Great post. What designs were used within the articles that you reviewed? 

The identified problem can be categorized under qualitative design. The level of evidence that can be used to explain this problem is Level VI. First, it’s important to note that qualitative design research is specifically expressed in terms of words. It’s basically used for understanding concepts, thoughts or even experiences. This research helps in gathering an in-depth insights on the topics that are well understood. In the identified problem, the patients as well as families will be basically be the center of the research. The type of information that will be collected will actually depend on the decision that will be made by the patients as well as the family members. The healthcare quality will specifically depend on individual preferences depending on the standards of living and financial stability of a patient. Hence this is an indication that the information which will be collected will specifically qualitative. The methods to be applied in data collection for instance will be interviewing the patients with open ended questions, observing which will entail describing the situation in words, besides the exploration of the concepts and theories surrounding patients’ quality care (Peterson, 2019).

This is specifically the fundamentals of qualitative research design. The surveys are also other common method that will be applicable in data collection. This is because it contains a list of closed or multiple choice questions which are distributed to a sample of patients either directly or even via online. The Level IV evidence is chosen for it is actually an evidence from a single descriptive or qualitative study. This being a qualitative design, it qualifies this Level IV evidence to be one of the best evidence levels to address this identified problem (Bengtsson, 2016).

References:

Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8-14. Retrieved from https://www.sciencedirect.com/science/article/pii/S2352900816000029 (Links to an external site.)

Peterson, J. S. (2019). Presenting a qualitative study: A reviewer’s perspective. Gifted Child Quarterly, 63(3), 147-158. Retrieved from https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3808-0 (Links to an external site.)

House, J. (2020). Nursing Research: Reading, Using and Creating Evidence 4th                Edition  Retrieved 10 September 2020,

#1  A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension.  Her pregnancy has been uneventful; however, at today’s appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg.  She is also complaining of light-headedness and palpitations.

     A.  What actions would you take as her nurse?

     B.  What change should this patient be encouraged to do?

     C.  What are the expected outcomes?

#2.  The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history.  She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy.  Blood work indicates she is Rh negative.

     A.  What are some concerns you as her nurse should be prepared for?

     B.  What teaching does this patient need?

     C.  What are the expected outcomes for this patient?

#3  A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time.  Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period.

     A.  What nursing care will you provide to this young lady if she is pregnant.

     B.   What nursing diagnoses will apply to this situation?

     C.  What are some expected outcomes?

#4 A woman in labor has been progressing well with minimal difficulties.  The nullipara woman has been working with her coach, progressing through the process.  The fetal monitor has indicated that the fetus is in stable condition.  Suddenly, the monitor alarm goes off and exam reveals a possible prolapsed cord.

     A.  What steps should you take as her nurse?

     B.  What care does the mother and infant need?

     C. How would you evaluate that your interventions were helpful?

#5  Your patient is a petite 23-year-old G1P0 woman.  Prenatal assessment has determined that this woman will need a cesarean birth due to cephalopelvic disproportion.

     A.  What can this patient and you as the nurse do prenatally to ensure a safe delivery?

     B.  What potential risks and/or complications should the nurse be aware of and prepare for?

     C.  What postoperative care will this mother and/or infant need?

Module 3 – Case

SCHOOL-BASED HEALTH PROGRAMS AND HEALTH CARE SERVICES

Case Assignment

For this assignment you will respond to questions regarding school health programs. Please answer these questions:

1. Discuss the strengths and weaknesses of school-based health programs. Be sure to distinguish the difference between a basic, expanded and comprehensive school health program.
2. List the 8 components of coordinated school health programs. How are they interconnected and why are they important.
3. Define the roles of Education and Public Health Departments. Should Public health departments provide primary medical care? How “bright” is the line between public health and personal health within the context of public school district? Do they or should they overlap?
4. Discuss the new directions of school-based health care services and the key programmatic characteristics of school-based health care services.
5. Generally discuss how the Healthy People 2020 goal to “Increase the quality, availability, and effectiveness of educational and community-based programs designed to prevent disease and improve health and quality of life” impacts the role of education and public health departments to work with the schools.

Please submit your Case Assignment by the end of Module 3. Please refer to the Trident calendar for exact due dates. Please contact your instructor at any time should you have any questions.

Assignment Expectations

1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: Your paper should be 3-5 pages (double-spaced) in length, excluding title page and references.

Note: Wikipedia is not an acceptable source of information.

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). 

Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. 

Justify your response using at least three different references from current evidence-based literature (last 5 years).

Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.

The assignment will be used to develop a written implementation plan.

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

You are not required to submit this assignment to LopesWrite.

(https://www.homeworkmarket.com/questions/picot-question-paper-19831505)

(https://www.homeworkmarket.com/questions/literature-evaluation-table-19841955 )

 ZERO PLAGIARISM

5 REFERENCES

• Develop effective documentation skills for family therapy sessions *
• Develop diagnoses for clients receiving family psychotherapy *
• Evaluate the efficacy of solution-focused therapy and cognitive behavioral therapy for families *
• Analyze legal and ethical implications of counseling clients with psychiatric disorders *

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

• Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
• Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

1. Research Topic:  HP2020 Paper:  LGBTQIA Health 
2. Identify your target population (for instance, age or other demographic, aggregate population); this must be in your city or state. ( Laurel Maryland)
3. Discuss population-based health education interventions for your target population that is aimed at reducing morbidity and mortality for the problem. Be sure to review the research literature and HP2020 for interventions. 
4. Identify how and what data for interventions are being tracked.
5. In a four (8) page paper, address the following. Refer to the rubric for expanded details related to grading expectations.
   • Identify the problem in the introduction section.  
   • Provide an overview of the problem in your state/national. 
   • Review of descriptive epidemiological and demographic data on mortality/morbidity and risk. 
   • HP2020:  Present the goal, overview and objectives of Healthy People 2020 for the paper topic.
   • Population level prevention and health promotion review. Describe population and/or primary health care focused interventions. Use of scholarly literature and HP2020 is required.  There should be direct correlation to evidence for all strategies. 

Best Practices in Preparing the Project 

1. Review directions and rubric through carefully. 
2. Follow submission requirements.
3. Make sure all elements on the grading rubric are included.  Organize the paper using the rubric sections and appropriate headings to match the sections. 
4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
5. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the current edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. 
6. Ideas and information that come from scholarly literature must be cited and referenced correctly. 
7. A minimum of three (3) scholarly literature references must be used.  Not all references should be from scholarly web sites.  You may use your textbook, but this will not count towards the three (3) scholarly literature references.

https://www.lgbtqiahealtheducation.org/wp-content/uploads/2020/10/Glossary-2020.08.30.pdf (Links to an external site.)

https://lgbtqia.ucdavis.edu/ (Links to an external site.)

LGBTQIA Resource Center (Links to an external site.)
The LGBTQIA Resource Center is located in the Student Community Center on the first floor. 2020-2021 School Year Hours. We value the safety and health of our community members.
lgbtqia.ucdavis.edu

https://www.lgbtqiahealtheducation.org/wp-content/uploads/2020/10/Glossary-2020.08.30.pdf (Links to an external site.)

https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health (Links to an external site.)

Lesbian, Gay, Bisexual, and Transgender Health | Healthy People 2020 (Links to an external site.)
GoalImprove the health, safety, and well-being of lesbian, gay, bisexual, and transgender (LGBT) individuals.OverviewLGBT individuals encompass all races and ethnicities, religions, and social classes. Sexual orientation and gender identity questions are not asked on most national or State surveys, making it difficult to estimate the number of LGBT individuals and their health
www.healthypeople.gov

Textbook:  Curley, A.L. & Vitale, P.A. (2016). Population-Based Nursing: Concepts and Competencies for Advanced Practice (2nd ed.). New York, NY: Springer Publishing. 

Rubric:

1. Problem is clearly stated.

2. General introduction to the problem supports its importance as a population health issue with data and general statement of scope of problem.

1. Provide background and significance of the problem

2. This includes risks and impact of disease.

3. Data: State and National: Incidence, prevalence, mortality, breakdown by gender/race/religion as appropriately related

1. Using descriptive epidemiology (provide description of term) analyze health problem

2. Include demographic and related epidemiological data

3. Include characteristics of at-risk population using HP2020 specified criteria

1. Identify HP2020 goals and objectives

2. Relate HP2020 goals and objectives to health concern topic

3. Identify guidelines and a screening method related to health concern

4. Review validity (predictive power) of screening tool method to include what population the tool is applicable to use with (for instance, adult, child, culture)

1. Investigate what is being done at the population health level related to prevention and health promotion for the health problem at the national and state level

2. Identify what and how outcomes are being tracked related to said interventions.

3. Utilize HP2020, CDC, state public health department, research, etc. as resources for interventions and data.

Due Tuesday 

Chapter 16, 17, and 18

Each chapter has 10 questions and must be answered with 100 words on each question explaining how you arrived at the answer.

You are the risk manager for a local community hospital. You have just attended a Joint Commission Resources conference. Part of your role is to educate employees of the organization on practical solutions and implementation tips to maintain accreditation.

The Joint Commission requires that organizations seeking accreditation provide education and training to staff on areas such as populations served, team communications, coordination of care, reporting unanticipated adverse events, fall reduction programs, and early warning signs of change in patients’ conditions.

As an independent, not-for-profit organization, the Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

Instructions

You must create an infographic that addresses at least one key initiative involving patient safety. Your infographic may highlight practices that serve to mitigate risks specific to patient falls, infection control to reduce the occurrence of hospital-acquired infections, or medication safety procedures. Your infographic should address the following:

• Design a plan to mitigate the risk associated with your chosen topic.
• Include examples of potential risks, explain the possible root cause, and propose a preventive strategy.
• Your infographic should incorporate figures, graphs, and/or charts.

Now that the data has been collected using reliable and valid tools, researchers move onto the next step in the research process: Data Analysis. Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis. 

• Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.
• Compare clinical significance and statistical significance; include which one is more meaningful to you when considering the application of findings to nursing practice.