Evidence translation begins with the identification of a problem or concern. Reflect upon the eight national practice problems presented in the Global Burden of Disease Research. Select one of the practice problems to address the following.

1- From a global/nationwide perspective, how does the selected practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2- Identify the national level key stakeholders who are affected by the practice problem and stakeholders involved in resolution.

3-Are clinical practice guidelines used to address this problem? Why or why not? If used, provide a brief overview of the CPG. If a CPG is not used, propose an intervention that could be implemented on a national scale to address the problem.

Please answer these questions separated and use at least 3 sources no later than 5 years and you can use the sources below.

Please read the discussion question above carefully to answer all components.  Our resources available to support your learning and work in our discussions this week are:

·   Our Chamberlain Week 1 lesson: The Practice Problem: National Issues and Nonresearch Evidence
and Appraisal of Nonresearch Evidence and Stakeholder Roles

·  The Global Burden of Disease Research Links found in your week 1 student lesson plan- scroll down to access the links to this research!!

·         Dang and Dearholt (2018):  ·          

o             Chapter 1: Evidence-Based Practice: Context, Concerns, and Challenges

o             Chapter 7: Evidence Appraisal: Nonresearch

o             Appendix F: Nonresearch Evidence Appraisal Tool

White, Dudley-Brown, and Terhaar (2016): ·          

o             Chapter 4: Translation of Evidence to Improve Clinical Outcomes

Our interactive discussion addresses the following course outcomes:

·         Investigate practice problems relevant to advanced nursing practice. (POs 1, 3, 4, 5, 6, 9)

·         Appraise practice problems at the micro, meso, and macrosystems levels. (POs 2, 3, 4, 5, 6, 9)

·         Examine the role of stakeholders in change and translation science. (POs 1, 4, 6)

·         Assess challenges and barriers related to evidence translation. (POs 3, 5, 9)

Chamberlain College of Nursing. (2019). NR-701 Week 1: The Practice Problem: National Issues and Nonresearch Evidence [Online lesson]. Downers Grove, IL: Adtalem.

Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Indianapolis, IN: Sigma Theta Tau International.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

• Morbidity and mortality, Years Lived with Disability (YLLS), QALYs (Quality-Adjusted Life Year) and DALYs (Disability-Adjusted Life Year) From the WHO:https://www.who.int/quantifying_ehimpacts/publications/en/9241546204chap3.pdf (Links to an external site.) 
• (2020). Health statistics and information systems. Retrieved from https://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/ (Links to an external site.)  
• (2020). Health statistics and information systems: Disability weights, discounting and age weighting of DALYs. Retrieved from https://www.who.int/healthinfo/global_burden_disease/daly_disability_weight/en/ (Links to an external site.)

Guides and tutorials on the Global Burden of Disease

The best resource to use to find incidence, prevalence, etc. by cause (or disease) is the GBD Results Tool: http://ghdx.healthdata.org/gbd-results-tool (Links to an external site.) (Links to an external site.)

This tool allows users to query our estimates from the latest round of the Global Burden of Disease study, GBD 2017. 

            – The GBD Results Tool User Guide: This contains help for common questions and

              troubleshooting

            – Codebook: This ZIP file contains a codebook file with the IDs AND names for all

               encoded values in the  tool, along with other useful documentation, such as a

               measure and metric definitions

            – Tools Overview: This file is a PDF guide to our data tools which also includes all

                variable names and  IDs, a glossary, and more

The GBD Results Tool includes estimates at the US state, but not county, level.

You can find our US county-level data collected on the US Data page here (may be older data): http://ghdx.healthdata.org/us-data (Links to an external site.) (Links to an external site.)

For more on searching the GHDx, please refer to the following resources:

   – Two brief introductory videos on browsing and searching the GHDx: http://ghdx.healthdata.org/help/ghdx-instructional-videos (Links to an external site.) (Links to an external site.)

    – More detailed search tips: http://ghdx.healthdata.org/help/searching-ghdx (Links to an external site.) (Links to an external site.)

Reference:

The U.S. Burden of Disease Collaborators. (2018). The state of U.S. health, 1990–2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444–1472. https://doi.org/10.1001/jama.2018.0158

 Article Analysis 

Follow directions on attachment

APA style

3 references (no older than 3 years)

NO PLAGIARISM

Introduction & Conclusion 

Answer all questions 

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

TASK

Post your initial response to the topic below.

In community and public health nursing, the target of care is the community, thus the community is the client receiving the care. The role of the nurse is to evaluate health concerns and develop an aggregate plan of care to address those concerns. Aggregates or target populations in the community may include child care centers, cities, counties, senior centers, homeless shelters, minority communities, faith-based organizations, work sites, schools, or other populations.

• Identify and discuss a few targeted populations in your community that are of interest to you.
• Provide your rationale  for the selections identified.

Week 5 Discussion Chapter: Race, Ethnicity, Gender, and Identity

3-4 paragraphs

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 9, 10
• Lesson
• Minimum of 1 outside scholarly source (in addition to textbook)

Initial Post Instructions
The lesson and textbook readings for this week emphasize that race, ethnicity, and gender are all social constructs.

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

• Option 1:Compare and contrast what is meant by the social construction of race with what is meant by the social construction of ethnicity and what is meant by the social construction of gender. How or why is it beneficial to view these as social constructs?
• Option 2: For you personally, are your racial, ethnic, and/or gender identities more matters of how you view yourself or of how others view you? In what ways is how you view yourself influenced by the larger society and culture?

Writing Requirements

• APA format for in-text citations and list of references
• Include citations from at least the assigned textbook/lesson reading and one additional outside scholarly source to support your response.

Besides two outside references and this book reference also: 

Kendall, D. E. (2018). Sociology in our times: The essentials. Boston MA: Cengage Learning

The chapter does cover on page: p. 248

This week we look at moral relativism, or the belief that morals are individual and/or cultural and not something shared by all people.

Here’s a one-minute video giving a quick but accurate explanation of individual and cultural moral relativism: LINK (Links to an external site.).

And here is a quick video by Audiopedia that accurately explains moral absolutism as compared to moral relativism and moral objectivism: LINK (Links to an external site.).

In 2013, Pope Francis said that moral relativism “endangers the coexistence of peoples.”  He said what we need for peaceful coexistence is “a common ethics based on human nature.”  He called moral relativism a kind of “dictatorship” that endangers the world (Catherine Harmon, 2013; for source click link (Links to an external site.)).

In her 2014 book called Plato at the Googleplex, Rebecca Goldstien wrote: “There used to be things that everybody thought were okay, and then just about everybody changed their minds about them, and could see that they were flat-out wrong.”  And then she asked: “So how did that happen?” (Goldstein, Pantheon Books, NY, p.113).

So, let’s talk about it.  Answer the first question and then your choice of either question 2 or question 3:

1.  Speak with a friend, fellow worker, or family member about today’s moral values.  Do they think we have a problem with moral decay today and what examples would they give to show it’s a fact?  Explain what moral relativism is and ask them if they see it as dangerous, beneficial, or neither and why.

2.  Consider the quote above from Rebecca Goldstein and answer the following: What would you give as an example of what she says everyone used to think was okay but now we don’t?  Does this view of moral history support the idea of moral relativism or not?  In other words, if we believe we’ve made some moral progress in history, would that suggest we are moral relativists or that we believe in some objective moral values?

3. Without getting into politics and without being disrespectful of others, would you describe President Donald Trump as a moral relativist, moral absolutist, or something else morally?  And why?  This is simply trying to describe what we see as factual and not trying to judge whether it’s good or bad at this point.

2400 words due 9/29/2020 Opioid crisis survey discussion

Prompt 1 Opioid crisis survey discussion

1. (200 words) Describe the type of data that would need to be collected if you were to create a survey to assess the use of opioids in Anytown. 

2. (200 words) Who would take the survey (researchers, nurses, and public health officials?)

3. (200 words) How would you analyze the data from the survey? 

4. (200 words) Why is it important for researchers and public health officials to use surveys?

5. (200 words) How can researcher ensure that their survey produce unbiased data? 

Prompt 2 Pathways to Safer Opioid Use Scenario

· Link to access scenario: https://health.gov/hcq/trainings/pathways/index.html

· Use the link above to complete the character role of the patient James Parker. You can work through this character more than once, making different decisions to alter the outcome. Once you have completed this role, answer the following:

1. (200 words) What decisions did you make? 

2. (200 words) Did you change any of your answers?

3. (200 words) Did anything surprise you? 

4. (200 words) As a public health professional, how can you work with patients affected by the opioid crisis? 

5. (200 words) Now that you have completed the entire scenario, do you have a better understanding of the diverse perspective needed to combat Opioid epidemic?

6. (200 words) What steps can health workers, and public health officials take to reduce the individuals impacted by this epidemic?

7. (200 words) What governmental resource are available to assist in fighting this epidemic evaluate the effectiveness of these agencies?

Response should be in APA 7th edition with at least 5 credible source and subheadings

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 3 pages

              Part 3: minimum 1 page

              Part 4: minimum 3 pages 

              Part 5: minimum 1page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

           Part 2: Minimum 6 references per part not older than 5 years (Blogs and encyclopedias are not admitted)

           Part 4: Minimum 6 references per part not older than 5 years (Blogs and encyclopedias are not admitted)

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

You are a school nurse in a middle school when Jamal comes to the nurse’s office requesting medication for a headache. You notice that his eyes are red, and it appears as if he has been crying. You ask if he is hurt, but he denies it. The phone rings in the office, and a teacher tells you that a female student has approached her concerned about Jamal. The teacher tells you that Jamal sent her a text message saying that he flunked his biology examination and wished he was dead.

1. If Jamal shared with you a suicide plan that includes harming himself with a weapon, what would be your first nursing intervention?

2. What educational program would you develop for the middle school to educate students about ways to cope with stress and how to respond if a friend needs support?

Part 2: Community Nursing 2

 Topic: Severe Acute Respiratory Syndrome  

a. Introduction (general)

b. Introduction of the disease / problem 

c. Signs and symptoms and diagnosis of the disease

d. Factors that may have contributed to the emergence or reemergence of this infectious diseases

e. Mention the goals of Healthy People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

f. CDC (priority for public health) response to this specific infectious disease 

g. Thought about emerging antibiotic -resistant microorganisms

h. Role as a community health nurse 

i. Explain  3 Research studies (eviewed journal articles) about Severe Acute Respiratory Syndrome  

j. Conclusion

Part 3: Complementary nursing

 Topic:  Shamans, Faith and Prayer

1. Do you consider yourself a spiritual or religious person? Explain why? 

2. What is the importance of your faith in your daily life?  

Part 4: Crisis Nursing Intervention

 Topic:   PTSD 

1. What is PTSD?

2. Statistics 

3. Diagnostic criteria / Categorization

4. Physiological Responses

5. Maladaptive Patterns 

6. Interventions / Treatments (pharmacological and non-pharmacological)

7.  Other considerations in the management of _________ (including but not limited to management of behaviors, family considerations, challenges in the care of patients with this disorder.

8. conclusion

Part 5: Nursing and aging

 Topic:  Mobility and Neurologic Function

1. Describing two (2) of the normal age-related changes that produce challenges in maintaining physical activity in the elderly.

      a. Discuss two (2) physical activities that can enhance health in this population about point 1.

2. Identify two (2) signs and symptoms of TIA versus CVA. 

     a. How are your interventions the same or different?

1-Explanation of how healthcare policy can impact the advanced practice nurse profession 

2-Explanation of why advocacy is considered an essential component of the advance practice nurse’s role

3- Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change 

Description

Explanation of how healthcare policy can impact the advanced practice nurse profession 

Research healthcare policy for APNs on a state and national level and the impact on the APN profession 

Explanation of why advocacy is considered an essential component of the advance practice nurse’s role  

Describe advocacy in healthcare terminology. 

Discuss how advocacy is an essential role of the APN and the impact on patient care. 

Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change 

Define Transformational leadership. 

Discuss how Transformational Leadership may have an effect on influencing policy change

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors. 

Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings. 

Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice. 

All writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA formatted citations and associated scholarly, current references. 1500 words

similarity no more than 10%

 Assignment #1: Research Specialty Care Paper ChooseonetopicfromthefollowingfortheAPApaper:1.HIV/AIDS Specialty Care for Pregnant women 2.HIV/AIDS Specialty Care for PediatricsThe paper must be in APA style and allin-text citations should be in APA format, with a minimum of 6 pages and a maximum of 8 pages in double spaces not including the cover and reference pages. You must read the Turnitin Policy prior to submitting this paper.