The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.
The Assignment: (Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the evaluation table (1 slide)
An explanation about what you learned from completing the levels of evidence table (1 slide)
An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Population Affected by Disabilities.
Rural and Migrant Health.
Read chapter 21 and 23 of the class textbook (attached) Once done, answer the following questions.
-Mention and discuss the differentiation between the medical model and social construct definitions of disability.
-Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community.
-Mention and discuss the characteristics of rural community health nursing practice.
-Mention and describe the features of the health care system and population characteristics common to rural aggregates.
Guidelines: APA format word document, Arial 12 font. A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used, A minimum of 700 words is required (excluding the first and reference page).

Estimating the age of glacial drifts. Tills are glacial drifts consisting of a mixture of clay, sand, gravel, and boulders. Engineers from the University of Washington’s Department of Earth and Space Sciences studied the chemical makeup of buried tills in order to estimate the age of the glacial drifts in Wisconsin (American Journal of Science, Jan. 2005). The ratio of the elements aluminum (AI) and beryllium (Be) in sediment is related to the duration of burial. The Al–Be ratios for a sample of 26 buried till specimens are given in the accompanying table and saved in the TILLRATIO file. An SPSS printout with descriptive statistics for the Al–Be ratio is shown at the bottom of the page.
a. Find and interpret the z-score associated with the largest ratio, the smallest ratio, and the mean ratio. b. Would you consider the largest ratio to be unusually large? Why or why not?
c. Construct a box plot for the data and identify any outliers.

Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders
As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?For this Discussion, you will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes.
To Prepare
Review the Resources for this module and reflect on the different health needs and body systems presented.Review the complex case asisgned by your Instructor for this Discussion.
Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific.
Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why.
Be sure to justify your response.
Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs.
Be specific and provide examples.
Case Study
A 66-year-old, 70-kg woman with a history of MI, HTN, hyperlipidemia, and diabetes mellitus presents with sudden-onset diaphoresis, nausea, vomiting, and dyspnea, followed by a bandlike upper chest pain (8/10) radiating to her left arm.
She had felt well until 1 month ago, when she noticed her typical angina was occurring with less exertion.
Electrocardiography showed ST-segment depression in leads II, III, and aVF and hyperdynamic T waves and positive cardiac enzymes. BP = 150/90 mm Hg, and all labs are normal; SCr =1.2 mg/dL. Home medications are aspirin 81 mg/day, simvastatin 40 mg every night, metoprolol 50 mg twice daily, and metformin 1 g twice daily.

This is a power point presentation. My topic is converting from paper charting to electronic medical record.
Discuss your topic and its relationship to your current (or future) practice. Discuss why the topic is important in healthcare informatics.
What research have you have found on the topic? Describe how each scholarly article relates to the topic and your current (or future) practice. Describe what conclusions you have drawn based on your research of the topic.
What ethical or legal issues does this topic present?
Create a plan for implementing a change (or justify the need for no change). Who needs to be involved? What training programs are needed? Is there a need for on-going training? Discuss how you would evaluate the success of the change (or the continued success of what you are currently doing). What is the cost to implement or maintain this change? Who will be financially responsible? How feasible is this change?
Finally, identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry?
Assignment Expectations
Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.
Structure: Include a title slide, objective slide, content slides, reference slide in APA format.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.