Evidence-base Practice

  

Week 4: Sample

The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications of using a convenience sample on the way that you interpret and use the findings?

Compare the sampling strategies for quantitative studies with qualitative studies. What negative effects could occur if you used a quantitative sampling method for a qualitative study and vice versa?

Nurs490 replies

REPLY1

“Meaningful Use” is applied to the extent to which a health care provider/organization uses electronic health records (EHR). Defined as; Use of certified EHR in a meaningful way, the use of certified EHR technology for the electronic exchange of health information to improve quality of health care, and the use of certified EHR technology to submit clinical quality reporting and other measures (Glaser, 2018).

EHR provides accurate and complete information about patients’ health. Hence, the health care provider is able to provide the best care possible. Coordination for the care provided by the health caregiver will be more efficient. An effective way of sharing information with the patient together with his/her family. Significantly the health care providers will have the necessary data to diagnose the health problems sooner, reduce medical errors, and also care will be provided at a lower cost. Not forgetting communication between health professionals and health entities will be more efficient and effective.

The data is captured in coded format and expands the exchange of information in the most structured way to elevate clinical processes and better health outcomes by placing more emphasis on clinical conditions that are of priority, patient self-management, and access to comprehensive data. It can be related when one is taking care of patients. There is always more emphasis on critical conditions, and the patient’s self-management has to be into consideration. Access to comprehensive data about the patient is also of significance when taking care of a patient.

I had a patient who was checking in for his checkups after two weeks. Keeping records of his progress was necessary at this particular moment. Thanks to EHR, coordination for the care I was to provide each time he visited was on track, which led to acceleration on his recovery. I have not encountered any negative impact that comes with the use of EHR. It’s a reliable and effective program that leads to better health care services.

REPLY2

Electronic health records (EHRs) are used across clinical care and healthcare administration to capture a variety of medical information from individual patients over time, as well as to manage clinical workflows. (Ehrenstein et al, 2019) According to the article, the use of electronic health records (EHRs) will improve patient care, decrease practice costs, and increase provider productivity and revenue. (Chin & Sakuda, 2012) At my work, EHRs help nurses and doctors work effectively and productivity. By using EHRs, we can share patient’s medical history, medications, labs, and progress notes, so we can just check it and provide necessary care right away to patients without asking other medical professionals about patient’s information. In addition, data shared in an EHRs can help clinicians choose the right medication for a patient with allergies (Steger, 2017), and it prevents medication errors. 

The barriers to the implementation of EHRs include potentially high financial investments, an increase in initial physician and staff training time, workflow redesign efforts, and the need to hire new staff for HIT support, an EHR creates a database of information that will assist in the coordination of patient care and improvement of communication about shared patients among health care providers. (Chin & Sakuda, 2012) At my work, I have seen some nurses and doctors were struggling with using EHRs because they used to do paper documentations about their patient care. They had to take extra time to complete documentation. In addition, sometimes the information of EHRs is not updated timely, and it makes miscommunication between doctors, nurses, and other healthcare professionals. 

Future Vision of Informatics

 What is your vision for the future of informatics in nursing practice?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Pharm

Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
Review the case study assigned by your Instructor for this Assignment.
Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
By Day 7 of Week 2
Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). Thepatient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:
 
Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
Aspirin 81 mg daily
Metformin 1000 mg po bid
Glyburide 10 mg bid
Atenolol 100 mg po daily
Motrin 200 mg 1–3 tablets every 6 hours as needed for pain
Write a 2- to 3-page paper that addresses the following:
Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided 

Pharma peer replies

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

– TURNITIN Assignment.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Capstone project-wk 3 (combining 1-3)

  

Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

For this Assignment

  • Describe      the quality improvement process and the Quality model that will be used as      a basis for the practice problem. Include a description of a quality      improvement tool(s) that you will use in your quality improvement plan.      See Spath, (2018) chapter 6 for examples.
  • Explain      why the specific process was selected and document your explanation with      references.

For the Week 3 Assignment, you will combine your Week 1, 2 and 3 assignments and submit a 3-4-page paper that addresses the following: 

.

  • Practice      Problem (Completed in Week 1)=

In hospice, one of the goals is to have skilled nurse visits at least 3 days prior to death and at least 3-6 days prior to death. If we track ESAS it is supposed to help indicate who we can expect to pass away based on changes reported and then be able to increase nursing visits-however to be effective the data has to be accurate. Are we asking the patient or caregivers the 10 symptoms or just guessing based on our assessment

my wk one is totally different because I had to change topicsm so information will need to be added to this section. 

Please include information from discussions and everything below. In the literature review, you don’t have to worry about the bottom 5 that are not relatated to the ESAS but my help and can use it.

I answered the questions above a little and will attach the graphs that should be included

  • State       the practice problem in measurable terms.
  • State       the data that suggests a practice problem exists
  • Include       a purpose statement.
  • Analysis      of the Existing Evidence (Completed in Week 2)
    • Summarize       the findings from the evidence analysis that support your practice       problem. Include minimum of at least 5 evidence-based practice sources       that support your practice problem. Identify research, clinical       guidelines, expert opinions, and other relevant information. You must       include two-three research studies in your analysis. Using your own words       synthesize the evidence that supports your identified practice problem.       There should be no quotes or personal opinions included in this section.
  • Quality      Improvement Process (Completed this Week) (Approximately 2-3      paragraphs)
    • Describe       the quality improvement process and the quality model that will be used       as a basis for the practice problem. This is not your entire quality       improvement plan, only a description of the quality improvement process       and the quality model you chose. You will develop your specific quality       improvement plan in week 4. Include a description of a quality       improvement tool(s) that you will use in your quality improvement plan.       See Spath, (2018) chapter 6 for examples.
    • Explain       why the specific process was selected and document your explanation with       references.
    • Conclusion

Assignment # 3

See instruction below, please keep turnitin score to 0% or less than 10%, No grammar error. Only use scholarly articles within the last 5 years.

Week 8 Discussion NURSING LEADERSHIP AND MANAGEMENT

PLEASE ANSWER THE QUESTIONS BELOW IN APA FORMAT

EACH ANSWER MUST HAVE A MINIMUM OF 4 SENTENCES

PROVIDE 2 CITATIONS AND 2 REFERENCES (AT LEAST)

 

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

a-Will you have to leave earlier to be in class on time? 

b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam? 

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change. 

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. 

a-How did you react to the change? 

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome. 

Define race, define ethnicity. Give examples of two races and two ethnicities. Define cultural norms and give an example of a cultural norm used by a specific race or ethnic group.

 

in a 1 page paper not including title page and reference page.

Define race, define ethnicity. Give examples of two races and two ethnicities.

Define cultural norms and give an example of a cultural norm used by a specific race or ethnic group.

Identify how a cultural norm affects the health of a specific race or ethnic group Use APA format. Headings required. Title page and reference pages are not included in the 1 page