All posts by : chebby

 My practice problem will be on:                  Under diagnosis of diabetes: cause, effect and risk factors

Download the Johns Hopkins Research Evidence Appraisal Tool and the Johns Hopkins Individual Evidence Summary Tool located in the Student Resource Center under “Project & Practicum Resources.”

Select one of the eight practice problems that burden the overall health of the United States. Conduct a library search for two qualitative research studies addressing this problem. Appraise the two qualitative research studies using the Johns Hopkins Research Evidence Appraisal Tool.

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

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

Analyze the evidence summary of the two research studies to address the following.

• Does the research design answer the research question? Explain your rationale.
• Were the study sample participants representative? Why or why not?
• Compare and contrast the study limitations in these two studies.
• Based on this evidence summary, would you consider either or both of these qualitative research studies as support for your selected practice problem? Explain your rationale.

Integrating Evidence-Based Practice

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? Describe strategies that could be used to increase success including overcoming barriers.

Part 2:

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source and the textbook are required for this assignment.

Part I: Choose ONE of the following options.

1. Birth Outcomes      Birth outcomes, like other health indicators, follow the wealth-health gradient of the socioeconomic ladder. According to the video clip #3, what did Dr. Lu mean by the life-course perspective and how does this perspective support a link between racism and premature birth or low birth-weight babies? Why do African American mothers – even those with college degrees – have more low birth-weight babies than white American women? Answer these two questions using at least 250words. Be sure to use sources from your readings and the video clips to support your answer and cite your sources using proper APA format.
2. Social Status    This week you read about how social status impacts health status from birth to death. Why do differences in health outcomes emerge from childhood conditions? What specifically are these conditions and how do they change as move we through childhood, adolescence, adulthood and finally into retirement? Answer these two questions using at least 250 words. Be sure to use sources from your readings and the video clips to support your answer and cite your sources using proper APA format.
3. Health Behavior    Exercise, maintaining a healthy diet, and buckling up the seat belt are all behaviors that reduce the changes a person will die early. What things influence our health behavior? Why are those people higher on the socioeconomic ladder more likely to refrain from health-damaging behaviors and engage in those behaviors that promote health? Answer these two questions using at least 250 words. Be sure to use sources from your readings and the video clips to support your answer and cite your sources using proper APA format.

Research and organize literature for the Interdisciplinary 

Incorporate health outcomes of the health promotion, detection of disease and disease prevention.  Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client. 

Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018).

Paper should be 3 pages not including title and reference page. 

Paper should follow APA guidelines with a minimum of 5 references within 5 year span.

Topic: Meaning

It is nursing theory-based practice that differentiates nurses from other healthcare providers and that resonates so meaningfully with the persons, groups, families, and communities served by nurses. One cannot practice or live what one does not know.

Which theory speaks to your advanced nursing practice?

Explain why it speaks directly to your future practice and give specific examples of how you see it fitting into your new role.

ou oversee Disaster Management for Sentinel City.  The healthcare  team has just been notified that there was a tornado that ripped through  Casper Park and Acer Tech Center in Sentinel City.  You visit these  areas of the city and observe services, routes, and populations that are  impacted due to the tornado. 

1. Describe the potential public health effects, infrastructure damage and environmental hazards related to the tornado. 
2. Describe the members and roles of the emergency management team and  organizations (public and private) that would be activated in Sentinel  City. 
3. Considering each phase of emergency management:  Preparedness:   What steps should you as the community/public health nurse take to  prepare the citizens of Sentinel City for this type of disaster? Response:  You are the only nurse at the scene.  What actions would you take? Recovery:  How would you handle recovery efforts for the city?  What specific things should be addressed? 

You must use at least 2 scholarly references besides your textbook to support your answe

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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.

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study). 
3. Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation.
4.  The setting is indicated for each article. Some detail is needed to fully illustrate the physical, social, or cultural site in which the researcher conducted the study.  
5. The PICOT question will provide a framework for your capstone project.
6. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

Case Study: Chronic Hypertension

Female was admitted to inpatient care with a diagnosis of chronic hypertension with severe features and started on Labetalol 200 mg po q 8 hours. She was monitored for 3 days and her BP stabilized at 130/78. Fetal testing was reassuring. She was discharged home on hospital day 3 on Labetalol and was to be seen twice weekly for BP checks, and was instructed to take her BP at home twice daily. Safety of medications was discussed in-depth with her. Signs/symptoms of PIH were reviewed with her. Two weeks later she had po nifedipine added. She subsequently delivered a healthy baby girl at 39 weeks gestation. She was discharged home on above medications (as she was breastfeeding) and continued meds for hypertension past her 6-week postpartum appointment. She was referred to her primary care provider for continuing care. 

Purpose of this case study is to address the significantly different standards of labs and vital signs for pregnant patients. 

· Based on the case study above, complete a comprehensive well-woman exam 

· What is your primary diagnosis? Explain. 

· What are two other differential diagnoses? Explain.

· What additional questions you would ask the patient? Explain your reasons for asking the additional questions

· Then, what types of symptoms you would ask for? Be specific and provide examples. (Note: When asking questions, consider sociocultural factors that might influence your question decisions.)

· Lastly, explain which treatment options and diagnostic tests you might recommend

 Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health? 

add references, 250 word