NursingResearchT4Q2

Describe the influence “levels of evidence” have on practice changes. Identify the most reliable level of evidence and provide an example of the type of practice change that could result from this level of evidence.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

Guidance Needed for Presentation on Middle Range Theory

I am working on a presentation related to a middle-range theory and would appreciate assistance in structuring my content effectively. Here are the key areas I need guidance on:

  1. Formatting & Presentation
    • Best practices for structuring a PowerPoint presentation (approximately 20 slides, excluding title and reference slides).
    • Ensuring APA formatting is correctly applied in citations and references.
    • Tips for keeping Turnitin similarity below 20%.
  2. Content Development
    • How to introduce and discuss the historical background of a middle-range theory.
    • Guidance on analyzing the theoretical underpinning of the selected theory and its foundation.
    • Explanation of how the Theory of Pain is applied in practice, with examples.
    • Suggestions for areas where further research could expand the theory.
    • How to effectively summarize key points in the conclusion.
  3. Sources & Writing Clarity
    • Identifying and integrating a minimum of six scholarly references (published within the last five years).
    • Strategies for clear, concise, and effective academic writing.

I’d appreciate any guidance, feedback, or resources that can help me refine my presentation and improve its academic quality.

SOAP NOTE

 

  • Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
  • Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.

The Assignment

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
  • Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

By Day 7 of Week 5

Submit your Focused SOAP Note.

NursingResearchT4Q1

Statistical significance refers to the likelihood that the results of a study are not due to chance, while clinical significance refers to the practical importance of the results in terms of their impact on patient care. In other words, statistical significance is a measure of the strength of the evidence, while clinical significance is a measure of the relevance of the evidence to real-world situations.

Using a quantitative research article from one of the previous topics, analyze the p-value. What is it? Is it statistically significant? If your p-value is not statistically significant, what is the clinical significance? Generalizability of research depends on a variety of factors. List three factors of generalizability, and discuss whether this research article is generalizable to the nursing problem you are researching.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

For previous articles, check the attachments.