Monthly Archives: May 2023

Hi group, I worked on the bullet point for key results of the sample and if p-values were noted.

• The key results for the study: Significant Results of sample
• According to the results, a total 134 participants completed the study 92 males and 42 females. The average age of the participants were 61 years old. Based on the sample, 54 percent of the participants were veterans, 16 percent were military personnel and 30 percent were dependents. No civilians
•  There were no significant differences except for the age and the participants lost during the study. The younger population ranging 18-29 had the highest attrition rate with 48 percent compared to the participants 65 and older had an attrition rate of 15 percent
• Based on the pre-test and post-test control group design, the control group participants were hospitalized for an average of 15 days for pretest and 23 days for post-test. The intervention group was hospitalized for an average of 14 days for pretest and 10 days for post-test.- Wilcoxon signed rank test compared the pre-test and post test scores.
• Results: PTSD severity: no p-values, logistic regression and X2 was used.
• There was a significant difference between control and experimental group and PTSD symptoms based on using the IES-R cutoff of 24.
• Avoidance= X2: 28.05
• Intrusion X2: 38.83
• Hyperarousal X2: 14.17
• PTSD severity: X2: 28.29
• Group differences: after further analysis were significant X2 of 23.26
• Clinical concern for PTSD in 35 total participants
  • 5 : diary intervention group
  • 30: control group

I NEEED JUST FEW LINES OF REPONSE TO THIS POST

 Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

• Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
• Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
• Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

You must use this template for Soap note 1 and 2. Use the information provided in the PDF as an “EXAMPLE”. You must use the word temple file and tailor it to your patient and their diagnosis. Using this template will make it very easy to learn the things needed in the note and help you not forget to put something or lose points due to incorrect format or missing information. 

The Chief Complaint, Patient info, HPI, Plan section, and references must all be of your own work and no copy-paste.

The Main Areas of Focus that will be checked for plagiarism is Chief Complain, History of Present Illness (HPI), Assessment with Rationale and Explanation, and the Plan. All of this should be in your own words and not copy-pasted from a past note or website or book. There should be minimum likeness noted by turn it in software in these areas. 

The Objective and Subjective information can be from a template (Standard Documentation) and will only be looked at for content and not for plagiarism. So if you are past 50% and the above main areas of focus sections are clear and minimum then you are ok. You can resubmit as many times but after 3 it takes up to 24 hours to get turn it in a score.

This is a made-up patient, so review your diagnosis and have the patient have the standard presentation, objective and subjective symptoms that would typically present and adjust them on

• Review      the Resources and reflect on the mission of state/regional boards of      nursing as the protection of the public through the regulation of nursing      practice.
• Consider      how key regulations may impact nursing practice.
• Review      key regulations for nursing practice of your state’s/region’s board of      nursing and those of at least one other state/region and select at least      two APRN regulations to focus on for this Discussion.

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

I don’t have a research question yet. Someone help!

please respond for this question one paragraph with two reference one is the text book 

  Houser, J. (2016). Nursing research: Reading, using and creating Evidence. [VitalSource Bookshelf]. Retrieved 

 Take a moment to reflect on what descriptive statistics are and how does this impact the results? 

Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals – research subjects – were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following.

• What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?
• Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?
• What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?

The unit I previously worked in was changing from scheduled to open visitation; each week the staff held meetings on the proposed change. Staff who were scheduled as off came into the meetings as this was an important quality improvement project; there was no evidenced based practice outside mentor but the facility mentioned here in this journal article did have an outside evidence based practice nurse from a local university; some staff were embracing open visitation while others were not causing unit conflict; to compound matters the facility was changing corporate ownership.

Staff had concerns re job security and other staff resigned in the middle of the project; stakeholders were approached such as physicians and unit secretaries re how would they feel regarding open visitation for a family member and all bought in; the EBP expert provided research and nurses attended a journal club every 2 weeks; nurses were briefed in journal club on the best evidence for open visitation; unit secretaries kept track of the proposed and evolving change noting if open visitation was not conducted, the reason for it was documented; at shift change open visitation was not conducted due to patient confidentiality but family or significant others were allowed to remain in patient rooms with the door closed;

What facilitated the change was the biweekly journal club meetings which also became a support group due to the stressful corporate ownership change; managers met with all nurse privately and bolstered and supported each nurses role in the change; staff who came in on their days off were reimbursed by the CEO; this was similar to the policy change at the previous unit I worked on. Staff were reimbursed for tome spent in meetings on their days off.
 

The ICU unit brochure was completely redesigned reflecting the open visitation; evidence was indicating that open visitation improves communication; it enhances self satisfaction, facilitates better patient understanding, and it advances the patient-family-significant other centered care.
 

This particular unit reviewed the evidence as did my previous unit, but without an EBP specialist. An open visitation policy was succefuly initiated and it took about 10 months; staff conflict was resolved when all bought in on the evidence, and quality improvements documented by stakeholders such as unit secretaries.
 

Use of the evidence based practice initiative greatly assisted the ICU unit of 10 beds to initiate and carry forward the new adult open visitation policy in the ICU. 

L. Kean & K.A.Miller (2020). Implementation of open visitation in an a adult intensive care unit; An evidence-based practice quality improvement project. CriticalCare Nurse, 40(2) pp 1-5.

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

 Capstone project wk 4 discussion

The next step in the process is to begin identifying the challenges and impediments to implementing a quality improvement plan. In the analysis consider the individuals affected by the change as well as the cost of implementing the quality improvement plan.

By Day 4

Post a description of some of the proposed action steps for implementing improved practice, and explain where potential challenges might compromise your proposed improvement project. Describe what resources are needed for your solution, and explain whether or not those resources are cost-effective. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

1. Prepare examples of various coding and billing issues that can be experienced by Nurse Practitioners in the clinical setting (Pediatrics and women’s health).

2. Provide a brief description about the NPI numbers for nurse practitioners.

Read the following article:

https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx