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pre-natal care

Write a 2-3 page APA formatted paper (not including cover sheet or reference page) utilizing a minimum of three resources based on the case scenario below. You may opt to do a power point presentation or Prezi with a minimum of 10 – 15 slides (not including cover sheet or reference slide) instead of the written paper.

Scenario: A gravida two, para-one 34 year old woman comes into the office for pre-natal care. She is 28 weeks pregnant. Her blood pressure is 160/90 with a weight of 220 lbs and a height of 5’1. Her previous blood pressure at her visit 4 weeks ago was 122/ 78. Her previous weight was 210 lbs. She reports a history of gestational diabetes. Her fasting glucose is 108 with an A1C of 6.0.

What focused assessments would you expect the practical nurse to perform? What important data would need to be communicated to her health care team?

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Servant Leadership and Christianity

INDIVIDUAL PROJECT 1

Benchmark – Servant Leadership and Christianity

Details:

In the Topic Materials you were introduced to Robert Greenleaf’s principles of servant leadership. You also read biblical passages related to servant leadership. Using a graphic organizer such as a Venn diagram, illustrate the similarities and differences between Greenleaf’s principles of servant leadership and those presented in the biblical passages.

In 500 words, summarize how both Greenleaf and Christianity call people to serve and discuss how one feels when called to serve as a leader. In your summary, include discussion of the idea that power comes from giving it away and putting oneself in the position to serve others. Using Matthew 20:20-28 and Greenleaf’s principles of servant leadership as a basis, discuss how taking the role of a servant can make one a leader. Provide specific examples to support your ideas.

Submit the graphic organizer and written response as a Word document

APA format is not required, but solid academic writing is expected.

RESOURCES

Electronic Resource

1. A Servant Leadership Story

Read “A Servant Leadership Story,” by Malinski, located on the Servant Leadership Institute website (2017).

https://www.servantleadershipinstitute.com/tips-and-stories/2017/1/13/a-servant-leadership-story

2. Liberating the Heroic Spirit of Business

Read “Liberating the Heroic Spirit of Business,” by Rivers, from Texas CEO Magazine (2015).

https://texasceomagazine.com/book-review/conscious-capitalism/

3. Raymond Reyes – Greenlief [sic]

View “Raymond Reyes – Greenlief [sic],” by Reyes, located on the YouTube website (2010).

https://www.youtube.com/watch?v=aFrWfAiZC6M&index=9&list=PL03A8A7D51890D8EE

4. Servant Leadership Experience Overview

Read the “Servant Leadership Experience Overview” to learn the specifics about the course project due at the end of Topic 8.

LDR-630-RS-Servant Leadership Experience Overview.docx

5. Servant Leadership: The First Pillar of the Colangelo College of Business

Read “Servant Leadership: The First Pillar of the Colangelo College of Business,” by Gibb, located on the Grand Canyon University website (2015).

http://blogs.gcu.edu/colangelo-college-of-business/servant-leadership-the-first-pillar-of-the-colangelo-college-of-business/

6. What Is Servant Leadership?

Read “What Is Servant Leadership?” located on the Greenleaf Center for Servant Leadership website.

https://greenleaf.org/what-is-servant-leadership/

e-Library Resource

1. The Servant as Leader

Read “The Servant as Leader,” by Greenleaf, from Servant Leadership: A Journey Into the Nature of Legitimate Power and Greatness (2002).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=587729&site=ehost-live&scope=site&ebv=EK&ppid=Page-__-27

e-Library Resource

1. The Servant as Leader

Read “The Servant as Leader,” by Greenleaf, from Servant Leadership: A Journey Into the Nature of Legitimate Power and Greatness (2002).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=587729&site=ehost-live&scope=site&ebv=EK&ppid=Page-__-27

Other

1. Biblical Servant Leadership References

Read the “Biblical Servant Leadership References” handout.

LDR-630-RS-Biblical Servant Leadership References.docx

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Christian worldview.

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

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DERMATOLOGY CASE STUDY

Peer reply pharmacy DB5

1 -triana

DERMATOLOGY CASE STUDY

Chief complaint: “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief.  She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin  AF cream and it did not help relief her symptoms. She has not tried other remedies.

Denies associated symptoms of fever and chills.

1.According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.

Onychomycosis is a fungal infection of the nail, either fingernail or toenail. The common dermatophyte that is found in onychomycosis is tinea unguium , with candida infections also a cause . Effective treatment usually involves months of systemic antifungal medication, commonly griseofulvin, ketoconazole ,itraconazole or terbinafine. Topical treatment is usually not effective except for ciclopirox nail lacquer (Woo & Robinson, 2016).

 

Terbinafine 250mg 1 tab PO daily x 12 weeks

Terbinafine 250mg take one tablet by mouth daily for 12 weeks

2.  What labs for baseline and follow up of therapy would you order for this patient?

Liver enzymes and complete blood count should be monitor every 6 weeks if treatment last longer than 6 weeks.

Terbinafine is an orally and topically active allylamine fungicidal agent which is used to treat superficial fungal infections of the skin and nails.  Terbinafine has been clearly linked to rare instances of acute liver injury that can be severe and sometimes fatal.

Drug induced liver injury due to terbinafine was identified shortly after its introduction into medical use.  Oral therapy with terbinafine is associated with elevations in serum aminotransferases in less than 1% of patients and the elevations are generally asymptomatic and resolve without stopping therapy.  The estimated probability of developing elevated serum aminotransferase levels requiring stopping treatment is about 0.31% for 2 to 6 weeks’ treatment and 0.44% for treatment longer than 8 weeks (“Terbinafine”, 2019).

 

Reference

Woo, T. M., & Robinson, M. V. (2016). Pharmacotherapeutics for advance practice nurse prescribers. Philadelphia: F.A. Davis Company.

Terbinafine. (2019, July 1). Retrieved September 30, 2019, from https://livertox.nlm.nih.gov/terbinafine.htm.

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2- Rivera

 

 

 

Part 2: Labs

Because Terbinafine is metabolized by the liver, will be important to perform hepatic function testing for the patient due to the risk of liver enzyme elevation, and establish a baseline. Liver enzymes and complete blood count should be done every 6 weeks, during treatment (Woo and Robinson, 2016).

 

References

Woo, T. & Robinson, M., V. (2015). Pharmacotherapeutics for advanced practice nurse prescribers. Philadelphia, PA: F. A. Davis company.

 

Follow up

Specify when to refer the patient after therapy and why? Provide rationale.

According to the recommended guidelines, what are the non-pharmacological approaches to Onychomycosis? Provide patient education. Keep in mind the past medical history of this patient.

Patient should be referring to Podiatrist for follow up. Foot care is essential for the diabetic patient, and should definitely follow up with podiatrist for further treatment.

Patient will also be referred to endocrinologist for follow up due to her history of diabetes mellitus type 2. There is no documentation that diabetes is being treated. Patient is obese which may indicate she is not following an appropriate diet.  A referral will also be given to a dietician due to obesity (BMI: 31).

According to Woo and Robinson Vicks VapoRub is commonly used for onychomycosis. A pilot study was conducted by Derby, Rohal, Jackson, Beutler, and Olsen (2011), to test Vicks VapoRub as a non-pharmacological approach to treat onychomycosis. The study included 18 participants and 83% had a positive response to this treatment after a course of 48 weeks. This study was done with a small sample; however Vicks VapoRub still showed to be a safe and cost-effective non-pharmacological treatment of onychomycosis (Derby, Rohal, Jackson, Beutler, and Olsen, 2011).

Patient was educated on importance of an adequate diet that includes appropriate daily servings of fruits and vegetables, food low in saturated fat and low cholesterol. Patient was encouraged to continue being active, getting at least 30 minutes of regular physical activity.  Also encouraged to start taking Omega 3 fatty acids to help increase her HDL which is low (38mg/dl) and this is considered a risk factor for heart disease.

References

Derby, R., Rohal, P., Jackson, C., Beutler, A. & Olsen, C. (2011). Novel treatment of

onychomycosis using over the counter mentholated ointment: A clinical case series.

Journal of the american board of family medicine (24)1 69-74.

doi: 10.3122/jabfm.2011.01.100124

Woo, T. & Robinson, M., V. (2015). Pharmacotherapeutics for advanced practice nurse prescribers. Philadelphia, PA: F. A. Davis company.

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Advanced Nursing Education and Career Progression

2)¨**********APA norms

3)********** It will be verified by Turnitin and SafeAssign

__________________________________________________________

Read well. Paper should be 1 page, and done differently 4 times (copy and paste is not accepted) you must answer the question four times on different pages in the same document (Word)

______________________________________________________________

Question:

 

Complete this week’s assigned readings, chapters 39-43. After completing the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions about one or several of the specific topics covered in the textbook readings. Identify which one MSN Essential most relates to your selected topic (why) in your discussion.

Topic 1:

 

Advanced Nursing Education and Career Progression

The MHS places great importance on advanced nursing education. During war, health care continues to evolve based on the nature of combat as well as the challenges posed by working in the austere environments characteristic of the battlefield (Spencer & Favand, 2006). Military nurses must possess the advanced practice specialty skills needed during conflict. Additionally, master’s degrees are required to be obtained before being promoted to more senior military ranks. Professional growth and development is continuously provided throughout a nurse’s career in the MHS by way of leadership experiences, on-the-job training, and continuing education. A variety of educational programs, including postgraduate opportunities, are available. Full funding, in addition to continuing to receive full salary and benefits, is provided for nurses earning advanced practice degrees as well as those pursuing doctoral studies. The armed services are committed to advancing military nursing science to optimize the health of military members and their families. Graduate education in civilian programs is available for selected promising nurse researchers. Additionally, to further advance the nursing research needs of the MHS, in 1992 Congress established the TriService Nursing Research Program (TSNRP), which is the only program funding and supporting rigorous scientific research in the field of military nursing (Duong et al., 2005).

 

TSNRP funds a wide range of studies to advance military nursing science. For example, in 2011 a pilot study was conducted to determine the sensitivity and specificity of small animal positron emission tomography-computed tomography (PET-CT) in identifying metabolic changes in muscle tissue surrounding simulated shrapnel injuries, and comparing this imaging with traditional x-ray images. Results showed the PET-CT to be more sensitive in identifying tissue changes. Military nurses now have a unique opportunity to educate patients and military health care providers, as well as to inform policy changes, about the possibility of early tissue changes around embedded shrapnel fragments and the use of PET-CT imaging as a possible surveillance tool. Another study supported by TSNRP in 2010 sought to understand how posttraumatic stress symptoms (PTSS) affect couple functioning in Army soldiers returning from combat. Findings included that almost 50% of couples had at least one person in the relationship with a high level of PTSS. Based on these results, development of interventions and policies designed to mitigate, or even prevent, negative outcomes such as divorce, violence, and suicide for military couples facing combat deployment are under way (TSNRP, 2013).

Topic 2:

 

Posttraumatic Stress Disorder

The problem of posttraumatic stress disorders in veterans has existed for centuries; however, the condition is attracting high levels of current attention caused by the conflicts in Iraq and Afghanistan and the disorder now impacts up to 22% of veterans (Johnson et al., 2013; Murray & Garbutt, 2012; Sabella, 2012). VHA and MHS nurses, along with their behavioral health counterparts, have collaboratively developed evidence-based guidelines on assessment and effective treatments which include multiple treatment modalities such as trauma-focused psychotherapies (e.g., exposure therapy), anxiety management, stress reduction, guided imagery, relaxation techniques, cognitive processing and behavioral therapy, and social support (Johnson et al., 2013; Murray & Garbutt, 2012; Murray & Smith, 2013; Sabella, 2012).

Current policies highlight requirements related to the timely assessment, treatment, and follow-up care of PTSD in both DoD and VHA clinical settings (U.S. Department of Veterans Affairs & Department of Defense, 2010). However, most military service members and veterans do not seek treatment for PTSD because of stigma, barriers to care, and negative perceptions associated with receiving mental health care (Hoge, 2011; Murray & Garbutt, 2012; U.S. Department of Veterans Affairs & Department of Defense, 2010). Policy issues requiring high priority include better understanding of the barriers to low mental health service use in the MHS and VHA (Hoge, 2011). Nurses are highly instrumental in understanding obstacles to care as well as working to develop and implement collaborative care models to increase outreach to veterans in need of mental health services.

Topic 3:

 

Sexual Assault

Although the DoD and VHA continue to address military sexual trauma (MST; sexual assault or repeated, threatening sexual harassment that occurs during military service) and to describe what is being done to tackle this issue, many members of Congress believe there is an epidemic in the armed forces. It is estimated that 6.1% of women and 1.2% of men serving in the armed forces experienced and reported unwanted sexual contact in 2012. These numbers are believed to be much higher given that incidents go unreported as a result of fear of retaliation which could impact careers and the lack of trust that appropriate action will be taken against the offender (Johnson et al., 2013). Most experiences (67%) happened at work on military installations (Department of Defense, 2012). This is not a new issue for the military. For over two decades senior military officials and members of Congress have proposed recommendations to address sexual assault and harassment. Despite these efforts, the

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incidence of such events continues to increase annually. This creates substantial financial and emotional cost that affects several generations of veterans and lasts long after a victim leaves the military. At this point, the VHA picks up the costs associated with a variety of physical and mental health problems (primarily posttraumatic stress disorder and depression), which sexual assault and harassment can trigger.

In 2013, Congress required a response to this ongoing problem. NDAA 2013 mandated immediate policy changes to include investigation of all occurrences of sexual misconduct, requiring an independent review of all legal proceedings and investigations surrounding MST, and improving victim protections and reporting policies (U.S. Department of Defense, 2013). VHA mental health providers, including nurses, are developing and evaluating therapies specific to MST. Furthermore, nurses are using telehealth technology to reach out to veterans in remote areas of the country.

Topic 4:

 

Access to Care

More recently, it has come to light that access to care for veterans is worse than previously thought. In May 2014, the Veterans Affairs (VA) Inspector General began to investigate patient wait times and scheduling practices on the basis of concerns that veterans were not receiving timely care. Preliminary findings showed that systemic patient safety issues and possible wrongful deaths occurred as a result of gross mismanagement of resources, unethical behavior, and possible criminal misconduct by VHA senior hospital leadership. Before the 2014 investigation, a 2013 U.S. Government Accountability Office (GAO) report determined that at least 50 veterans experienced delayed gastroenterology consultations for colon cancer, some of whom later died of the disease. Findings such as this provided evidence that delayed access to health care is associated with negative health outcomes (Chokshi, 2014), and these scheduling practices are not in compliance with VHA policy (U.S Department of Veteran Affairs Office of the Inspector General, 2014). Kizer and Jha (2014) noted that almost 20 years ago the VHA had to implement sweeping reforms to increase both quality and accountability. The reforms of the 1990s improved quality and increased access and efficiency (Kizer & Jha, 2014). The successes of the past reforms in the VHA provide clear evidence that the problems are fixable (Kizer & Jha, 2014) and new reforms are again needed to fix current challenges. One such attempt at reform is the VA Management Accountability Act of 2014, which has passed the U.S. House of Representatives and gives the Secretary of the VA greater authority to fire senior administrators. In addition, Senator Bernie Sanders (I-VT) along with John McCain (R-AZ) introduced a bipartisan comprehensive bill that supports veterans having access to community as well a federal health care providers. The bill also provides emergency funding for the VHA to hire more physicians, nurses, and other health care workers.

Choose any of these Essentials for each of the topics and answer the question:

I. Background for Practice from Sciences and Humanities

II. Organizational and Systems Leadership

III. Quality Improvement and Safety

IV. Translating and Integrating Scholarship into Practice

V. Informatics and Healthcare Technologies

VI. Health Policy and Advocacy

VII. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

VIII. Clinical Prevention and Population Health for Improving Health

Question:

 

Complete this week’s assigned readings, chapters 39-43. After completing the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions about one or several of the specific topics covered in the textbook readings. Identify which one MSN Essential most relates to your selected topic (Why) in your discussion.

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Ethical Dilemma

Collaborate with your team, using Cisco Spark, email, phone meetings, or any collaboration tool you find useful or prefer. In your collaboration, consider the ethical dilemmas below and select 1 in which to conduct a deep drill.

Ethical Dilemma 1: A newspaper columnist signs a contract with a newspaper chain. Several months later, she is offered a position with another newspaper chain, offering a higher salary. Because she would prefer making more money, she notifies the first chain that she is breaking her contract. The courts will decide the legality of her action, but what of the morality? Did the columnist behave ethically?

Ethical Dilemma 2: An airline pilot receives his regular medical checkup. The doctor discovers that he has developed a heart murmur. The pilot only has a month to go before he is eligible for retirement. The doctor knows this and wonders whether, under these unusual circumstances, she is justified in withholding information from the company regarding the pilot’s condition.

Ethical Dilemma 3: An office worker has had a record of frequent absence. He has used all his vacation and sick-leave days, and has frequently requested additional leave without pay. His supervisor and co-workers have expressed great frustration because his absenteeism has caused bottlenecks in paperwork, created low morale in the office, and required others to do his work in addition to their own. However, the individual believes he is entitled to take his earned time and additional time off without pay. Is he right?

Ethical Dilemma 4: Rhonda enjoys socializing with fellow employees at work, but their discussions usually consist of gossiping about other people, including several of her friends. At first, Rhonda feels uncomfortable talking in this way about people she is close to; but then she decides it does no real harm, and she feels no remorse for joining in.

In conjunction with the readings, and within your teams, decide which ethical dilemma you believe is most problematic and why. In your teams, discuss the ideas of “good vs. evil,” “wrong vs. right,” and “ought/should be vs. what is.” Form the readings, discuss the ways in which Augustine and Aquinas would have solved the problem based on lecture and course reading material. In what ways do Augustine and Aquinas differ and why?

You may wish to meet throughout the week to share ideas. Create a report of your findings as individuals and as a team. The report should be approximately 2 pages accompanied by a 2-minute oral presentation, using VoiceThread or a PowerPoint narrated slide show.

Rubric

Ethical Dilemma AnalysisEthical Dilemma AnalysisCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePurposeview longer descriptionFull Marks20.0 ptsNo Marks0.0 pts20.0 pts
This criterion is linked to a Learning OutcomeSupport/Developmentview longer descriptionFull Marks30.0 ptsNo Marks0.0 pts30.0 pts
This criterion is linked to a Learning OutcomeGrammar, Mechanics, Styleview longer descriptionFull Marks25.0 ptsNo Marks0.0 pts25.0 pts
This criterion is linked to a Learning OutcomeSlidesFull Marks15.0 ptsNo Marks0.0 pts15.0 pts
This criterion is linked to a Learning OutcomeOral Narrationview longer descriptionFull Marks10.0 ptsNo Marks0.0 pts10.0 pts
Total Points: 100.0

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 public health

Overview: Dr. Marcia Stanhope (2016) explained that evidence-based  public health practice refers to those decisions made by using the best  available evidence, data and information systems and program frameworks;  engaging community stakeholders in the decision-making process;  evaluating the results; and then disseminating that information to those  who can use the information.

Practicum Discussion: This week, your assignment will be to  incorporate all of the information you have gathered from the  community—including the population itself, health data,  interviews/conversations with interested community members, and your  community assessment, including your Windshield Survey—as well as what  you have gathered from scholarly literature to propose measureable  interventions. Measureable interventions mean that the results can be  measured through some data that could be collected (Stanhope, 2016).  This requires thinking in terms of actions and then measuring results.  An evaluation of interventions is important to see whether or not they  are effective in solving a health care problem. Remember, you will need  to use the data you gathered to determine whether or not a problem  exists in your community and to then determine whether your  interventions might be effective.

Please discuss the following points in your Practicum Discussion:

  • Identify one evidence-based behavior change that would promo public health te health in your selected population.
  • Suggest one specific culturally sensitive, evidence-based,  measureable intervention to address the health problem for your selected  population.
  • Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.

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practice (EBP

1. Place name on paper

2. APA Format with References

3. No single word responses

4. At least 100+ words for each response

5. Give questions some thought and answer honestly and sincerely

6. Make sure you follow these directions –

Scenario:

Your patient C.S is 78 years old. Admitted to the nursing home you work at, with a diagnosis of dehydration. C.S., has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says “I hate water and I don’t drink it much”. You note that after one and a half days she has dry mucous membranes and poor skin tugor.

1. What should your assessment be on this patient? Explain in detail.

2. After completing your assessment, what should your next step be? Be specific.

3. Write 3 complete nursing diagnosis from above information. Include all 3 sections (NANDA, Related to (R/T) & Evidence based practice (EBP)

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Professional Development Assignment 

Assignment:

Professional Development Assignment

Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, and multimedia enhancements.

  1. Title Slide (1 slide)
  2. For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors contribute to the tension that usually exists among them? (4 slides).
  3. Organizations such as the LeapFrog Group represent a growing trend to survey and report on the quality of hospital care and to make the findings available to the public. What are your opinions about the public’s readiness to deal with having this information available and using it to make choices about medical care? (2-3 slides)
  4. Hospitals are facing unprecedented financial challenges from entrepreneurial physician initiatives that are establishing competitive, free-standing diagnostic and treatment centers and specialty hospitals. What are the advantages and disadvantages to these developments from a patient perspective? (2-3 slides)
  5. References (1 slide)

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healthcare organization

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)
    • 3 to 5 references with 5 years.

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