Minimum of 250 words with at least 2 peer review reference in 7th edition apa style
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
Directions. Using Chapters 7, 8, and 9 of your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.
Cardiovascular System
Alterations of the cardiovascular system can cause serious adverse events and may lead to death when not treated in a timely and safe manner. Unfortunately, many patients with cardiovascular disorders are unaware until complications appear. In clinical settings, patients often present with symptoms of several cardiovascular disorders, making it essential for you, as the advanced practice nurse, to be able to recognize these symptoms and recommend appropriate drug treatment options.
This week, you examine the impact of patient factors that may lead to changes in pharmacokinetic and pharmacodynamic processes on patient drug therapy for cardiovascular disorders. You also explore ways to improve drug therapy plans for cardiovascular disorders based on patient factors and overall health needs.
Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
· Chapter 33, “Review of Hemodynamics” (pp. 285–289)
· Chapter 37, “Diuretics” (pp. 290–296)
· Chapter 38, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 297–307)
· Chapter 39, “Calcium Channel Blockers” (pp. 308–312)
· Chapter 40, “Vasodilators” (pp. 313–317)
· Chapter 41, “Drugs for Hypertension” (pp. 316–324)
· Chapter 42, “Drugs for Heart Failure” (pp. 325–336)
· Chapter 43, “Antidysrhythmic Drugs” (pp. 337–348)
· Chapter 44, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 349–363)
· Chapter 45, “Drugs for Angina Pectoris” (pp. 364–371)
· Chapter 46, “Anticoagulant and Antiplatelet Drugs” (pp. 372–388)
Required Media (click to expand/reduce)
…heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…
—Murphy et al., 2018
Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.
Photo Credit: Getty Images/Science Photo Library RF
As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.
Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm
Write a 3-page paper that addresses the following:
At least 3 citations. APA format 7th edition
DQ1
Technology has become a vital part of healthcare delivery. Wireless mobile devices allow patients to communicate with their doctors virtually, and keep track of their labs and diagnostic test results through a portal. Remote patient monitoring (RPM) is expected to be an important advancement in the future of healthcare, especially for the treatment of patients with chronic diseases (Buchholz et al. 2016). RPM will allow health professionals to receive timely information about the patient’s health, and is expected to improve the accuracy and speed of diagnosis. Patient information systems like a portal, make it possible for transfer of information from one source to another easily. In addition, applications are being developed that make it easier for doctors to access professional literature, and educational projects straight from the internet (Floyd et al., 2014). Today in the US, the health care industry is seen as one of the most promising areas for the introduction of mobile technology. Using innovative technologies can save money spent on maintaining health care systems, and reduce the cost of repeated hospitalization.
For my capstone project, I plan on using educational videos on tablets to help facilitation patient discharge education. I will use the status translating system to virtually translate all discharge education information into their language, I will also use the hospital computer to provide information to the patient on their medications and diet. Follow up with their provider after discharge can be completed with RPM.
Buchholz, A., Perry, B., Weiss, L. B., & Cooley, D. (2016). Smartphone use and perceptions among medical students and practicing physicians. Journal of Mobile Technology in Medicine, 5(1), 27-32.
Floyd, C. N., Parmesar, K., & Ferro, A. (2014). Monitoring of hypertension using smartphone applications: A systematic review. Canadian Journal of Cardiology, 30(10), S213.
DQ2
Healthcare technology is used to improve delivery of safe patient care by providing tools for early diagnosis, ongoing monitoring, and treatment of patients. This technology includes bedside physiological monitors, pulse oximeter devices, electrocardiogram machines, bedside telemetry, infusion pumps, ventilators, and electronic health records (Schoville & Titler, 2015). One technology that can be implemented from my capstone project is the electronic health record (EHR). The EHR is a documentation tool that yields data useful in enhancing patient safety, evaluating care quality, maximizing efficiency, and measuring staffing needs. It is also a tool to study appropriate nurse staffing and to gauge or predict staffing needs. Documentation of nursing care in the HER directly influence patient safety as it facilitates real-time communication among all healthcare providers.
While considering ways to reduce the nurse workload, I found recommendations for Improving documentation. Nursing-sensitive medication administration data can be digitalized and synchronized in the EHR. This will combine bar code medication administration technology at the point of care with real-time medication surveillance of therapeutic goal attainment, enhanced adverse drug-event alerts, and adverse event-surveillance information. Bar code data could be used to do more than identify the patient and report medication administration doses, the additional synchronization of information would broaden the scope of the medication-administration patient safety zone. This would give nurses more efficient access to information which the nurse actually uses when administering medications. Additional information, triggered by the bar code, might help the nurse to: Identify and evaluate the appropriateness of the drug dose and route, given the drug’s specific therapeutic goal and respond to an enhanced, real-time medication contraindication/drug interaction check with the EHR, by linking the drug on the same screen with the most recent, clinically relevant laboratory values (Lavin, Harper, & Barr, 2015).
For example, if a low serum potassium value were to appear, it would prompt the nurse to request a supplement for the patient receiving a thiazide. It is important to note that the nurse currently takes these steps manually in a time-consuming process, searching for the potassium values while preparing the drug for administration. The electronic process being recommended can be both more efficient and safer. Electronic medication records (eMARs) should also include trending of medications along with clinically relevant laboratory values, to keep busy nurses from having to retrieve the labs from another flow sheet in the EHR. In each of these examples, the data were already contained within the EHR; they simply needed to be connected in a nurse-and-patient-safety-sensitive manner (Lavin, Harper, & Barr, 2015).
Lavin, M., Harper, E., Barr, N., (2015). Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings. The Online Journal of Issues in Nursing Vol. 20 No. 2. Retrieved from https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No2-May-2015/Articles-Previous-Topics/Technology-Safety-and-Professional-Care-Documentation.html
Schoville, R., & Titler, M. (2015). Guiding healthcare technology implementation: A new integrated technology implementation model. CIN: Computer, Informatics, Nursing; 33(3):99-107. Retrieved from https://www.nursingcenter.com/cearticle?an=00024665-201503000-00004
Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?
1- Discussion question: A predominant theme in research today is obesity, which is increasing at an alarming rate worldwide, and is most prevalent in the pediatric population.
a. In your viewpoint as a nurse, why should this be of concern in the region where you live?
b. What concepts of obesity need to be taken into consideration?
2- 3 paragraphs of 3 sentences each
3- APA style
4- 2 references not older than 2015
elder abuse apa style
reply1
Hi Maria! Thank you for sharing your response. Reflecting on the organization in which you are currently employed, what evidence based interventions or changes has the organization undergone? At the time of implementation, did you observe barriers that prevented nurses from participating in the change process? What barriers were present, and what was done to effectively remove these barriers?
Professor Hanson
reply2
The definition of evidence-based practice is to ‘integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible” (Finkelman, 2019). The use of evidence-based practice is necessary in nursing care in order to provide patient-centered care that is effective and of good quality (Finkelman, 2019).
Warren et al. (2016) identify the main barriers to the implementation of evidence-based practice by nurses as a lack of organizational readiness to implement evidence-based practice, lack of fiscal resources to support evidence-based practice education, and age and work experience with younger, less experienced nurses lacking the confidence to implement evidence-based practice into their nursing practice.
I personally have little experience with evidence-based practice and research and believe that one of the most prominent barriers to implementing evidence-based practice I have seen is lack of knowledge about evidence-based practice and research and lack of experience in the use of evidence-based practice in nursing care. Strategies that can be used to remove these barriers are measures such as taking a course on evidence-based practice, consulting advance practice nurses on the use of evidence-based practice, attending a conference where the use of research in nursing practice is presented, volunteering to serve on committees to set policies and protocols, or by staring a program where experienced nurses can mentor newer, less experienced nurses (Finkelman, 2019).
Article link:
https://ct1.medstarhealth.org/content/uploads/sites/116/2016/02/systemchallengesofEBP-2.pdf
Introduction
Instagram, Snapchat, and Facebook are undoubtedly dominating the world of online social networking, and the willingness of many users to self-disclose personal information ranging from moods to religious affiliation, relationship status, and personal contact information has led to an increase in privacy concerns. They offer convenient opportunities to stay in touch with friends, family, and coworkers, but are people using them responsibly? Some argue that there are fundamental differences between today’s digital natives, whose private and public selves are intertwined through these technologies, and older generations (Kornblum, 2007).
Even though some colleges are offering seminars on managing privacy online, we still hear stories of self-disclosure gone wrong, such as the football player from the University of Texas who was kicked off the team for posting racist comments about the president or the student who was kicked out of his private, Christian college after a picture of him dressed in drag surfaced on Facebook. However, social media experts say these cases are rare and that most students are aware of who can see what they are posting and the potential consequences (Nealy, 2009). The issue of privacy management on Facebook is affecting parent-child relationships as well. As the website “Oh Crap. My Parents Joined Facebook.” shows, the results can sometimes be embarrassing for the college student and the parent as they balance the dialectic between openness and closeness once the child has moved away.
Instructions
For this assignment, address the following:
Writing Requirements (APA format)
Grading
This activity will be graded based on W7 Reflection Grading Rubric.
Course Outcomes (CO): 5, 7
Due Date: By 11:59 p.m. MT on Sunday
References
Kornblum, J. (2007). Privacy? That’s old-school: Internet generation views openness in a different way. USA Today, 1D. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=J0E220919494007&site=eds-live&scope=site
Nealy, M. J., (2009). The new rules of engagement. Diverse: Issues in Higher Education. 26(3), 13. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a2h&AN=37584844&site=eds-live&scope=site
Oh crap. My parents joined Facebook. (n.d.). https://myparentsjoinedfacebook.tumblr.com/
