Tag Archive for: nursing

Translational Research and Evidence-Based Practice

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Case Report – Translational Research and Evidence-Based Practice

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in the current course and potentially solving an identified practice problem.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.

· Doctoral learners are required to use APA style for their writing assignments.

· You are required to submit this assignment to LopesWrite.

Directions:

For a specific focus of patient practice (e.g., acute care hospital, clinic, primary care, long-term care, home health), select a particular disease process. Chose a topic of concern such as providing elements of care for a specific disease process or an administrative problem. This topic must be in need of progression or process improvement. Once identified, summarize the literature supporting proposed change. Identify an action plan to introduce change and potential barriers to implementing change. Finally, describe how you would propose evaluating the change.

Your case report must include the following:

1. Introduction with a problem statement.

2. Brief synthesized review.

3. Description of the case/situation/conditions.

4. Proposed solutions describing the validity and reliability of the research you have read.

5. Conclusion.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.

RESOURCES

Read Chapters 8, 10, 18, and 22 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

URL:

http://gcumedia.com/digital-resources/wolters-kluwer/2014/evidence-based-practice-in-nursing-and-healthcare_a-guide-to-best-practice_ebook_3e.php

Mazurek Melnyk, B., Gallagher-Ford, L., & Fineout-Overholt, E. (2016). Improving healthcare quality, patient outcomes, and costs with evidence-based practice. Reflections on Nursing Leadership, 42(3), 1-8.

URL:

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119422530&site=ehost-live&scope=site

Bosch, M., Tavender, E., Bragge, P., Gruen, R., & Green, S. (2013). How to define “best practice” for use in knowledge translation research: A practical, stepped and interactive process. Journal of Evaluation in Clinical Practice, 19, 763-768. doi:10.1111/j.1365-2753.2012.01835.x

URL:

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104235471&site=ehost-live&scope=site

Krause-Parello, C. A., Sarcone, A., Samms, K., & Boyd, Z. N. (2013). Developing a center for nursing research: An influence on nursing education and research through mentorship. Nurse Education in Practice, 13(2), 106-112.

URL:

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Badzek, L., Henaghan, M., Turner, M., & Monsen, R. (2013). Ethical, legal, and social issues in the translation of genomics into health care. Journal of Nursing Scholarship, 45(1), 15-24.

URL:

https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/1325034943?accountid=7374

Asamoah, S. K. (2014). Dissemination and translation of evidenced-based guidelines to practices for nurses: A systematic review of literature. Virginia Nurses Today, 22(1), 11.

URL:

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reproductive disorders

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Select two disorders of the male and/or female reproductive systems that interest you. Post a description of the two reproductive disorders you selected, including their similarities and differences. Then, select one of the following factors: genetics, ethnicity, age, or behavior. And explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders.

– This work should have Introduction and conclusion

– This work should have at 4 to 5 current references (Year 2013 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

LEARNING RESOURCES

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter      32, “Structure and Function of the Reproductive Systems”

This chapter establishes a foundation for examining alterations of reproductive systems by examining the female and male reproductive systems. It covers the development of both reproductive systems and effects of aging on the systems.

  • Chapter      33, “Alterations of the Female Reproductive System

This chapter covers alterations of the female reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

  • Chapter      34, “Alterations of the Male Reproductive System”

This chapter covers alterations of the male reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter      22, “Disorders of the Female Reproductive Tract”

This chapter reviews the normal structure and function of the female reproductive tract. It then examines disorders specific to the female reproductive tract such as menstrual disorders and infertility.

  • Chapter      23, “Disorders of the Male Reproductive Tract”

This chapter reviews the normal structure and function of the male reproductive tract. It then explores disorders specific to the male reproductive tract such as male infertility and benign prostatic hyperplasia.

COPD and lung cancer.

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In this week’s material on lung function, two diseases tend to emerge as clinically important: COPD and lung cancer. Please go onto the CDC website (www.CDC.gov) to look up facts and figures on one of these two diseases. What is its burden on society? How can you, working on the front lines of disease management, help to relieve the burden of the disease on society?

 

2.Top of Form

Read the case study below. Answer and discuss the questions that follow.

ND is a 82-year-old female who lives in a skilled nursing facility. She suffers from rheumatoid arthritis, coronary artery disease, chronic bronchitis, and hypertension. She is wheelchair bound and tends to spend most of her days in bed. She smoked for 52 years but quit 14 years ago. She has lost 10 pounds in the last month and has had a productive cough for about 2 weeks that has copious amounts of white to yellow mucous. Over the last 3 days, she has refused to get out of bed and has been refusing to eat or drink. This morning she is confused, has a fever, and is coughing continuously. Her sputum now is rust-colored. Her lungs sounds are coarse rhonchi throughout with crackles and diminished lung sounds in her right middle lobe area. Her vital signs are BP 86/54, HR 98, RR 28, and temperature 102.4. She is being admitted to the hospital.

Pneumonia can be classified many different ways. Which classification of pneumonia best fits ND’s situation? Explain. What is the most probable cause of ND’s pneumonia? Which diagnostic tests would you expect to be done to diagnose ND’s pneumonia?

 

3.Top of Form

When analyzing qualitative data, what are the ways in which trustworthiness can be established? What ethical considerations are unique to qualitative methods?

 

nnotated bibliography on social determinants.

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Instructions
For this assignment, you will create an annotated bibliography on social determinants.

Select five articles you wish to annotate. Make certain to select different types of disparities, such as race, gender, SES, age, language, liability status, etc.
Upload your document to this assignment when complete.
For more information about the elements of an Annotated Bibliography.

Please refer to the Grading Rubric for details on how this activity will be graded.

Grading Rubric

Annotated Bibliography Rubric
Annotated Bibliography Rubric – 100 PointsAssessment QuestionExceeds ExpectationsMeets ExpectationsNeeds ImprovementInadequateTotal PointsSources – Are sources appropriate for the assignment?Sources are credible and are scholarly materials, appropriate for college-level work. Most sources are from scholarly publications.
17 pointsMost sources are scholarly and appropriate for the assignment.
15 pointsFew sources are considered appropriate for the assignment.
13 pointsNot enough sources to meet the assignment requirements. Or inappropriate sources were used, indicating student did not go beyond an Internet search.
11 points17Summaries – Do the annotations contain clear, concise summaries of source materials?Annotations contain clear, complete summaries. Main points are summarized, including evidence in support of the main point and examples.
17 pointsMost annotations contain complete summaries, but some may lack clarity or evidence.
15 pointsSeveral annotations may have omitted key content. Main ideas may be confusing or unclear. Summaries may be incomplete or sketchy.
13 pointsSummaries may indicate that source was misinterpreted, or that author’s ideas were not accurately represented. No real indication that student read or understood the sources.
11 points17Objective Evaluation – Do the annotations contain evidence of objective evaluative criteria?All annotations contain evidence of objective evaluation criteria, as related to the field of nursing. These may include author’s credentials within the discipline, accuracy of materials, objectivity, and strengths or weaknesses. Most evaluations address the criteria from a disciplinary point of view.
17 pointsMost annotations address many of the criteria for evaluation. Some annotations may include the criteria, but in a generic way without showing relevance to the discipline.
15 pointsAnnotations may superficially address the criteria for evaluation, or the evaluation is absent in some annotations.
13 pointsMost of the annotations fail to include elements of critical evaluation. May include only statements such as “this was a good source” with no explanation.
11 points17Subjective evaluation – Do the annotations include a clear assessment of the usefulness of the source, reflecting its context within the discipline?All annotations contain an assessment of the usefulness of the source & student’s reaction to the source. Agreement or disagreement? Helpful? Did the source offer a unique contribution or contradict other sources?
17 pointsMost of the annotations include an assessment of the usefulness of the source and the student’s reaction to how the source contributes to the literature of the discipline.
15 pointsFew of the annotations have a subjective evaluation as to the usefulness of the source and/or its contribution to the literature of the discipline.
13 pointsAnnotations may include statements such as “this was a good source,” but fail to explain why the source was chosen or its usefulness.
11 points17Did the student communicate clearly and effectively?The student communicates effectively and well in standard written English. Annotations are meaningful, professional, informative and meet assignment requirements.
16 pointsThe student communicates adequately and is easily understood. Occasional grammar or spelling errors.
14 pointsThe student communicates but with numerous errors that contribute to a lack of clarity or effectiveness. Repeated grammar or spelling errors.
12 pointsThe student’s communication is strained and difficult at times to comprehend. Multiple errors make it hard to understand.
11 points16Are the annotations properly formatted, ensuring ethical treatment of sources?All bibliographic entries are correct in format. Any quotes within summaries are properly attributed.
16 pointsMost entries are formatted correctly, perhaps with a few minor errors. No intentional plagiarism.
14 pointsEntries may not consistently follow APA format, or minor elements are missing. No intentional plagiarism.
12 pointsCitations may be missing important elements, making it hard for the reader to locate the sources. Summary may not be in student’s own words or may too closely resemble the database article abstract or the online book review.
11 points16Total Points100

Environmental Factors and Health Promotion

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Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants
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.

Include the following in your presentation:

Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
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.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
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.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
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
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

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.

RUBRIC

diverse patient populations

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The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

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 not required to submit this assignment to LopesWrite.

violating HIPAA regulations

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Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
  • Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.

Developing a Culture of Evidence-Based Practice

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Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

· Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

o This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

Discussion Question

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

GCU Library

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Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

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.

Attachments HLT-362V-RS5-ArticleAnalysisEthicalEval-Template.docx

Individual Right Versus the Collective Good

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Individual Right Versus the Collective Good

Most of the recent successes in improving the public’4 s health has had to address the tension of individual rights versus the collective good. Anti-smoking campaigns and laws banning smoking in public places protect people from the negative health effects of second-hand smoke, yet some believe that they infringe on the individual rights of those who choose to smoke. Requiring childhood immunizations has helped prevent diseases such as polio and measles, but some parents assert that they have the right to decide if being immunized is in the best interest of their children.

This tension also exists in the allocation of scarce resources, from providing adequate staff coverage to making decisions about the amount of health care to provide. Given the nurse’s involvement in policy and health care delivery, it is important to understand the dynamics of this tension, as well as the legal and ethical implications.

To prepare:

  • When      have you encountered a tension between the individual right and the      collective good in your nursing practice?
  • With      information from the Learning Resources in mind, consider relatively      recent examples of health care policy that demonstrate this tension. For      this Discussion, select one example of timely health care policy that      allows you to evaluate the tension between individual rights and the      collective good. Conduct additional research as necessary using credible      websites and the Walden Library.

By tomorrow 04/04/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

  • In      the first line of your posting, identify a health care policy.
  • Explain      the tension between individual rights and the collective good.
  • Analyze      the ethical and legal considerations of the policy.

Required Readings

Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.

  • Chapter      13, “Medical Ethics and Rationing of Health Care”

    This chapter discusses the four principles of medical ethics—beneficence,      malfeasance, autonomy, and justice, and views current health care      conditions through these lenses. Distributive justice, allocation of      limited health care resources, rationing, and the ethics of health care      financing are also examined.

Bae, S., & Brewer, C. (2010). Mandatory overtime regulations and nurse overtime. Policy, Politics & Nursing Practice, 11(2), 99–107.

The authors examine the effect of government regulations on health care issues by studying nurse overtime. They discovered that states with mandatory overtime regulations had higher total RN work hours.

Blum, J. D., & Talib, N. (2006). Balancing individual rights versus collective good in public health enforcement. Medicine & Law, 25(2), 273–281.

This article examines the balance of public good and individual liberty through the examples of policies regarding communicable disease and childhood immunization. The impact of the U.S. Supreme Court Case, Jacobson v. Massachusettson health care policy is discussed.

Pauly, B. (2008). Harm reduction through a social justice lens. International Journal of Drug Policy, 19(1), 4–10.

The author discusses the ethical issue of marginalized groups, such as the homeless, and their barriers to health care. The philosophy of harm reduction and various social justice theories are examined as possible guides to a policy initiative.

Ruger, J. P. (2008). Ethics in American health 2: An ethical framework for health system reform. American Journal of Public Health, 98(1), 1756–1763.

Wieck, K. L., Oehler, T., Green, A., & Jordan, C. (2004). Safe nurse staffing: A win-win collaboration model for influencing health policy. Policy, Politics & Nursing Practice, 5(3), 160–166.

Optional Resources

Fowler, M. (2008). Guide to the code of ethics for nurses: Interpretation and application. M. D. M. Fowler (Ed.). Silver Spring, MD: The American Nurses Association, Inc.

O’Connor, J. C., MacNeil, A., Chriqui, J. F., Tynan, M., Bates, H., & Eidson, S. K. (2008). Preemption of local smoke-free air ordinances: The implications of judicial opinions for meeting national health objectives. Journal of Law, Medicine & Ethics, 36(2), 403–412.

Rogers, E. M., & Peterson, J. C. (2008). Diffusion of clean indoor air ordinances in the southwestern United States. Health Education & Behavior, 35(5), 683–697.

Trentham, M. (2009). Patient abandonment—What is it really? ASBN Update, 13(1).