Evidence based practice

 

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital acquired pressure injury (HAPI), (4 % increase in the last 6 months) .

You have investigated contributing factors to the declining outcomes and participated with a team approach to developing an evidence-based practice project. After reading this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment”, PICO: In a healthcare setting, what is the effect of nursing staffing in reducing patient outcomes in HAPI cases? Was developed.

Complete the following categories for an EBP project (based on the case scenario above). Use the clinical question that was developed based on the PICO format. Include minimum of 10 articles reviews. For this assignment address the following areas:

  • Title Page
  • Abstract
  • Introduction
  • Background
  • Problem Statement
  • Purpose of the Project
  • Clinical Question(s)
  • Review of the Literature

Caps Assignment W5

Compose a focused paper that explains and describes your healthcare issue or topic from a cultural and ethical perspective of inquiry. (You will cover two perspectives in one paper.)

Form and answer two levels of research questions for each inquiry to address your chosen topic.

SEE ATTACHED

Analyzing an Ethical Decision

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES NOT MORE THAN 5 YEARS

ZERO PLAGIARISM

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:
  • Analyze salient ethical issues in psychiatric mental health practice
  • Compare ethical dilemmas with state health laws and regulations
  • Analyze ethical decision-making processes

To prepare:

  • Review literature for moral/ethical issues encountered by a PMHNP.
  • Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 3-page paper in which you do the following:

  • Summarize the moral/ethical issue in the article (no more than 1 paragraph).
  • Describe the moral and ethical dilemmas surrounding the issue.
  • Analyze the ethical issue and compare them to the state health laws and regulations in your state.
  • Outline the process of ethical decision making you would use to address this ethical dilemma.

Discussion Question

 

1-  In the infant, sutures separate the bones of the skull from one another. The areas where the major sutures intersect in the anterior and posterior portions of the skull are fontanelles. Discuss various problems associated with fontanelles. 

2-3 paragraphs of 3 sentences each

3- APA style

4- 2 references not older than 2015

Soap Note x 3 (24 Hours) (Less than 10% plagiarism report)

 

1)  Submit 1 document per part

Part 1: Complete the file “Template” according to:

Diagnosis:  Malaria

Part 2: Complete the “Template ” according to:

   

Diagnosis:  Dengue

 Part 3: Complete the “template ” according to:

    Diagnosis:  Leishmaniasis

   

2)¨****** You must strictly follow the template.

             Will not admit any change           

         Submit 1 document per part

 

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references per part not older than 5 years

Follow the rubric (Required):

 

Clinical Case Grading Criteria: The evaluation of the presentation is based on the following:

Criteria

 1) Chief Complaint & pertinent history 10 points

2)Pertinent exam and diagnostics 10 points

3)Working diagnosis with supporting criteria 5 points

4)Management plan 5 points

5)Epidemiological data – cited from literature 10 points

6)Evidenced based rationale for treatment (literature based) 10 points

7)Analysis of self-care and family issues r/t diagnosis and treatment plan 20 points

8)Evaluation parameters to be used (or were used) to determine outcomes 10 points

9)Identify major “lessons learned” and how it may affect your future practice 20 points

Psychotherapy

In a 1- to 2-page paper, address the following:

· Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
· Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
· Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. All papers submitted must use this formatting.

Community Nurse week 7

 

Care Management, Case Management, and Home Healthcare

1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.

Analysis of a Pertinent Healthcare Issue

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. 

4). ALSO, IN ADDITION TO RUBRIC DETAILS, I HAVE ATTACHED THE INSTRUCTOR’S EXPECTATION GUIDELINE. (Please and Please, let me know if there is any clarification needed from me).

Thank you.  

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

  • Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
  • Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
  • Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.