Category: Nursing

NUR 699 Evidence – Based Practice Project

GCU NUR699 Wk 1 Dq 1 & Dq 2 latest 

Dq 2

What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP?

Dq 2

How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?

NUR 699 Evidence – Based Practice Project – GCU NUR699 Wk 2 Dq 1 & Dq 2 latest 

dq 1

Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix

ORDER A PLAGIARISM-FREE PAPER NOW

Text readings

Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment. NUR 699 Evidence – Based Practice Project

dq 2

What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?

GCU NUR699 Wk 3 Dq 1 & Dq 2 latest 

dq 1

What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use? NUR 699 Evidence – Based Practice Project

dq 2

What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?

GCU NUR699 Wk 4 Dq 1 & Dq 2 latest 

dq 1

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

dq 2

Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale. NUR 699 Evidence – Based Practice Project

GCU NUR699 Wk 5 Dq 1 & Dq 2 latest 

dq 1

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it? NUR 699 Evidence – Based Practice Project

dq 2

Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem?

GCU NUR699 Wk 6 Dq 1 & Dq 2 latest 

dq 1

When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?

dq 2

What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project? NUR 699 Evidence – Based Practice Project

GCU NUR699 Wk 7 Dq 1 latest 

Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?

GCU NUR699 Wk 8 Dq 1 & Dq 2 

dq 1

Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.

dq 2

There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

GCU NUR699 Week 2 Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment 

Details:

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

1. Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.

2. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry. NUR 699 Evidence – Based Practice Project.

3. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.  NUR 699 Evidence – Based Practice Project.

4. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.

GCU NUR699 Week 2 Evidence-Based Practice Proposal – Section B: Problem Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

Describe the background of the problem. Tell the story of the issue and why it deserves attention.

Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization. NUR 699 Evidence – Based Practice Project

State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted. NUR 699 Evidence – Based Practice Project

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

Search Method Example

Search Method

A comprehensive electronic search was completed using the following databases:

Cochrane Central Register of Controlled Trials. NUR 699 Evidence – Based Practice Project

Cochrane Database of Systematic Reviews

National Guideline Clearinghouse

CINAHL

Ovid

Medline

The search included English-only published articles between 1990 and 2005.

Key words used in the search were:

Pediatric asthma education

Self-management

Self-monitoring

Grade school children

Systematic reviews

Randomized controlled trials

Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

GCU NUR699 Week 3 Evidence-Based Practice Proposal – Section C: Literature Support

Details:

To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template. NUR 699 Evidence – Based Practice Project

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).

Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.

Incorporate a description of the validity of the internal and external research.

It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.

Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.

GCU NUR699 Week 4 Evidence-Based Practice Proposal – Section D: Solution Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) paper 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, too costly, or 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 PICOT 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 PICOT. NUR 699 Evidence – Based Practice Project

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 which 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, and/or professional expertise.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section E: Change Model

Details:

In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:

1. 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 presented 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 intervention in clinical practice.

2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.

GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section F: Implementation Plan

Details:

In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.

2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.

3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.

4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.

5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.

6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper. NUR 699 Evidence – Based Practice Project.

7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.

8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.

9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

ORDER A PLAGIARISM-FREE PAPER

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.

GCU NUR699 Week 6 Evidence-Based Practice Proposal: Section G: Evaluation of Process

Details:

In 500-750 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

1. Describe the rationale for the methods used in collecting the outcome data.

2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.

3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.

4. Describe strategies to take if outcomes do not provide positive results.

5. Describe implications for practice and future research.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

GCU NUR699 Week 7 Evidence-Based Practice Presentation

Details:

Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.

Refer to the “Example of a Slide Show for a 20-Minute Paper Presentation,” located within the textbook appendix. NUR 699 Evidence – Based Practice Project.

You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.

While APA format 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 not required to submit this assignment to Turnitin. NUR 699 Evidence – Based Practice Project

GCU NUR699 Week 7 Benchmark – Evidence-Based Practice Proposal Final Paper

Details:

Throughout this course you will be developing a formal, evidence-based practice proposal.

The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word limit.

Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills. NUR 699 Evidence – Based Practice Project.

This project contains seven formal sections:

1. Section A: Organizational Culture and Readiness Assessment

2. Section B: Problem Description

3. Section C: Literature Support

4. Section D: Solution Description

5. Section E: Change Model

6. Section F: Implementation Plan

7. Section G: Evaluation of Process

Each section (A-G) will be submitted as separate assignments so your instructor can provide feedback (refer to applicable modules for further descriptions of each section).

The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.

Use the “NUR-699 EBP Implementation Plan Guide” and “NUR-699 Evidence-Based Practice Project Student Example” to assist you. Also refer to “NUR-699 Evidence-Based Practice Project Proposal Format.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. NUR 699 Evidence – Based Practice Project.

NRS-490 Literature Review: Treatment of Hypertension

Introduction

Hypertension, also known as high blood disease pressure is a serious condition that ultimately results in damaging of blood vessels leaving an individual prone to heart attack, stroke, and other conditions. Various factors increase the likelihood of developing the disease they include obesity, consumption of a lot of salt, diabetes, smoking, alcohol intake among others. Globally, hypertension results in the death of millions of people, but with the right administration, the mortality rates can be reduced. Treatment of hypertension is diverse including lifestyle changes and treatment through drug therapy. Medication entails various drugs ranging from thiazide diuretics, Beta blockers, Angotenism- Converting enzymes (ACE), Calcium Channel Blockers among others. Lifestyle approach in the treatment of hypertension involves intake of healthy diets, quitting smoking, physical exercise, reducing alcohol intake, among others (Khatib, 2012). NRS-490 Literature Review: Treatment of Hypertension.

A Comparison of the Research Questions

ORDER A PLAGIARISM-FREE PAPER NOW

Comparison falls into either a patient with hypertension using drugs to treat the hypertension or a lifestyle approach. Lifestyle modification is a crucial long-term step in the management of hypertension even in the presence of drug therapy and may reduce or even reduce the need for anti-hypertensive drugs. Also, lifestyle changes in the management of high blood pressure can be essential in treating other chronic illness. Lifestyle changes include eating dietary approaches which involve developing a healthy pattern as well as reducing salt intake. Furthermore, quitting smoking assists in reducing cardiovascular risks while reduced alcohol consumption results to lower systolic blood pressure in patients with hypertension. Physical exercise is critical in lowering systolic blood pressure (Huang, Duggan, & Harman, 2006). In contrast, patients can use drug therapy in the treatment of hypertension and help avoid cardiovascular within half a year. Diuretics are the most utilized drugs in the treatment of hypertension; the original anti-hypertensive drugs are vital in lowering the blood pressure and increasing the effectiveness of other antihypertensive agents. Angiotensin Converting Enzyme Blockers, Calcium Channel Blockers, Beta Blockers are also used in the treatment of diabetes (Williams, Lawerence, Fanorow, & Go, 2010). NRS-490 Literature Review: Treatment of Hypertension.

A comparison of sample populations

The sample population entails male grown-ups between the ages of 40-70 years who can either undertake drug therapy or lifestyle management of hypertension. Patients who undergo drug treatment have a low chance of suffering from cardiovascular risks compared to men who are not untreated. Use of antihypertensive drugs is crucial in treating level 2 and 3 of hypertension. Randomized clinical trials carried out on men have helps reduce the chance of stroke and coronary risks. Also, the use of evidence-based technology has also been vital in reducing the level of SBP and DBP making it possible to initiate medication. However, treatment of people within the age of 40-55 years differs with that of men between the ages of 55-70 years. In contrast, men who undertake lifestyle changes as a treatment method for hypertension have to put in place long-term strategies to ensure they adequately address the disease (Williams, Lawerence, Fanorow, & Go, 2010). Lifestyle changes might not be an effective method of treatment especially in serious condition and may require the incorporation of two or more anti-hypertensive drugs. Men between the ages of 40-50 year are suitable for this method, as most have the energy to take up regular physical exercises which are vital in the addressing the disease. Lifestyle changes for men involve changing eating habits, quitting smoking, reduced alcohol intake, sodium restriction among others (Huang, Duggan, & Harman, 2006). NRS-490 Literature Review: Treatment of Hypertension.

A comparison of limitation of study

The research on the effectiveness of both the use of drug therapy and lifestyle modification in the treatment of hypertension has limitations. One, Drug therapy entails the use of various drugs which make it difficult to determine the effectiveness of each medication used in the treatment of the disease. Also, the presence of other existing ailments in some of the patients makes it hard to determine the effectiveness of most anti-hypertensive in the treatment of hypertension since most are also administered to treat the conditions as well. The outcomes of lifestyle changes in the treatment and management of hypertension are impossible to measure as they are long no tangible methods to indicate proof of the changes. Lastly, on some occasions, patients have to be administered with anti-hypertensive which makes it difficult to determine the effectiveness of lifestyle changes as the treatment method for hypertension. NRS-490 Literature Review: Treatment of Hypertension.

Conclusion

Hypertension is among the leading causes of heart attacks, strokes, and other complications. With the right interventions in place, the disease can be managed and treated; hypertension treatment takes into account two forms of treatment including the use of anti-hypertensive drugs as well as lifestyle modifications. Anti-hypertensive drugs used include diuretics, angiotensin, converting enzymes blockers, beta blockers among others each of the drugs work differently, but all ultimately result in lowering the blood pressure. Lifestyle changes are also crucial in management and treatment of the disease especially in reducing cardiovascular risks and lowering the blood pressure. I recommend the research to utilize different studies and findings from other research carried out in the past to elaborate the differences and effectiveness of the methods in the treatment of high blood pressure. NRS-490 Literature Review: Treatment of Hypertension.

 

References

Huang, N., Duggan, K., & Harman, J. (2006). Lifestyle Management of Hypertension.
Australian Prescriber
, 150-156. NRS-490 Literature Review: Treatment of Hypertension.

Khatib, O. M. (2012).
Clinical Guideline for the Management of Hypertension.
New York: World Health Organization.

Williams, K. A., Lawerence, W., Fanorow, G. C., & Go, A. S. (2010). An Effective Approach to High Blood Pressure Control.
American Heart Association
, 885-894. NRS-490 Literature Review: Treatment of Hypertension.

NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

NUR 508 Week 1 Discussion DQ 1 & DQ 2 

DQ 1

What were the major causes of U.S. mortality in the last 100 years, and what public health measures most contributed to improvements in the health of the nation? Include at least two source citations from the readings and/or additional sources to support your answer. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

DQ 2

What are the major causes of disease and death in the 21st century (e.g., chronic illnesses, communicable diseases, etc.) that continue to affect U.S. citizens in spite of the achievements in public health in the past century? What have been some of the strategies implemented to combat these illnesses on the local and national levels? Have they been successful? Include reference citations where appropriate.

ORDER A CUSTOM-WRITTEN PAPER

 NUR 508 Week 2 Discussion DQ 1 & DQ 2 

Select one of the United Nations’ (U.N.) Millennial Development Goals (MDGs). Visit the website and report on the UN’s progress in achieving this goal? How will meeting this goal positively impact the health of the world? What suggestions would you make to help the UN achieve this goal? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

Select a global health issue from the World Health Organization (WHO) list of health topics available at
http://www.who.int/topics/en/
How has globalization influenced this issue from a positive or negative perspective?

 NUR 508 Week 3 Discussion DQ 1 & DQ 2 

DQ 1

Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.

DQ 2

Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

http://www.ahrq.gov/health-care-information/priority-populations/index.html

Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

NUR 508 Week 4 Discussion DQ 1 & DQ 2 

DQ 1

Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.

DQ 2

After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

 NUR 508 Week 5 Discussion DQ 1 & DQ 2 

DQ 1

What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

DQ 2

Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.

NUR 508 Week 6 Discussion DQ 1 & DQ 2 

DQ 1

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

DQ 2

Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

NUR 508 Week 7 Discussion DQ 1 & DQ 2 

DQ 1

How do spiritual beliefs impact political ideologies and the policy process? How have they affected the health policy reform process? Using respectful communication, debate your response with two other classmates. Give examples and support your reasoning with appropriate references.

DQ 2

What is the role of a religious ethic in public policy today? Should a religious ethic and/or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate.

NUR 508 Week 8 Discussion DQ 1 & DQ 2 

DQ 1

Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

DQ 2

Select a professional or specialty nursing association. What impact has this organization had on health care legislation in the past 2 years? Respond to two other classmates and support your answer with appropriate references and specific examples.

NUR 508  Week 2 Assignment 

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance he/she takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, healthcare, and/or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare part D, Medicaid, nursing regulation, medication technicians, etc
.

In 750-1000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.

Include a specific section for the exact wording for the bill or change in wording of the law.

Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

Resources:

Review different pieces of legislation for ideas on wording.

Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

Refer to the Nursing Leadership Health Policy Presentation Rubric.

Submit the assignment to the instructor by the end of Topic 2.

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

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

NUR 508 week 5 Assignment

In a paper of 500-1,000 words, describe the
relationship between health care cost and quality
. Address the following:

Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 Readings for sources regarding health care agencies.

Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.

Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Resource 1: CLC Health Issue Analysis Overview. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

Group work has benefits and liabilities. EVERYONE assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. Each participant has strengths and it is reasonable to apportion the work to make best use of this. Some are natural leaders. Our strengths can be our greatest liabilities: No one wants to be bossed around no matter how skilled the boss is. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations up front. Then, if someone does not do what is expected him/her, he/she can be referred to the original agreement rather than have the confrontation become personal.

Course instructors are able to observe the group process in the CLC forum. If the work takes place outside the forum, this information will be absent. Be certain (even if communicating via e-mail, phone, or face-to-face) to record the communication in the CLC forum. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

CLC Project Overview

The purpose of this assignment is to critically analyze a health care issue through the focus of major concepts from each Topic. There are six components to this assignment after the CLC agreement is signed and the topic is identified. It is not expected that every member of the CLC group will contribute to each assignment, but that assignments will be divided fairly and equally among the group. Each of the written components of the CLC project will be 500-1,000 words. These papers should be in APA format with a title and a reference page. An abstract is not required. An introduction is required ONLY for Part 1 and is not required in any parts thereafter. It is the intention that if one were to take the six parts of this assignment and put them together, a comprehensive and cohesive analysis would be produced. Part 1 is worth 3 points and each of the subsequent parts (2-6) are worth 4 points each.

Topic 1 (10 points)

Check into the CLC group and provide contact information and describe prior experience, if any, with health policy. Locate and read the 
CLC Agreement
 provided by the instructor, located within the Additional Resources Folder in Canyon Connect. Choose one member to transfer the document to the CLC forum. Decide upon the process needed to fill out the contract. Everyone should participate. Before filling out the agreement, it may be helpful for each student to describe the most difficult, frustrating, helpful, or beneficial apects of working on a collaborative project. Getting this type of information out in the open ahead of time may help to prevent conflict later on. Since no one is angry yet, you can comfortably list what is likely to make you angry and also what would make you satisfied.

Complete the 
CLC Agreement
 (except for the final block, which is used at the end). Select someone to submit the 
CLC Agreement
 by the end of Topic 1.

Topic 2 (10 points)

Initiate a conversation regarding potential topics of interest. This should be a health issue with national and international relevance that will be the basis for your final project. It may be helpful to identify a number of topics of interest and have individual group members do a quick survey of the literature to be sure that there is current information available. Revise the 
CLC Agreement
 with the choice of the topic identified in the title and re-submit the 
CLC Agreement
.
There is no formal writing requirement for the topic selection. It is merely a brief paragraph declaring your identified topic.

Topic 3 – Part 1 (50 points)

Research and outline the history of the health issue. Write a formal paper in APA format (500-1,000 words in length), describing the history of the issue. A title, introduction, and a reference page are required, but an abstract and conclusion are not. Include the following:

1) Influences such as determinants of health and socioeconomic status.

2) Past and present initiatives (private and public) to address the issue.

3) Outcomes that have been developed and utilized to measure progress on the issue.

4) The current status of the health issue based on measured outcomes.

Topic 4 – Part 2 (60 points)

Describe the national and international implications of the health issue. Write a formal paper (500-1,000 words in length), using APA format. Include a title page and a reference page. An abstract, introduction, and conclusion are not required. Include the following:

1) Scope and depth of the problem.

2) Countries that are faring better or worse than others.

3) How the U.S. ranks on this issue in relation to other countries.

4) Efforts of the World Health Organization and other agencies on this issue.

5) Existing disparities (include race, age, and gender, as appropriate) in relation to the issue – describe the populations that have emerged as being disadvantaged and why. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

Topic 5 – Part 3 (60 points)

Write a formal paper (500-1,000 words in length), using APA format. Include a title and a reference page. An abstract, introduction, and conclusion are not required. Include a title page and a reference page, and the following:

1) Discuss past and present funding for initiatives that address the health issue. Include both public and private sources.

2) Analyze past and present quality initiatives that address the health issue. Include both public and private sources.

3) Differentiate how being insured versus uninsured impacts health outcomes relative to this issue;

4) Compare health outcomes for the issue between the U.S. and a country with universal health coverage.

Topic 6 – Part 4 (60 points)

Write a formal paper (500-1,000 words in length), using APA format. A title page and a reference page are required, but an abstract, introduction, and conclusion are not. Include the following:

1) Examine the previously addressed aspects of health policies, finance, global/national prevention, and/or treatment initiatives related to the health issue by identifying applicable ethics principles.

2) Differentiate how application of the identified ethics principles to the health issue has resulted in population disparities.

3) Hypothesize how existing disparities might be eliminated using alternate ethics principles.

4) Critique whether the applicable ethics principles are consistent with the ANA’s 
Code of Ethics for Nurses
.

Topic 7 – Part 5 (60 points)

Write a formal paper (500-1,000 words in length), using APA format. A title page and a reference page are required, but an abstract, introduction, and conclusion are not. Include the following:

1) Discuss cultural beliefs and influences relative to the health issue.

2) Differentiate any religious/spiritual beliefs and values relative to the issue.

3) Appraise how religious/spiritual beliefs and values have influenced progress in addressing the issue – either negatively or positively.

4) Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.

Topic 8 – Part 6 (60 points)

Write a formal paper (500-1,000 words in length), using APA format. A title page, conclusion, and a reference page are required, but an abstract and introduction are not. Include the following:

1) Assess the past and present impact nurses, including advanced professional/ advanced practice nurses, have made in addressing this health issue. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

2) Describe how nurses can become more broadly involved with influencing health policy related to this issue. Include available resources. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

3) Hypothesize how nurses can positively impact future outcomes related to the provision of care for persons affected by the health issue.

4) Synthesize all aspects of the health care issue through a summary conclusion, concisely tying up Parts 1-8 of the CLC project. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

This is a CLC assignment.

Check into your respective Collaborative Learning Community and provide contact information. Describe your prior experience with health policy.

Read “CLC Health Issue Analysis Overview.”

Read “CLC Group Project Agreement.”

Transfer “CLC Group Project Agreement” to your CLC team space, come to a consensus on team responsibilities, and complete one copy of the form.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

NUR 508 CLC Group Project Agreement

Grading Criteria

CLC Course Information

Course Name/Section Number:

Instructor’s Name:

Start Date of the Course:

CLC Member Contact Information 

(Who is in our group?)

CLC Member Name

Primary E-mail Address

Secondary E-mail Address

Other Contact Information

CLC Group Values]

(What do we need to do to ensure our team’s success?)

What Each Team Member Agrees to Do

Why This Is Important to the Team

Check into the CLC regularly to review progress on the assignment.

Contribute ideas and feedback to the group from initial discussions throughout project completion.

Communicate with all CLC members as soon as a problem or issue arises.

Maintain respectful communications with all team members.

Complete assigned tasks by the deadlines set by the CLC members.

Take a leadership role in CLC assignments.

Make sure to cite and reference all sources of information used in completing tasks.

Other:

Other:

Project Management Specifics 

(What needs to be undertaken to complete the CLC project?)

CLC Group Member’s Name

Task to be Completed by This Team Member

(This section will change for each CLC Project.)

Due Date for Completing the Task for the CLC to Review

Contributing one or more ideas for how the project should be completed.

Outlining the CLC project.

Assigning tasks to CLC members.

Performing research on assigned topics and writing it up for CLC members to review.

Making sure everyone meets their assigned deadlines for tasks.

Proofreading and editing the paper.

Submitting the paper via the Assignments feature by the due date deadline.

Other:

Other:

CLC Group Interaction Guidelines

(How can we anticipate and deal with group conflict when it arises?)

What Could Happen To Impede Our Teamwork?

What We Will Do if This Happens?

A CLC member doesn’t provide project ideas or feedback to other team members.

A CLC member doesn’t complete his/her task at all.

A CLC member completes his/her task, but turns it in after the agreed-upon due date.

Other:

Other:

CLC Group Review Process

(What makes a CLC effective?)

What did Our CLC Do Well This Time?

(This section will change for each CLC Project.)

What Can We Do to be a More Effective CLC Next Time?

(This section will change for each CLC Project.)

NUR 508 Week 7 Assignment 

Write a paper of 750-1,000 words examining your personal values and beliefs. Include the following:

Describe your personal values and spiritual beliefs.

Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.

Analyze how factors such as your upbringing, spiritual or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy.

Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension

Hypertension

Hypertension, also known as high blood disease pressure is a serious condition that ultimately results in damaging of blood vessels leaving an individual prone to heart attack, stroke, and other conditions. Various factors increase the likelihood of developing the disease they include obesity, consumption of a lot of salt, diabetes, smoking, and alcohol intake. Globally, hypertension results in the death of millions of people, but with the right administration, the mortality rates can be reduced. Treatment of hypertension is diverse including lifestyle changes and treatment through drug therapy. Lifestyle approach in the treatment of hypertension involves intake of healthy diets, quitting smoking, physical exercise, and reducing alcohol intake. Considering the complexities that surround the treatment and management of hypertension, this paper seeks to demonstrate that it is crucial to incorporate lifestyle modifications alongside medical treatments in the management of high blood pressure. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

ORDER A PLAGIARISM-FREE PAPER NOW

Background of the Problem

Hypertension is a worldwide health issue that afflicts many individuals. The causative factors for the condition can be genetic or acquired through poor lifestyle habits. The disease may also present as a co-morbidity to other illnesses such as diabetes and kidney disease or hypertension may lead to the onset of these diseases. Hence, the problem prevails in a vicious cycle pattern making treatment goals difficult to achieve (Wang, Ning, Yang, Lu, Tu, Jin & … Su, 2014). In addition, the advancement of the food processing industry has immensely contributed to the development of hypertension because of the relatively higher amounts of salts and other harmful food additives in the diets. If left unmanaged, hypertension can lead to the development of co-morbidities such as heart disease, diabetes, and stroke. Blood pressure involves exertion of force on the walls of the blood vessels, with the amount of force exerted dependent on the levels of resistance from the blood vessels and the amount of work done by the heart. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension

Problem Statement

Estimates issued by the World Health Organization indicate that in the United States alone, over 85 million people are suffering from hypertension. In the low and middle-income countries in the world, urbanization has steadily caused an upsurge in the number diagnosed cases of hypertension due to changes in lifestyle habits. Globally, increased blood pressure has been found to cause over 7 million deaths, a figure which accounts for over 12% of the total world deaths. Overall, both men and women develop high blood pressure, although the prevalence rates are higher for men than for women. Therefore, hypertension is a public health concern that has been found to cause the development of cardiovascular disease and stroke (Khdour, Hallak, Shaeen, Jarab & Shahed 2013). NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

A lot of research work has been carried out with the intention of deciphering the etiology of the disease and the best treatment approaches to the problem of hypertension. Although the research efforts have centered on the medical perspectives of treatment, exploration of the role of lifestyle modification as a preventive measure for hypertension needs to be carried out (Khdour, Hallak, Shaeen, Jarab & Shahed 2013). Furthermore, lack of adequate awareness about hypertension on the part of the patient substantially influences the onset of hypertension, and the delayed seeking of treatment for the condition. Also, because of an increase in population and the sharp increase of the geriatric demographic age group, the number of people living with unmanaged hypertension in the world has been on the increase; hence this paper advocates for the use of lifestyle modifications in the management of hypertension among adult males. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

 
Purpose of the Change Proposal

Considering the complexities that surround the treatment and management of hypertension, this paper seeks to demonstrate it is crucial to incorporate lifestyle modifications alongside medical treatments in the management of high blood pressure. This is because ideally, lifestyle changes should be considered not only as preventive measures but also as first line treatment options. These adjustments include dietary changes such as consumption of low sodium, high glycemic index foods, and daily intake of 3-5 servings of fruits and vegetables. Physicians and nurses recommend that pre-hypertensive or hypertensive patients engage in physical exercise which includes half an hour of low to moderate intensity aerobic exercise such as swimming, jogging walking or cycling (Nwankwo, Yoon, Burt, & Gu, 2013). In addition, utilizing stress reduction measures significantly assists with blood pressure control. These measures include avoidance of cigarette smoking and alcohol and consumption of unhealthy diets. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

PICOT Statement

To address the problem of hypertension, the following PICOT question was developed: For male grown-ups between the ages of 40 and 70 with hypertension, and with various co-morbidities, will the adjustment in way of life (drawing in routinely in exercise and eating more beneficial and adjusted suppers), contrasted with patients who utilize prescription to treat/deal with their hypertension, help to control their pulse and diminish the danger of creating cardiovascular illnesses in their recuperation period inside a half year? The period will be sufficiently long to make a patient to be capable not to experience the ill effects of hypertension and to likewise lessen the dangers that the people will ordinarily go through. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.
 

Literature Search Strategy Employed

For the search of literature review, the Ebscohost data base search was used. Key words used in the search were hypertension, high blood pressure, and hypertension among males. A total of 25 articles related to hypertension were found and another 13 articles discussing high blood pressure and other morbidities were found. Further, no articles related to the topic of hypertension among males were found in the data base. Of the 38 articles found, those that failed to meet search criteria of hypertension and high blood pressure and lifestyle adjustments were eliminated. A total of three articles were left for the literature review. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

Literature Review

As discussed earlier, the problem of hypertension has a high prevalence in the United States and the world. Wang et al. (2013) assert that high blood pressure is the single most significant risk factor in the development of cardiovascular disease.  The authors further state that low awareness lack of treatment and management leads to an increase in the number of deaths and complications from hypertension. Risk factors such as high body mass index lack of physical exercise and consumption of unhealthy diets cause further problems into an already complex issue.

A National Health and Nutrition Survey reveals that early diagnosis and treatment ensures the prevention of complications of hypertension for instance damage of the arteries and blindness (Nwankwo, Yoon, Burt, & Gu, 2013). However, research by suggests that hypertensive patients may fail to develop signs or symptoms in which case treatment is sought for the eventual complications such as blindness. Lifestyle changes in combination with medication may lower high blood pressure and lead to an improved quality of life for the patient. However, lifestyle modifications alone have been found effective as a first line option treatment for hypertension. These changes include the incorporation 30 minutes of physical activity into the patient’s daily routine. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

Ideally the goal of physical exercise is to assist the patient with weight loss and a reduction of the BMI (Khdour et al., 2013). Dietary adjustments entail intake of low sodium diets, intake of high fiber diets, which includes fruits and vegetables, and consumption of low-fat dairy products. Lifestyle modifications also constitute the avoidance of stress and its causative factors such as smoking and alcohol consumption. Dietary changes may involve the nurse or the nutritionist assist the patient develop a feeding plan which is known as dietary approaches to stop hypertension diet.

Applicable Change Model

For patients suffering from hypertension and other chronic diseases, the Chronic Care Model is an effective organizational strategy to caring for hypertensive patients. I this scenario, the model is applicable because it utilizes evidence based research and creates interactions between an educated patient and a proactive team of health care professionals. Moreover, the system is practical and offers support for the patient in management of hypertension (Davy, Bleasel, Liu, Tchan, Ponniah, & Brown, (2015). NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

Implementation Plan

Following the six components of the Chronic Care Model, the implementation plan will aim to decrease high blood pressure, manage weight, support self-management and decision making that will impact on the overall well-being of the patient. Self-management is critical because it indicates that the patient is in charge of their own health care situation. Applicable changes will be filtered through the components of the Chronic Care Model and tested against evidence-based research to ascertain that they are effective at achieving the goals of blood pressure reduction and weight reduction (Davy, Bleasel, Liu, Tchan, Ponniah, & Brown, (2015).

Potential Barriers to Implementation

Potential barriers to the implementation of the plan include patient apathy and non- adherence to the issues such as physical activity and consumption of healthy diets to achieve the treatment goals of lowering blood pressure and weight reduction (Khatib, 2012). Another key barrier from the patient is an attitude of indifference which may result in the patient viewing the plan as inconsequential and non-contributory to the management of their blood pressure.

Conclusion

As noted, hypertension is among the leading causes of heart attacks, strokes, and other complications. With the right interventions in place, the condition can be managed and treated; hypertension treatment considers two forms of treatment including the use of anti-hypertensive drugs as well as lifestyle modifications. Anti-hypertensive drugs used include diuretics, angiotensin, converting enzymes blockers, beta blockers among others each of the drugs work differently, but all ultimately result in lowering the blood pressure. Therefore, apart from medication, lifestyle changes are also crucial in management and treatment of the disease especially in reducing cardiovascular risks and lowering the blood pressure. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

 

 

References

Davy, C., Bleasel, J., Liu, H., Tchan, M., Ponniah, S., & Brown, A. (2015). Effectiveness of chronic care models: Opportunities for improving healthcare practice and health outcomes: A systematic review. 
BMC Health Services Research
, 
15
, 194. http://doi.org/10.1186/s12913-015-0854-8

Khatib, O. M. (2012).
Clinical guideline for the management of hypertension.
New York, NY: World Health Organization. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

Khdour, M., Hallak, H., Shaeen, M., Jarab, A., & Shahed, Q. A. (2013). Prevalence, awareness, treatment and control of hypertension in the Palestinian population.
Journal of Human Hypertension
, (10), 623. doi:10.1038/jhh.2013.26

Nwankwo, T., Yoon, S. S., Burt, V., Gu, Q. (2013). Hypertension among adults in the United States: National Health and Nutrition Examination Survey, 2011-2012.
NCHS Data Brief
(133),1-8.

Wang, J., Ning, X., Yang, L., Lu, H., Tu, J., Jin, W., & … Su, T. (2014). Trends of hypertension prevalence, awareness, treatment and control in rural areas of northern China during 1991-2011.
Journal of Human Hypertension
,
28
(1), 25-31. doi:10.1038/jhh.2013.44. NRS-490 EBP Capstone Project Paper & Practicum: Treatment of Hypertension.

AACN & BSN Essentials I-IX Essay Paper

Discuss how your current practice may change in the future as a result of your understanding of one particular Essential. (You may choose the Essential you wish to reflect on.) (Essentials I-IX)

Discussion Rubric

ORDER A PLAGIARISM-FREE PAPER NOW

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style.

I need at least 2 references for that. AACN & BSN Essentials I-IX Essay Paper

NRS-490 PICOT Statement Paper: Problem of Hypertension

Practice Problem/Issue and PICOT Question

Hypertension adds to the passing of many individuals all through the world, yet there is as yet poor administration of the condition. Setting up compelling control measures could essentially control the quantity of passings around the world. To control and administration hypertension successfully, it is imperative to recognize and deal with the way of life hazard factors related with the condition as that brings down circulatory strain. What’s more, it is crucial to perform standard screening, discussing adequately with patients, checking patients all the time, and holding fast to treatment. Specifically, it is conceivable to avert and control the condition viably through way of life changes (slim down and frequently captivating in work out) as these serves to altogether direct pulse (Dua et al,2014). Evidenced based solution for patients with hypertension is to lower DBP and SBP below levels in which medication will be started. There should be an alternative drug from a different class to take care of a patient.

ORDER A CUSTOM-WRITTEN PAPER NOW

PICOT Question

For male grown-ups between the ages of 40 and 70 with hypertension, and with various co-morbidities, will the adjustment in way of life (drawing in routinely in exercise and eating more beneficial and adjusted suppers), contrasted with patients who utilize prescription to treat/deal with their hypertension, help to control their pulse and diminish the danger of creating cardiovascular illnesses in their recuperation period inside a half year. The period will be sufficiently long to make a patient to be capable not to experience the ill effects of hypertension and to likewise lessen the dangers that the people will ordinarily go through(Howes,2013). NRS-490 PICOT Statement Paper: Problem of Hypertension.

Intervention

The primary technique for intercession for a patient with hypertension it is with no uncertainty to put them under prescription, so they can get cured. That is the most secure path as it will influence the patient to have the capacity to deal with themselves as far as how they to think, what they eat and even the exercises that they attempt to participate in (Dua et al,2014). The age of the patients will likewise imply that the patients are given solution that can manage them in the most helpful ways and which they can acknowledge all in all. The medication that can be given for this situation is one that can decrease the cruelty of a medication. The nursing intervention for patients with hypertension is assessing the headache pains that a patient is experiencing and checking the blurred vision in every four hours until it goes away. Another nursing intervention is for a nurse to educate a patient on how they consult with their doctor before medication is stopped. NRS-490 PICOT Statement Paper: Problem of Hypertension.

Comparison

The fundamental contrasting option to contrast with the mediation will have with do with influencing the patient to get the opportunity to do a considerable measure of activities. That is one thing that will make the licenses to have the capacity to manage the issue of hypertension and since practices have been demonstrated that they work, it will then be simple for the patient to recuperate from the hypertension and what will imply that they will get cured from such an infirmity. Toward the end, all will have ended up being sure as the patient will have the capacity to get the coveted medication(Howes,2013). Patient care to those with hypertension is to first educate, measure the blood pressure and even give advice Education will entail modifying the behavior of a patient which is related to smoking, alcohol intake and how to manage stress. NRS-490 PICOT Statement Paper: Problem of Hypertension.

Outcome

In this exploration and managing a patient, it is with most likely that there are things that are being tended to and which are there to have the capacity to manage the way a patient gets the chance to react to pharmaceutical or even exercise. The cerebral pains that are regularly seen in patients with antagonistic hypertension combined with the measure of considerations are the conditions that are to be wiped out in the patients that have hypertension. The numerous unfavorable occasions in the patients will get diminished because of the patients having the capacity to be under pharmaceutical or notwithstanding sharing in practices that are useful for their wellbeing (Dua et al,2014). Healthcare agency for caring for patients with hypertension can be the likes of Intrepid USA Healthcare Services which gives Hypertension Management Program that helps patients get and have a maintained blood pressure that is healthy. Nursing practice for patients with hypertension will be the likes of minimizing the cost of therapy, including a patient in making of decision and even implementation of treatment plans step by step. NRS-490 PICOT Statement Paper: Problem of Hypertension

 

 

References

Dua, S., Bhuker, M., Sharma, P., Dhall, M., & Kapoor, S. (2014). Body Mass Index Relates. to Blood Pressure Among Adults. 
North American Journal of Medical Sciences
, 
6
(2), 89–95. http://doi.org/10.4103/1947-2714.127751

Howes, F., Warnecke, E., &Nelson, M. (2013). Barriers to lifestyle risk factor assessment and management in hypertension: A qualitative study of Australian general practitioners.
Journal of Human Hypertension
,
27
, 474-478 doi:10.1038/jhh.2013.9. NRS-490 PICOT Statement Paper: Problem of Hypertension

Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

Communicable Disease and infectious disease.

Sexually Transmitted Disease and HIV/AIDS.

Read chapter20 and 21 of the class textbook and review the attached Power Point Presentations. Also view the attached YouTube video about PrEP/Truvada to prevent HIV.  Once completed answer the following questions;

ORDER A PLAGIARISM-FREE PAPER NOW

Discuss the school vaccination requirements in your state.  Which vaccines are available that are not required? Why are they not required? How does your state differ from other states? Have there been any recent changes in vaccination requirements? How do students feel about the possibility of including the HPV vaccine as a requirement for school? What are the pros and cons?

What has led to the increase in MRSA transmission in the community? What are some of the challenges in addressing this problem in the community? How is it often identified and how can it be passed in communities?

Discuss why there is no “typical” STI patient. Why does the presence of an STI greatly increase the risk of HIV transmission?

Based on what you saw in the YouTube presentation, do you think that PrEP/Truvada it is effective in preventing HIV/AIDS.

As stated in the syllabus present your assignment in an APA format word document Arial 12 font attached to the forum in the discussion board tittle “week 5 discussion questions”. Assignment must contianed at least two evidence based references no older than 5 years.  A minimum of 2 replies to any of your peers sustained with the proper references are required. A minimum of 500 words without count the first and references page are required.

Below you can find the link for the video about PrEP/Truvada

Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

Communicable and Infectious Disease

Communicable and Infectious Disease

Communicable Disease

Early 20th century

–Typhoid epidemic

–Influenza

1930s–1940s

–Tuberculosis (TB)

–Penicillin

1950s

–Penicillin began to lose effectiveness

1970s

–Legionnaires’ disease, Lyme disease, toxic shock, Ebola

1980s

–Human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS)

21st Century

–TB, influenza, Ebola, severe acute respiratory syndrome (SARS), avian flu, hantavirus

Transmission of Infectious Agents

Three modes of transmission

–Direct, indirect, airborne

Chain of infection

–Agent

–Pathogenicity

–Virulence

–Reservoir

–Colonization

–Incubation period

–Period of infectivity

–Zoonoses

Transmission of Infectious Agents (cont.)

Routes of Infection

–Direct transmission

Transfer of an infectious agent from one infected host or reservoir to a portal of entry in the new host. Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

–Indirect transmission

Vector-borne transmission

–Mechanical

–Biological

–Fomites

–Airborne transmission

Droplet

Susceptibility Versus Immunity

Susceptibility

Immunity

–Acquired immunity

–Active humoral immunity

–Passive immunity

–Herd immunity

Communicable Disease Prevention

Three factors:

–Removal, elimination, or containment of the cause of infection

–Disruption and blockage of the chain of disease transmission

–Protection of the susceptible population from infection and disease. Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

Communicable Disease Prevention (cont.)

Primary prevention

–Isolation

–Quarantine

–Segregation

–Personal surveillance

Secondary prevention

Tertiary prevention

Control of Diseases

Vaccine-preventable diseases

–Diptheria

–Measles

–Polio

–Influenza

–Pneumonia

–Hepatitis A, B, C, D, E

–Varicella

Emerging and Reemerging Infectious Diseases

Influenza

Healthcare-associated infections

–
Staphylococcus aureus

–Methicillin-resistant
S. aureus
(MRSA)

Food-borne diseases

–Prevention

Prevention of contamination of food

Prevention of growth of pathogens

Prevention of the spread and survival of pathogens

Food-Borne Diseases

Result of:

–Insufficient cooking of food

–Preparation of food too many hours before it is eaten

–Use of contaminated raw food

–Cross-contamination where food is prepared

–Food preparation by infected persons

Nurses’ role in prevention:

–Know what to look for when purchasing food

–Proper storage of food

–Good hand-washing, clean utensils and surfaces for food preparation

–Proper cooking techniques

–

Common Food-Borne Diseases

Campylobacteriosis

Listeriosis

Salmonellosis

Escherichia coli

Vector-Borne Diseases

Lyme disease

Malaria

West Nile virus

Zoonoses

–Hantavirus

ORDER A PLAGIARISM-FREE PAPER

–Avian influenza

–Pet diseases

Cat scratch fever

–Rabies

Vector-Borne Diseases (cont.)

Parasitic diseases

–Helminths

Pinworm

Roundworm

Hookworm

–Protozoans

Giardiasis

Cryptosporidiosis

Bioterrorism

Attacks occur when viruses, bacteria, and other infectious agents are used deliberately to cause illness

–Category A

–Category B

–Category C

HIV/AIDS

Can be transmitted from person to person through unprotected sexual contact with blood or blood products, through sharing needles or razors, and from mother to baby during gestation or the birthing process

Tuberculosis

One of the leading causes of death worldwide

Transmitted by droplets

–Symptoms

Fatigue

Weight loss

Fever

Chills

Night sweats

HIV/TB connection

Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

Sexually Transmitted Infections and HIV.AIDS

Sexually Transmitted Infections and HIV/AIDS

Scope of the Problem

Sexually transmitted infections (STIs) affect people of all socioeconomic levels, races, ethnicities, genders, ages, and religions. Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

In the United States more than 65 million people have an STI.

Common STIs

Syphilis

Chlamydia

Gonorrhea

Herpes simplex virus

Human papillomavirus

Health Consequences of STIs

Cancers

Reproductive health problems

Health consequences for pregnant women and infants

Health consequences for men

HIV/AIDS

Scope of the problem

Populations at risk for HIV/AIDS

Nursing care of families with HIV

STIs and the U.S

Healthcare System

Problem of access

Health services

Screening and prevention

The Role of the Community Health Nurse

Assessment

Diagnosis

Planning

Implementation

–Transtheoretical Model of Behavior Change

Evaluation

Communicable & Infectious Diseases and Sexually Transmitted Infections and HIV/AIDS Essay Assignment Papers

Differing approaches of nursing leaders and managers to issues in practice

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this Differing approaches of nursing leaders and managers to issues in practice assignment, do the following:

ORDER A CUSTOM-WRITTEN PAPER NOW

Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.

Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.

Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.

Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.

Use at least two references other than your text and those provided in the course.

Prepare this Differing approaches of nursing leaders and managers to issues in practice assignment according to the APA 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 Differing approaches of nursing leaders and managers to issues in practice assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS 451V – Executive Summary Feedback Form and Nursing Leadership and Management: Quality Improvement Initiative Essay

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

The purpose of the program or project.

The target population or audience.

The benefits of the program or project

The cost or budget justification.

The basis upon which the program or project will be evaluated.

ORDER A PLAGIARISM-FREE PAPER NOW

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

Do you believe the proposal would be approved if formally proposed?

What are some strengths and weaknesses of the proposal?

Submit the written proposal along with the “Executive Summary Feedback Form.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NRS 451V – Executive Summary Feedback Form and Nursing Leadership and Management: Quality Improvement Initiative Essay

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 Turnitin. Please refer to the directions in the Student Success Center. NRS 451V – Executive Summary Feedback Form and Nursing Leadership and Management: Quality Improvement Initiative Essay

 
Executive Summary Feedback Form

Student Name:__________________

Section & Faculty Name:_________________________________

Date of Interview:________________

Provider Information

Employee Name :

 

 

 

Last

First

M.I.

Credentials:

 

Title:

 

                            (I.e. MS, RN, etc.)

Organization:

 

Phone Number:

 

E-mail Address:

 

 Feedback Section

 

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using non-traditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.

 

This activity is intended to foster demonstration of skills related to leadership and management.   NRS 451V – Executive Summary Feedback Form and Nursing Leadership and Management: Quality Improvement Initiative Essay

 

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

 

Do you believe the proposal would be approved if formally proposed?

What are some strengths and weaknesses of the proposal?

 

 

_______________________________                                              _________________

Signature of Individual Providing Feedback                                            Date Signed

 

NOTE:

 

Acknowledgement form is to be returned to the student for electronic submission to the faculty member via the learning management system (LoudCloud).

NRS 451V – Executive Summary Feedback Form and Nursing Leadership and Management: Quality Improvement Initiative Essay

Essay – Scholarship of Evidence-based Practice

Describe at least two examples of how EBP scholarship is demonstrated either by you personally or by someone in your practice environment. Include in your example descriptions, which type of scholarship the example represents.

ORDER A PLAGIARISM-FREE PAPER NOW

Recall from your lesson that the types of scholarship include (a) discovery, (b) teaching or (c) application and integration. Which type of scholarship do you think that your DNP project will be? Why do you think so?

Further, projects can be categorized into (a) quality improvements, (b) implementing practice guidelines, (c) evaluating practice processes and policy, or (d) examining patterns of behavior.

Essay – Scholarship of Evidence-based Practice

Thinking about these categories of scholarship and project type, how would you describe your potential project? Essay – Scholarship of Evidence-based Practice