Month: January 2019

Question description

Overview

Imagine you are on a team at your workplace and have identified a new best practice to implement. In this assignment, you will describe the steps of implementing this new practice. This will require you to do some research of your own about how change comes about in your workplace. You will need to check your policies and procedures and may need to talk with a supervisor with experience in this area. You will need to support your thoughts on why you think a change needs to occur. This should be done by using the literature.

Objectives

• Differentiate among research, research utilization, and evidence-based practice
• Identify the steps of evidence-based practice

References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click here to download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.

Question Description

Please respond with a paragraph to the following post, add citations and references.

The theoretical foundations are different in both qualitative and quantitative research methods, but when both are used together in a study it’s called mixed methods study. In this type of study, the qualitative and quantitative methods are mixed together in a single phenomenon or investigation. This allows more thorough and complete use of data than a single type of research can provide. Collecting and analyzing both qualitative and quantitative can be beneficial and the ideal technique is doing research in a more complex topic where one single method may not provide reliable results. For example, a research may collect qualitative data to access and analyze personal experience of patients regarding quality of care and nosocomial infections and hospital acquired pressure ulcers. The use of qualitative data to explore quantitative finds can be done as well, where a researcher may use a method to explain qualitatively how a quantitative mechanism may work. Some advantages of mix methods include:

1. Compares qualitative and quantitative data

2. Reflects participants point of view

3. Fosters scholar interactions

4. Provides methodologic flexibility

5. Contains comprehensive data

Some disadvantages are:

1. Increased complex elevations-careful planning is required

2. Relies on a multidisciplinary team of researchers where large sample sizes and expertise is needed to meet the common ground

3. Required multiple resources which is time consuming

Evidence-based practice has changed the profession of nursing and the outcome of patients in a positive way. There is new research continuously developing, making new policies and guidelines for the betterment of our patients every day. In nursing the education and the curriculum are affected based on the evidence-based practice. Nurses are the front-line staff and play a vital part of the movement of change. Major deficits within the healthcare system can ultimately harm the patients, which can be prevented. There are several protocols and practices in effect at most facilities which are EBP. One of those protocols include the ventilator-associated pneumonia bundle of care to prevent pneumonia related to mechanical ventilation. At the facility where I work we use this protocol as soon as the patient is intubated and until they are extubated. VAP is one of the leading causes of death in ICUs today. It’s the most common type of nosocomial infection other that a UTI (CAUTI), EBP has proven that the bundle will reduce the risk of ventilator associated pneumonia. This bundle consists of:

1. Elevation of the head of bed

2. Daily sedation vacation and assessment of readiness to extubate the patient

3. Peptic ulcer disease prophylaxis

4. Deep vein thrombosis prophylaxis

5. Oral care and suctioning every two hours and as needed

Even though the VAP bundle has been proven to be effective in the ICU setting, there are more studies and developments being performed to bring new and updated changes for better patient outcomes.

Reference:

Stevens, K. (2013). The Impact of Evidence-Based Practice in Nursing and the next big ideas. Retrieved from https://ojin.nursingworld.org/mainmenucategories/A…

Question Description

Read Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideas. OJIN: The Online Journal of Issues in Nursing, 18,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 Critically evaluate either Study 3 or Study 4. Evaluate the credibility of professional citation, research design, and procedures in a research article. Include a discussion on how this study contributes to evidence-based practice. •Study 3 – Exploring the perspectives of allied health practitioners toward the use of journal clubs as a medium for promoting evidence-based practice: a qualitative study •Study 4 – Staff Practice, Attitudes, and Knowledge/Skills Regarding Evidence-Based Practice Before and After an Educational Intervention All submissions must have a minimum of two scholarly references to support your work. Examples of work to show mastery: •5-6 page paper – APA format

Question Description

The EBP project is based on the importance of giving bedside shift report with patient involvement

• 1. Name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects. (530-400words)

• 2. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction? (350-400 words)
• 3. Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?(350-400 words)
• 4. In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice. (350-400 words)

Question Description

Consider an advance practice nursing care problem or issue to explore relating to your intended DPI Project. Conduct a search in the GCU Library using CINAHL, The Cochrane Library, the Joanna Briggs Institute (JBI), OVID, or Sage Research Methods databases to find appropriate empirical resources regarding nursing intervention research that apply.

General Requirements

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• You are not required to submit this assignment to Turnitin.

Directions:

1. Using the PICOT format, formulate two Evidence-Based Practice (EBP) questions that pertain to your project focus.
2. Under each PICOT question include an annotated bibliography for each reference used to support the parts of your question.
3. Support your work with citations as appropriate.

Question Description

Topic 1: EBP and PICOT

Discuss how you used the three components inherent to Evidence-Based Practice inquiry to direct your clinical question database search.

The PICOT question: Does repositioning of bed bound patients every two hours decrease the risk of pressure ulcer versus repositioning every 5 hours?

Please adhere to nursing information that is related to my PICOT question

Needs to be 1 page

Use Peer reviewed nursing articles that are less than 5 years old

Please give 4 references

Additional information

The three components inherent to any evidence-based practice change are validity, reliability, and credibility. These three components are the check system to determine whether the practice is based on evidence-based 

hi dear,

 can help me to finish this assignment with good quality and be on time please?

 I just need to response to the Discussions, and about 50 words for each responses.

1)  The two populations I chose to discuss smoking behavior and prevalence are young adults and the elderly people. Nearly 9 out of 10 cigarette smokers first tried smoking by age 18, and 98% first tried smoking by age 26 (CDC, 2019). Each day in the United States, about 2,000 youth less than 18 years of age smoke their first cigarette, and each day in the Unite States more than 300 youth under 18 years of age become daily cigarette smokers (CDC, 2019). Smoking prevalence in the United States is lower among older adults (8.3%) compared with younger adults (22.2%); however older adults are half as likely to try to quit as smokers aged 18 to 24 years (25.3% vs. 53.1%) (Kleykamp & Heishman, 2011).  Lung cancer, COPD (chronic obstructive pulmonary disease) and heart disease are some the main disease that is resulted from bad smoking habits. The long-term aspect of smoking causes these diseases and is difficult to reverse the effects of smoking. Overall, it is important to continue educating the youth about the consequences of smoking and as well as providing resources for the elderly to help them stop smoking. Determining readability should come with these points such as using common words, concrete language, conversational tone, explaining technical terms and writing in an active voice. Learning about the local populations is important to developing relevant, appropriate materials. Many health messages are lost on members of minority populations because of poor translation (Bensley & Brookins-Fisher, 2009). It should be highly prioritized to have the intended audience understand what is being conveyed through these campaigns so they are able to fully grasp the material. Furthermore, communicating these health messages are important to reach out to the populations have a successful campaign.The article I chose was the article in regards to Asian American, there was a total of 18 sentences and within those sentences I was able to count 37 3 or more syllables. I multiplied 37 by 1.67 and got 61.79, which means that the article is at an 11th grade reading level.  If my calculations and counting are correct, this would mean that the article does not comply with the regulated 6th to 8th grade reading level. However, the article addressed diversity in connection to the group it was created for, which served it’s purpose. Furthermore, it is important that the targeted audiences are able to understand the material so they are able to practice what is being preached to them.

2) Current smoking rates for Asian American’s are 9% smoke and 16.5% African American’s smoke. (CDC, 2018a/c) The top three leading causes of death for Asian Americans are cancer, heart disease, and stroke. The top three leading causes of death for African Americans are heart disease, cancer, and stroke. Smoking puts people at an increased risk for all three of these health concerns. Cigarette smokers has fallen from 2005 to 2016 in Asian Americans; from 13.3% to 9% (this is roughly 1 in 11 down from 1 in 7). Print materials should have a clear targeted audience and there must be a specific goals/objective. After these have been decided the content and visual aids can be developed. This means taking key points rather than long paragraphs and that the layout is not confusing. Once the material has been developed it is reviewed and evaluated internally, so that it can be tested within a small test group and any fixed can be made before mass production. (Bensley & Brookins-Fisher, 2009)  Utilizing the SMOG Readability Formula on the Tips Campaign for African Americans the grade level equaled out to grade 11. (CDC, 2018c)  This is a word count between 57-72; the article word count for the article was 65. The article Tips Campaign for African Americans is above the recommended grade level for health materials, however there could be some error in that as the article was just 30 sentences and I could have possibly miscounted. This particular article, I feel didn’t reach out to the African American public enough, the interviews were from two African American women. I think there should have been more health related facts to health concerns that African Americans face, rather than personal testimonies. 

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

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. Please refer to the directions in the Student Success Center.

Conduct a health history on a family member or friend. Be sure they give you permission. Using the interviewing techniques learned in Module 2, gather the following information. Use your textbook as your guide.

• Present Health
• Past Health
• Family History

While this is only a partial health history, summarize in 3 -5 pages the information you gathered. Also, answer the following questions:

1. Was the person willing to share the information? If they were not, what did you do to encourage them?
2. Was there any part of the interview that was more challenging? If so, what part and how did you deal with it?
3. How comfortable were you taking a health history?
4. What interviewing techniques did you use? Were there any that were difficult and if so, how did you overcome the difficulty?
5. Now that you have taken a health history discuss how this information can assist the nurse in determining the health status of a client.

Your assignment must have accurate spelling and grammar.

The purpose of this paper is to define, describe and explain your personal beliefs about the four concepts of the nursing metaparadigm and their 

inter-relationship to one another as they guide your current nursing practice. There are no right or wrong thoughts, feelings or beliefs; these represent your own philosophical beliefs. Then you must correlate or link your current philosophy to one particular nursing theory(ies), identify these. The final paper is to be typed according to APA format and no more than 4 pages in length. The paper should include a title page and reference list, however, these pages are not to be included in the final count. Evaluation criteria are as follows:  

Criteria for Personal Philosophy of Nursing Paper:

1. Introduction & Brief description identifies purpose of the paper and the factors influencing the development of the personal nursing philosophy. 1.5%  

2. Define, describe and explain your personal thoughts, feelings and beliefs about the concepts of the 4 nursing metaparadigms: 3.5%  

a. Person/client  

b. Environment  

c. Health  

d. Nursing  

3. Identification and brief description of the nursing theory(ies) found to be the most compatible with the student’s personal nursing philosophy. 3.5%  

4. Provided in-depth explanation with specific documentation, that demonstratescompatibility of personal philosophy with the nursing theory(ies) identified in #4 according to:  

3.5%  

5. Summary and conclusion 1.5%  

6. Organization, documentation, references followed APA format. 1.5%  

PLEASE REFER TO THE ATTACHED FILE