will automatically analyzed paper for plagiarism 

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