Reply to this discussion (site sources if applicable)

Stakeholders are an important entity in an organization’s performance and operations; A stakeholder is a person or group that is involved in or affected by a course of action (Hughes-Rease,2015). internal stakeholders are within an organization and include health care professionals, administration and others that play important roles. External stakeholders include patients, suppliers, health insurance providers and other financial organizations; they also play an important role in the organizational operations. The support of stakeholders is important in the success of the change proposal because they have a large influence on the organization, and they would help provide knowledge, skills and resources to implement the change. The way to secure their support would be to keep them informed about the proposal and the changes that would need to be made and to demonstrate to them the EBP that supports the proposal. Keeping stakeholders involved in all parts of the proposal will allow them to provide input and to generate a positive adoption of the change.

PLEASE NO PLAGIARISM AND NO INTERNET SOURCES. 

STRICTLY SCHOLARLY SOURCES ONLY. 

USE APA FORMAT ONLY

PLEASE READ THE INSTRUCTIONS PROPERLY

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.

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.

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.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Base the above assignment based off of this information I posted below.  The Rubric is attached

For this paper, the selected survey tool for assessing organizational culture and readiness for implementation of evidence-based practice (EBP) is the Organization Culture and Readiness for System-Wide Integration of Evidence-Based Practice (OCRSYWI). The role of this tool is to aid in the investigation, evaluation, and to determine if the organization is ready for the implementation of evidence-based practice.

Organization’s Readiness Level

The process of investigation revealed several issues about the readiness of the organization for the implementation of evidence-based practice. One is that nurses are demonstrated and promised to fully participate in the process of implementation of this practice. Also, the physicians and other allied healthcare providers promised to support the nursing staff in the process of implementing evidence-based practice. The availability of the research department is another evidence of the readiness of the organization to implement the evidence-based practice. In this department are nurses working in partnership with regional and national research institutes. The research personnel, therefore, aid the nursing staff in the translation of research findings to practice. Finally, the organization has an EBP mentoring program that is tasked to train and motivate nurses to take the responsibility of implementing the evidence-based practice.

Barriers.

Several barriers have been identified to hinder the process of implementing evidence-based practice. They are both human and institutional factors. One of the barriers is the lack of adequate time to go through the available literature from research. This is attributed to nursing shortages which leads to too much workload on available nursing staff. Another barrier is the inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018). Lastly, the lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.

Facilitators.

Among the facilitators of implementation of evidence-based practice includes the readiness of the nursing staff and other healthcare providers to receive training on the process of implementing EBP. Also, the willingness of the healthcare organization to support the whole process of implementing evidence-based practice in the management of diabetes type 2 among people with lower socioeconomic status is a facilitating factor. This is important as it ensures that the implementers have all the necessary resources to achieve the desired outcomes (Duncombe, 2018).

Problem Statement.

Diabetes mellitus type 2 is one of the common chronic diseases in the current society. The majority of the people affected by this disease are those from the lower socioeconomic status. Diabetes mellitus type 2 is considered a lifestyle condition. As a result, its prevalence is high among people of lower socioeconomic status due to barriers that hinder them from accessing quality health care services (Xu et al., 2018). These barriers are both social and physical determinants of health. These are the factors that affect where how people live, grow, interact, and even die. They include housing, availability of food, access to healthcare, level of education, and nutritional practices (Walker, Williams & Egede, 2016). These factors are experienced differently by people. As a result, there are disparities in health and its outcomes among the people. These disparities are high among the people of low socioeconomic status and suffering from diabetes mellitus type 2. Therefore, providing quality and equal healthcare service to the people is essential in reducing the disparities observed among these people as far as diabetes mellitus type 2 is concerned. This is essential in the achievement of the goals of healthy people 2020.

Research Summary and Literature Review.

According to research, there are significant health disparities related to diabetes in America. The disparities are associated with different social and physical disparities of health. These are the factors that affect the health and the outcomes of health among the people. The factors that determine health are systemic, societal, and individual in nature. Systemic factors are those that are related to the healthcare system. These include a lack of adequate resources, or policies and a shortage of healthcare providers. The healthcare system is not adequately funded to provide adequate preventive care to the people of America (Ong et al., 2018). As a result, individuals are being diagnosed with diabetes which could have been prevented. Availability of adequate resources ensures that community healthcare workers are able to provide preventive and health promotional services to the people regarding diabetes. This is likely to impact people with low socioeconomic status at risk of developing diabetes. For those who already have the disease, the provision of health promotional services help to prevent complications from arising.

Lack of adequate healthcare providers such as nurses and physician is another important factor that contributes to poor health outcomes among people of low socioeconomic status with diabetes (Ong et al., 2018). This is because the majority of the case is diagnosed late when the disease has already advanced to critical stages. Without adequate nurses and doctors, such patients are likely to receive low-quality care. Poor healthcare policies are associated with disorganized healthcare delivery. As a result individuals of the low socioeconomic class are likely to be discriminated against by the healthcare system hence resulting in poor delivery and access to healthcare.

Societal factors include those that affect the structure and nature of healthcare delivery. They include the geographical location of individuals and the healthcare facilities. The majority of the people of low socioeconomic class live in remote or slum areas. Healthcare facilities are not usually present in these areas. As a result, people have to move a long distance in search of healthcare services (Hill-Briggs et al., 2020). For conditions such as diabetes mellitus, any delay in intervention could result in devastating health outcomes for the people.

Individual factors that influence the incidence and prevalence of diabetes among the individual with low socioeconomic status are dietary practices and sedentary lifestyle. Due to lack of adequate finance, these individuals usually feed on unhealthy food that increases the likelihood of developing or complicating diabetes (Butler, 2017). A sedentary lifestyle such as lack of physical activity is another factor that contributes to the high prevalence of diabetes among the identified group. Therefore, evidence-based practice plays an essential role in the prevention and appropriate management of diabetes among such people in America today.

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.

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2020). Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care.

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.

Walker, R. J., Williams, J. S., & Egede, L. E. (2016). Influence of race, ethnicity and social determinants of health on diabetes outcomes. The American journal of the medical sciences, 351(4), 366-373.

Xu, G., Liu, B., Sun, Y., Du, Y., Snetselaar, L. G., Hu, F. B., & Bao, W. (2018). Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study. Bmj, 362, k1497.

How does data become knowledge and finally wisdom? Explain the relationship between knowledge acquisition, knowledge processing, knowledge generation, knowledge dissemination, and wisdom. Then provide examples from your clinical practice (or past work experiences) according to the following:

a. Examples of knowledge acquisition

b. Examples of knowledge generation

c. Examples of knowledge processing

d. Examples of knowledge dissemination

e. Examples of the use of feedback

All examples form nursing field.

  it is not uncommon for students to identify with the need to improve communication and style. What are strategies or ways you think you can improve your communication style that you have learned with your readings? Why is it important to educate yourself on ways to make improvements in skills that will impact your ability to be a better leader? 

2 references 1 page

Assignment: 

The objective of assignment is to provide a Power Point Presentation about all vaccines including the Flu vaccine in the pediatric population. Your primary goal as a Family Nurse Practitioner is to educate parents about the importance of vaccination and understanding their beliefs and preference by being cultural sensitive in regards this controversial topic. This is an individual presentation and must include a minimum of 8 slides with a maximum of 10 slides. 

This presentation must include a “Voice Presentation”. Please, this part includes as a note in each slide, so I can read it. Thank you.

and the following headings: 

*Voice attached in all slides. Please use notes, so I can read it.

ALL REFERENCES FROM USA and within 5 years. 

1.  Introduction (Clearly identifies the topic and Establishes goals and objectives of presentation)

2.  Clinical Guidelines Evidence Based Practice per CDC – (Presents an insightful and through analysis of the issue (s) identified. Excellent Clinical guidelines)

3.  Population and Risk Factors (The population is identified and addressed as well the topic(s) and issue(s) 

4.  Body and Content: (Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied. Very creative and Supports the information with strong arguments and evidence.

5.  Education – (Presents detailed, realistic, and appropriate recommendations and education including parents/patients)

6.  Conclusion. Excellent Conclusion clearly supported by the information presented 

Discussion: Health Education Program Budget

What are some of the typical line items that appear in a health education program budget? What are direct costs? What are indirect costs?

I need to make A Draft literature review about topic (machine learning application in cardiovascular disease) 

Description of Assignment: 

You are to locate research articles on your pre-approved topic. You are to write not less than 15 pages  summary the general theme(s) of these articles as it pertains to your topic. A reference sheet, listing the articles should also be included (this does not count toward your page limit). This summary should serve as the background/foundation for your survey instrument.  

ASSIGNMENT BASICS

Articles ,

Theme, Background/Foundation , Research Question( obesity as a risk factor in Cardiovascular disease ), Reference Sheet

 Respond to  your  colleagues by recommending at least one additional way you would treat a  child or adolescent client differently than you would an adult and at  least one additional way you would address the legal and ethical issues  involved. 

NOTE: Positive Comment

                                                     Main Discussion

This  discussion requires one to discuss the case of an adult client that had  a psychiatric emergency and discuss the different approaches that would  be taken if the client was a child or an adolescent. Indeed, this is a  common in the behavioral and psychiatric health facilities or settings.  What clinicians working in this setting may fail to consider is the fact  that different approaches should be used when interacting with an adult  and when interacting with a child or an adolescent and this is  regardless of whether the case is a psychiatric emergency or not.  However, in this discussion, attention to context shall be on a  psychiatric emergency.

 Psychiatric  emergencies may be manifested in different ways and others may require  that the patient should be involuntarily admitted to a mental health  facility because of the potential of causing harm to self or others.  When such decisions have to be made, it is always important to note that  the freedom of the client may be disregarded and this presents serious  ethical and legal issues that should not be ignored (Marty et al.,  2019). An adult male was presented to the behavioral health facility  with bruises on his neck. His wife narrated that she got into the house  at the right time and found him on the living room. He had purchased a  rope with the view of committing suicide. This was a patient with a  history of major depressive disorder that was recurrent.  Suicidal  attempt is a major psychiatric emergency (Sudarsanan et al., 2004).  Because of this psychiatric emergency, it was decided that he had to  undergo involuntary admission for purposes of mental health  stabilization. All states including the District of Columbia have laws  regarding emergency hold due to psychiatric emergencies. The only  differences pertain to the length of the hold, the extent of judicial  oversight, persons that can initiate the making of these decisions and  the rights of the person that has been put on emergency hold. For  instance, 2 states require some aspects of judicial review before the  decision is made. 9 require a judge to certify the decision and 5 states  have no guarantee regarding the assessment by a qualified mental health  professional at the time of the hold (Hedman et al., 2016). These are  laws that guide the involuntary admission of adults due to psychiatric  emergencies.

 If  this a case of a child or adolescent, state laws still apply, and such  laws should be adhered to at all times. In many states, minors are  considered to be incompetent when it comes to making decisions about  their health. In this case, due to a psychiatric emergency cause by a  suicide attempt, a parent can initiate the decisions and give consent to  the hospitalization of the child even if the child protests. When this  happens, the child may also not be discharged from the hold until the  parent or the guardian authorizes the release. In some states, younger  minors up to the age of 14 may not have a say. In other states, older  minors may be heard if their protest. A counsel may be required to make  sure that the due process is followed (Menninger, 2001). In this case,  the parents would be consulted and advised accordingly. If they consent  to the involuntary hold due to a suicide attempt, it would be  implemented immediately.The  rights of a child have to be protected at all times and there is need  to make sure that the surrogate decision makers of the child are  involved in the decisions that shall affect the rights of the child  especially if the freedom of the child is going to be affected through  an involuntary psychiatric hold.

References

Hedman,  L. C., Petrila, J., Fisher, W. H., Swanson, J. W., Dingman, D. A.,  & Burris, S. (2016). State laws on emergency holds for mental health  stabilization. Psychiatric Services, 67(5), 529-535

Marty,  S., Jaeger, M., Moetteli, S., Theodoridou, A., Seifritz, E., &  Hotzy, F. (2019). Characteristics of psychiatric emergency situations  and the decision-making process leading to involuntary admission. Frontiers in psychiatry, 9, 760.

Menninger, J. A. (2001). Involuntary treatment: Hospitalization and medications. Jacobson, James L. y Jacobson, Alan M.; Psychiatric Secrets, second edition. Philadelphia, PA: Hanley & Belfus, Inc, 477-484.

Sudarsanan, S., Chaudhury, S., Pawar, A. A., Salujha, S. K., & Srivastava, K. (2004). Psychiatric emergencies. Medical Journal, Armed Forces India, 60(1), 59

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.