Monthly Archives: May 2023

For  each Barrier to Patient Centered Care, identify facilitators that could  be introduced to balance/offset the barrier. Provide rationale for your  response based on (text books, articles,  practice guidelines, etc) as appropriate:

Barriers:

1. Competing care obligations (patient–load) interfere with prioritizing discussions of discharge planning with patient/planning.
2. Discharge communication ranged from simple one-sided instruction to shared decision making.
3. Patients did not feel prepared for discharge and post-discharge care was not individualized.
4. Discharge process/decisions affected by pressure for available beds.

The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. 

This formal paper will include and expand upon work completed thus far in prior assignments.

Essential Components of the Final Project Proposal will include:   

1. Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.
2. Overview of the Problem – Discuss the problem,  why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
3. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
4. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
5. PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
6. Literature Review – Provide the key terms used to guide a search for evidence and discuss at least five (5) summaries of relevant, credible, recent, evidence-based research studies to support the project proposal.
7. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and what gaps in evidence were found from the appraisal of evidence-based research studies.
8. Develop an EBP Standard – Describe  two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
9. Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.

Expectations

• Due: 10/22/2020
• Length: A minimum of 8 pages and a maximum of 10 pages (excluding the title and reference pages)
• Format: Formal scholarly paper in APA 6th ed format
• Reference Citations: A minimum of five, recent (past five years), peer-reviewed scholarly references cited in APA 6th ed format.

Family member at times wish that we withhold information from the patient because they might get more ill and depress because of their prognosis. This information should not be withheld from the patient, the patient as a right to know what is going on”. Reflecting on a situation such as this, how would you handle the family’s request to refrain from sharing the patient’s prognosis with them? What is your responsiblity as the bedside nurse and how would you respond?

1 page 1 reference nothing older than 2015 

 ANSWER THE QUESTIONS?

1-FACTOR CAUSING   HEALTHCARE- ASSOCIATED INFECTIONS

 2-RISK FACTOR  OF HEALTHCARE- ASSOCIATED INFECTIONS

 Reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) no more than 5 years.
 

Select a national healthcare issue (lack of access to healthcare) and consider how that issue may impact your work setting. You also analyze how your organization has responded to this 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.
• 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.
• 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.

Answer the following 7 questions from the Case scenario attached below. PLEASE follow all instructions also attached below. Must have 2 references not older than 5 years one from a peer reviewed journal or guidelines. NO Plagiarism Please included Turnitin document. 

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

 Follow up discussion response , add information and support the idea for the above post. One paragraph use the same reference and citation 

According to our lesson this week, variables are expressed as numbers in order to analyze them statistically, but different types of numbers have different levels of measurement (Houser, 2018). In my project I’m focusing on the risk race/ethnicity has on hospitalization/death in patients with Covid-19. This level of measurement is nominal. Our lesson discusses that nominal variables are categorized data, classified, and not ordered (Houser, 2018). An implication for this statistical testing is that subjects cannot be compared (Houser, 2018).

A study conducted that investigates Covid-19 mortality affecting the Black population in the US. The study used 505,992 patients receiving care at Bronx Montefiore Health System (BMHS) between 1/1/18 and 1/1/20 to evaluate the risk of hospitalization and death in two time periods- pre-Covid time and Covid time period (Golestaneh et al., 2020). The study was conducted using a retrospective cohort study of patients that were outpatient at BMHS (Golestaneh et al., 2020). In a retrospective cohort study is a type of observation research in which the investigator looks back in time at archived or self-report data to examine whether the risk of the disease was different between exposed and non-exposed patients (El-Masri, 2014). The variable was race/ethnicity (Golestaneh et al., 2020). Race/ethnicity data was patient self-defined at time of initial registration at BMHS. Patients were able to register as Non-Hispanic White, Non-Hispanic Black, Hispanic, and Other (Golestaneh et al., 2020).

References:

El-Masri, M. M. (2014, April 1). Terminology 101: Retrospective cohort study design. Retrieved September 28, 2020, from https://canadian-nurse.com/en/articles/issues/2014/april-2014/terminology-101-retrospective-cohort-study-design

Golestaneh, L., Neugarten, J., Fisher, M., Billett, H. H., Gil, M. R., Johns, T., . . . Bellin, E. (2020). The association of race and COVID-19 mortality. EClinicalMedicine, 25, 100455. doi:10.1016/j.eclinm.2020.100455

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update

Link: https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.

After reading these recommendations answer the following questions. APA style. 250 word minimum and 2 references less than 5 years.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

http://www.surgeongeneral.gov/tobacco/treating_tobacco_use08.pdf 

Scholarly Activities (TOPIC FALL PREVENTION STRATEGIES IN HOSPITALS)

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.