All posts by : chebby

The course content culminated with an examination of policy, and appropriate end point because every previous topic influences policy and policy impacts each area of healthcare.

For the final examination, select a healthcare related policy — either one in existence or (more difficult) one you would propose — and in a 3 – 5 page paper explain its purpose and impact. 

As this is a cumulative examination, your analysis must include how the policy influences some or all of the realms explored this semester. In other words, this is your opportunity to demonstrate your understanding of the complexities of healthcare.

In considering which policy to examine [I considered specifying the topic, but prefer to let your creativity flow], adopt a broad perspective. Appropriate topics range from broad public health initiatives (mandatory seat belt use, prohibition on tobacco advertising, older drinking age) to fiscal influencer (readmission penalties, never events, HIT incentives and penalties, block grants) to operational mandates (CON requirements, limits on training hours, EMTALA, quality improvement initiatives).

Condensing your research and findings into a concise and precise paper is a major challenge. It is also a practical skill.

Please post any questions concerning this assignment within this Discussion. Post your final submission in the Assignments folder.

For this assignment, you will locate two research studies related to the topic and PICOT questions that you developed in Week 2. The articles must be current (within the last five years), and one article must be quantitative, and one article must be qualitative. (The topic I used in week 2 was Juvenile Idiopathic Arthritis.)

Article choice is very important, therefore:

• Articles used for this assignment cannot be used for the other assignments. The selected articles should be original research studies. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review articles should not be used.
• Mixed-methods studies should not be used.

There are two parts to this assignment.

Part 1: Complete a Rapid Critical Appraisal Checklist

• Select one each: qualitative and quantitative research articles.
• Create a Rapid Critical Appraisal Checklist for the two research articles (one column per article).
• Complete with brief, concise, summarized information.

Part II: Write a summary (one- to two- pages)

• Identify differences between quantitative and qualitative designs and research methods.
• Use current APA Style for your summary paper and to cite your sources.
• Submit the checklist and summary.

Discuss the nursing implications of the findings of the research.  Consider the following questions

What are the risks vs. benefits to practice of the findings?  

 Fact Sheet or Talking Points Brief
Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues. 

2 discussion

1 PowerPoint 

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

              Part 1: Minimum 5 pages

              Part 2: minimum 4 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 5 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: Environmental Factors and Health Promotion

Population: Children 

Environmental factor: Water pollution

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. 

For this assignment, research an environmental factor (Water pollution)  that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

In developing your work, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the research is tailored.

Include the following in your presentation:

1. Describe the selected environmental factor (Water pollution). 

 a. Explain how the environmental factor you selected can potentially affect the health or safety of infants.

2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

4. Offer examples, interventions, and suggestions from evidence-based research. 

1.  For these examples, you must include at least three scholarly resources. Two of the three resources must be peer-reviewed 

5. Provide two (2) community resources, a (1) national resource, and a (1) Web-based resource. Include a brief description and contact information for each resource.

Part 2: Genetics Paper

Topic: Down syndrome

Conduct a literature search of recent journal articles (peer-reviewed ONLY) -[Web pages, thesis, or bibliographic reviews are not allowed] within the last three years that pertain to your topic (Down syndrome). 

You must select four articles for this assignment.

1. A brief introduction (1/2 page)

2. Identify findings, statements, and positions that agree between the articles and that disagree

3. Identify any evidence-based support for the claims made in the literature.

4. Synthesize the knowledge gained from your literature research into a comprehensive understanding of the topic (Don’t write in the first person).

3. Draw and summarize your own unique conclusions based on a comprehensive understanding of the topic and your research (Don’t write in the first person).

1. List the major functions of the following componets fo the netral nervous system.

     a. cerebral cortex–frontal lobe

     b. cerebral cortex– parietal lobe

     c. cerebral cortex — temporal lobe

     d. cerebral cortex — Wernicke’s area

     e. cerebral cortex — Broca’s area

     f. basil ganblia

    g. thalamus

    h. hypothalmus

    i. cerebellum

    j. midbrain

    k. pons

   l. medulla

   m. spinal cord

2. List the primary sensations mediated by the 2 major sensory pathways of the CNS

3. Describe 3 major motor pathways int eh CNS, including the type of movements mediated by each.

Reply answering the questions above using APA format.

Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. 

National Practice Problem Exploration

According to the Global Burden of Disease Research, one of the major practice problems in the world is diabetes (Murray, Abbafati, Abbas, Abbasi, Abbasi-Kangevari,Abd-Allah, Aboyans, 2020). Diabetes is a disorder that results from the less production of insulin or no production of insulin. Insulin is very important in controlling the blood sugar level; thus, patients with diabetes have a problem with high sugar levels in their bloodstream. This paper discusses the impacts of diabetes on nurses, nursing care, healthcare organizations, and the quality of care being provided. It also identifies the national-level key stakeholders who are affected by diabetes and stakeholders involved in the resolution. Lastly, the paper provides clinical practice guidelines (CPGs) in diabetes management.

Impact

The practice problem of managing diabetes impact the nurses and their role. They are forced to educate the general population of healthy life practices and styles that are useful in preventing diabetes. It also impacts health organizations because the management of diabetes needs a lot of policies and interventions that need to be put in place by health organizations. This practice problem also affects nursing care because it requires a lot of nursing care attention, thus overburdening the few nurses we have. Lastly, due to the increasing diabetes cases and high demand for its care, the quality of care provided might be substandard due to work overload. However, the use of evidence-based practice and other policies such as the ACA provides the opportunity of improving the quality of care being provided to diabetic patients.

Stakeholders Involved

Various stakeholders are involved in the management and control of diabetes. One such stakeholder is the patients. The patients have the role of self-care and adherence to the health instructions provided by healthcare providers. Healthcare providers such as nurses and many others are also vital stakeholders in the national management of diabetes. They provide health education and care for the patients. They also advocate for policy formulations that enhance the care for diabetic patients. Family members and friends of diabetic patients are also important stakeholders because they help provide home care to patients (Bennett, Robbins, Bayliss, Wilson, Tabano, Mularski & Li, 2017). National health institutions such as CDC are also important stakeholders because they provide policies and guidelines that effectively manage diabetes. The government’s political goodwill to support the healthcare organizations and the patients also makes them part of the national stakeholders in the management of diabetes.

Clinical Practice Guidelines and Diabetes Management

Some of the clinical practice guidelines provided in the management of diabetes has been based on evidence-based practice. However, a lot of interventions need to be done to promote the prevention and treatment of diabetes. Some of the interventions that can be made include an intensified national campaign informing and enlightening the population on how to prevent and manage diabetes. Policies that reduce the cost of care and diabetes management are also essential because diabetes is a lifelong problem, and it requires a lot of resources. There is also the need to integrate technological advancement in the management of diabetes.

In conclusion, diabetes management is a major practice problem that affects nurses, nursing care, healthcare organizations, and the quality of care. It requires several stakeholders such as patients, healthcare providers, policymaking institutions and the government. There is also a need to enhance the interventions process, such as using technology, policy formulation and creating awareness on prevention and management of diabetes.

References

Bennett, W. L., Robbins, C. W., Bayliss, E. A., Wilson, R., Tabano, H., Mularski, R. A., … & Li, T. (2017). Engaging stakeholders to inform clinical practice guidelines that address multiple chronic conditions. Journal of general internal medicine, 32(8), 883-890.

Murray, C. J., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasi-Kangevari, M., Abd-Allah, F., … & Aboyans, V. (2020). Five insights from the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1135-1159.

WHAT ARE SOME OTHER IDEAS THAT CAN CHANGE THE ORGANIZATIONAL OR COMMUNITY CULTURE TOWARDS IMPROVING THE NATIONAL PRACTICE PROBLEMS? PLEASE AT LEAST TWO -THREE PARA GRAPH. 

NU310-6: Synthesize research evidence for best practice to improve patient outcomes.

Read this Article

The purpose of this assignment is for you to incorporate research evidence into a clinical model for a practice change. Using the Iowa Model for Evidence Based Practice as a guide, develop a concept map/schematic that shows the pathways necessary for a clinical change that you would like to see implemented in your current practice setting.

The concept map should include the 7 steps below in schematic format:

1. Formulate a clinical problem that is nursing sensitive and patient focused. Develop a PICO statement to articulate a research question>

P=Population (Who is your population of interest to be affected?)

I= Intervention (What intervention will you implement to address the clinical problem?)

C= Comparison (Will you be comparing one intervention with another or an intervention with existing protocols?)

O= Outcome (What is the desired outcome from the intervention?)

T= Time (How long will the change take to implement?)

2. Determine organizational commitment

3. Develop a team to gather and appraise evidence

4. Determine if reasonable evidence exists to implement the clinical change

5. Implement a pilot change to test the feasibility

6. Evaluate the change/plan

7. Disseminate the results.

The schematic/concept map should fit on one page. On a separate page, explain the rationale and process of each step of your model (briefly), incorporating references as cite sources in correct 6th edition APA style and format. You do not need to include a title page for this assignment. Provide your reference list on a separate page, with between 4-5 current scholarly references. The total submission should be no more than 3 pages.

.doc file