All posts by : chebby

 March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

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:

• Review the Resources and      reflect on the definition and goal of EBP.
• Choose a professional      healthcare organization’s website (e.g., a reimbursing body, an accredited      body, or a national initiative).
• Explore the website to      determine where and to what extent EBP is evident.

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. 

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.

• Read the articles by Sikka,      Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016);      and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might      impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP      may have on factors impacting these quadruple aim elements, such as      preventable medical errors or healthcare delivery.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

8 week class

Considering the video and the earlier article you read on Bauerline, address following questions:

1. Do you find that this is the ‘Dumbest’ generation? Why or why not?
2. Do you believe generational attributes affect communication? Explain.
3. How do you see the advances and concentration on technology impacting you, as a professional nurse? Are there communication challenges you foresee when caring for patients and families?
4. How can nurses be efficient and compassionate communicators?

Attention Wizard Kim.

          Please pay attention to this this Finals. 

             Week 11 assignment on Executive Leadership Self-Assessment and Self-Development. 

5 Pages. APA format 7th Ed.

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, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

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 within the Critical Appraisal Tool Worksheet Template (1-3 slides)

This week you will create a spreadsheet for your employees as a managerial nurse.

This spreadsheet must have 10 entries with job descriptions

Must have an hourly rate for each entry

Must have hours worked for the week

Must have total wages earned done with formula  (I will check)

Must have chart with information 

100pts

Sample attached

    Can i get 2 or 3 topic to know the one my professor will approve

Health Assessment Topic Brochure Project – Produce an informational brochure on a health assessment topic (in this text, e.g., osteoporosis) for patients in a healthcare setting. 

The topic and name of student must be submitted to and approved by the instructor. One topic per student. 

Purpose: 

· The purpose of the project is to educate a targeted audience (i.e., individual, group, or community about your specified health assessment topic in a brochure. The brochure may be double-sided.

Project Title and Overview: 

· The student will select a health assessment topic and body system of their choice to present in a brochure. 

· The health assessment will focus on a specific group, community, and/or individual.  

· You must state the:

o Purpose of your project

o Audience that you intend to reach

o Background information and 

o Relevance of the information to the target audience 

Implementation Method: 

· The brochure must be concise, clear, and goals and objectives should be stated. 

· Research and background information should be shared in the brochure. 

· A brief introduction with background information about the targeted audience and relevance of your topic selection should also be included in the introduction. 

· At the end of the brochure, include 3-5 appropriate FAQs (Frequently Asked Questions) you anticipate to be often asked by the target audience.

General Rules (when you describe the content and idea of your project):

Please be sure that when you present the content of your project it is:

· Clear (terminology is generalizable to your audience) 

· Concise (the project description and content is focused)

· Complete (the project includes everything that concerns and deals with your topic)

· Be sure that the content covers every critical aspect that is required for the intended audience to understand) 

· Credible (you must refer to up-to-date and relevant information only, never use data that is irrelevant to the matter or does not support the idea of your project)

· Includes 2-3 appropriate images, graphs, or tables, etc. 

Include as a separate document: the brochure you created copied and pasted as paragraphs into a Word doc. Using APA 7th edition cite research and source materials used in the brochure, with a reference list of source materials on a separate page.

Expected Outcomes – Please see rubric below (page 2).
 

Students Name: _____________________________________________ Total Achievable Grade 15% 

Topic: _____________________________________________________Grade: ________________

Criteria

Limited

Acceptable

Proficient

Comments

The   brochure fully and clearly provides education to a target audience about a specified   health assessment topic.

(3   points)

Description   is absent or vague; only partially addresses the target audience and topic. 

(1   point) 

Description   is clear with adequate detail; covers the major concepts behind the target   audience and topic. 

(2   points)

Description   is clear and detailed; thoroughly covers all the concepts behind the target   audience and topic. 

(3   points)

The   health assessment focuses on a specific group, community or individual. 

(3   points)

The   health assessment focus on a specific group, community or individual is   absent or vague; only partially addresses the issue. 

(1   point)

The   health assessment focus on a specific group, community or individual is clear   with adequate detail. 

(2   points)

The   health assessment focus on a specific group, community or individual is clear   and detailed; thoroughly covers the issue. 

(3   points) 

The   purpose of the project, the audience that it intends to reach, background   information and relevance of the information to the group is clearly   defined. 

(3   points)

The   purpose of the project, the audience that it intends to reach, background   information and relevance of the information to the group, is absent or   vague; only partially relates to the issue. 

(1   point) 

The   purpose of the project, the audience that it intends to reach, background   information and relevance of the information to the group is clear with   adequate detail. 

(2   points)

The   purpose of the project, the audience that it intends to reach, background   information and relevance of the information to the group is clearly and thoroughly   described. 

(3   points)

The brochure is concise, clear,   goals and objectives are stated. 

(2   points) 

The brochure is vague, unclear,   goals and objectives are not stated.

(0.5   Points)

The brochure and goals and   objectives are stated and clear with adequate detail.

(1   point)

The brochure and goals and   objectives are stated and clearly and thoroughly described clear with   adequate detail. 

(2   points)

The brochure includes appropriate   FAQs, and images, graphs, or tables, etc.

(2   points) 

The brochure does not include   appropriate FAQs and images, graphs, or tables, etc. No or fewer than the   required number of items were included.

(0.5 Points)

The brochure includes an adequate number   of appropriate FAQs (3) and images, graphs, or tables, etc. (2). 

(1   point)

The brochure includes all the   required appropriate FAQs (5) and images graphs, or tables, etc. (3).

(2 points)

Effectiveness   

The   brochure is easily legible. The overall brochure is organized in a clear,   logical way. Correct use of APA 7th edition for citations and   references.

(2   points) 

Brochure   is lacking a significant number of key elements and has inaccuracies. Poor   organization with numerous errors, including in APA format.

(0.5   Points)

Brochure   includes most material needed to gain a comfortable understanding of the   theory but is lacking one or two key elements. Moderately-well organized and   contains a few errors, including in APA format. (1 point) 

Brochure   includes all material needed to gain a thorough understanding of the topic. Brochure   looks professional, demonstrates good understanding of the information. Minimal   APA format errors.

(2 points)

Assignment:

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. 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 one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

M5 Assignment UMBO – 1, 2, 3

M5 Assignment PLG – 1, 6

M5 Assignment CLO – 1, 2, 4

Locating Resources

Study the resources in your community related to the illness group chosen in Week 1 (Obesity and Overweight). In a Microsoft Word document of 4-5 pages formatted in APA 7 style, describe the resources, including the following information:

• Identify and discuss a minimum of three community or national resources for your illness group preferably in your community (Sun City Center, Florida).
• Include in your response all the information the patient should know about the services.
  • Benefits
  • Specific services they offer.
  • Fee schedules, if and when appropriate.
  • Criteria for eligibility.
  • Application process.
  • Availability of transportation.
• Discuss integration of these resources into a plan of care.
• Discuss potential advantages and disadvantages for vulnerable populations in seeking these resources.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA 7 format. 

Please note that the title and reference pages should not be included in the total page count of your paper.

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Assignment:

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

Rubric:

 Main Posting: Response to the discussion question is reflective with critical analysis and synthesis representive of knowledge gained from the course readings for the module and current credible sources.