Evidence-Based Practice Matrix of TenPieces of Primary Research on One Topic Related to Nursing

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Evidence-Based Practice Matrix of TenPieces of Primary Research on One Topic Related to NursingAuthors Resource/Database Year of Publication Research Type Population/Sample Size Outcome Variables Measured Pertinent Data from Results Author’s Suggested Conclusions Comments-Sving Eva-IdvallEwa-Hans Ho¨gberg-Lena GunningbergPub Med 2014 Cross-sectional study -Population comprised of adult males above 17 years-Sample size = 825Dependent variables-skin assessment-PU risk assessment-Planned repositioning of patients-use of pressure reliving mattress(PRM)The independent variablesAge, gender, hospital size, nurse workload, nurse staffing, unit type. -Patient at risk have high chance of not receiving PRM or planned repositioning– Patient in general hospital had less chance of receiving PU screening and treatment-Where nurses worked for a short period, patient were unlikely to receive PRM, however the received scheduled repositioning-Nurses were likely to screen at treat PU in old patients-Planned repositioning was more common as compared to the use of PRM. -Most patients with high risk of developing PU were not screened within 24 hours. PU screening and treatment were not well implemented in both hospitals-Nurse workload and staffing played a very small role in PU treatment-There is need for nurses to take primary role in management of PU -The results emphasize on the nursing role in screening and management of PU.– The results obtained cannot be used to generalize findings as they are collected from a small sample.– Nurses need to take leadership roles and use evidence based PU management._ There is need to carry out more research using larger samples collected for a long period.-Christine Schindler-Theresa Mikhailov– Evelyn Kuhn-Jean Christopher-Pat Conway-Debra Ridling-Annette Scott-Vickie Simpson Pub med 2011 -Cohort study involving a group of children lasting two years (2006-2007) Sample comprised of all children patients from march 2006-december 2007-sample size = 5346-Sample composed of those with and without PU Children demographic information (age, sex etc )Clinical data (length of stay at hospital, diagnosis etc) -the incidence of PU among children was 10.2%. this was lower than previous studies due to implementation of PU management strategies-large disparities in how different institutions managed PU in children-nursing interventions such as turning the patient 2 hours, use of pressure reliving pillows and blankets, gel pads, PRM among others– three institutions with lower PU prevalence used protective nursing care – Nursing interventions are fundamental in reducing the prevalence of PU among children.– there is need to use best practices (evidence based practices) in managing PU among children– There is need to inculcate new evidence in managing and treating PU. The study used a large sample and data was collected over a long time. This increases the credibility of the results and allow for generalization.– Nurses must use evidence based practice in managing PU among children.-El EneinNY-ZaghloulAhmad Pub med 2011 Cross-sectional study -population comprised of all nurses within study period.-sample size = 122 -the independent variables were nurse age, education level and experience.-the outcome was nurses knowledge on PU prevention– the outcome based on score nurses obtained from interview questionnaires -Nurses mean score for 9 out of 15 questions on useful PU prevention was below the expected level (<70%). -correct answers for non useful measures in preventing PU was 66% -most nurses were well educated -Most nurses had an experience of 1-5 years -despite nurses having good experience and education background, the failed on tests regarding PU prevention. – nurses knowledge on PU prevention is very low -nurses need to be educated on PU screening and prevention – the research shows that nurses have poor knowledge on PU management -the sample was collected from one country and cannot be used to generalize results -Mamhidir, anna -HögmanMarieann -Gunningberg Lena -Sving Eva Pub med 2012 -Descriptive research methods -combines qualitative and quantitative research methods -nine nurses were interviewed -data from patient records was collected -the outcome were Planned and unplanned PU prevention -PU prevention strategy were dependent on culture -registered nurses assumed that PU management was a basic role -PU prevention was seen as an assistant nurse function -nurses attention to management of PU was limited -nurses were complying with evidence based practices -Registered nurses did not concentrate on PU prevention – There was general confusion regarding planned and unplanned prevention The paper shows that registered nurses were not rely concerned about the PU prevention. -sample used was too small and non conclusive – patients data was not used to support the conclusion obtained -Lisa Pinkney -Jane Nixon -Lyn Wilson -Susanne Coleman -Elizabeth McGinnis -Nikki Stubbs -Carol Dealey -Andrea Nelson -Malcolm Patterson -Justin Keen EBSCO 2014 -A retrospective case study -70 interviewees drawn from patients and staff -medical data collected from patients with severe PU -actions by nurses and clinician that resulted to the severe PU -causes of the PU related to clinicians and nurses -Nurses and clinicians neglect resulted to severe PU -Clinicians and nurses did not respond to patients showing symptoms of PU -management of PU was not well coordinated -Clinicians did not listen to patients -negligence by clinicians and nurses was the cause of increased prevalence to PU -this research uses a retrospective study where individual accounts of the patients are developed – the study traces back at the cause of a particular outcome Samuriwo, Ray Medline 2010 -case study using Quantitative research methods 16 nurses were selected for interview -Value that nurses place of PU prevention – nurses place a low value on PU prevention – nurses value on PU prevention can be improved through training and exposure to patients with severe PU – the education nurses receive only seem effective if they have practical experience with patients with PU – nurses need practical experience with patients suffering from PU so as to improve their value on PU prevention strategy – This research is imperative in determining linking the value that nurses have on prevalence of PU. Clegg A. Kring, D., Plemmons, J &Richbourg, L Pub Med 2009 Case study Quantitative research method 84 participants -patients with heel PU – Factors exposing them to heel PU (high BMI, age, co-morbid conditions) -half of the population had palpable heel pulse -pressure ulcer found in 45% patients -19% of patients had serious tissue loss -patients with co-morbid conditions had low Braden scale scores -issues such as advanced age, malnutrition, co-morbid conditions increase heel PU prevalence – need for nurses to develop a better tools for assessing risks of heel PU -the paper argues health care experts to examine other PU and develop tools for assessing patients at risks. -Dimitri Beeckman -Tom Defloor -Lisette Schoonhoven -KatrienVanderwee Pub Med 2011 Cross-sectional study spanning many centers -2105 patients from 14 hospitals and 207 wards -553 nurses -PU prevalence levels among patients -knowledge and attitude among nurses -Relationship between knowledge and PU prevention -PU prevalence rates in hospitals was 13.5% – nurses had wide knowledge on PU prevention -no relationship between knowledge and PU prevention was found -PU prevention was correlated with attitudes -nurses are knowledgeable on PU prevention – the attitude that nurses have affect PU prevention strategies – Good research using a large number of participants. -results are highly conclusive and can be generalized -Rosen, Jules -Mittal, Vikas-Degenholtz, Howard -Castle, Nick -Mulsant, Benoit -Nace, David -Rubin, Fred Pub Med 2006 -case study All residents and staff of 136 bed nursing home in Pennsylvania -PU prevalence among black residents -PU prevalence among white residents -PU prevalence after educating the staff – The whites were more likely to suffer from stage 1 PU as compared to blacks -the blacks had higher odds of suffering from stage ii – stage Iv PU – education reduced these disparities – blacks had higher odds of suffering from stage II to stage IV PU as compared to whites -education reduced PU prevalence and eliminated the disparities – the research is good in comparing PU prevalence and treatment among different groups ElsyAthlin EwaIdvall MargarethJernfält Inger Johansson Medline 2010 -Case study 15 nurses from 2 heath care institutions -Factors that increase or reduce PU prevalence levels – -pressure ulcer trajectory was increased by patient related factors -hospital personnel increased PU occurrence and progress to other stages -hospital management affected PU trajectory – the nurses attitudes an knowledge may increase prevalence of PU – hospital management methods may increase the progression of PU to severe status -hospitals must develop an adequate PU care plan and note those responsible for identifying and managing PU Good research that documents the impacts on nursing care an hospital management in the progression of PU to severe levels(stage IV) Note: Assure you understand the definition of primary research. You cannot use evidence summaries, reviews of literature, guidelines, or standards for your ten pieces of research. Note: Tables/Matrices in APA format are phrases, not complete sentences. Note: Tables/Matrices in APA format should be single spaced. Note: Tables/Matrices can be placed within your essay and formatted for landscape or attached as a separate

1. Design a source coding scheme for a memoryless source with alphabet Ax = {0, 1, 2, 3, 4}so…

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1. Design a source coding scheme for a memoryless source with alphabet Ax = {0, 1, 2, 3, 4}so that the efficiency of the coded message is at least 95% with equally likely values and at least 85% when  
Give the input dictionary, code alphabet and coding map, and check that the code efficiency meets both requirements.
2. Choose a source coding scheme for a memoryless ternary source with symbol period Tx = 10 µs and PMD
so that it produces a binary output with symbol rate Fy ≤ 100 kHz. Justify your choice and explicitly provide the coding map.
 

asign 1

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Coaching and Involvement
Coaches play a vital role in the education and positive experiences of young athletes. For this discussion, identify the important points every coach should know about.

What are the top five things a coach can do to make involvement in sports a positive experience? Make sure your list is different from Anshel’s.
Explain how your chosen ideas will improve the sport experience for athletes. Be sure to support your answer with evidence from peer-reviewed literature.
The post asign 1 first appeared on Nursing School Essays.

Complete SDLP, And Journals – Class Assignments Help

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The SDLP is an opportunity for you to maximize your learning experience during the course by establishing goals specific to your strengths, development plans, and professional goals.
Now it is time to reflect on what you have accomplished relative to your professional goal during our course experience. I hope you realized many of your expectations and experienced some unanticipated contributions to your professional development.
Retrieve your SDLP that you created in Unit 1. Complete Step 3.
Although I am interested in understanding how this course experience helped you move forward, I am also interested in knowing how you are progressing overall.
Be sure to keep all of your course SDLP assignments in a personal folder or add to your Career Portfolio, if you choose.
Saving them will provide you with a history of your progress that you may choose to use in a job search and for your personal sense of satisfaction.
This assignment will be graded based on evidence of thoughtful development of your SDLP.GM585 SELF-DIRECTED LEARNING PLAN
Your Name:
Date:
OVERALL GOALSWhat do you expect to learn from this course that will help you leverage your strengths?
What do you expect to learn from this course that will help you develop in the areas you have previously identified as opportunities for growth?
JOURNAL ENTRIES – ReflectionUnit 1 – DATE:
Unit 2 – DATE:
Unit 3 – DATE:
Unit 4 – DATE:
Unit 5 – DATE:
Unit 6 – DATE:
LEARNING SUMMARYDid you learn what you expected to learn? Was there information or insights that helped you that you did not expect to learn at the outset of the course?
Was there anything that you hoped you would learn or skills that you wanted to develop but the opportunity was not present within the context of the course?
In summary, what are the three most valuable things you learned in this course?
APPLICATIONHow will you use what you have learned in this course to further your professional goals?

Developmental Stages Brochure | Nursing School Essays

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Choose one of the following developmental stage:

Infancy and childhood
Adolescence
Early and middle adulthood
Late adulthood

Develop a 6-panel brochure describing thephysical, psychosocial, cognitive, and moral stages of development experiencedwithin your assigned life stage.

Abnormal Psychology Fictional Case Study and Therapy Identify the treatment approach for your… 1 answer below »

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Abnormal Psychology Fictional Case Study and Therapy
Identify the treatment approach for your case based upon the theory you have chosen to explain the disorder. Then in 2-3 pages, write your own theoretical analysis of case characteristics in relation to the disorder the case represents.
Write the case and theoretical analysis in a 3–4-page paper in Word format.
Develop one original fictional case study that portrays a specific diagnosis within the categories of: anxiety, somatoform, or dissociative disorders.
The case description must include all of the DSM criteria necessary to diagnose that disorder, but may also include additional symptoms not found within that diagnostic category.

M3 Assignment 1 | Nursing School Essays

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Assignment 1: Adjustment Disorder, Post-traumatic Stress Disorder, and Acute Stress Disorder
Adjustment disorders are quite common and potentially very serious because they have been linked to suicide ideation, planned and completed suicide. Consider the important issues of mental status examination and differential diagnosis.

What are the differences and similarities among adjustment disorder, post-traumatic stress disorder (PTSD), and acute stress disorder?
What are the essential areas that encompass a thorough mental status examination?
Explain the steps you would take in evaluating symptoms. How would you arrive at a differential diagnosis?

Post your responses in a minimum of 300 words.
Submission Details:

By Week 3, Day 3, post your responses to this Discussion Area.
Through Week 3, Day 7, respond to at least two of your classmates’ posts. While responding, identify the similarities and differences between what you have constructed and what your classmates have.

1. Organizing refers to the process of determining the tasks to be done, who will do them, and how t

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1. Organizingrefers to the process of determining the tasks to be done, who will do them,and how those tasks will be managed and coordinated.
2. Jobdesign refers to the set of tasks and activities that are grouped together toconstitute a particular position.
3. Althoughjob descriptions are commonly used to describe how jobs are designed, somerelevant job characteristics may not be evident from a job description.
4. Skillvariety refers to the degree to which a job challenges the jobholder to use hisor her skills and abilities.
5. Whena variety of skills is necessary to complete a task and those skills areperceived to be of value to the organization, employees typically find theirwork to be more meaningful.
6. Taskidentity refers to the degree to which a job challenges the jobholder to usehis or her skills and abilities.
7. Skillvariety, task identity, and task significance are the three core job dimensionsthat affect the degree to which employees find their work meaningful.
8. Taskidentity refers to the degree to which a job requires the completion of anidentifiable piece of work.
9. Tasksignificance reflects the degree to which jobholders have freedom,independence, and decision-making authority in their jobs.
10. Tasksignificance can affect the degree to which employees find their workmeaningful.
11. Normallywhen there is low autonomy, employees are less likely to feel accountable forthe outcome of their work.
12. Tasksignificance affects the degree to which jobholders have freedom, independence,and decision-making authority.
13. Motivation,quality of work performance, job satisfaction, absenteeism, and turnover areall functions of the core job dimensions to some degree.

DUE IN 3 HOURS!!!

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Please turn in by 11:00 pm. In 3 hours, PLEASE. 

Content: (5 pts)
·         Write a two –  page paper from the video –  Power of Vulnerability  
·         Think about what she said about the power of vulnerability.  Do you believe that what makes you vulnerable also makes you beautiful?  Is vulnerability necessary for us to grow as individuals?  If anything else comes up from the video, you can include it in your paper.
Organization and Development: (2.5 pts)
·         The assignment is the specified length 2 page
·         The assignment is clear and organized; major points are supported by details, examples, or analysis
·         The assignment provides relevant and sufficient background on the topic.
Mechanics and Format: (2.5 pts)
·         Rules of grammar, usage, and punctuation are followed; spelling is correct
·         The paper—including the title page, running head, and page numbering, consistent with APA 6th edition guidelines. No Reference Page is required.The post DUE IN 3 HOURS!!! first appeared on Nursing School Essays.

What is meant by healthcare financing in its broad sense?

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URL: http://youtu.be/qSjGouBmo0M
URL: https://youtu.be/V1D5CzpQDJg
In the 1st Video, John discusses the complicated reasons why the United States spends so much more on health care than any other country in the world, and along the way reveals some surprising information, including that Americans spend more of their tax dollars on public health care than people in Canada, the UK, or Australia. Who’s at fault? Insurance companies? Drug companies? Malpractice lawyers? Hospitals? Or is it more complicated than a simple blame game? (Hint: It’s that one.)
In the 2nd Video, U.S. health care costs are higher than any other country in the world. So what is it about America’s system that makes it so expensive?
After reading chapter 6 on Health Services Financing and watching the videos on Health Care Finance complete the following question.
Directions:
Answer the following questions below. The minimum word count for all three responses (total) to the discussion board question(s) should be 350 words or more (excluding reinstatement of the discussion board questions and references).
1) What is meant by healthcare financing in its broad sense? What impact does financing have on the healthcare delivery system?
2) List and explain one way the United States can decrease Healthcare cost.
3) Scenario: You just got hired as entry level healthcareadministrator and your employer offers two types of insurance plans. A married coworker/employee with two children asks your advice about which plan they should choose. Your coworker/employeereveals to you that their daughter is autistic and requires special medication and counseling. Although you can’t tell your coworker/employee which plan to choose, what advice will you give your coworker/employee about choosing? Explain your reasoning in detail.
-Your experiences may be very helpful and interesting to all of us. However, be sure that you also back up your posts with factual information from the text (when it applies to the initial discussion board question (s) and responses to peers) or other creditable sources. A minimum of one reference is required to support your response to the discussion question and reply to a classmate. You may cite the course required textbook and or other sources in which you have used content from. Make sure your references are in APA format.
Discussion Board Grading Criteria:
Thoroughly answered the question(s): 50 points are possible. A thorough answer will consist of complete sentences, and will address the question while drawing from the text or other credible source. A post that only has one-two sentences is not thorough and does not earn 50 points. Original post to the discussion question must be posted by Sunday 11:59pm(est) of each week.
Correct APA formatted references: 10 points are possible. Please use your text (when it applies to a discussion) or any other credible reference to support your answers, and be sure to cite your sources correctly, following APA guidelines.
Responded to ONE classmate: 30 points are possible. Your responses must be respectful, substantial (include supporting details and facts), and will address your classmate by name. Try having a spirit of inquiry, and feel free to ask questions to further your understanding of the post or to promote further discussion. In addition, make sure you support your response by using references. Your post must be a substantial and posted by Sunday 11:59pm(est) to receive the 30 points.
Spelling, Grammar, Mechanics/formatting, Capitalization and Punctuation at the College Level: 10 points possible
Total Points Possible: 100 points
Remember to post TWO times:-1st Post (response to the discussion question(s).-2nd Post (Response to a classmate)