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Identifying Research Methodologies

Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • 1. The full citation of each peer-reviewed article in APA format.
  • 2. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • 3. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • 4. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • 5. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

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Preparing the paper

Requirements:

  1. This paper will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components.
  2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  3. Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
  4. The length of the paper is to be no greater than three pages, excluding title page and reference page
  5. APA format (6th edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. See resource under the course Library Guide, “Guidelines for Writing Professional Papers.” Use the suggested format and headings to organize your assignment.
    1. Include introduction (do not label as a heading in APA format)
    2. Key Concepts of Strategic Plan
    3. Priorities
    4. Supporting Evidence
    5. Conclusion

Preparing the paper

You are the nurse executive of a healthcare organization. To ensure the organization’s success, you must develop a strategic plan scenario to address the nursing shortage in an area of your choice. Please ensure no identifying names are used in your scenario.

  1. Clear introduction of your strategic plan in the introduction paragraph; including a sentence that states the purpose of your paper.
  2. Clearly articulate key concepts of your strategic plan, which include:
  3. stating whom will be involved in the strategic-planning process, their position or role within the organization, and your rationale(s) for including each member of the team.

Interview one person who is currently in the role of one of the persons you would include in your strategic plan process. Ask that person how they view their role in transforming healthcare and making a difference in the lives of patients and families. Include a copy of their curriculum vitae (CV) and a transcript of your interview (not included in the 3 page limit for the assignment); include email communications from you to the person, in the event you do not receive a response. Include all information from the interview as an addendum to your assignment; and

  1. using a SWOT analysis approach, discuss strengths, weaknesses, opportunities, and threats you must consider internal and external to the organization. A table is acceptable if you prefer to use this format for your SWOT analysis information.
  2. State your top two priorities, based on your SWOT analysis, to address the nursing shortage for your organization from your strategic plan and discuss how these priorities relate to leadership and the Person-Centred Framework by McCormack and McCance (2017).
  3. Include of a minimum of three sources of scholarly, empirical evidence that support your strategic plan.
  4. Provide concluding statements for your overall assignment content.
  5. The paper will be three pages maximum, excluding title and reference page(s).
  6. Title and reference page(s) must be in APA format (6th edition).
  7. Use 12 Times New Roman font and one-inch margins on all sides of the paper.

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Pathophysiology and Pharmacology

Document a focused history, physical exam, nursing diagnoses, and nursing process of a case study from NUR-641E: Advanced Pathophysiology and Pharmacology for Nurse Educators and compare the differences with a complete assessment. At least 3-4 references

Case Study

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test​ Result​           Normal levels

pH​​7.5​​7.35 – 7.45

PaCO2​40 mm Hg​35-45 mm Hg

PaO2​95 mm Hg​80-100 mm Hg

SaO2​                        97%​95-100%

HCO3-​      32 meq/liter​22-26 meq/liter

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health promotion strategies

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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behavior

Robert and Jenna Smith’s 2nd child has Down Syndrome. Philip is 14 years old. He has a sibling that is older and one younger. 15 year old sister, Lucy and a little brother Danny who is 10 years old. As all 14 year olds he is becoming more interested in his sexuality and expressing that with curiosity. He has been known to have some overt aggression toward his sister and some classmates in his public school.

Will this behavior interfere with his interest in being in the local Boy Scout troop? His troop leader is his father.  250 words

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nursing and counseling theories,

 Select one nursing theory and one counseling theory to best guide your practice inpsychotherapy.

Note: For guidance on nursing and counseling theories, refer to the Wheeler textbook in this week’s Learning Resources.

· Explain why you selected these theories. Support your approach with evidence-based literature.

· Develop at least three goals and at least three objectives for the practicum experience in this course.

· Create a timeline of practicum activities based on your practicum requirements.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Practicum Journal Template

Time Log

List the objective(s) met and briefly describe the activities you completed during each time period, include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.

 

Activities/Comments

Learning   Objective(s) Addressed

 

 

Journal Entries 

· Include at least three references no more than five years old immediately following the content.

· Use APA style for your journal entry and references.

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History of Present Illness (HPI)

APA format Please follow directions below need to have done by 10/10/18 at 9 pm.

3 peer review references.

Today 10/10/18 is the third day

This week we have lots to do.  First off you have a discussion.  This should be a SOAP note posted based on the case of your choice.  Please pick the one that you feel you will learn the most from

here is the SOAP note template

 

his template is for a full history and physical. For this course include only areas that are related to the case.

Patient Initials: _______                Age: _______                                   Gender: _______

Note: The mnemonic below is included for your reference and should be removed before the submission of your final note.

L =location

O= onset

C= character

A= associated signs and symptoms

T= timing

E= exacerbating/relieving factors

S= severity

SUBJECTIVE DATA: Include what the patient tells you, but organize the information.

Chief Complaint (CC): In just a few words, explain why the patient came to the clinic.

History of Present Illness (HPI): This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Medications: Include over-the-counter, vitamin, and herbal supplements. List each one by name with dosage and frequency.

Allergies: Include specific reactions to medications, foods, insects, and environmental factors. Identify if it is an allergy or intolerance.

Past Medical History (PMH): Include illnesses (also childhood illnesses), hospitalizations.

Past Surgical History (PSH): Include dates, indications, and types of operations.

Sexual/Reproductive History: If applicable, include obstetric history, menstrual history, methods of contraception, sexual function, and risky sexual behaviors.

Personal/Social History: Include tobacco use, alcohol use, drug use, patient’s interests, ADL’s and IADL’s if applicable, and exercise and eating habits.

Immunization History: Include last Tdap, Flu, pneumonia, etc.

Significant Family History: Include history of parents, grandparents, siblings, and children.

Lifestyle: Include cultural factors, economic factors, safety, and support systems and sexual preference.

Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History (this includes the systems that address any previous diagnoses). Remember that the information you include in this section is based on what the patient tells you so ensure that you include all essentials in your case (refer to Chapter 2 of the Sullivan text).

General: Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here.

            HEENT:

Neck:

            Breasts:

            Respiratory:

            Cardiovascular/Peripheral Vascular:

            Gastrointestinal:

            Genitourinary:

            Musculoskeletal:

            Psychiatric:

            Neurological:

            Skin:  

Hematologic:

            Endocrine:

            Allergic/Immunologic:

OBJECTIVE DATA: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History unless you are doing a total H&P- only in this course. Do not use “WNL” or “normal.” You must describe what you see.

Physical Exam:

Vital signs: Include vital signs, ht, wt, and BMI.

General: Include general state of health, posture, motor activity, and gait. This may also include dress, grooming, hygiene, odors of body or breath, facial expression, manner, level of consciousness, and affect and reactions to people and things.

HEENT:

Neck:

Chest

Lungs:

Heart

Peripheral Vascular: Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses.

ASSESSMENT: List your priority diagnosis (es). For each priority diagnosis, list at least three differential diagnoses, each of which must be supported with evidence and guidelines. For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled. These should also be included in your treatment plan.

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

REFLECTION: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. Reflect on your clinical experience, and consider the following questions: What did you learn from this experience? What would you do differently? Do you agree with your preceptor based on the evidence?

 

Discussion: Assessing the Heart, Lungs, and Peripheral Vascular System

Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?

In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.

In this Discussion, you will consider how a patient’s initial symptoms can result in very different diagnoses when further assessment is conducted.

Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

To prepare:

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Note: Before you submit your initial post, replace the subject line (“Discussion – Week 6”) with “Review of Case Study” identifying the number of the case study you were assigned.

By Day 3

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Read a selection of your colleagues’ responses.

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ediatrics versus Adult

Select two diverse clinical settings; for example: ED versus ICU, PeriOp versus Med-Surg, Pediatrics versus Adults, or Sports Medicine vs. Nursing Home, etc. For your two selected clinical settings, compare and contrast the content, features, need, and value of data, information, knowledge, and decision support to clinical practitioners in those settings.

Justify the clinical elements necessary for each clinical setting and create a recommendation of necessary elements for a shared clinical system.

Make sure that you include the four expanding rings of information (EMR, warehouse, regional, NHIN/PHIN) in your analysis. Describe how the differences would alter the design or features of a clinical system. Support your statements where you claim either similarities or differences between your two settings.

Construct a justification for the shared clinical system from ethical, legal, social, and public policy viewpoints. Formulate a plan for implementation and create the necessary workflow for a successful implementation. Evaluate the role of the master’s prepared informatics nurse after implementation.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

Hebda, T. & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals (5th ed.)Saddle River, New Jersey: Pearson.

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Written Case Analyses

Written Case Analyses

Each student will prepare written analyses of 3 cases in the textbook (and one other given case study). Each written case analysis is worth 25 points. As a suggested guide to conducting such strategic analyses, you should read Appendix A in the text entitled “Analyzing Strategic Health Care Cases”. In writing your case analysis, you may use an outline format with “expanded bullet points” as long as your ideas, statements, and recommendations are expressed fully. Please answer all case questions. Students are encouraged to do outside research (such as to visit websites) as needed to investigate contextual factors related to the case. Students are encouraged to be creative.

Each written case analysis should be at least two-pages long and completed in MS Word. All files must be submitted on Blackboard should be 12-pt font double-spaced,and 1-inch  margins all around.

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EBP results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

  • Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
  • Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

  • Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

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