Hi,
I would like to be helped to write PICO and Literature Search paper, this is nursing research class. I would be uploading all the necessary documents.
Hi,
I would like to be helped to write PICO and Literature Search paper, this is nursing research class. I would be uploading all the necessary documents.
Part one
Health topic in health informatics – integrated health records system.
200 words- Provide a detailed history of health integrated technology systems.
200 words- What support does this system have?
200 words- Any evaluation that has been carried out regarding integrated health records systems.
200 words- Full assessment of integrated health records system and its importance.
200 words- What impact does integrated hospital records system have on healthcare and client outcome?
200 words – How can nurses and physicians use this system to improve care for clients?
200 words- Future direction of integrated health systems.
200 words- Provide details of at least 3 different example of integrated health records systems.
200 words- Research an evidence-based practice that related integrated health records system what does this article show?
Paper must be in APA 7th edition format. At least 10 reference must be included as well as the attached textbook.
Part two power point
Construct a power point presentation about integrated health records system. PowerPoint should be in short bullet points and pictures must be included.
Slide 1- Introduction/ overview of integrated health records system.
Slide 2- History of integrated health records system.
Slide 3- What support does the systems have? Provide example.
Slide 4- Any evaluations that have been conducted regarding integrated health records system.
Slide 5- What impact does integrated hospital records system have on healthcare and client outcome.
Slide 6- How can nurses and physicians use this system to improve care for clients?
Slide 7- Future direction of integrated health systems.
Slide 8- 3 different example of integrated health records systems.
Slide 9- Research an evidence-based practice that related integrated health records system what does this article show?
PowerPoint must have a title and reference page.
Discuss what training programs are needed for the technology required for your final presentation topic. Consider what training to provide to new employees and what on-going training may be necessary.
Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary. For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.
Client selected: 63 year-old African American Female. Client was oriented x3 and engaged in the assessment. Client appeared dressed casually and her grooming and hygiene was fair.
Diagnosis: F31.4( Bipolar disorder, current episode depressed, severe, without psychotic features) and F51.01 ( Primary Insomnia)
With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:
I need these questions answered in 150 words each with individual references
UNIT 3
DQ1
Differentiate between bias and confounding. Discuss the criteria necessary to establish a factor as a confounder and provide an example applying these criteria. What is one way to adjust for a confounding relationship in the study design or the analysis?
DQ2
Explain the two major types of bias. Identify a peer-reviewed epidemiology article that discusses potential issues with bias as a limitation and discuss what could have been done to minimize the bias (exclude articles that combine multiple studies such as meta-analysis and systemic review articles). What are the implications of making inferences based on data with bias? Include a link to the article in your reference.
STUDY MATERIALS
Read Chapters 14 and 15 in Gordis Epidemiology.
Read “Association or Causation: Evaluating Links Between ‘Environment and Disease,'” by Lucas and McMichael (2005), located on the World Health Organization website. URL: https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC2626424/pdf/16283057.pdf
Read “Weak Associations in Epidemiology: Importance, Detection, and Interpretation,” by Doll, from Journal of Epidemiology (1996). URL: https://www.jstage.jst.go.jp/article/jea1991/6/4sup/6_4sup_11/_pdf
Read “Causal Inference Based on Counterfactuals,” by Hofler (2005), located on the BioMed Central website. URL: https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-5-28
Read “Multicausality: Confounding,” by Schoenbach (2004), located on the Epidemilog.net website. URL: http://www.epidemiolog.net/evolving/Multicausality-Confounding.pdf
View “Sensitivity and Specificity – Explained in 3 Minutes,” by Martin (2014), located on the YouTube website. URL: https://www.youtube.com/watch?v=FnJ3L-63Cf8
View “The Relationship Between Incidence and Prevalence,” by Patwari (2013), located on the YouTube website. URL: https://www.youtube.com/watch?v=1jzZe3ORdd8
Use the “Creating a 2×2 Contingency Table” resource to assist with the completion of the Measuring Morbidity: Prevalence and Incidence assignment, as needed.
UNIT 4
DQ1
Based on the “Multicausality: Confounding – Assignment,” by Schoenbach, discuss two significant insights you learned about confounding. Use specific examples from the assignment to support your answer.
DQ2
Describe the characteristics and design of a cohort study. Based on a disease or health condition identified from the “2020 LHI Topics” on the Healthy People 2020 website, or an article from the GCU library, discuss a real example of a cohort study (include the link to the article in your post to the forum). Include the participants, exposures or treatment groups, timeframe, and outcomes that were measured. Why is a cohort study described as an “observational” study rather than an “experimental” study design?
STUDY MATERIALS
Read Chapters 7-9 in Gordis Epidemiology.
View “Randomized Control Trials and Confounding,” by Martin (2013), located on the YouTube website. URL: https://www.youtube.com/watch?v=7ybuE39BpQ8
Read “2020 LHI Topics,” located on the Healthy People 2020 website. URL: https://www.healthypeople.gov/2020/leading-health-indicators/2020-LHI-Topics
Complete the “Multicausality: Confounding – Assignment,” by Schoenbach (2001), located on the Epidemilog.netwebsite. URL: http://www.epidemiolog.net/evolving/ConfoundingAssgt.pdf
Refer to the “Multicausality: Confounding – Assignment Solutions,” by Schoenbach (2001), located on the Epidemilog.netwebsite, to check your answers to the assignment. URL: http://www.epidemiolog.net/evolving/ConfoundingSolns.pdf
Read “Understanding Controlled Trials: Why Are Randomized Controlled Trials Important?” by Sibbald and Roland, from British Medical Journal (1998). URL:http://search.proquest.com.lopes.idm.oclc.org/docview/1777585669/fulltextPDF/2BDCED02960C4E6APQ/1?accountid=7374
UNIT 5
DQ1
Describe the common characteristics and design of a case-control study. Discuss the three important features when it comes to selecting cases and controls, and identify a situation when one of these might be violated. Discuss the limitations of using questionnaires for determining exposure status and provide examples of alternative strategies for collecting this information in a case-control study.
DQ2
Discuss the strengths and weaknesses of cross-sectional studies and examples of how they can be “descriptive” or “analytic” study designs. Discuss an example of a disease where survival could influence the association between a possible exposure and the disease when measured with a cross-sectional study. Do not discuss examples used in the textbook.
STUDY MATERIALS
Read Chapter 10 in Gordis Epidemiology.
View “Cohort and Case Control Studies,” by Martin (2013), located on the YouTube website. URL: https://www.youtube.com/watch?v=J3GHTYa-gZg
Read “Introduction to Study Designs – Cross-Sectional Studies,” located on the Health Knowledge website. URL: https://www.healthknowledge.org.uk/e-learning/epidemiology/practitioners/introduction-study-design-css
Read “Cross-Sectional Studies,” from ERIC Notebook (2012), located on the Gillings School of Global Public Health -University of North Carolina website. URL: https://sph.unc.edu/files/2015/07/nciph_ERIC8.pdf
Read “Section 7: Analytic Epidemiology,” from Lesson 1 of the Centers for Disease Control and Prevention (CDC) self-study course, Principles of Epidemiology in Public Health Practice: An Introduction to Applied Epidemiology and Biostatistics (2012), located on the CDC website. URL: https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section7.html
UNIT 6
DQ1
Differentiate between association and causation using the causal guidelines. Discuss which of the guidelines you think is the most difficult to establish. Discuss the four types of causal relationships and use an example not listed in the textbook to describe each relationship.
DQ2
Explain the difference between relative risk, attributable risk, and population attributable risk. Provide an example (not from the textbook) of how each type of risk is used in epidemiology. How would you propose using population attributable risk to advocate for a health policy or intervention relative to your health interest?
STUDY MATERIALS
Review Chapter 14, and read Chapters 11-13 in Gordis Epidemiology.
Read “Causation in Epidemiology: Association and Causation,” located on the Health Knowledge website. URL: https://www.healthknowledge.org.uk/e-learning/epidemiology/practitioners/causation-epidemiology-association-causation
Read “Section 5: Measures of Association,” from Lesson 3 of the Centers for Disease Control and Prevention (CDC) self-study course, Principles of Epidemiology in Public Health Practice: An Introduction to Applied Epidemiology and Biostatistics (2012), located on the CDC website. URL: https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section5.html
Use the “BRFSS Web Enabled Analysis Tool,” located on the Centers for Disease Control and Prevention (CDC) website, to complete the topic assignment. URL: https://nccd.cdc.gov/weat/#/
Review “Multicausality: Confounding,” by Schoenbach (2004), located on the Epidemilog.net website. URL: http://www.epidemiolog.net/evolving/Multicausality-Confounding.pdf
View “How to Calculate Relative Risk,” by Shaneyfelt (2012), located on the YouTube website. URL: https://www.youtube.com/watch?v=xk2uK14eHNs
View “How to Calculate an Odds Ratio,” by Shaneyfelt (2012), located on the YouTube website. URL: https://www.youtube.com/watch?v=ITi0SxmQTO8
UNIT 7
DQ1
Epidemiological methods are used in a variety of public health areas (including infectious disease, chronic disease, and social health) and settings (including the community, schools, and the workplace). Epidemiological methods are used to assess, describe, analyze, and make comparisons of populations to inform evidence-based practices, policies, and interventions. Propose a study based on the methods you have learned thus far designed to investigate an association within one of the public health areas listed (infectious disease, chronic disease, or social health) and the methods you would apply. Discuss and define the risk factor or exposure that is being assessed, the method of comparison that is used, and the setting or situation (community, school, workplace, etc.) your study would look to address. Consider the concepts of causal inference, measures of association, and study design.
DQ2
Race is often used as a descriptor of disease burden and helps us to determine where health disparities exist in order to address them, which is important. It is helpful to differentiate between race as a descriptor and race as a risk factor. Think about institutional racism and its influence on health. Consider the factors related to race and ethnicity that might be influencing disease status more than the genetics of race when answering this discussion question.
Consider the following statement: “Race is not a risk factor and should not be used in public health data collection.” Discuss the ethical and public health implications of this statement. When might collecting data on race perpetuate institutional racism leading to health disparities and when is it necessary to improve public health? Provide support and examples for your answer. Consider ethical issues related to respect for persons, beneficence, and justice as described in “The Belmont Report.”
STUDY MATERIALS
Read Chapters 17, 19, and 20 in Gordis Epidemiology.
Read “Health Inequalities Among British Civil Servants: The Whitehall II Study,” by Marmot and Smith, from The Lancet (1991). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=9107080526&site=ehost-live&scope=site
Read “The Role of Epidemiology in Disaster Response Policy Development,” by Thorpe et al., from Science Direct (2015). URL:http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S1047279714003184?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb
Read “Prescription Drug Abuse: From Epidemiology to Public Policy,” by McHugh, Nielsen, and Weiss, from Journal of Substance Abuse Treatment (2015). URL:http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0740547214001871?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb&ccp=y
Read “The Role Epidemiology in Evidence-Based Policy Making: A Case Study of Tobacco Use in Youth,” by Aldrich et al., from Annals of Epidemiology (2015). URL:http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S1047279714001495?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb
Read “Epidemiology, Policy, and Racial/Ethnic Minority Health Disparities,” by Carter-Pokras et al., from Annals of Epidemiology (2012). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3724931/
Read “Epidemiology and Public Policies,” by Barata, from Revista Brasileira de Epidemiologia (2013). URL: http://www.scielo.br/scielo.php?pid=S1415-790X2013000100003&script=sci_arttext&tlng=en
Read “Ethical Issues in Epidemiologic Research and Public Health Practice,” by Coughlin, from Emerging Themes Epidemiology (2006). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1594564/
Explore the “Viral Hepatitis Epidemiologic Profiles” map, located on the Association of State and Territorial Health Officials (ASTHO) website, to assist with topic assignment.URL: https://www.astho.org/Viral-Hepatitis-Epi-Profiles/Map/
Use the “BRFSS Web Enabled Analysis Tool,” located on the Centers for Disease Control and Prevention (CDC) website, to complete the topic assignment. URL: https://nccd.cdc.gov/weat/#/
Review the “Belmont Report,” by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1979), located on the U.S. Department of Health and Human Services – Office for Human Research Protections website. URL: https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Explore the resources on “Health Data Tools and Statistics,” located on the PHPartners website. URL: https://phpartners.org/health_stats.html
Explore “Surveillance, Epidemiology and the End Results Program,” from the National Cancer Institute.URL: https://seer.cancer.gov/
Explore the STEPwise Approach to Surveillance (STEPS) page of the World Health Organization (WHO) website. URL: http://www.who.int/chp/steps/en/
UNIT 8
DQ1
One method to investigate gene-environment interactions is to study monozygotic twins. Identify an example of a twin study not listed in the textbook used to examine the gene-environment interaction of a specific disease or condition. Briefly summarize the gene-environment interaction investigated, the methods, and the results. What are other possible methods for studying gene-environment interactions as they relate to improving population health?
DQ2
Using the CDC Wonder website, set the query criteria for pancreatic cancer for the United States as illustrated below. Compare the rates by race for Wisconsin and Colorado. Discuss possible biological, genetic, and environmental reasons for differences. What are potential social determinants that contribute to the disparity presented between the two states?
Use this query upon entering the CDC Wonder website:
Select “Cancer Statistics” under the Wonder Systems tab
Select “Cancer Incidence 1999 – 2013” and click “Data Request”
Organize table layout:
Select location – select “States” and “The United States”
Select year and demographics
Select cancers of interest – select “Pancreas”
Other options – keep default settings
STUDY MATERIALS
Read Chapter 16 in Gordis Epidemiology.
Read “Gene-Environment Interaction,” located on the National Institute of Environmental Health Sciences website. URL: https://www.niehs.nih.gov/health/topics/science/gene-env/index.cfm
Read “Defeating the ZIP Code Health Paradigm: Data, Technology, and Collaboration Are Key,” by Graham, Ostrowski, and Sabina, from the Health Affairs Blog (2015), located on the Health Affairs website. URL: http://healthaffairs.org/blog/2015/08/06/defeating-the-zip-code-health-paradigm-data-technology-and-collaboration-are-key/
Explore the CDC Wonder page of the Centers for Disease Control and Prevention (CDC) website.URL: https://wonder.cdc.gov/
Review the Mapping Life Expectancy page of the Robert Wood Johnson Foundation website. URL: http://www.rwjf.org/en/library/articles-and-news/2015/09/city-maps.html
Healthcare organizations are like any other business in that there are teams of people to be guided to meet the organization’s goals. Groups require leaders, and the leaders must lead effectively for successful outcomes. Unfortunately, not every unit manager or department head is good at leading necessarily.
Transformational leadership and high-performance
Nursing education includes learning how to think critically, problem-solving, and when and who to delegate tasks to ensure the most efficient work completion. Nurse managers benefit from honing those skills when leading a team. Nurse managers are in the complicated position of advocates for their team members and patients and representatives of higher management and the organization (Asiri et al., 2016). That said, nurse managers have a lot of responsibility, and it simply is not reasonable for any manager to expect to control and manage every detail of their unit. Being a good manager means being good at empowering others to step and lead (Asiri et al., 2016). When lower-level members of a team are empowered and given reasonable autonomy to perform their job functions without being under intense scrutiny, their achievements grow in connection to the organization, and the investment grows for that person. When an individual is investing in their work, they tend to have more commitment to it, connecting purpose to their roles as team members (Asiri et al., 2016). A healthcare organization with invested and committed team members is an organization with quality care outcomes (Asiri et al., 2016).
Leadership influence on the nursing workforce
The transformational leadership style is the preferred and most successful leadership style in the healthcare industry (Alloubani et al., 2019). Transformational leaders exhibit how much they value their team and everyone on the team by seeking team involvement in decision-making and recognizing each contribution (Fischer, 2016). The transformational team leader encourages personal growth for its team, showing interest in the people’s well-being on the team. Team members recognized and shown concern for as individuals are team members that feel cared for and part of the organization’s family. Team members will give back what they receive in quality work that results in improved patient outcomes and work-life satisfaction (Fischer, 2016).
References
Alloubani, A., Akhu-Zaheya, L., Abdelhafiz, I. M., & Almatari, M. (2019). Leadership styles’ influence on the quality of nursing care. International Journal of Health Care Quality Assurance, 32(6), 1022-1033. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.1108/IJHCQA-06-2018-0138
Asiri, S. A., Rohrer, W. W., Al-Surimi, K., Da’ar, O. O., & Ahmed, A. (2016). The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: a cross-sectional study. BMC Nursing, 15(38), n.d. Retrieved from https://doi.org/10.1186/s12912-016-0161-7
Fischer, S. A. (2016). Transformational leadership in nursing: a concept analysis. Journal of Advanced Nursing, 72(11), 2644-2653. Retrieved from https://doi.org/10.1111/jan.13049
When the Levees Broke: A Requiem in Four Acts
For this assignment, you will describe and analyze the characteristics, and life can change from one second to another. Describe how this movie impacts your way of thinking. 1. Do you believe that this event changes the way of think of many people? Based on our discussions in class, how do you think the most impact for the future generation?
Each document must be typewritten with 12-point font and double-spaced with standard margins. Follow APA format when referring to the selected articles and include a reference page.
Discussion Week 3: Initial Post
As registered nurses, our job is to provide holistic, patient-centered care, which is often accompanied by long hours and extremely challenging patient situations. On top of this, we must maintain a balance between competing needs and limited resources. Kelly and Porr note that in recent decades, many hospitals have switched from a treat-heal-care model to a more corporate business prototype that focuses on efficiency and profit, rather than patient outcomes (2018). With this model, it seems that more resources and staff are geared towards areas of the hospital that will profit the hospitals. At CoxHealth, the hospital revenue primarily comes from surgeries and primary care clinics (Haefner, 2018). Both Medicare and private insurers tend to pay more for such procedures and preventative care (Abelson, 2020).
With this model, there are fewer incentives to provide high-quality, affordable, and convenient healthcare to individuals who do not have private insurance or are uninsured. For example, CoxHealth refers patients who do not have insurance to their Family Medical Care Center (FMCC), which is primarily run by resident physicians. As these resident physicians have recently graduated medical school, they are still learning, and sometimes do not always provide the highest quality of medical care. They also lack resources and staff that the family practice clinics only serving private and Medicare-insured individuals have access to. This creates an ethical dilemma as these patients still deserve high-quality patient-centered care even though they may lack financial resources.
For this reason, there are policies in place to protect this vulnerable patient population and address these competing needs. Individuals who do not have health insurance are primarily in a lower socioeconomic class, which is linked to poor health outcomes and increases the risk of behavioral health issues and substance abuse (Pampe et al., 2010). CoxHealth partners with Jordan Valley and Burrell Behavioral Health, which are community health centers that aim to serve uninsured individuals by offering high-quality, patient-centered care. According to the Springfield Business Journal, Jordan Valley Community Health Center obtained a federal government-issued grant of $2 million to improve access, resources, and adequate staffing needs to care for uninsured individuals seeking primary care. Also, Burrell Behavioral Center received $4 million from the Substance Abuse and Mental Health Services Administration (SAMHSA) to expand access to mental health and substance abuse treatment for uninsured individuals living in southwest Missouri (2020).
It is clear that lower socioeconomic classes may not always receive the highest quality care from hospitals biased towards allocating resources to the areas that create high-profit margins. As nursing leaders, we must balance the organization’s needs and ensure quality, effective, and safe patient care.
References
Abelson, R. (2020). Hospitals Struggle to Restart Lucrative Elective Care After Coronavirus
Shutdowns. Retrieved September 12, 2020, from https://www.nytimes.com/2020/05/09/health/hospitals-coronavirus-reopening.html
Burrell Behavioral Health. (2020). Burrell Behavioral Health awarded $4 million CCBHC
Expansion Grant. Retrieved September 12, 2020, from https://www.burrellcenter.com/media/burrell-behavioral-health-awarded-4-million-ccbhc-expansion-grant/
Haefner, M. (2018). CoxHealth’s net income falls 40% in FY18: Springfield, Mo.-based
CoxHealth saw its net income fall in the fiscal year ended Sept. 30, 2018, according to recent financial documents. Retrieved September 12, 2020, from https://www.beckershospitalreview.com/finance/coxhealth-net-income-falls-40-in-fy18.html
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to
enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. Doi:10.3912/OJIN.Vol23No01Man06. Retrieved September 12, 2020 from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert
clinician to influential leader (2nd ed.). New York, NY: Springer.
Pampel, F., Krueger, P., & Denney, J. (2010). Socioeconomic disparities in health
behaviors. Retrieved September 12, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3169799/
Springfield Business Journal. (2020). Federal government issues $2M grant to Jordan Valley.
Retrieved September 12, 2020, from https://sbj.net/stories/federal-government-issues-2m-grant-to-jordan-valley,68434
Reply to this discussion post (site sources if applicable)
The first step to continue to integrate evidence-based practice onto my unit is to Identify a problem and figure out the best way to solve it. Many evidence-based practices start at the bedside. A nurse notices a problem and starts thinking of a way to fix it. Once the problem is identified then the next step would be to assemble some of the nurses to help gather information to a solution to the problem. Once the information is gathered with evidence-based information finding a way to implement the interventions would then be the next step.
Starting a unit council is another way to continue to integrating evidence-based practice onto the unit. If there was no educator or clinical coordinator on the unit a nit council would be there to identify unit based issues and find the literature to support any solutions. Starting a journal club on the unit is another way to continue to integrate evidence-based practice on the unit. Finding journal articles that address issues and to receive CEU for continuing education, will help disseminate knowledge onto the unit. A journal club is an effective approach to tackle issues on the the unit and allows nurses to keep up to date with recently published literature. Also making sure to involve new grads into any projects will make sure that evidence-based practice is followed early on and also new grads have just graduated from school so they will have been taught all the new evidence-based practice information and can share that knowledge with others.
Compilation
Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4.
In addition to the work you completed in the last four weeks, your assignment should also:
On a separate references page, cite all sources using APA 7 format.
•Please note that the title and reference pages should not be included in the total page count of your paper.
Submission Details
Name your document SU_NSG4029_W5_Project_LastName_FirstInitial.doc.