Please find attached Advanced Health Assessment.

 Explain the role of Florence Nightingale nursing theory has/had in the evolution of healthcare ?

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

1. Critically analyze current practice to formulate researchable problems.

2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice. 

3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.

4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.

5. Explore national and international initiatives and research priorities.

The Centers for Disease Control and Prevention, Division of Informatics and Surveillance website contains a number of resources nurses could innovatively incorporate in care delivery. The CDC Wonder site could be utilized by nurses in a number of ways. https://wonder.cdc.gov/ (Links to an external site.)

Your discussion posting must provide a response to the following questions:

1. Identify one of the resources at the CDC Wonder site  and describe how a nurse might use this information in practice.
2. Address how nurses utilizing telehealth might benefit from these resources?
3. Address what you find innovative about the link.

Feel free to share some of your nursing innovation ideas!

WEEKLY READINGS REQUIRED TO CITE

American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.).

Fronczek, A. E., Rouhana, N. A., & Kitchin, J. M. (2017). Enhancing telehealth education in nursing: Applying King’s conceptual framework and theory of goal attainment. Nursing Science Quarterly, 30(3), 209-213.

 INSTRUCTIONS: Develop a policy analysis based on the scenario presented below. The product should be a minimum of 5 and a maximum of 12 pages (excluding cover page, appendices, charts, and references), double spaced, conforming to APA standards. NOTE: Some of the facts in this scenario are hypothetical; others are actual. FACTS: As a mid-career health analysis, you have recently been hired as the Health Policy Coordinator for the Alliance for Rural Health. The Executive Director of the Alliance has requested that you prepare a policy briefing discussing the delivery of Health Care Services to the residents of Appalachian Kentucky. The Appalachian region of Kentucky is comprised of 54 counties with a total population of approximately 1.2 million. In Appalachian Kentucky, 100% of the population would be considered rural by Federal standards, as only 2.6% live in a town of 20,000 or more, the single incident of Richmond city. The average adult in Appalachian Kentucky reports feeling physically unhealthy 47% more often than the average American and 23% more often than the average adult in non-Appalachian Kentucky. The average adult in Appalachian Kentucky reports feeling mentally unhealthy 25% more often than the average American and 15% more often than the average adult in non-Appalachian Kentucky. In addition, recent surveys of the behavioral health system, clinics, and tribal health center report significant rates of depression, post-traumatic stress disorder, schizophrenia and substance abuse / dependence among Appalachian Kentucky residents. There is concern that these problems are related to high rates of suicide and domestic violence. Finally, other reports from social service agencies report that there is a significant population in the region that is effectively homeless, living seasonally (or sometimes year-round) in campers, tents, or out of automobiles, moving between campgrounds or camping areas in the state park grounds. This population includes families with children in some cases. The paper should accomplish the following: 1. Discuss the problem of underserved populations and subgroups, including characteristics of those groups and barriers to delivery. 2. Examine the structure of the delivery system and how this helps or hinders health delivery. 3. Discuss the impact of ACA. 4. Make clear recommendations as appropriate for meeting the health delivery challenges of Appalachian Kentucky. Please prepare a well written, well organized, and professionally structured policy paper as requested

 Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

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.

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

Assignment (5–6 pages not including title and reference pages)

• Complete the Theory Comparison Matrix for all listed theories. (Note: Include your notes in the cells provided. Also, should you require additional information related to a specific theory, search the Internet and/or the Walden Library for reliable sources to supplement your information.)
• Using the completed Theory Comparison Matrix, select one theory from the “Psychological Learning Theories” category and all theories under “Additional Theories” and begin comparing each theory and its basic tenets in the area provided in the template.

In a 5- to 6-page paper, provide explanations for the following.

• Describe one method for incorporating each of your selected theories into an educational activity. Note: Be as explicit as possible and provide detailed information.
• Explain how each of your selected theories may be applied to the role of the Academic Nurse Educator and provide a rationale for each. 
• Explain how each of your selected theories may be applied to the role of the Nursing Professional Development Practitioner and provide a rationale for each. 
• Explain conclusions you have drawn as a result of comparing your selected theories and explaining their applications to nursing education. Be specific and provide examples.

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

Quality Improvement Proposal