Monthly Archives: May 2023

As you think back over the last seven weeks, you have all come a long way with understanding research and EBP. The week introduction stated it best: “Gone is the reliance on traditions, myths, and outdated resources.”

Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

**Please credit at least your weekly lesson and your textbook within your posts this week. No outside references are required. Take some time and really reflect on what you have learned and how you can apply it to your nursing practice

Responses to at least two classmates’ postings should be approximately 200 words and should be thoughtful, substantial, polite and more extensive than a simple “well done” phrase or “I agree.” Consider points of agreement, disagreement, assumptions, and value judgments. You will be able to respond to others after you submit your initial post. Your grade will be affected by how thoughtful your replies and initial questions are answered.

Local Practice Problem Exploration: Cancer.

Reflect upon the selected national practice problem in Week 1 (cancer) to address the following.

1-  From a local perspective (Miami, Florida) how does the practice problem (cancer) impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2- Identify the local key stakeholders related to the selected practice problem (cancer). *(stakeholders—healthcare providers, educators, business leaders, social service providers, community organizations, and clergy)

3- Describe one approach used in your unique setting to address this problem (cancer). From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem. 

Can start from:

 In the state of Florida in 2019, lung cancer has been rated second, on the 10 top causes of the total number of deaths and percent change 2009–2019, all ages combined. 

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used.

Additional Resources: FLORIDA

The Local Burden of Disease (LBD). These websites explore the local burden of disease.

View the U.S. State Burden Topic Profiles at http://www.healthdata.org/node/

Download the GBD report, Rethinking Development and Health: Findings From the Global Burden of Disease at http://www.healthdata.org/results/country-profiles (Links to an external site.).

View main findings by country at http://www.healthdata.org/results/country-profiles (Links to an external site.).

Explore the GBD Compare data visualization at http://vizhub.healthdata.org/gbd-compare/ (Links to an external site.).

Read about the GBD research study at www.healthdata.org/gbd (Links to an external site.).

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states (Links to an external site.). JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

The Role of the Stakeholder When Designing a Practice Change

10 causes of the total number of deaths in 2019 and percent change 2009–2019, all ages combined See related publication: https://doi.org/10.1016/S0140-6736(20)30925-9Institute for Health Metrics and Evaluation. (2018, January). What is the global burden of disease? http://www.healthdata.org/infographic/what-global-burden-disease-gbd http://www.healthdata.org/infographic/what-global-burden-disease-gbd%E2%80%AF

Institute for Health Metrics and Evaluation. (2020). US health. http://www.healthdata.org/us-health (Links to an external site.)

Institute for Health Metrics and Evaluation. (2020). How Long do people live? http://www.healthdata.org/united-states

 Step 1: Using the following Case Study, create a meal plan.

Jackie is a healthy women.  She is 45 years old and 5’7″ tall.  Jackie’s current weight is 160 lbs.  She exercises 4-5 times per week but is struggling to meet her goal weight.  Jackie is seeking your clinical advice to lose 15 lbs in 3 months.  Her target weight goal is 145 lbs. 

Write a basic meal plan for your client. (At least 4 days of food plan to help Jackie get started)

• Include how many calories each day she will need to consume to lose 1-2 lbs each week. I expect actual numbers you can back up (what are the specific numbers for our client Jackie? I have attached some help) 
• Calculate her complete macro-nutrient breakdown including; total carb consumption, total fat consumption, total protein consumption
• Explain the rationale for all of your choices (The chapter 10 slides will help especially 21-34) What is her energy requirement to stay the same (EER)?.  How many calories does she have to reduce to get to her goal? Please remember Jackie is your client not a dietitian or nutritionist. 

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
• Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
• Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

Write a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples. 

Scholarly Research Paper

Topic: Healthcare Informatics Research and Innovation:

Include intro, a currently emerging healthcare technology system, goals for the product, data supporting the product, healthcare settings (including education), conclusion.

• You should carry out an investigation about one of the technologies used in Health Informatics, for example: EHR, CPOE, EMR, CDSS, eMAR, or electronic devices used in Health Care
• 5 pages (excluding cover and reference pages)
• APA formatted paper
• 3 References within 5 years (1 must be course textbook)

these are the articles I chose 

Shickel, B., Tighe, P. J., Bihorac, A., & Rashidi, P. (2017). Deep EHR: a survey of recent advances in deep learning techniques for electronic health record (EHR) analysis. IEEE journal of biomedical and health informatics, 22(5), 1589-1604.

Norgeot, B., Glicksberg, B. S., Trupin, L., Lituiev, D., Gianfrancesco, M., Oskotsky, B., … & Butte, A. J. (2019). Assessment of a deep learning model based on electronic health record data to forecast clinical outcomes in patients with rheumatoid arthritis. JAMA network open, 2(3), e190606-e190606.

  The name of the book

Nelson & Staggers (2017). Sherpath plus 1 color print Health Informatics – An Interprofessional Approach (2nd ed) St. Louis: MO: Elsevier Saunders. 9780323544498

Create a power point presentation of 8 slides based on the most important points of the uploaded term paper.

Include introduction, a currently emerging healthcare technology system, goals for the product, data supporting the product, healthcare settings (including education), conclusion

  I need these questions answered in 150 words each with references

1. After reading various topic resources and textbook chapters, summarize a historical ethical dilemma in public health. How may this relate to a current ethical dilemma? Were there any lessons learned from the historical event that can help public health nurses address the current ethical dilemma?

2. Using the ethical dilemma in discussion question one, discuss a role nurses could play in creating an ethical practice environment. How can you promote a quality ethical practice that supports the wellbeing of all humans?

Reply to this discussion post (site sources if applicable)

Clinical significance and statistical significance are both important when determining evidence-based practice (EBP) projects. They both have their own importance, which makes them superior in their own way. Statistical significance help clinicians answer questions about probability in which they can accept or reject a hypothesis. The statisitical significance can only adress if there are statisitical differences between variables. Clinical significance requires clinicians to focus on significant changes within the clinical setting. Statistical significance helps clinicians determine that there is a problem by data collection, clinical significance helps determine if the intervention orquality initiative change project was successful and efficient.  

For my capstone project, I will use clinical significance to support positive outcomes in project by using it to determine the efficacy and efficiency of the sepsis handoff communication tool. This tool, per the EBP journal articles I have chosen for this project, shows that implementing a handoff communication tool in not only patients with a diagnosis of sepsis, severe sepsis or septic shock, but all patients, improves patient outcomes and decreases mortality. Improving nurse to nurse or nurse to physician communication decreases time away from implementing interventions. I will use the data I collected from implementing my quality initiative handoff tool to determine if it is efficient enough to be used in practice.

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

• Reflect on the concepts of informatics and knowledge work as presented in the Resources.
• Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?