W4 Discussion.

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 Advanced practice nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current single-study qualitative scholarly article related to your PICOT question. Appraise the article using the Rapid Critical Appraisal Questions for Qualitative Evidence (Melnyk & Fineout-Overholt, 2023, Appendix C). Summarize your appraisal of the article in your own words. 

Include the following sections:

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Provide an overview of the study
      1. Purpose
      2. Study design
    2. Describe the study
      1. Research question
      2. Study aims
      3. Sampling technique, sample size, and characteristics
    3. Validity and reliability
      1. Are the results of the study trustworthy and credible?
      2. What were the results?
    4. Explain why and how you could use the study results in your practice to make a difference in client outcomes. If you cannot use the results, why not?
    5. Include a complete APA reference and the Chamberlain Library permalink for the selected article. 

NGR5131 Culture and Advanced Nursing Practice

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Haitian Discussion

The St. Fleur family is well respected in the Haitian community because they are religious with great moral values. They moved to the United States because of political issues in Haiti. Ronald, the youngest son of this family, is 27 years old and lives at home with his mother and father. Recently, he began having fevers and subsequently developed pneumonia. He was admitted to the hospital, where laboratory tests were HIV positive. Ronald was in shock when the doctor informed him that he was HIV positive. He confessed to the doctor that he was gay but he could not tell his family. He said that he did not want to bring shame to the family. Because he couldn’t be in a formal relationship owing to his family and the Haitian community’s view of homosexuality, he has been very promiscuous over the years.

  1. What are Haitians’ dominant cultural views of homosexuality?
  2. If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
  3. Identify three specific culturally congruent strategies to address in designing HIV-prevention practices in the Haitian community?
In APA format 

Benchmark – Capstone Project Change Proposal Dissemination and Reflection

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The purpose of this assignment is to reflect on the dissemination of the Capstone Project Change Proposal PowerPoint developed in Topic 9 and presented this week.

Present the PowerPoint you created in Topic 9 to a group of relevant interdisciplinary leaders or stakeholders at your practicum site.

After presenting your PowerPoint, write a 250-500-word reflection that includes the following:

  • Describe who was part of the audience for your presentation and their role related to the proposed project.
  • Describe two ways in which you communicated professionally during your presentation.
  • Discuss the feedback and questions received from the audience after your presentation. Identify any biases that might have affected your presentation of your project.
  • Describe how this interprofessional collaboration and experience will affect your professional practice in the future.

Case study

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PICK ONE BELOW 

  1. Jim is a 69-year-old male who comes in today complaining of dyspnea on exertion, and you have noted that he has gained about 25 pounds since his last visit 7 months ago. He tells you that he is not sleeping at night because of a constant cough, and he thinks he has a cold because he is coughing up pink frothy “spit”. He is extremely fatigued because of his lack of sleep.  Your examination reveals bilateral 3+ pitting edema with his lower extremities being cool to the touch, distended abdomen, hepatomegaly, hacking cough, and S3 with a gallop. Jim had a myocardial infarction (MI) 15 years ago, and his currently on medication for hypertension.
  2. Matthew is a 52-year-old truck driver who is seeing you today for his physical. He states that he has been in his usual state of health but missed his physical for the past few years.  His BP is 165/90, HR 90, Height is 6’2, and Weight is 204. Total Cholesterol 244, HDL 32 LDL 166 Triglycerides 344 A1C 6.8.
  3. Jennifer is an 84-year-old who recently returned from London with her husband. She comes to your clinic as a walk-in from the airport because she does not feel well. She has felt shaky, a little short of breath, and slightly light-headed for the past 2 to 3 hours. She did not take her Norvasc or Lisinopril this morning because she didn’t feel well. She presents to you slightly diaphoretic. Her BP is 90/50, HR is 155, and RR 20. She is alert and oriented.

help with discussion

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Professional nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current, quantitative scholarly article related to your PICOT question. Appraise the article using the General Appraisal Overview for All Studies Tool (Melnyk & Fineout-Overholt, 2023, Appendix C; see also Box 6.1 in Chapter 6). Summarize your appraisal of the article in your own words.