Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

Peterson,S.J & Bredow, T.S.(2020). Middle Range Theories. Application to Nursing Research and Practice (5th Edition). Wolters Kluwer. ISBN 9781975108311

American Psychological Association. (2020). Publication Manual of the American Psychological Association (7th ed.).

Using the practice problem you selected in Week 1, continue your appraisal of the evidence by analyzing two systematic reviews. Conduct a library search for two systematic reviews addressing this problem. Appraise the two systematic reviews using the Johns Hopkins Research Evidence Appraisal Tool.

After appraising and determining the Level of Evidence and Grade of Quality for your selected systematic reviews, summarize your findings on the Johns Hopkins Individual Evidence Summary Tool.

Include your completed Johns Hopkins Individual Evidence Summary Tool that includes your two systematic reviews as an attachment with your initial post. Also, include PDF versions of your selected two systematic reviews with your initial discussion post. Our faculty team will review both your two systematic reviews and Include your completed Johns Hopkins Individual Evidence Summary Tool.

Analyze the evidence summary of the two systematic reviews to address the following.

• Does the systematic review answer the research question? Explain your rationale.
• Was the search comprehensive and reproducible?
• Did each systematic review include a section addressing limitations and how they were addressed?
• Based on this evidence summary, would you consider either or both of these systematic reviews as support for your selected practice problem? Explain your rationale.

THIS ASSIGNMENT IS RELATED TO THE QUALITATIVE REPORT THAT WAS DONE

 Respond to each posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

 As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent, and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change.

1. Describe the background of the situation, including the rationale for and goal(s) of the change.
2. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
3. Discuss an appropriate change theory or model that could be used to achieve results.
4. Outline how you would initiate the change.
5. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.

Make sure to include slide notes of 100-250 words for each slide.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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.

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1. Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. The research community and state resources devoted to adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

2.Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.

Goal:

Design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.

You must choose one of the conditions below:

• Diabetes Mellitus,
• Congestive Heart Failure,
• Chronic Kidney Disease or
• COPD.

Your study guide must include:

• Definition, etiology
• Occurrence/epidemiology
• Clinical presentation
• Diagnostic testing
• Differential diagnosis
• Non-pharmacological and pharmacological management and follow up

Submission Instructions:

• The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.
• Include your resources and guidelines used for the elaboration of the study guide.
• Please use the attached template below to completed your assignment.
  • Guide for a Selected Chronic ConditionTemplate. (ATTACHED BELLOW)
• Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).

Name two different methods for evaluating evidence. Compare and contrast these two methods.

Pharmacokinetics and Pharmacodynamics

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare

• Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
• Think about a personalized plan of care based on these influencing factors and patient history in your case study.

By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.