Monthly Archives: May 2023

attachment

An 86-year-old male parishioner is on hospice care at home, and his daughter, who is a nurse, has been trying to meet all his physical needs around the clock. The pastor, who made a home visit, calls the faith community nurse to express his concern that the daughter is becoming “burned out.” How can the faith community nurse engage the faith community as a whole to provide volunteer support to this family? 

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

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

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

RUBRIC

I have attached the file please reach out to me if you are unable to view the file

Reply 1

In healthcare we are constantly searching for ways to find innovative ways with better quality of care for patients for improved outcomes. Research is gathering the evidence-based findings and formulating a plan of action based on fact. Research is developing a hypothesis and collection of data to support a study and able to be applied to general population. The research can be qualitative or quantitative. Qualitative and quantitative research is both ways research can be performed, but it is just two different types of information that is collected. Quantitative used with numbers and numeric variables while quantitative is used with non-numeric variables observation or open-ended questions.

“Quality improvement is a systematic and formal approach to collecting, analyzing, and disseminating data in order to improve services or products that a business renders.” (Helbig, 2018) With quality improvement the Plan-Do-Study-Act is a powerful tool used for quality improvement. QI benefits mainly the process. QI does not implement something new, but improves something already in place.

Difference- we can research ways to improve quality improvement but can not use quality improvement data for research. Another difference is with the quality improvement data is formulated and reported to improve care to patients based on current events while research is based on evidence of past events for new procedures. Another difference is while research requires consent Quality Improvement does not. QI usually occurs in the facility where the problem was found where the research is dependent on what your trying to find. So overall the main difference is based on intent.

In the unit I work there are quantitative data on if a HCG bath was done or soap and water. Which we then monthly gather the qualitative percent of HCG bath vrs soap and water and compare to the infection rate. From this evidence we have mandated that all baths be HCG unless contraindicated and if it is contraindicated the open ended why documented required.

Resources

Agency for Healthcare Research and Quality. (2013). Plan-do-study-act-(PDSA) cycle. Retrieved from https://innovations.ahrq.gov/qualitytools/plan-do-study-act-pdsa-cycle

Helbig, June. (2018) Statistical Analysis. https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/home

Reply 2

According to the National Institutes of Health, research is defined as A systematic, intensive study intended to increase knowledge or understanding of the subject studied, a systematic study specifically directed toward applying new knowledge to meet a recognized need, or a systematic application of knowledge to the production of useful materials, devices, and systems or methods, including design, development, and improvement of prototypes and new processes to meet specific requirements. A research study must be approved by an Institutional Review Board before starting to work on it. An IRB is a committee that applies research ethics to all studies to assure no harm is done to participants (Helbig,2018).

 According to Department of Health and Human services (2011) quality improvement is defined as “systematic and continuous actions that lead to measurable Improvement in health services and the health status of targeted patient groups”. QI project may not be the implementation of something new, but an improvement upon something already in place. Teamwork is essential to produce result of QI project. There is no risk or minimal risk in QI project and even sometimes the participants are unaware that they are being a part of QI project.

 At my workplace, we do quarterly meeting where we do discuss about the number of falls, skin tear, bruises, any kind of incident happened. We track how many incidents happen, time of day, date, age of patient involved, staff present, and other circumstances, which could help to prevent the incident in future. In quantitative research we track number of incidents happens. Qualitative research we track the circumstances related to incident. We take all possible measures like staff and resident teaching, keep call light within reach all the time, proper lighting. We ensure all necessary step are taken to prevent any incidents.

References:

Helbig, J. (2018). Statistical analysis: Applied statistics for health care. Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4

 Gregory, K. (2015). Differentiating Between Research and Quality Improvement. Journal of Perinatal and Neonatal Nursing.Retrieved from https://www.nursingcenter.com/pdfjournal?AID=3099809&an=00005237-201504000-00005&Journal_ID=54008&Issue_ID=3099787

By the due date assigned, write a 1-page paper addressing the sections below of the research proposal.

Methodology

•  Data Analysis Plans
•  Describe plan for data analysis for demographic variables (descriptive statistical tests). Describe plan for data analysis of study variables (descriptive and inferential  statistical tests)

It IS A REPLY TO ONE STUDENT-ONE PAGE -THREE REFERENCES-PLEASE))

COLLAPSE

Top of Form

Healthcare Organization Website Review

               Evidence-based practice is the integration of research and clinical expertise, which will allow the patient to have more information and evidence to make their preference on their healthcare decisions (Bartol, 2019). The American Psychiatric Nurses Association (APNA) is a professional membership organization that provides education, resources, collaboration, and much more to the psychiatric nursing field. The APNA advocates for mental health through collaboration with consumer groups to promote evidence-based advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental illness and substance use disorders (APNA, 2020). Under the continuing education tap, the association encourages evidence-based programs and has multiple links for these programs in psychiatric-mental health nursing and provides different topics for individuals to learn about.

Evidence-Based Practice Utilization

               The APNA nursing organization website clearly shows how important evidence-based practice is within this community. The website shows evidence-based practices through education modules in the APNA eLearning center, conferences, publications, and academic journal. Continuing education on the website is focused on evidenced-based practice and research along with two annual conferences. The publications and academic journal focus is on providing resources for practice-related topics to mental health nursing (APNA, 2020).

Ground of EBP

               While going through the APNA website, you can easily tell the organization is grounded in evidence-based practice and wants individuals to be led to EBP research and education. The APNA is an accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission (ANCC, 2020).

Perception of Healthcare Organization

The information I received during this discussion proves the APNA relies on evidence-based practices. The organization has created an educational platform for mental health nursing professionals to find up to date evidence-based practices. This organization will be asset for many students, nurses, and providers throughout their career and I highly recommend it.

 Respond  by providing at least two contributions about Rumination disorder for improving or including  in their Parent Guide and at least two things that you like about their  guide

Positive comment

Cite references

 The theory is  Parent Child Interaction Model( Barnard)

Describe the main ideas  of the theory (should include the assumptions under which the theory 

operates. Identify the main concepts/components  of the selected nursing theory

Provide a background of the theory. What was going on in the profession of nursing or in the 

American society that may have influenced the formation of the theory? 

What values, theories, evidence, and/or existing knowledge did the theorist cite as support for

the theory? 

What motivated the theorist to write the theory? 

How does the theory address the metaparadigm concepts of person, nursing, environment and health

How do you implement the components or concepts of this theory in your nursing practice.  Give an 

example.

Citations from the course text is required and from current nursing journals. 2014-2020 articles

Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.

In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

• Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
• Consider what history would be necessary to collect from the patient in the case study you were assigned.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Attached is the templet to use

CASE STUDY 2: Forgetfulness

A 70-year-old female comes to your clinic with complaints of forgetfulness. She noticed it about a year ago and it has progressively gotten worse. She sometimes forgets what she is going to do when she gets to another room. Her family has noticed the problem with her forgetfulness, but she is still able to manage her finances and drive, per her report.