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Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

1. Identify the selected model or theoretical framework and discuss its relevance to your project.
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage in your proposed implementation.

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

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.

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

 Please add 5 references that are 5 years or less. I have attached my most current essay to help you with the essay.

Proposed Evidence-Based Practice Project Solution

Diane Boll

Grand Canyon University: NUR 590

12-9-2020

Proposed solutions

Diabetes mellitus type 2 is generally considered a lifestyle condition and this makes it more prevalent among individuals from lower socioeconomic status. This is because of the many barriers that prevent such individuals from accessing quality healthcare. Thus, providing improved and better healthcare to such people can be very crucial in reducing the prevalence of Diabetes mellitus type 2 (Ong et al., 2018). Achieving this would require adequately funding the healthcare facilities especially in areas where people with lower socioeconomic status live to facilitate preventive care for type 2 diabetes. Also, ensuring there is an adequate number of healthcare providers such as nurses and physicians especially in the remote areas where an individual from low-income communities’ lives is crucial in reducing the prevalence of type 2 diabetes (Ong et al., 2018). This will ensure such individuals have access to quality healthcare concerning diabetes whenever they need it. Health promotional services that involve encouraging people to practice good dietary and healthy lifestyles can offer important solutions in the management of diabetes (Butler, 2017).

Organizational structure

The proposed solutions are consistent with the community culture of cooperation between different stakeholders to promote healthcare for all to achieve the objectives of Healthy People 2020. To effectively reduce the prevalence of type 2 diabetes, strong cooperation between healthcare providers, the healthcare system, and the community is necessary. This portrays a culture of togetherness towards the achievement of a society that is free from illnesses including type 2 diabetes.

Expected Outcomes

The availability of food, good housing, access to healthcare, good education, and improved nutritional practices are some of the factors that can help reduce the prevalence of diabetes type 2 among people in low-income communities. These factors will lead to a reduction in healthcare disparities that impact negatively individuals from such communities. The expected outcome from ensuring such factors are dealt with includes equal access to quality healthcare for people from these communities as far as the issue of diabetes mellitus type 2 is concerned. Achieving equity in access to healthcare services will greatly reduce the prevalence of type 2 diabetes and this would be an important milestone towards the achievement of the objectives of Healthy People 2020.

Method to achieve the outcomes

In achieving the expected outcome of the project;

a) The nurses will fully participate in the process of implementation of this practice.

b) The physicians and other allied healthcare providers will support the nursing staff in the process of implementing evidence-based practice.

c) The nurses will work in partnership with the regional and national research institutes to implement the evidence-based practice.

d) The organization will develop an EBP mentoring program tasked to train and motivate nurses to take responsibility for implementing the evidence-based practice.

Various barriers might hinder the process of implementing evidence-based practice which includes;

a) Lack of adequate time to go through the available literature from the research might lead to the workload on available nursing staff

b) An inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018)

c) Lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.

Outcome Impact

Quality care improvement

The outcomes of the project will have positive impacts on quality care improvement as it promotes early diagnosis of type 2 diabetes for patients and initiates effective treatment. The outcomes will also promote preventive care of the disease through good dietary and healthy lifestyles (Butler, 2017). Also, having an adequate number of healthcare providers as well as adequate funding will reduce healthcare access disparities hence improving the quality of healthcare services provided.

References

Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.

Ong, S. E., Koh, J. J. K., Toh, S. A. E. S., Chia, K. S., Balabanova, D., McKee, M., … & Legido-Quigley, H. (2018). Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PloS one, 13(3), e0195086.

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

No plagiarism! 

APA style 

answer questions in complete sentences

due Saturday

Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.

Wednesday 9

 Describe the clinical components of the Arnold-Chiari II malformation. 

Benchmark – Professional Capstone and Practicum Reflective Journal (TOPIC Fall prevention strategies in hospitals)

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

RUBRIC

Attempt Start Date: 26-Oct-2020 at 12:00:00 AM

Due Date: 01-Nov-2020 at 11:59:59 PM

Maximum Points: 95.0

POWER POINT   I want talk about DIABETES 

component of the presentation   

1-introduction

 2- identification of the problem and the population

3-  project question,(IN PROJECT QUESTION WE CAN USE PICOT)

  P = patient population

I = intervention or question of interest

C = comparison of interest

O = result

T = time frame

4-description of the proposed solution,

5-literature that supports the project,

6-implementation of the plan (step by step),

7-theory of change to use,

8-plan evaluation,

9-practical recommendations,

10-conclusions,

11-references.

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and

diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is

currently taking the following prescription drugs:

• Synthroid 100 mcg daily
• Nifedipine 30 mg daily
• Prednisone 10 mg daily

Please make sure to follow the instructions listed in your Week 4 Module:

By Day 7 of Week 4

Write a 1-page paper that addresses the following:

• Explain your diagnosis for the patient, including your rationale for the diagnosis.
• Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
• Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1, 2, and 3 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 2 pages 

              Part 5: minimum 1 page

              Part 6: minimum 2 pages       

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

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: Health Care Policy 1

1. Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context.

2. Examine how Advanced Practice Nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative 

Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

Part 2: Health Care Policy 2

1. Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context.

2. Examine how Advanced Practice Nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative 

Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

Part 3: Health Care Policy 3

1. Describe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context.

2. Examine how Advanced Practice Nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative 

Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

Part 4: Adolescence: Contemporary Issues and Resources

 Topic: Smoking in adolescents

1.Describe the contemporary issue and explain what external stressors are associated with this issue.

2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.

3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

Part 5: Crisis Intervention

1. Mention and explain at least 3 stressors that are common in violent relationships. Explain your answer.

Part 6: Pharmacology

S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

Due: Sunday night at 11:59pm Mountain Time

In this assignment, you will identify soundness, bias, and reliability in statements.

Step 1: Consider the scenario:

You are a speechwriter for the mayor of Oakland. This is an election year and already the mayor’s opposition is out in force. Henry Levine, the leading GOP candidate, recently aired an advertisement on local television blasting the mayor for his handling of the city’s recent demonstrations, most of which are aimed at overturning the current financial structure of Oakland:

We know that Mayor Brooks, a graduate of Johns Hopkins Business School, is an intelligent man. He graduated first in his class and received the 1997 Young Economists’ Essay Award, becoming the youngest recipient in history to do so. Why then do we, the upstanding residents of Oakland, find our streets littered with young and disgruntled vagrants calling for anarchy as a solution to the status quo? We need look no further than the house of cards built by our current mayor. Oaklanders deserve better than what this mayor can offer. They deserve what I, Henry Levine, can offer each and every Oaklander next year.

Step 2: Assess the candidate’s speech.

Before you can begin writing the mayor’s rebuttal, you must first analyze the qualities present in Henry Levine’s initial argument. In a two-page (minimum) letter to Mayor Brooks, address the following as it pertains to Levine’s speech:

• When does Henry Levine’s speech consist of primarily cognitive content? When is it primarily emotive?
• What are the primary benefits of using primarily cognitive content within this political context? What are the benefits of emotive content?
• Identify any occurrence of bias within Levine’s speech. How can bias influence reliability?
• Evaluate the soundness of Henry Levine’s message. Do you believe his ideas are being clearly conveyed? Why or why not?

 Discuss the role, responsibility, competencies, and value of the nurse informaticist in the development, application, and integration of healthcare technology.