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Using supporting documentation from at least one nursing publication, describe how evidence-based practice is different from research. How would you identify a research project as being an evidence-based intervention project versus the creation of knowledge in a nursing research project?

Expectations

• Due: Monday, October 19
• Length: A minimum of 250 words, not including references
• Citations: At least two scholarly reference in APA format from within the last 5 years
• Please keep the Turnitin report as close to 0% as possible or not more than 15%.

QUESTION 1. 

A.What is a definition of family that encompasses the different family structures prevalent today? 

B.Discuss the importance of acknowledging nontraditional family structures. 

C. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional). 

QUESTION 2. 

A.Why is the concept of family health important? 

B.Consider the various strategies for health promotion.

 C. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?

 Health Resources and Services Administration (HRSA) is the primary federal agency for improving access to healthcare by strengthening the healthcare workforce, building healthy communities, and achieving health equity. 

Integrated care involves a team of primary care, dental, and behavioral health practitioners working together using a systematic, cost-effective approach to patient care.

After the reading the following HRSA Report:

https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/primarycare-dentist/reports/actpcmd-14-report.pdf

Discuss what are the 4 main recommendations given on this report and the rationales for each one.

The Purpose: The purpose of this assignment is to relate the concepts of critical thinking to your professional practice.

• Read      the article attached below: Critical Thinking at the Bedside:      Providing Safe Passage to Patients. MedSurg Nursing, 22(2),      85-93, 118 by Robert and Petersen (2013).
• Reflection      can be an important strategy in critical thinking. It allows for      evaluation of events and consideration of how an event might have been      handled differently, more effectively, more efficiently.  Just as      with history, understanding past events allows us to prevent repeating the      same mistakes…or, in nursing, allows us to modify our actions should the      same situation recur.  Sometimes the reflection allows us to take      apart the event and analyze the parts, recognizing just how well the      actions taken contributed to the successful solution.   Your      assignment related to the concept of critical thinking is to reflect on      your practice and present a situation in which:

                   Critical thinking was evident:
                    Or
                    Critical thinking was not evident (impeded).

• Summarize the situation and identify the      defining attributes, and enhancing factors that were present (critical      thinking evident) or notably absent (critical thinking not evident or      impeded). The situation may be client based, an episode with colleagues,      or even within the health care system where you work(ed). (If you have      never worked in a health care environment, consider clinical or life      experiences you have had for this assignment).   Make      sure you use terms from the article, cite the article properly within your      discussion, and provide a reference citation. 

Note: ( APA Format 7th edition and Zero plagiarism )

  Discussion:You considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results.

How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

4-6 paragraphs 

To Prepare:

Discussion, You considered how professional nurses can become involved in policy-making.

Review the Resources and reflect on the role of professional nurses in policy evaluation

Post an explanation of at least four opportunities that currently exist for RNs and APRNs to actively participate in policy review.

Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. 

Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities.

Be specific and provide examples.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393. doi:10.1016/j.outlook.2018.05.003

1. Analyse how existing health and social policies influence resources that affect the delivery of patient care.

2. Discuss how national and local policies govern patient safety and facilitate the standardisation of care to reduce inequalities.

3. Analyse the nurse’s role and contribution to policymaking and implementation.

4. Analyse models designed to identify and support staff to develop self-awareness, resilience, self-well-being and management in their role.

 Discuss experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug. 

M3: Lesson 8 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence.

Steps in the Research Process

Instructions:

1. Read an article published recently (less than 5 years) on a topic of your interest.
2. Provide the citation and a written summary of your answers to the following questions:
   1. What is the research problem?
   2. What is the purpose statement?
   3. What were the initial hypotheses for this study?
   4. What was the study design?
   5. Where the hypotheses rejected or accepted?
   6. What was the overall conclusion of this paper?

Nov 4 at 5:44amManage Discussion EntryWeek 3

The case study that I have been assigned to involves a 57 year old man complaining of pulsating ear pain for 3 days. Based on the data obtained, Vital signs are stable with a slight temperature. The patient admits to pain, but once drainage resolved, the pain became less. Ear pain can have causes that are not due to underlying diseases. Some reasons that ear pain can occur is due to tight headwear, poorly fitting headphones, sleeping on a hard surface, ear piercings, grinding teeth, or with exudate and crusting. The patient denies loss/ability to hear.

            During my assessment, the subjective data that I would obtain would be as followed; Do you have a history of allergies? With seasonal allergies it can cause ear pain. Did you use any over the counter meds for the symptoms? Have you been on an airplane in the past week or participated in any water sports? Ear pain 5/10 on a pain scale and admits to a headache. Objective symptoms include drainage from left ear with small amounts of blood. Temperature noted at 100.3 orally.

I would consider a Middle ear infections (Otitis Media) because they often go away on their own within 2 or 3 days, even without any specific treatment. This middle ear infection occurs suddenly. It causes swelling and redness whereas, fluid and pus are trapped under the eardrum (Jarvis, 2016). A fever is sometimes noted. Typically this type of infection is seen in smokers or being around someone who smokes, have seasonal or year-round allergy symptoms, have a cold or other upper respiratory infection. The patient denies any past medical history. Fungal ear infection is an infection of the ear with a fungus. It normally involves the canal that runs from the ear hole to the eardrum.

The medical term for it is otomycosis. Fungal infection looks just like an infection from bacteria.  Most fungal infection will only be suspected if your infection does not improve with antibiotic drops prescribed for a bacterial infection ( Rhoads, 2021). Fungal infection of the ear is more common in people living in tropical and subtropical countries. Some symptoms of otomycosis are pain, itching, inflammation, swelling, redness, discharge of fluid from the ears and hearing problems. A perforated eardrum may be caused by loud sounds, a foreign object in the ear, head trauma, a middle ear infection, or rapid pressure changes, such as from air travel. Symptoms may include sharp ear pain that subsides quickly, drainage, ringing in the ear, or hearing loss (Jarvis, 2016). This condition usually heals on its own within a few weeks. Antibiotics, an eardrum patch, or surgery may be necessary.

However, I would perform is medical history and do a physical exam, while looking at the outer ear and eardrum with an otoscope or an otomicroscope.  A test called tympanometry will be performed to tell how well the middle ear is working. If needed the diagnostic test I will order is a CT scan of the face or refer to an ENT. The treatment of choice for these conditions will be antibiotic therapy for a few days or weeks depending on the severity of the infection. Acetaminophen for the fever and encourage oral hydration.

References:

            Jarvis, C. (2016). Physical Examination & Health Assessment (7th ed.). St. Louis, Missouri: Elsevier. ISBN: 9781455728107

         Medical information and health advice you can trust. (2016). Retrieved November 04, 2020, from http://www.healthline.com/

            Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284105377