Monthly Archives: May 2023

You are caring for a 6 year old female patient name Rita in the hospital.  She is 2 hours post-op from acute appendicitis.  She had a laparoscopic appendectomy. She is sleepy but arousable and can answer short questions. 

Her last set of vital signs are:

b/p 100/68, p 90, r 26, t 98.1, sats 96%.  

Her vitals 30 minutes before that were:

b/p 120/79, p 74 r 20, t 98.3, sats 99%.  

You check her abdomen and there are 4 well approximated incisions on her abdomen, closed with surgical glue.  One incision on her lower left quadrant appears to be swollen and appears to have some red drainage seeping from under the surgical glue.  Rita is moaning and grimacing with her eyes closed in the bed.  

She has a 20g IV in her left forearm and is running LR at 100ml/hr, she has 02 at 2l/m via NC in place. She has an indwelling Foley catheter and you have drained 40ml of urine in the 2 hours she has been in your care.

Rita’s mom and dad are anxiously sitting in her room, asking questions regarding her recovery from surgery and when she will be discharged.

1. What are your thoughts regarding Rita’s condition? Is she progressing normally post operatively?
2. What is your priority in regard to her condition?
3. Is Rita giving you cause to worry? If yes, what do you anticipate happening?
4. What nursing diagnosis would you apply to Rita? To her family

 THIS IS NOTAN EASSAY IT IS AN ASSIGNMENT

Present a case study of a patient with suspected anemia. The patient may have a chief complaint of fatigue, dizziness, or failure to thrive (choose one). Include the following in the case study:

1. Identifying data
2. Chief complaint (CC)
3. History of present illness (HPI)
4. Review of systems (ROS)
5. Pertinent medications or allergies
6. Physical exam
7. Screening tools
8. Assessment, including differential diagnoses and any pitfalls of which one must be aware

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

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

Literature Evaluation Table

Student Name: 

Summary of Clinical Issue (200-250 words):

PICOT Question:

Criteria

Article 1

Article 2

Article 3

 APA-Formatted   Article Citation with Permalink

How   Does the Article Relate to the PICOT Question?

Quantitative,   Qualitative (How do you know?)

Purpose   Statement

Research   Question

Outcome

Setting   

(Where   did the study take place?) 

Sample

Method

 Key   Findings of the Study

Recommendations   of the Researche Criteria

Article 4

Article 5

Article 6

 APA-Formatted   Article Citation with Permalink

How   Does the Article Relate to the PICOT Question?

Quantitative,   Qualitative (How do you know?)

Purpose   Statement

Research   Question

Outcome

Setting   

(Where   did the study take place?) 

Sample

Method

Key   Findings of the Study

Recommendations   of the Researcher

Write a 1 page reflection analyzing the COVID situation. 

– Include an introduction.

– Include a section called “Your Thoughts” explaining the history of the virus in our country, what caused the situation and out country’s response. How have different points of view included factual reports, inductive inferences, and evaluative judgement. Define these terms. 

– Include a conclusion explaining how perceptions and beliefs of others influence awareness of our “lenses”. 

APA style

Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

1. Identify the selected model or theoretical framework and discuss its relevance to your project.
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage in your proposed implementation.

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

 Please add 5 references that are 5 years or less. I have attached my most current essay to help you with the essay.

Proposed Evidence-Based Practice Project Solution

Diane Boll

Grand Canyon University: NUR 590

12-9-2020

Proposed solutions

Diabetes mellitus type 2 is generally considered a lifestyle condition and this makes it more prevalent among individuals from lower socioeconomic status. This is because of the many barriers that prevent such individuals from accessing quality healthcare. Thus, providing improved and better healthcare to such people can be very crucial in reducing the prevalence of Diabetes mellitus type 2 (Ong et al., 2018). Achieving this would require adequately funding the healthcare facilities especially in areas where people with lower socioeconomic status live to facilitate preventive care for type 2 diabetes. Also, ensuring there is an adequate number of healthcare providers such as nurses and physicians especially in the remote areas where an individual from low-income communities’ lives is crucial in reducing the prevalence of type 2 diabetes (Ong et al., 2018). This will ensure such individuals have access to quality healthcare concerning diabetes whenever they need it. Health promotional services that involve encouraging people to practice good dietary and healthy lifestyles can offer important solutions in the management of diabetes (Butler, 2017).

Organizational structure

The proposed solutions are consistent with the community culture of cooperation between different stakeholders to promote healthcare for all to achieve the objectives of Healthy People 2020. To effectively reduce the prevalence of type 2 diabetes, strong cooperation between healthcare providers, the healthcare system, and the community is necessary. This portrays a culture of togetherness towards the achievement of a society that is free from illnesses including type 2 diabetes.

Expected Outcomes

The availability of food, good housing, access to healthcare, good education, and improved nutritional practices are some of the factors that can help reduce the prevalence of diabetes type 2 among people in low-income communities. These factors will lead to a reduction in healthcare disparities that impact negatively individuals from such communities. The expected outcome from ensuring such factors are dealt with includes equal access to quality healthcare for people from these communities as far as the issue of diabetes mellitus type 2 is concerned. Achieving equity in access to healthcare services will greatly reduce the prevalence of type 2 diabetes and this would be an important milestone towards the achievement of the objectives of Healthy People 2020.

Method to achieve the outcomes

In achieving the expected outcome of the project;

a) The nurses will fully participate in the process of implementation of this practice.

b) The physicians and other allied healthcare providers will support the nursing staff in the process of implementing evidence-based practice.

c) The nurses will work in partnership with the regional and national research institutes to implement the evidence-based practice.

d) The organization will develop an EBP mentoring program tasked to train and motivate nurses to take responsibility for implementing the evidence-based practice.

Various barriers might hinder the process of implementing evidence-based practice which includes;

a) Lack of adequate time to go through the available literature from the research might lead to the workload on available nursing staff

b) An inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018)

c) Lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.

Outcome Impact

Quality care improvement

The outcomes of the project will have positive impacts on quality care improvement as it promotes early diagnosis of type 2 diabetes for patients and initiates effective treatment. The outcomes will also promote preventive care of the disease through good dietary and healthy lifestyles (Butler, 2017). Also, having an adequate number of healthcare providers as well as adequate funding will reduce healthcare access disparities hence improving the quality of healthcare services provided.

References

Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.

Ong, S. E., Koh, J. J. K., Toh, S. A. E. S., Chia, K. S., Balabanova, D., McKee, M., … & Legido-Quigley, H. (2018). Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PloS one, 13(3), e0195086.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.

· Select a healthcare program within your practice and consider the design and implementation of this program.

· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (4-5 pages)

In a 4 5-page paper, create an interview transcript of your responses to the following interview questions:

· Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

· Who is your target population?

· What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

· What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

· What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

· Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

his week, you will find three scholarly, peer-reviewed research articles on your topic. Remember that next week you will submit a paper on Scientific and/or Mathematical/Analytical perspectives of inquiry, so use this week’s assignment to prepare materials and collect information for that purpose.

Use articles that will help you explain and describe scientific issues and/or statistical data or economic information related to your topic. You will analyze and evaluate these articles in your submission, which should include:

Three separate paragraphs, one for each of the three articles, each presenting:

• A brief 3–4 sentence summary of the article (use in-text citations)
• An explanation as to what makes this source credible (in the WCU Library go to Research Guides > Research Basics > Evaluating Resources)
• An explanation of why the article will be useful in addressing your problem or issue

MUST USE CREDIBLE SOURCES FROM MY STUDENT PORTAL WHICH I WILL PROVIDE LOGIN INFO. 

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Write a paper of 1,250-1,500 words that discusses the team-based approaches to the delivery of health services. The focus of the paper should be one type of health care environment, such as a hospital, primary care, or long-term care facility. Within your paper, be sure to do the following:

1. Present a patient case (this does not need to be detailed).
2. Describe the collaborative team that would deliver care and their individual roles, including credentialing, licensing, and regulation.
3. Identify and describe the indicators and determinants of health that would influence or impact this case.
4. Describe the impact this collaborative team-based approach would have on management and line staff.
5. Explain key financial and resource challenges for consumers and insurance companies as they apply to this model. Explain how the resource challenges may affect the collaborative team.
6. From a leadership position, explain the advantages of using a collaborative team-based approach.

Support your writing with three to five scholarly peer-reviewed resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

Incorporate health outcomes of the health promotion, detection of disease and disease prevention.  Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client.  

Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018).

Paper should be 3 pages not including title and reference page.  

Paper should follow APA guidelines with a minimum of 5 references within 5 year span.sic