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Reply 1

In healthcare we are constantly searching for ways to find innovative ways with better quality of care for patients for improved outcomes. Research is gathering the evidence-based findings and formulating a plan of action based on fact. Research is developing a hypothesis and collection of data to support a study and able to be applied to general population. The research can be qualitative or quantitative. Qualitative and quantitative research is both ways research can be performed, but it is just two different types of information that is collected. Quantitative used with numbers and numeric variables while quantitative is used with non-numeric variables observation or open-ended questions.

“Quality improvement is a systematic and formal approach to collecting, analyzing, and disseminating data in order to improve services or products that a business renders.” (Helbig, 2018) With quality improvement the Plan-Do-Study-Act is a powerful tool used for quality improvement. QI benefits mainly the process. QI does not implement something new, but improves something already in place.

Difference- we can research ways to improve quality improvement but can not use quality improvement data for research. Another difference is with the quality improvement data is formulated and reported to improve care to patients based on current events while research is based on evidence of past events for new procedures. Another difference is while research requires consent Quality Improvement does not. QI usually occurs in the facility where the problem was found where the research is dependent on what your trying to find. So overall the main difference is based on intent.

In the unit I work there are quantitative data on if a HCG bath was done or soap and water. Which we then monthly gather the qualitative percent of HCG bath vrs soap and water and compare to the infection rate. From this evidence we have mandated that all baths be HCG unless contraindicated and if it is contraindicated the open ended why documented required.

Resources

Agency for Healthcare Research and Quality. (2013). Plan-do-study-act-(PDSA) cycle. Retrieved from https://innovations.ahrq.gov/qualitytools/plan-do-study-act-pdsa-cycle

Helbig, June. (2018) Statistical Analysis. https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/home

Reply 2

According to the National Institutes of Health, research is defined as A systematic, intensive study intended to increase knowledge or understanding of the subject studied, a systematic study specifically directed toward applying new knowledge to meet a recognized need, or a systematic application of knowledge to the production of useful materials, devices, and systems or methods, including design, development, and improvement of prototypes and new processes to meet specific requirements. A research study must be approved by an Institutional Review Board before starting to work on it. An IRB is a committee that applies research ethics to all studies to assure no harm is done to participants (Helbig,2018).

 According to Department of Health and Human services (2011) quality improvement is defined as “systematic and continuous actions that lead to measurable Improvement in health services and the health status of targeted patient groups”. QI project may not be the implementation of something new, but an improvement upon something already in place. Teamwork is essential to produce result of QI project. There is no risk or minimal risk in QI project and even sometimes the participants are unaware that they are being a part of QI project.

 At my workplace, we do quarterly meeting where we do discuss about the number of falls, skin tear, bruises, any kind of incident happened. We track how many incidents happen, time of day, date, age of patient involved, staff present, and other circumstances, which could help to prevent the incident in future. In quantitative research we track number of incidents happens. Qualitative research we track the circumstances related to incident. We take all possible measures like staff and resident teaching, keep call light within reach all the time, proper lighting. We ensure all necessary step are taken to prevent any incidents.

References:

Helbig, J. (2018). Statistical analysis: Applied statistics for health care. Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4

 Gregory, K. (2015). Differentiating Between Research and Quality Improvement. Journal of Perinatal and Neonatal Nursing.Retrieved from https://www.nursingcenter.com/pdfjournal?AID=3099809&an=00005237-201504000-00005&Journal_ID=54008&Issue_ID=3099787

By the due date assigned, write a 1-page paper addressing the sections below of the research proposal.

Methodology

•  Data Analysis Plans
•  Describe plan for data analysis for demographic variables (descriptive statistical tests). Describe plan for data analysis of study variables (descriptive and inferential  statistical tests)

It IS A REPLY TO ONE STUDENT-ONE PAGE -THREE REFERENCES-PLEASE))

COLLAPSE

Top of Form

Healthcare Organization Website Review

               Evidence-based practice is the integration of research and clinical expertise, which will allow the patient to have more information and evidence to make their preference on their healthcare decisions (Bartol, 2019). The American Psychiatric Nurses Association (APNA) is a professional membership organization that provides education, resources, collaboration, and much more to the psychiatric nursing field. The APNA advocates for mental health through collaboration with consumer groups to promote evidence-based advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental illness and substance use disorders (APNA, 2020). Under the continuing education tap, the association encourages evidence-based programs and has multiple links for these programs in psychiatric-mental health nursing and provides different topics for individuals to learn about.

Evidence-Based Practice Utilization

               The APNA nursing organization website clearly shows how important evidence-based practice is within this community. The website shows evidence-based practices through education modules in the APNA eLearning center, conferences, publications, and academic journal. Continuing education on the website is focused on evidenced-based practice and research along with two annual conferences. The publications and academic journal focus is on providing resources for practice-related topics to mental health nursing (APNA, 2020).

Ground of EBP

               While going through the APNA website, you can easily tell the organization is grounded in evidence-based practice and wants individuals to be led to EBP research and education. The APNA is an accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission (ANCC, 2020).

Perception of Healthcare Organization

The information I received during this discussion proves the APNA relies on evidence-based practices. The organization has created an educational platform for mental health nursing professionals to find up to date evidence-based practices. This organization will be asset for many students, nurses, and providers throughout their career and I highly recommend it.

 Respond  by providing at least two contributions about Rumination disorder for improving or including  in their Parent Guide and at least two things that you like about their  guide

Positive comment

Cite references

 The theory is  Parent Child Interaction Model( Barnard)

Describe the main ideas  of the theory (should include the assumptions under which the theory 

operates. Identify the main concepts/components  of the selected nursing theory

Provide a background of the theory. What was going on in the profession of nursing or in the 

American society that may have influenced the formation of the theory? 

What values, theories, evidence, and/or existing knowledge did the theorist cite as support for

the theory? 

What motivated the theorist to write the theory? 

How does the theory address the metaparadigm concepts of person, nursing, environment and health

How do you implement the components or concepts of this theory in your nursing practice.  Give an 

example.

Citations from the course text is required and from current nursing journals. 2014-2020 articles

Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.

In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

• Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
• Consider what history would be necessary to collect from the patient in the case study you were assigned.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Attached is the templet to use

CASE STUDY 2: Forgetfulness

A 70-year-old female comes to your clinic with complaints of forgetfulness. She noticed it about a year ago and it has progressively gotten worse. She sometimes forgets what she is going to do when she gets to another room. Her family has noticed the problem with her forgetfulness, but she is still able to manage her finances and drive, per her report.

1)  Minimum 15 slides with  speaker notes and 3 full pages

              Part 1: Minimum 15 slides with  speaker notes (All slides)

              Part 2: minimum 3 full pages

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: 

Suppose you are interviewing a person who works at The Palace at home in Miami, based on the questions in File 2 and supposes your interviewee’s answers. These answers should be evidenced in the PowerPoint

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

Place: The palace at home

Location: Miami

Community: Elderly

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.” (See File 1).

Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about

1) The role of the provider in the community and the health issues faced by the chosen community.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation (Power point).

____________________________________________________________________________-

PowerPoint Presentation

Create a PowerPoint presentation of 15 slides with notes (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1) Description of community and community boundaries:

 A. The people and the geographic

B. Geopolitical, financial, educational level; ethnic 

C. Phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges

D. Including any identified social determinates of health.

2) Summary of community assessment:

(a) funding sources 

(b) partnerships.

3) Summary of interview with community health/public health provider (See the first instruction).

a) Identification of an issue that is lacking or an opportunity for health promotion (Elderly people).

4) A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

Part 2: 

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website.

Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. 

Include the following information: 

(a) what population is affected, 

(b) at what level does it occur (local, state, or national), 

(c) evidence about the issues supported by resources.

2. Create a problem statement.

3. Provide suggestions for addressing the health issue caused by the current policy. 

(a) Describe what steps are required to initiate policy change. 

(b) Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.

4. Discuss the impact on the health care delivery system.

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

·  By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

16-year-old white pregnant female living in an inner-city neighborhood

·  How would your communication and interview techniques for building a health history differ with each patient?

·  How might you target your questions for building a health history based on the patient’s social determinants of health?

·  What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks.

·  Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

·  Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

·  Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day of Week 1

1-Post a Summary of the Interview and a Description of the Communication techniques you would use with your assigned patient. 

“16-year-old white pregnant female living in an inner-city neighborhood”

2-Explain Why you would use these techniques. 

3-Identify the risk Assessment Instrument you selected and Justify Why it would be applicable to the selected patient. 

4-Provide at Least Five targeted questions you would ask the patient.

NOTE: Remember at least three references and use APA format

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Discussion Prompt #1

• What methods can nurses use to actively influence health policies and legislation?

Discussion Prompt #2

• Discuss the controversy regarding childhood immunization and the potential affect on community health.

1page each 

references should not be older than 2015

Reply (TWO REPLIES) to the following classmates Powerpoint / video post (See attached classmates Powerpoint Group Therapy.

Here is a great video explaining what a Group therapy is and how it is used.                                              An Overview of Stages Group Therapy https://youtu.be/dwdIblMSSFI

Group Facilitated Discussion – Group Therapy

Introduction

       Anxiety disorders; depressive disorders; addiction; and stress and adjustment disorders, to name a few, are common psychiatric disorders that can be treated by psychiatric mental health nurse practitioners (PMHNP)s (Sundquist et al., 2015). These disorders can cause emotional and social difficulties for patients and their families at the cost of lost income, poorer quality of life, and they also place a burden on the health care system (Sundquist et al., 2015). Such disorders and more are well-suited for the application of group therapy (Sundquist et al., 2015). Group therapy can further be divided into specialties such as mindfulness group therapy, cognitive psychodrama group therapy, group art therapy, cognitive-behavioral group therapy, and traditional talk group therapy, for example. Each therapy has different techniques and psychiatric disorders that they target.

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300 words) to each peer. Integrating an evidence-based resource!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

– Minimum of 300 words per peer reply. (TWO REPLIES)

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.