Tag: Clinical-Nursing

Interaction Between Nurse Informaticists and Other Specialists discussion essay

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either Interaction Between Nurse Informaticists and Other Specialists discussion essay. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

ORDER A PLAGIARISM-FREE PAPER HERE

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Discuss a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions. Interaction Between Nurse Informaticists and Other Specialists discussion essay.

PCN 605 Case Study of Tina Essay Assignment

Case Study: Tina

PCN 605 Case Study of Tina

Tina is a 17-year-old Navajo female who is brought into a counselor’s office for symptoms of depression; her family has noticed that she is more withdrawn than usual and she is often observed crying and talking to herself. Through the intake interview, the counselor learns that Tina hears voices daily that command her to perform certain acts of hygiene (showering, combing her hair, etc.) PCN 605 Case Study of Tina Essay Assignment. She further reveals that she believes these voices to be the result of witchcraft that her boyfriend is using to control her. Tina also states that she has used methamphetamines heavily for the past several months. She and her mother ask the counselor to work with Tina for the depression, but claim that they wish to see a medicine man for hearing voices.

ORDER A PLAGIARISM-FREE PAPER HERE

Where does the counselor begin with this client? Tina is clearly demonstrating symptoms of psychoses, yet it is difficult to determine what has caused them. Is she experiencing a severe depressive episode with psychotic features? Have the voices been induced by excessive drug use? Alternatively, should the counselor take into account the cultural acceptance of witchcraft and let the medicine man exclusively treat Tina? This case study is but one example of the way different cultures deviate in concept of mental illness as it presents itself in the counselor’s office.

Viewing clients as devoid of their cultural backgrounds because notions of health and wellness differ greatly by who is defining them are unethical and unwise. In order to be as receptive as possible to a client’s position, counselors must constantly
 deconstruct and be aware of their own beliefs
 regarding psychopathology. This process of exploring a belief system has been given many names, one of which is 
social constructionism
 (Lemma, 2011).

Social constructionism is the concept that reality is formed and defined by the individual experience of it; the perceptions of any given society are constantly in flux as trends and knowledge shifts. PCN 605 Case Study of Tina Essay Assignment As such, the concept of psychology changes to meet the needs of each given culture. Ruder & Guterman (2007) state that “social constructionism is, itself, a social construction that is always changing and subject to reconstruction” (p. 387).

PCN 605 Case Study of Tina References

Rudes, J. & Guterman, J. (2007). The value of social constructionism for the counseling profession: A reply to Hansen. 
Journal of Counseling & Development,85
(4), 387-392

PCN 605 Case Study of Tina Paper Details

Review the diagnostic criteria on pages 99-100; 160-161; 561-562 of the DSM-5.

A counselor’s own perception of psychopathology is extremely important in the diagnostic process.

Using the case study of “Tina”, write a 500-750 word essay in which you examine your thought process about her presenting issues. Include the following in your paper:

Discuss the historic and cross-cultural perspectives of psychopathology that could potential impact the diagnosis and treatment of Tina.

After reviewing the several diagnoses that could pertain to Tina from the latest version of the DSM, what is your diagnostic impression?

Substantiate your diagnostic impression with appropriate criteria from the current version of the DSM. PCN 605 Case Study of Tina Essay Assignment.

Discuss how historic misconceptions of psychopathology could potentially impact the treatment of this client. As part of this discussion, you may include a diagnosis, any referrals that you would make, and a general course of treatment. At least five scholarly references in addition to the textbook in your paper.

Prepare this PCN 605 Case Study of Tina assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. PCN 605 Case Study of Tina Essay Assignment.

This PCN 605 Case Study of Tina 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 PCN 605 Case Study of Tina assignment to Turnitin. Refer to the directions in the Student Success Center. PCN 605 Case Study of Tina Essay Assignment.

Differential Diagnosis for Skin Conditions Essay Assignment Paper

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Differential Diagnosis for Skin Conditions Essay Assignment Paper, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To prepare:

Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment.

Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Consider which of the conditions is most likely to be the correct diagnosis, and why.

Download the SOAP Template found in this week’s Learning Resources.

ORDER A CUSTOM-WRITTEN PAPER NOW

To complete:

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of
three to five
possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature  Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 4 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 4 Assignment 1

 

Differential Diagnosis for Skin Conditions Essay Assignment Paper Learning Resources

Required Readings

Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015).
Seidel’s guide to physical examination
(8th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 8, “Skin, Hair, and Nails” (pp. 114-165)

This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016).
Advanced health assessment and clinical diagnosis in primary care
(5th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 28, “Rashes and Skin Lesions” (pp. 325-343)

This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.

Note:
Download and use the Adult Examination Checklist and the Physical Exam Summary when you conduct your video assessment of the skin, hair, and nails Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for skin, hair, and nails. In
Mosby’s guide to physical examination
(7th ed.). St. Louis, MO: Elsevier Mosby.

 

This Adult Examination Checklist: Guide for Skin, Hair, and Nails was published as a companion to
Seidel’s guide to physical examination
(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Skin, hair, and nails physical exam summary. In
Mosby’s guide to physical examination
(7th ed.). St. Louis, MO: Elsevier Mosby.

 

Differential Diagnosis for Skin Conditions Essay Assignment Paper This Skin, Hair, and Nails Physical Exam Summary was published as a companion to
Seidel’s guide to physical examination
(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Everyday Health, Inc. (2013).
Resources for dermatology and visual conditions
.

Retrieved from http://www.skinsight.com/info/for_professionals

 

This interactive website allows you to explore skin conditions according to age, gender, and area of the body.

Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12(6), 278–282. Retrieved from http://www.nurseprescribing.com/

Retrieved from the Walden Library Databases.

Watkins, J. (2013a). Skin rashes, part 1: Skin structure and taking a dermatological history. Practice Nursing, 24(1), 30–33. doi:10.12968/pnur.2013.24.1.30

Retrieved from the Walden Library Databases. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Watkins, J. (2013b). Skin rashes, part 2: Distribution and different types of rashes. Practice Nursing, 24(3), 124–127. Retrieved from http://www.practicenursing.com/

Retrieved from the Walden Library Databases.

Watkins, J. (2013c). Skin rashes, part 3: localized rashes. Practice Nursing, 24(5), 235–241. doi:10.12968/pnur.2013.24.5.235

Retrieved from the Walden Library Databases.

Document:
Skin Conditions (Word document)

 

This document contains five images of different skin conditions. You will use this information in this week’s Discussion.

Document:
Comprehensive SOAP Exemplar (Word document)

Document:
Comprehensive SOAP Template (Word document)

Note:
To access the online resources included with the textbook, you need to complete the FREE online registration that is located at
https://evolve.elsevier.com/cs/product/9780323172660?role=student
.

To Register to View the Content

Go to
https://evolve.elsevier.com/cs/product/9780323172660?role=student

Enter the name of the textbook,
Seidel’s Guide to Physical Examination
(name of text without the edition number) in the Search textbox.

Complete the registration process.

To View the Content for this Textbook

Go to
https://evolve.elsevier.com/
.

Click on
Student Site
.

Type in your
Username
and
Password
.

Click on the
Login
button.

Click on the
plus sign icon
for Resources on the left side of the screen.

Click on the
name of the textbook
for this course.

Expand the
menu
on the left to locate all the chapters.

Navigate to the
desired content
(checklists, videos, animations, etc.).

Note:
Clicking on the URLs in the APA citations for the Resources from the textbook
will not
link directly to the desired online content. Use the online menu to navigate to the desired content.

Required Media

Online media for
Seidel’s Guide to Physical Examination

In addition to this week’s media, it is highly recommended that you access and view the online resources included with the course text,
Seidel’s Guide to Physical Examination
. Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails.

The following suturing tutorials provide instruction on the basic interrupted suture, as well as the vertical and horizontal mattress suturing techniques:

Tulane Center for Advanced Medical Simulation & Team Training. (2010, July 8).
Suturing technique.

Retrieved from https://www.youtube.com/watch?v=c-LDmCVtL0o

Mikheil. (2014, April 22).
Basic suturing: Simple, interrupted, vertical mattress, horizontal mattress
.

Retrieved from https://www.youtube.com/watch?v=MFP90aQvEVM

Optional Resources

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014).
DeGowin’s diagnostic examination
(10th ed.). New York, NY: McGraw Hill Medical. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Chapter 6, “The Skin and Nails”

In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions.

Ethicon, Inc. (n.d.a).
Absorbable synthetic suture material
. Retrieved from https://web.archive.org/web/20170215015223/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/absorbable_suture_chart.pdf

Ethicon, Inc. (2006).
Dermabond topical skin adhesive application technique
. Retrieved from https://web.archive.org/web/20150921174121/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_application_poster.pdf

Ethicon, Inc. (2001).
Ethicon needle sales types
. Retrieved from https://web.archive.org/web/20150921171922/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/needle_template.pdf

Ethicon, Inc. (n.d.b).
Ethicon sutures
. Retrieved from https://web.archive.org/web/20150921202525/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/suture_chart_ethicon.pdf

Ethicon, Inc. (2002).
How to care for your wound after it’s treated with Dermabond topical skin adhesive
. Retrieved from https://web.archive.org/web/20150926002534/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_wound_care.pdf

Ethicon, Inc. (2005).
Knot tying manual
. Retrieved from https://web.archive.org/web/20160915214422/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/knot_tying_manual.pdf

Ethicon, Inc. (n.d.c).
Wound closure manual
. Retrieved from https://web.archive.org/web/20170829043048/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/eth

Assignment 1: Differential Diagnosis for Skin Conditions

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To prepare:

Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment.

Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Consider which of the conditions is most likely to be the correct diagnosis, and why.

Download the SOAP Template found in this week’s Learning Resources.

To complete:

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of
three to five
possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature. Differential Diagnosis for Skin Conditions Essay Assignment Paper.

Public Health Law Short Report Midterm Project

“A Public Health Law Short Report”

Title of Midterm Project: “A Public Health Law (Short Report)”:

You will pick a US public health law – a law at the federal, state, country or city level that is designed to protect the health of the public. You will do a literature search and write a report about the law and how it has impacted the health of the public.  Note that this is a “short” report – only 1,000 words Public Health Law Short Report Midterm Project.

 

The public health law must be from
one
of the following three topic areas:

1) Lead

2) Smoking

3) Immunization

 

Important tips on writing your midterm report:

Once you choose you main topic (lead, smoking or immunization), you should choose a law that addresses that topic that has been in effect at least for a few years. Search literature first to make sure that the law’s impact has been evaluated. For instance, “an evaluation study found that 5 years after the introduction of an anti-smoking law, smoking prevalence and incidence of asthma declined” Public Health Law Short Report Midterm Project.

 

Also, the law has to be very specific – for instance, “The Clean Indoor Air Act of NYS of 2003 (Public Health Law, Article 13-E)” instead of “Anti-smoking law in NYS”.

 

The content of your midterm report should cover the following points:

Background

Why was the law enacted?  Health, social, economic, and other contextual backgrounds

Description of the law

Explain the law:  What, When, Where, How and Who

Evidence of the law’s impact on health

Summarize evidence gathered from scientific studies and government reports that evaluated the law’s impact.

Brief concluding statement

Include your own assessments including critiques of the law (lessons learned), and any limitations to report.

 

Format Requirements:

Public Health Law Short Report Midterm Project Top of the first page: Title, your name, date of submission, and word count of the text*

Abstract: up to 200 words to summarize your report

Text: 1 inch margins, page numbered (lower right), single spaced, 12 point font.

Citation Style:  The JAMA style is preferred (see attached guide). Other established styles (APA, Chicago, etc.) are acceptable.

Bibliography/Citations: A minimum of 3 peer reviewed journal articles or credible government reports. All online materials should have URLs, and the date that you accessed them.

Appendix (optional): graphs, tables, and photos. Limit: one page total. They should supplement, but not duplicate, your writing. All materials need proper citations or disclosure of sources.

*Word count: 1,000 words maximum, excluding the title section, abstract, bibliography, and appendix. Public Health Law Short Report Midterm Project.

 

Submission:

You will submit your midterm report in a
Microsoft WORD document
 (uploading instructions are provided in the
MIDTERM PROJECT SUBMISSION
link below).

Due Date: Sunday 3/31 (11:59 PM at night)

 

Quality of report will be graded based on the following criteria:

Compliance with the format requirements

Quality of information (scientific value, accuracy)

Organization of materials (clarity and consistency)

Originality (of conclusion & interpretation)

Citations (minimum of 3 citations from peer reviewed journals or credible government reports)

This assignment 
will be reviewed for plagiarism using SafeAssign. Review the syllabus for the full policy on Academic Dishonesty and plagiarism.

 

Resource:  NYS Lead Laws

https://www.health.ny.gov/regulations/public_health_law/article_13/title_10/index.htm#prevention Public Health Law Short Report Midterm Project

Week 10 Main Discussion Post

Weighing the Evidence

“The demand for health care practices that are evidence-based, standardized, consistent, and promote optimal outcomes within the constraints of limited resources is growing” (Katapodi & Northouse, 2011). When weighing the value of evidence, it is important to study the hierarchies that “grade the evidence for its reliability and generalizability to larger populations based on research design and sampling method” (Stichler, 2010). Hierarchies offer a structure for grading the strength of the existing evidence (Stichler, 2010). weighing the evidence in nursing research essay example papers.

ORDER A CUSTOM-WRITTEN PAPER NOW

Citation

Keyt, H., Faverio, P., & Restrepo, M. I. (2014). Prevention of ventilator-associated pneumonia in the intensive care units: A review of the clinically relevant recent advancements.
The Indian Journal of Medical Research
, 814-821. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?sid=5f6f3c89-eb57-4ed5-af8a-e2084725cbda%40sessionmgr103&vid=1&hid=118

 

Article Summary

The authors of this study reviewed the literature about evidence-based ventilator-associated pneumonia (VAP) prevention measures. This literature was reviewed because “the pathophysiology, epidemiology, treatment and prevention of VAP have been extensively studied for decades, but a clear prevention strategy has not yet emerged” (Keyt, Faverio, & Restrepo, 2014). In their research, Keyt, Faverio, and Restrepo discovered that any patient placed on a mechanical ventilator was at risk of developing VAP. Several strategies were identified as prevention measures: non-invasive positive pressure ventilation (NPPV), sedation holidays, weaning trials, avoiding re-intubation, and early tracheostomy weighing the evidence in nursing research essay example papers.

Data and Analysis

           
The article is a case-control study. Three authors reviewed “interventions currently available that have a clinical impact with regards to a reduction in the incidence of VAP” (Keyt, Faverio, & Restrepo, 2014). The authors looked for research on how VAP occurs, VAP prevention: reducing the time at risk, VAP prevention: targeting endotracheal tube colonization and microaspiration, VAP prevention: infection control in the ICU, and VAP prevention: reducing colonization. After reading multiple articles with similar results, they concluded that a multidisciplinary strategy showed more enhanced patient outcomes than strictly focusing on prevention approaches directed towards the pathophysiologic mechanism of VAP. The multidisciplinary strategy includes non-invasive positive pressure ventilation (NPPV), sedation holidays, weaning trials, avoiding re-intubation, and early tracheostomy (Keyt, Faverio, & Restrepo, 2014).

The weaknesses noted from the study was the lack of information about how the study was performed, how many studies were read, how they specifically came to their conclusions, and how the authors chose the articles and eliminated pieces. weighing the evidence in nursing research essay example papers. There was no information given about what roles each researcher played and how they obtained their articles to review. However, they did suggest that future research that studies clinical outcomes as primary endpoints will hopefully develop more thorough prevention strategies.

Additional Study

Based on their research, I learned that the use of ventilator bundles was most beneficial to prevent VAP. The study did not specify what interventions were the best to include in the ventilator bundles but stated that multiple interventions were favorable. Additional research could be completed on which interventions should be paired together to make up a ventilator bundle.

weighing the evidence in nursing research essay example papers References

Katapodi, M. C., & Northouse, L. L. (2011). Comparative Effectiveness Research: Using Systematic Reviews and Meta-Analyses to Synthesize Empirical Evidence.
Research and Theory for Nursing Practice, 25
(3), 191-209.

Keyt, H., Faverio, P., & Restrepo, M. I. (2014). Prevention of ventilator-associated pneumonia in the intensive care units: A review of the clinically relevant recent advancements.
The Indian Journal of Medical Research
, 814-821. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?sid=5f6f3c89-eb57-4ed5-af8a-e2084725cbda%40sessionmgr103&vid=1&hid=118

Stichler, J. (2010). Evaluating the Evidence in Evidence-Based Design.
JONA: The Journal of Nursing Administration, 40
(9), 348-351.

 

6052 Discussion Week 10

Weighing the Evidence

Throughout this course, many lessons have been learned regarding the intricacies of research.  When conducting original research, we have learned there are many steps and decisions to be made before embarking upon any research project. weighing the evidence in nursing research essay example papers. One of the final steps of research is determining a meaningful conclusion and formulating explanations for the meaning of their data.  According to Polit and Beck (2017), research is the step-by-step inquiry that utilized an orderly and disciplined method to answer questions and to solve problems (Polit & Beck, 2017).

APA Citation

Ansari, S., & Szallasi, A. (2011). ‘Wrong blood in tube’: Solution for a persistent problem.

 

International Journal of Transfusion Medicine, 100
(1), 298-302.

 

Research Article and Statistical Analysis

Data can be synthesized by using a systematic review or meta-analysis (Katapodi & Northouse, 2011). The article reviewed: ‘
Wrong blood in tube’: solutions for a persistent problem
(Ansari & Szallasi, 2011). In this study, the objective was to determine the occurrence of WBITs at Monmouth Medical Center. The study aims to assess the effectiveness of safe methods enforced in 2006. The method used in this study was the collection of data from 2005 to 2009.  The researchers found that within a four-year period, 59,373 samples were collected and 0.04% of the significant errors were WBITs. It was recorded that 8 of the errors from the 0.04% were due to errors in typing results. weighing the evidence in nursing research essay example papers. The hospital mandated in 2006 that two witnesses (nurses) must check all blood sample collections. Implementing a two-verifier program has helped decrease the rate of WBITs from 11 in 2006 to 5 in 2007, but the WBITs have not been eradicated. It was concluded that WBITs is still the primary cause of wrong blood transfusion at Monmouth Medical Center. In the article by Ansari & Szallasi (2011) we see that after MMC adopted the two-verifier program, the rate of WBITs reduced from 11 to five which does not seem much but we see a decrease in situations that could have caused serious harm or be fatal to the patient.

An identified weakness in the study and recommendation is that the check-type method is not a foolproof method. The nurses and phlebotomist may beat the system by collecting both tubes at the same time from the wrong patient and also the check-type system cannot prevent silent WBITs weighing the evidence in nursing research essay example papers.

 

References

 

Ansari, S., & Szallasi, A. (2011). ‘Wrong blood in tube’: Solution for a persistent problem.

 

International Journal of Transfusion Medicine, 100
(1), 298-302.

 

Katapodi, M. C., & Northouse, L. L. (2011).  Comparative effectiveness research: Using

systematic reviews and meta-analyses to synthesize empirical evidence. 
Research and Theory for Nursing Practice: An International Journal, 25
(3), 191-209.  Retrieved from the Walden Library databases.

Polit, D. F., & Beck, C. T. (2017). 
Nursing research: Generating and assessing evidence for

nursing practice
(10
th
ed.).   Philadelphia, PA: Wolters Kluwer

 

Weighing the Evidence

Evidence-based practice has increasingly come to be valued in the provision of quality health care (Stichler, 2010).  However, one must recognize that “not all evidence is created equal” (Stichler, 2010).  After locating appropriate research articles, Stichler (2010) suggests that we must appraise the rigor of the research design, note the generalizability of the findings to other situations, and view the applicability of the research to your current situation.  weighing the evidence in nursing research essay example papers. The purpose of this discussion is to provide a summary of my selected research article, describe the data and statistics used, and explain how researchers reached their conclusion.  Additionally, I will propose one additional research study that could be done to further investigate the topic.

Citation:

Chen, Y., Chi, M., Chen, Y., Chan, Y., Chou, S., & Wang, F. (2013). Using a Criteria-Based Reminder to Reduce Use of Indwelling Urinary Catheters and Decrease Urinary Tract Infections.
American Journal of Critical Care
,
22
(2), 105-114. doi:10.4037/ajcc2013464.

Summary of Article

The article “Using a Criteria-Based Reminder to Reduce Use of Indwelling Urinary Catheters and Decrease Urinary Tract Infections” written by Chen, Chi, Chen, Chou, & Wang (2013) describes a randomized controlled trial (RCT) which was performed in 2 respiratory intensive care units (ICUs) in Taiwan.  A RCT is level 2 evidence according to Polit & Beck (2017).  The researchers desired to determine the effect of a criteria-based catheter reminder system on urinary catheter utilization and catheter-associated urinary tract infection (CAUTI).  The intervention included criteria for initial catheter use along with removal of the urinary catheter once the same criteria was no longer met.  Investigators would contact the physician to discuss catheter removal once criteria were no longer being met. The results showed that “utilization rate of indwelling urinary catheters was decreased by 22% in the intervention group” and that CAUTI incidence was reduced by 48% in the intervention group. (Chen, Chi, Chen, Chan, Chou, & Wang, 2013). weighing the evidence in nursing research essay example papers.

Description of the Data and Statistical Test Results

According to Chen, Chi, Chen, Chan, Chou, & Wang (2013), “data were analyzed by using IBM SPSS Statistics 17 software. Between-group differences were examined using the Chi-square or Fisher exact test and the categorical differences were presented in percentages and numerical forms (Chen, Chi, Chen, Chan, Chou, & Wang, 2013).  The experimental results data were analyzed by utilization of a t test or the Mann-Whitney test and were presented as means, standard deviations, medians, and ranges (Chen, Chi, Chen, Chan, Chou, & Wang, 2013).  The level of significance was set at .05 (Chen, Chi, Chen, Chan, Chou, & Wang, 2013).  The researchers also calculated relative risk and 95% confidence intervals (Chen, Chi, Chen, Chan, Chou, & Wang, 2013).  Additionally, all participant characteristic data and experimental result data were presented in charts within the research article (Chen, Chi, Chen, Chan, Chou, & Wang, 2013).

The Researchers’ Conclusions

The researchers’ conclusions were that CAUTI incidence decreased and urinary catheter utilization decreased significantly with use of a criteria-based reminder intervention.  Researchers used data to support their conclusions.  For CAUTI incidence reduction, researchers’ provided data for relative risk (0.47), 95% confidence interval (0.27-0.82), and level of significance (P=0.009).  For catheter utilization rate reduction, the provided data were: relative risk (0.78), 95% confidence interval (0.76-0.80), and level of significance (P<0.001).  According to Dingle (2011), if an outcome is 0.1% effective it is statistically significant and if an outcome is 20-30% or more effective it is clinically significant. weighing the evidence in nursing research essay example papers.  Based on the information which was provided and after calculation of the absolute risk for CAUTI incidence, it appears that the data presented is statistically significant, but not clinically significant as there was only a 13% decrease in CAUTI incidence in the intervention group.  The absolute risk for catheter utilization was not able to be determined because numbers were not given for the intervention and control groups. Additional Research Study Additional research could be conducted to see if the criteria-based reminder intervention is more effective with use of different patient populations and larger sample sizes.  This research used only ICU patients and testing the intervention in various inpatient hospital units at many different facilities will allow the results to become more generalizable to other populations.  A larger sample size will help to enhance the power of the conclusions (Polit & Beck, 2017). Conclusion As a health care provider, it is important to familiarize yourself with statistics so that appropriate evidence-based interventions can be identified through your research.  According to Dingle (2011), studies have found that experienced professionals do not understand the difference between statistical and clinical significance which is a major problem because these professionals are generally required to explain the significance of an intervention to their patients and their health outcomes.  As health care professionals, it is important to be able to weigh the evidence of research so that important findings can be applied to practice (Laureate Education, 2013). References Chen, Y., Chi, M., Chen, Y., Chan, Y., Chou, S., & Wang, F. (2013). Using a Criteria-Based Reminder to Reduce Use of Indwelling Urinary Catheters and Decrease Urinary Tract Infections. American Journal of Critical Care , 22 (2), 105-114. doi:10.4037/ajcc2013464. Dingle, P. (2011). Statin Statistics: Lies and Deception. Positive Health , 180 1-11. Retrieved from the Walden Library databases. weighing the evidence in nursing research essay example papers. Laureate Education (Producer). (2013). Weighing the Evidence . Baltimore, MD: Author. Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer. Stichler, Jaynelle. (2010). Evaluating the Evidence in Evidence-Based Design. The Journal of Nursing Administration , 40 (9), 348-351. doi:10.1097/NNA.0b013e3181ee42a7.     Week 10 Discussion Response Post 1 Shannon, Great post! I never thought about depression being a factor that comes after having a type 2 diabetes diagnosis.  I can see why it happens because of the lifestyle changes that need to be made and having to learn all about the disease and how to control it.  This would be difficult to comprehend for me if I wasn’t a nurse. There are so many people with type 2 diabetes now that I never really thought about how it would affect a person mentally.  The researchers indicated that self-care activities included medication taking, specific diet, foot care, glucose monitoring, and exercise.  These activities were not followed by all patients, but it was dependent on several factors including age, educational level, social support, complications, and education about diabetes (Kav, Yilmaz, Bulut, & Dogan, 2017).  This is another great example on how important diabetes education is for patients with new diagnoses. Because of the various risks for other diseases, such as heart disease and stroke, that comes with diabetes, I think it is imperative for us as nurses and nurse practitioners to stress the importance of keeping good glycemic control for our patients.  Active diabetes education should be used to achieve effective and long-term adherence to treatment in order to reduce incidence of complications (Luan et al., 2017).  Have you educated new diabetics on their condition before? My facility has a diabetic advanced practice nurse educator that goes around to all newly diagnosed patients and patients who have poor control of their diabetes.  She educates them regarding their insulin dosage, best times to check sugars, and about a1c levels. weighing the evidence in nursing research essay example papers. I think this is such a great resource to have for our patients and they always state how much more comfortable they feel with their diagnosis after she spends time with them! References Kav, S., Yilmaz, A. A., Bulut, Y., & Dogan, N. (2017). Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey. Collegian, 24 (1), 27-35. doi:10.1016/j.colegn.2015.09.005 Luan, L. L., Yang, J., He, Y. F., Huang, Z. X., Liu, L., & Huang, Z. S. (2017). Biomedical Research, 28 (3), 1172-1177. Week 10 Discussion Response Post 2 Dai, Great post! I have chronic back pain and this article was interesting to me because I can see why people could become depressed because of it.  Back pain is very frustrating to live with and I feel like you never know when it is going to occur. weighing the evidence in nursing research essay example papers.  According to Lopez-Lopez et al. (2017), people with subacute lower back pain have a significant increase in depression regardless of gender.  Their study seems very limited as they did not test to see if people already have cases of depression or other mental illness as well.  I agree with you that one of the weaknesses of the study is not measuring the severity of the LBP related to depression.  What do you think would be a good way for them the researchers to measure this? According to Robertson, Kumbhare, Nolet, Srbely, and Newton (2017), people experiencing depression are 60% more likely to develop back pain in their lifetime versus non-depressed people.  It would be interesting to see if this could be attributable to lower levels of activity because of depression.  Do you think that there could be some level of somatic disorder with the lower back pain related to depression? References Lopez-Lopez, D., Vilar-Fernandez, J. M., Calco-Lobo, C., Losa-Iglesias, M. E., Rodriguez-Sanz, D., & Becerro-de-Dengoa-Vallejo, R. (2017). Evaluation of depression in subacute low back pain: A case control study. Pain Physician, 20(4), E499-E505. Robertson, D., Kumbhare, D., Nolet, P.. Srbely, J., & Newton, G. (2017). Assocations between low back pain and depression and somatization in a Canadian emerging adult population. Journal of the Canadian Chiropractic Association, 61 (2), 96-105. weighing the evidence in nursing research essay example papers.

Health care payment system economic trends HCS 385 essay

HCS 385 WEEK 2 Finance Environment Matrix

3 economic trends of the health care payment system

Create 
a matrix in which you:

Identify at least 3 economic trends of the health care payment system.

Identify ethics and compliance issues associated with those trends.

Cite
 3 peer-reviewed, scholarly, or similar references to support your chosen trends and issues.

Click
the Assignment Files tab to submit your 3 economic trends of the health care payment system assignment. Health care payment system economic trends HCS 385 essay.

HCS 385 WEEK 3 Capital Investment Decisions

Write
 a 1,050- to 1,400-word paper in which you explain the objectives of capital investment decisions. In your paper, address the following:

ORDER A PLAGIARISM-FREE PAPER HERE

How does the amount of funds available affect choices on capital investment decisions?

How is the cost of capital a factor in the decision-making process?

Cite
 3 peer-reviewed, scholarly, or similar references to support your paper.

Format
your paper according to APA guidelines. Health care payment system economic trends HCS 385 essay.

Click
 the Assignment Files tab to submit your assignment.

HCS 385 WEEK 4 Financial Planning

Write
 a 1,050- to 1,400-word paper in which you describe the relationship between strategic and financial planning. Describe some of the key activities that are a part of both processes.

Cite
 3 peer-reviewed, scholarly, or similar references to support your paper.

Format
 your paper according to APA guidelines.

Click
the Assignment Files tab to submit your assignment. Health care payment system economic trends HCS 385 essay.

HCS 385 WEEK 4 Financial Performance Evaluation

Complete
 the financial ratio exercises in the Ratio Analysis Spreadsheet.

Write
a 750- to 1,050-word paper in which you summarize the financial performance of the organization. Explain how the ratios are calculated and how the results impact the organization. In addition, explain how the organization is performing compared to the industry averages. Provide rationale using data from the exercises. Health care payment system economic trends HCS 385 essay.

Cite
 3 peer-reviewed, scholarly, or similar references to support your paper.

Format
 your paper according to APA guidelines.

Click
 the Assignment Files tab to submit your assignment.

Submit
 both your paper and completed spreadsheet.

HCS 385 WEEK 5 Benchmark Assignment—Capital Management

Write
 a 750- to 1,050-word paper in which you:

Evaluate effective working capital management techniques.

Evaluate alternative capital projects.

Analyze risks associated with capital projects.

Analyze the decision-making factors in lease versus buy. Health care payment system economic trends HCS 385 essay.

Analyze the effect of financing strategies on cost of capital.

Analyze benefits and risks of debt financing.

Format
 your paper according to APA guidelines.

Cite
 3 peer-reviewed, scholarly, or similar references to support your paper.

Click
 the Assignment Files tab to submit your assignment.

HCS 385 WEEK 5 Benchmark Assignment—Finance Trends

Write
 a 750- to 1,050-word paper in which you:

Analyze the economic trends of the health care payment system.

Assess the role of ethics and compliance in the health care finance environment.

Analyze supply and demand for health care services.

Develop strategies to mitigate the increasing costs in the health care system.

Format
 your paper according to APA guidelines.

Cite
 3 peer-reviewed, scholarly, or similar references to support your paper.

Click
 the Assignment Files tab to submit your Health care payment system economic trends HCS 385 essay assignment

DHA 714 WEEK 6 Organ Transplant Data Analysis

Organ Transplant Data Analysis – Review 
the Organ Transplants Dataset in your student materials.

Organ Transplant Data Analysis Part 1

Create 
a line chart plotting the number of patients waiting for organ transplants from 2001 to 2010.

Compute
the average 1-year patient survival rate for each type of organ transplant. DHA 714 WEEK 6 Organ Transplant Data Analysis.

Create 
a column chart plotting the average 1-year patient survival rates for each type of organ transplant.

ORDER A PLAGIARISM-FREE PAPER HERE

Click 
the Assignment Files tab to submit your spreadsheet.

Organ Transplant Data Analysis Part 2 

Respond
 to the following questions by clicking on the 
New Message
 icon below.

Number of patients waiting for organ transplants
: What were the top two types of organ transplant in greatest demand from 2001 to 2010? Attach a chart that shows the results for all types of organ transplants. DHA 714 WEEK 6 Organ Transplant Data Analysis.

Average 1-year patient survival rate
: What were the 1-year patient survival rates for each type of organ transplant from 2001 to 2010? Attach a chart that shows the averages for each organ transplant category.

Implications
: How might health care leaders use this data to serve the needs of patients who require organ transplants? Organ Transplant Data Analysis

DHA 714 WEEK 7 Data Collection Instrumentation Analysis

Identify 
a relationship marketing variable, such as patient satisfaction or retention

Locate
 at least three different data collection instruments that could be used to measure the variable.

Create
a critical analysis table, using the provided template, which synthesizes methodological details about each data collection instrument. DHA 714 WEEK 6 Organ Transplant Data Analysis.

Use 
information in your table to evaluate the strengths and limitations of each instrument in marketing.

Write
a 1,400- to 2,100-word paper that analyzes and synthesizes the strengths and limitations of the data collection instruments in marketing.  Be sure to integrate your table into the body of your final paper.  Refer to the Week 4 assignment for instructions on how to insert a landscape table into a portrait-oriented document DHA 714 WEEK 6 Organ Transplant Data Analysis.

Format
 your paper consistent with APA guidelines.

Submit 
a copy of the Plagiarism Checker report with the assignment. Allow yourself time to receive and submit the originality report. DHA 714 WEEK 6 Organ Transplant Data Analysis. If the Plagiarism Checker is down, submit your assignment on time and inform your facilitator via private message. Post the Plagiarism Checker report when it arrives.

Click
the Assignment Files tab to submit your paper and Plagiarism Checker report DHA 714 WEEK 6 Organ Transplant Data Analysis.

Marketing Analysis: HCA 620 Essay

HCA 620 Week 4 Discussion 1 Latest-GCU

Marketing Analysis: HCA 620 Week 4 Discussion 1

Search the GCU Library on the following topic: Marketing Analysis. What information did you find that can be used in your CLC Business Plan as the best approach to marketing the plan, both internally and externally?Marketing Analysis: HCA 620 Week 4 Discussion 1

HCA 620 Week 4 Discussion 2 Latest-GCU

Read “A Good Business Plan Can Put Your Practice in the Driving Seat.” The article mentions the competitive nature of the general practice. Marketing Analysis: HCA 620 Essay. How can a well-written business plan provide a competitive edge?

ORDER A PLAGIARISM-FREE PAPER HERE

HCA 620 Week 4 and 7 CLC Business Plan Latest-GCU

Week 4 CLC – Business Plan

Details:

This is a Collaborative Learning Community (CLC) assignment.

By this time in the course, your CLC group should have determined the overall direction you collectively plan to take regarding the CLC Business Plan due in Topic 7. Marketing Analysis: HCA 620 Essay.

For this assignment, individually write a 250-word report summarizing the progress of your CLC Business Plan from your perspective.

Include the following:

Role assignments (for each member of the CLC group)

Completed tasks

Remaining tasks

Timelines

Pertinent information may be displayed graphically if appropriate. Include any relevant information concerning the progress of your CLC Business Plan. Also describe any problems you have encountered.

The context of this report assumes that both the author and audience are busy professionals.

APA format is not required, but solid academic writing is expected Marketing Analysis: HCA 620 Essay.

You are not required to submit this assignment to Turnitin.

Week 7 CLC – Business Plan

Details:

This is a Collaborative Learning Community (CLC) assignment.

Your instructor will assign you to work on one of the following three projects. Refer to the “CLC Resources” document for specific information about your project subject.

Ambulatory Surgery Center (ASC)

Electronic Medical Record (EMR)

Community Health Program (CHP)

Each CLC group will create a business plan for their assigned project.

The CLC Business Plan will contain the sections and components common to typical business plan models. Marketing Analysis: HCA 620 Essay. The specific needs of each project will determine the appropriate model to use. Whichever model you choose, include:

Description of product or service

Business and industry profile

Marketing components

Financial information

Operational plan

Read individual directions for each project in the CLC Resources document.

APA format is not required, but solid academic writing is expected Marketing Analysis: HCA 620 Essay.

This assignment uses a grading 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. Marketing Analysis: HCA 620 Essay.

HLT 490 Topic 5 Evidence-Based-Practice Proposal

HLT 490 Topic 5 DQ 1

How has the capstone project integrated aspects from all of your program course work?

HLT 490 Topic 5 DQ 2

Why is it important to identify commonalities across several studies with regard to study findings and the types of patients to which study findings can be applied.

HLT 490 Topic 5 Evidence-Based-Practice Proposal

Details:

Prepare your final evidence-based practice proposal for a project whose focus is the resolution of an issue or problem significant to improving patient care. (Patients are conceptualized as individuals, groups, families, or communities.) Make all necessary revisions and corrections to previous assignments completed in Topics 1- 4. Combine all elements into one cohesive evidence-based proposal. HLT 490 Topic 5 Evidence-Based-Practice Proposal.

ORDER A PLAGIARISM-FREE PAPER HERE

Although recommendations will vary in length depending upon the problem or issue addressed, the paper must be between 4,500 and 5,000 words and formatted in APA style. The title page, abstract, appendixes, and references are not included in the word limit. The final paper should clearly describe the methods used to identify and retrieve the evidence as well as the rationale for exploring the clinical issue chosen. HLT 490 Topic 5 Evidence-Based-Practice Proposal. Clearly articulated recommendations for practice based on research evidence are essential to a successful paper.

Use section headings for each section component and address responses in narrative form. Sections of the final paper must include all of the components written to date (incorporating revisions), as well as the remaining sections. These sections include:

Title Page

Abstract

Introduction

Problem

Purpose

Question

Literature Review

Theory

Proposed Solution

Implementation Plan

Dissemination Plan

Conclusion/Summary

Reference Page

Appendices (if any)

Note that an Abstract and Appendix are not required in the individual assignments, but are expected to be added for the final version of the paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required. HLT 490 Topic 5 Evidence-Based-Practice Proposal.

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.

HLT 490 Topic 5 Evidence-Based-Practice Proposal Presentation

Details:

Prepare a PowerPoint presentation of 10-15-slides (not including cover and reference slides) that covers all major sections of your Evidence-Based-Practice Proposal paper.

Include slide notes page of the presentation in which you annotate the explanation of the information in each slide. HLT 490 Topic 5 Evidence-Based-Practice Proposal.

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 HLT 490 Topic 5 Evidence-Based-Practice Proposal.

RS430 Nursing Conceptual Model Presentation

This is a Collaborative Learning Community (CLC) assignment.

Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

A brief overview of the nursing conceptual model selected.

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts. RS430 Nursing Conceptual Model Presentation.

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

ORDER A PLAGIARISM-FREE PAPER HERE

10 slides for content.

1 slide for references.

1 slide for the title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date

Accompanying speaker notes elaborating on the information contained in each slide.

One member of the CLC group will submit the presentation, speaker notes, and the completed “CLC Group Project Agreement” to the instructor RS430 Nursing Conceptual Model Presentation.

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. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion. RS430 Nursing Conceptual Model Presentation.

You are not required to submit this assignment to Turnitin.

This is a Collaborative Learning Community (CLC) assignment.

Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

A brief overview of the nursing conceptual model selected.

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts. RS430 Nursing Conceptual Model Presentation.

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

10 slides for content.

1 slide for references.

1 slide for the title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date

Accompanying speaker notes elaborating on the information contained in each slide.

One member of the CLC group will submit the presentation, speaker notes, and the completed “CLC Group Project Agreement” to the instructor RS430 Nursing Conceptual Model Presentation.

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. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are not required to submit this assignment to Turnitin RS430 Nursing Conceptual Model Presentation.