Discussion post on how QUALITY CAN INFLUENCE COST.

Read the following chapters in Financial Management for Nurse Managers and Executives, 5 ed., Jones (2019):

Write 300 words post about how QUALITY CAN INFLUENCE COST. 

APA format with intext citation and references from the chapter using the chapter attached. Feel free to use other sources as long as you give credit to the chapter attached.

Ethical Considerations

 

Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals – research subjects – were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following. (OBESITY)

1-What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?

2-Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?

3-What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?

Please answer these questions separated and use at least 3 sources no later than 5 years.

You can use this sources:

Resnik, D. B. (2015, May). Glossary of commonly used terms in research ethics. Retrieved from National Institute of Environmental Health Sciences website: https://www.niehs.nih.gov/research/resources/bioethics/glossary/index.cfm

·  Resnik, D. B. (2018, July). Research ethics timeline (1932–Present). Retrieved from National Institute of Environmental Health Sciences website: https://www.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm (Links to an external site.)

Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data-focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases to identify at least six relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment,      select original research articles.
  • Review the Resources for guidance and develop a PICO(T)      question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Post a brief description of your clinical issue of interest. 

This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. 

Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. 

Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question.

Be specific and provide examples.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)

· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence-based practice question: A review of the frameworks for LIS professionals. Evidence-Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e

N492 Discussion Mod 2:

  

N492 Discussion Mod 2:

Discussion Question:

  1. How      does a person’s difference in age, culture, race, gender and living      situation impact your comfort as a nurse in communicating with them?
  2. While      growing up, how were OAs (older adults) treated in your family, culture,      community and in society (identify the year range)?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook in each week’s initial post

Void

Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. 

Thursday

According to your worldview, what value does a human person have? How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?

Thursday 10/29/2020

Mila Jefferies

 

Mila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke. 

Use the Neuman systems model as a conceptual framework to respond to the following: 

• Describe the Jefferies family as a client I system using each of the five variables. 

• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative? 

• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children? 

• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family. 

• Identify your nursing priorities if you were providing care to this family.