Monthly Archives: May 2023

Can you please assist me with my week 1 discussion assignment. Thank you.

Principles of Evidence-Based Practice and its Implementation

Evidence-Based Practice (EBP) is an essential concept in healthcare settings as it entails the use of quality and resent evidence while making the most accurate decision regarding patient care and needs. Incorporation of evidence-based preparation when giving patient care involves a range of abilities that will help the nurse in locating the appropriate resources after research. Furthermore, nurses must understand the information used in deducing, recording, and evaluating the repercussions of different interventions on a patient treatment plan. As a result, this essay will highlight the principles of evidence-based research and how they are implemented in advanced nursing practice.

Evidence-based Practice is founded on two principles. According to (Islas et al., 2018), the first principle states that recognition of scientific evidence can result at times insufficient to guide decision-making that can be of great importance. Nurses need to gather relevant evidence before settling on their final decision. Thus, the principle requires nurses to take into account evidence from multiple sources instead of basing their final decisions solely on their judgment. Therefore, nurse practitioners should rely on findings from empirical studies, facts, and figures gathered from the organization, the professional practitioners, and judgment from stakeholders involved in the study and are known trustable.

Consequently, the second principle suggests that within the available sources of evidence, hierarchies exist. According to (Vere & Gibson, 2020), the hierarchies available within the sources allows nurses to employ a top-down approach in deciding the best evidence to be used. Following the hierarchies make nurse practitioners first to consider the recent well-conducted systematic reviews. They then move to the next level of evidence when the previous level fails to yield a solution for their query. (Vere & Gibson, 2020) It is believed that the postulate of the hierarchies in EBP rank will show the variety of studies based on their strengths of research methods. Thus, different hierarchies exist for a variety of questions making it possible for nurses to make decisions based on the appropriate outcome that can provide simultaneously the best results.

While EBP is considered as the best practice that guarantees patients the best health outcome, most hospitals encounter many challenges that come along with the same. Therefore, its effective implementation is necessary. In advanced nursing practice understanding the data behind the evidence (Stavor et al., 2017) postulates that understanding the data will help in considering whether the available data is satisfactory in supporting the implementation of a new practice, or additional data is required for efficiency.

Furthermore, there is a need to consider the available resources at their disposal. Advanced nurse practitioners need to modify evidence-based Practice to fit the resources available to them since the availability of resources varies in different organizations (Thompson-Brenner et al., 2018). Besides, implementation of the philosophies of EBP, nurses must develop goals based on the outcomes of patients and not on the process itself. Implementation of the principles is dependent on the nurse’s preferences since their partialities play a vital role in the success of the implementation process.

In summary, Evidence-Based Practice is the application of updated proof in arriving at the best decision for better patient outcomes in terms of care delivery. EBP is based on the principle that states that scientific evidence is insufficient in the decision-making process and that hierarchies are present within the sources of evidence provided. Hence, the successful implementation is dependent on a better understanding of the presented data that was able to be collected, considering this way all the available resources, while the development of goals is based on the patient’s needs, and considering the preferences of the nurse practitioner.

References

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Islas, O., Arribas, A., & Gutiérrez, F. (2018). The contribution of Alvin Toffler to the theoretical and conceptual imaginary of communication. https://doi.org/10.4185/rlcs-2018-1274en

Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the Use of Evidence-Based Practice and Research Utilization Through the Identification of Barriers to Implementation in a Critical Access Hospital. JONA: The Journal of Nursing Administration, 47(1), 56–61. https://doi.org/10.1097/nna.0000000000000437 (Links to an external site.)

Thompson-Brenner, H., Brooks, G. E., Boswell, J. F., Espel-Huynh, H., Dore, R., Franklin, D. R., Gonçalves, A., Smith, M., Ortiz, S., Ice, S., Barlow, D. H., & Lowe, M. R. (2018). Evidence-based implementation practices applied to the intensive treatment of eating disorders: Summary of research and illustration of principles using a case example. Clinical Psychology: Science and Practice, 25(1), e12221. https://doi.org/10.1111/cpsp.1222

Vere, J., & Gibson, B. (2020). Variation amongst hierarchies of evidence. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.13404

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect

Think for a while about cultural practices and how they affect health or illness in your own family. They may be difficult to identify as such at first, but they do exist. What ideas about illness prevention does your family adhere to? What do you do when someone gets sick? What rituals does your family practice when someone dies?   21 % plagiarism 

1. Group 2 : 40-year-old black recent immigrant from Africa without health insurance

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Can someone write an apa style paper 3 pages with reference page 

 geriatric patient and blood pressure control

Practicum Discussion: Post your final PowerPoint presentation for your group mates and Instructor to review. 

Please discuss the following questions in your Practicum Discussion:

• How does this project fulfill one arm of the mission of public health: social justice?
• How does it contribute to social change?
• Discuss your role as an advocate and health care leader in promoting positive social change as a scholar-practitioner to improve the health of vulnerable populations in your community.

By Day 3

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

  Medication error reporting is an essential component of patient safety. Please review the following article:Alsulami, S. L., Sardidi, H., Almuzaini, R. S., Alsaif, M. A., Almuzaini, H. S, & Moukaddem A. K. (2019). Knowledge, attitude and practice on medication error reporting among health practitioners in a tertiary care setting in Saudi Arabia. Saudi Medical Journal, 40(3), 246-251.Write a 5-6-page paper, not including the cover and reference pages, using the readings, research, and your knowledge of medication error reporting to analyze the following:

• The prevalence and common causes of medication errors
• Consequences on patients including types of harm
• The barriers to medication error reporting
• Provide a recommendation for policies and procedures addressing the reporting of medical errors
• Recommend how to evaluate whether the policy is effective

Your report should meet the following structural requirements:

• Be 5-6 pages in length, not including the cover or reference pages.
• Be formatted according to Saudi Electronic University and APA writing guidelines.
• Provide support for your statements with in-text citations from a minimum of six scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but four must be external.
• Utilize headings to organize the content of your work.

apply the nursing process to the community of Ridley Park Pennsylvania. This is a research paper that the nursing is doing in the community using the nursing proces.

Write one page of paper in the nursing process on “assessment“in an APA format.

Topic: Nursing Assess  in the community of Ridley Park Pennsylvania.

Write another one page of paper in nursing process on “nursing diagnosis“  in an APA format.

Topic: Nursing diagnosis in the community of Ridley Park Pennsylvania 

All together is two separate paper you will be writing. 

First discussion

 Discussion PromptCOLLAPSE

Abortion is one of the most difficult and controversial moral issues we will consider. Listen to both sides, even if it is difficult to do. Both sides have important moral insights, even if ultimately these insights are outweighed by the insights of the other side. The goal of this discussion is not to convince you to accept one position over the other, but to help you to understand both sides. As you consider this difficult issue, it is important to distinguish two questions:

• Is abortion morally wrong?
• Should abortion be illegal?

Choose one of the questions above and argue both sides with supporting evidence. Please write your discussion choice in the title line. Remember to respond to at least two of your classmates’ posts.

Second discussion 

 As you near the completion of your personalized study plan,

share with your classmates what test taking strategies you have implemented

to prepare for your posttest. How will this be useful in your other General Education courses?

* Each discussion need two responses

*Both work need PLAG report