Monthly Archives: May 2023

This week, you explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment is to become familiar with the SPSS data analysis software and to develop an understanding of how to calculate descriptive statistics and make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.

To prepare:

• Review the Statistics and Data Analysis for Nursing Research chapters assigned in this week’s Learning Resources. Pay close attention to the examples presented, as they provide information that will be useful when you complete the software exercise this week. You may also wish to review the Research Methods for Evidence-Based Practice video resources to familiarize yourself with the software.
• Refer to the Week 4 Descriptive Statistics Assignment page and follow the directions to calculate descriptive statistics for the data provided using SPSS software. If you run into any difficulties or problems, post them to the Week 4 Discussion 2 area.
• Download and save the Polit2SetA.sav data set. You will open the data file in SPSS.
• Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document. This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.
• Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

• Complete the Part I, Part II, and Part III steps and Assignment as outlined in the Week 4 Descriptive Statistics Assignment page.

This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community.

When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency.

Critical thinking activities

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

Reply to this discussion post (site sources if applicable)

Independent and dependent variables are essential to any evidence based practice project. An independent variable is something that you can change, or that is controlled in a scientific study. A dependent variable is the variable that is being tested, measured within the study. In my project I discussed decreasing medications errors. The independent variable is mandating staff to scan all administered medications, the dependent variable is the medication error. I would need to collect the amount of medication errors within a quarter or year to be able to compare it to the after change numbers. Knowing the numbers we are starting with will allow us to see if the errors decreased. The independent variable would be the staff administering the medications. This can be measured by reviewing their scan rate data of patients and medications administered. The medication error can also be measured by data that is reported within the computer system. This data will be extremely important in my research to make sure that it was successful, or to see what needs to be adjusted. 

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

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

You are not required to submit this assignment to LopesWrite.

Select three bills of interest to you. Track the progress of one on the Internet and Do a brief legislative analysis of one of the bills. Document results in journal form. Include contact with your representative in the Illinois General Assembly. 

3.Discuss analysis of bill in class

4. Legislative analysis:

• written clearly, succinctly, using correct grammar, punctuation, sentence structure 

•organized

•includes a summary of the highlights of the bill.

•includes your thoughtful and critical analysis on the content of the bill

1-page discussion, at least 2 in-text references (1 must be from the book, posted in file the book used)…see the file uploaded for the topic questions.

Hi

I need a power point with no more than 20 slides about hematologic disorders in pediatric patient. The disorders are:

Anemia

Iron deficiency anemia

Thalassemia

Hemolityc anemia

Sicklemia

Glucose 6 phospate dehydrogenase deficiency

ITP

Hemophilia A-B

Leukemias

Yuo can chose the 4 to 5 more frequent disorders to develop the PP. Talk about risk factor, cause, symtomps, diagnosis, treatment 

Change Theory and Models for Change Intervention

I selected a behavioral change theory as a framework to guide my practice problem intervention.  The Theory of Reasoned Action (TRA) originated in the 1960s, has been used in past to guide clinical practice intervention in behavioral related changes (Chamberlain College of Nursing, 2020). For example, it has been used in smoking cessation, dieting, the use of seat belts, voting, breastfeeding, as well as HIV/AIDS intervention both in and outside the United States (Fishbein et al,1994 as cited in White et al., 2016).

The theory of reasoned action has four key components. They are behavior, intention, attitude, and norms (White et al., 2016). The theory is based on the belief that people are rational creatures and that their willingness to change behaviors have a lot to do with their conscious commitment. The following variables according to Fishbein et al, (1994 as cited in White et al., 2016) are interrelated; They are

1. Behavior – what is needed to happen so that the person understands what has to be done to achieve change.

2. Intention – The person’s readiness to change the behavior. That behavior change depends on the last two components attitude and norms.

3. Attitude – what are the approval and disapproval feeling the person may have about the behavior.

4. Norms (subjective)– How does that person who is about to undertaking that particular behavioral change believes others will feel about the behavior.

In this particular theory, there is no clear component for networking with the stakeholders during the phases of the practice changes. I was unable to find ways to evaluate the evidence. I was not able to identify any component for identifying nor addressing barriers to implementation. However, TRA has been implemented successfully in multiple clinical interventions to adopt healthy behavior. In a recent research study using TRA to understanding teen pregnancy in the American Indians communities, they found that the subject’s attitude about using birth control and the favorable or unfavorable opinions of others indicate whether or not these teenagers used contraceptives (Dippel et al., 2017).

For the practice intervention to be successful, the individuals have to be prepared to change their beliefs and attitudes towards obesity. The perspective participants, who are one of the key stakeholders in this project have to be vested in the plan. There need to be a desire to lost weight and work towards maintaining it. They also have to know that their support system, that is family and friends will be supportive throughout. For any change to occur, the door to communicating with all key stakeholders need to remain open throughout the implementing and evaluation phase of the practice change intervention and beyond.

References

Chamberlain College of Nursing. (2020). NR-701 Week 4: Change theory and models for change intervention [Online lesson]. Adtalem.

Dippel, E.A., Hanson, J.D., Mchahon, T.R., Griese, E.R. & Kenyon, D.B. (2017). Applying the theory of reasoned action to understanding teen pregnancy with American Indians communities. Maternal Child Health Journal, 21 1449-1456. doi:10.1007/s10995-017-2262-7

Family Health International. (1996). Behavior change: A summary of four major theories. http://www.fhi360.org/resource/behavior-change-summary-four-major-theories.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach 

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

Submit trough turn it in 

I uploaded the nursing theory.

Reply 1

Technology is plying a vital role in health care system for providing safe and quality care. Its not helping to collect and save data but also sharing the data between health care providers involved in patient care for effective outcomes of care. Technology is an integral part of health screening diagnosis, and treatment.

In my health organizations technology has become important part of patient care. We start using technology the time we step in the building as we scan our chip ID to enter in our locked dementia unit which enhance patient’s safety because only authorized staff can enter in the unit. Technology is used for electronic shift report which help us to keep track how was the patient’s condition in previous shift and if there is any big changes in patient’s health, any fall happens during previous shift hours. We use software to keep the track of medication administration every day for each patient. Technology is used to keep the records of each patient e.g. health records, history, physicals, any incident, admission or discharge records, any information related to patient are recorded, using the online software which makes it so much easier for all staff who is authorized to use information. Pharmacy can check the medication orders for the patients and recommend accordingly which is only possible because of technology, the moment we get orders it is verified with the pharmacy, and medication orders are processed faster than ever, and the medication was sent by pharmacy on time without any delay. We can imagine if there is no such technology how long it will take to get one order and then how long it will take to reach pharmacy and get medication. Technology helps to process the things faster, which makes it possible to provide the best possible care to the patients. 

Reply 2

   Digital innovations have radically transformed the healthcare system. Information technology plays a growing role in the delivery of healthcare and helps in addressing the health problems and challenges encountered by clinicians and other health professionals in practice (Campanella, Lovato, Marone, Fallacara, & Mancuso, 2015). Electronic health records (EHRs) have been widely applied in the United States to document and gather patient information. An electronic health record refers to a systematic electronic collection of patients’ health information such as their medical history, medication orders, laboratory results, medical procedures, vital signs, radiology reports, and physician and nurse notes. EHRs also help healthcare professionals to make sound clinical decisions as EHRs also include decision support systems (DSS) which provide up-to-date medical knowledge, reminders, and other actions (Campanella, Lovato, Marone, Fallacara, & Mancuso, 2015).

         Evidence supports that EHRs can improve the quality of healthcare, increase time efficiency, improve adherence to guidelines, and reduce medication errors and adverse drug events (Campanella, Lovato, Marone, Fallacara, & Mancuso, 2015). Consequently, can also reduce costs associated with medical errors, adverse drug events, and time inefficiency. Considerable reduction in costs occurs when the quality of patient care is improved and patient harm reduced. Adherence to guidelines by healthcare professionals has a direct impact on the use of resources and the cost of healthcare as DSS supports clinicians in clinical decision making (Miriovsky, Shulman, & Abernethy, 2012). This reduces medical errors, adverse drug events, and resource wastage. HER guidelines are promoted to decrease variability in clinical practice and the use of ineffective therapies in clinical practice. The use of appropriate information technology in healthcare delivery improves the efficiency of hospitals as benefits exceed operational costs.

References

Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., Ricciardi, W., & Specchia, M. L. (2015). The impact of electronic health records on healthcare quality: a systematic review and meta-analysis. The European Journal of Public Health, 26(1), 60-64.

Miriovsky, B. J., Shulman, L. N., & Abernethy, A. P. (2012). Importance of health information technology, electronic health records, and continuously aggregating data to comparative effectiveness research and learning health care. Journal of Clinical Oncology, 30(34), 4243-4248