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Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.

Minimum of 250 words with at least 1 peer review reference in 7th edition apa style

1. Examine the role of stakeholders in change and translation science. 
2. Assess challenges and barriers related to evidence translation. 

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.
• 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 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Using evidence-based research, design and develop a Parent Guide for your assigned disorder : ( Tourette Syndrome) Include pictures.

• Signs and      symptoms
• Pathophysiology
• How the disorder      is diagnosed
• Treatment      options

Provide a minimum of three academic references.

Required Readings ( Need 3 references)

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

· Standard 9 “Evidence-Based Practice and Research” (pages 71-72)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Neurodevelopmental Disorders”

· “Specific Learning Disorder”

· “Motor Disorders”

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45(8), 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32(3), 300-309. doi:10.1016/j.genhosppsych.2010.01.007

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 52(12), 1341–1359. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00695-3/pdf 

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)

· Chapter 31, “Child Psychiatry” (pp. 1181–1205)

  2-3 pages

· Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother

· An explanation of the health issues and risks that are relevant to the child you were assigned.

· Describe additional information you would need in order to further assess his or her weight-related health.

· Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

· Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

· Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

· Body-mass index (BMI) using waist circumference for children

For this assessment, you will determine the relevant statistical tests to apply to the analysis of a data set, and then write a 3–4 page interpretation of the results of your analysis.

This assessment will ask you to select, apply, and interpret the results of a variety of statistical tests on a health care data set. This may include tests you have learned about or applied previously in the course, or the new nonparametic t-Test which is presented in the resources for this assessment. The challenge is using what you have learned to determine the best course of action to complete the interpretative tasks the assessment lays out for you. This attempts to mirror real-world situations where the data or statistical analysis could be approached in a variety of different ways. To decide which statistical test to use for the various dependent variables to be analyzed, one must first know more about the data type (measurement level) within those variables.

Overview

Public health researchers are often involved in collaborating in the design, development, and analysis of community initiatives of varying complexity. While this course alone will not provide sufficient training for you to act as a statistical consultant, it does offer a broad and practice-based analytic foundation that can position you to better understand and more fully contribute to real-world project teams. Building on the basic statistical concepts and analytical techniques of the previous units, this assessment is an opportunity to use your cumulative quantitative-analysis skills to address a broad set of real-world research questions.

Demonstration of Proficiency

By successfully completing this assessment you will address the following scoring guide criteria, which align to the indicated course competencies.

• Competency 2: Apply appropriate statistical methods using common software tools in the collection and evaluation of health care data. 
  • Perform the most appropriate parametric or nonparametric test to answer each question.
• Competency 3: Interpret the results and practical significance of statistical health care data analyses. 
  • Assess the assumption of normal distribution prior to analysis.
  • Appropriately interpret the statistical output (such as estimate, p-value, confidence interval, and effect size) resulting from each statistical test.
  • Summarize the clinical implications, significance, and potential limitations of the study data and outcomes.
• Competency 4: Assess the quality of quantitative research methods reported in peer-reviewed health care literature. 
  • Describe the practical significance of the results of statistical tests.
• Competency 5: Address assignment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. 
  • Articulate meaning relevant to the main topic, scope, and purpose of the prompt. 
  • Apply APA formatting to in-text citations and references.

Instructions

Complete the following for this two-part assessment.

Software

The following statistical analysis software is required to complete your assessments in this course:

• IBM SPSS Statistics Standard or Premium GradPack, version 22 or higher, for PC or Mac.

You have access to the more robust IBM SPSS Statistics Premium GradPack.

Please refer to the Statistical Software page on Campus for general information on SPSS software, including the most recent version made available to Capella learners.

Part 1: Yoga and Stress Study Statistical Tests

1. Use the Yoga Stress (PSS) Study Data Set [XLSX] to determine the measurement level of data of the dependent or outcome variable (Psychological Stress Score) you are analyzing. 
   • Is the data categorical, ordinal, or interval or ratio?
2. Before performing any statistical tests, you must determine which tests would be most appropriate for your data type. 
   • Perform a preevaluation of the data for outliers (all variables) and normal distribution (only dependent variables) as you have done previously.
   • Use How to Choose a Statistical Test [PPTX] as general guidance in helping you to decide which test to use.
   • Use the readings, media, resources, and textbook as guides to perform an analysis of the selected variables.
3. Perform and interpret an appropriate series of statistical tests (including preanalytical testing for outliers and normal distribution of data) that answer the following research questions: 
   • How would you quantitatively describe the study population? 
     • Summarize the primary demographic data using descriptive statistics.
   • Is there any association between gender and race in this military study? 
     • Perform an appropriate chi-square analysis.
4. Perform preliminary assessment of the data, then compare pretest to post-test scores. 
   • In total population being studied, what was the effect of the yoga intervention on stress?
5. Provide the SPSS “.sav” output file that shows your programming and results for this assessment.

Part 2: Interpretive Report

1. Summarize the clinical implications related to the statistical outcomes for each of the questions above.
2. Describe potential limitations of the study (Part 1, number 3).

Additional Requirements

• Length: Your paper will be 3–4 typed, double-spaced pages of content plus title and reference pages.
• ​Font: Times New Roman, 12 points.
• APA Format: Your title and reference pages must conform to APA format and style guidelines. See the APA Module for more information. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines.

Read the following chapters in Financial Management for Nurse Managers and Executives, 5 ed., Jones (2019):

Write 300 words post about how QUALITY CAN INFLUENCE COST. 

APA format with intext citation and references from the chapter using the chapter attached. Feel free to use other sources as long as you give credit to the chapter attached.

Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals – research subjects – were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following. (OBESITY)

1-What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?

2-Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?

3-What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?

Please answer these questions separated and use at least 3 sources no later than 5 years.

You can use this sources:

Resnik, D. B. (2015, May). Glossary of commonly used terms in research ethics. Retrieved from National Institute of Environmental Health Sciences website: https://www.niehs.nih.gov/research/resources/bioethics/glossary/index.cfm

·  Resnik, D. B. (2018, July). Research ethics timeline (1932–Present). Retrieved from National Institute of Environmental Health Sciences website: https://www.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm (Links to an external site.)

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data-focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases to identify at least six relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment,      select original research articles.
• Review the Resources for guidance and develop a PICO(T)      question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Post a brief description of your clinical issue of interest. 

This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. 

Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. 

Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question.

Be specific and provide examples.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)

· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence-based practice question: A review of the frameworks for LIS professionals. Evidence-Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e

N492 Discussion Mod 2:

Discussion Question:

1. How      does a person’s difference in age, culture, race, gender and living      situation impact your comfort as a nurse in communicating with them?
2. While      growing up, how were OAs (older adults) treated in your family, culture,      community and in society (identify the year range)?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook in each week’s initial post