Category Archives: Nursing

MED SURG

 

 Please write 1 paragraph for each of the following (total 3 paragraphs) and each paragraph shall be no more than 6 sentences.with citation and reference

1. Discuss a treatment for obesity.

2. What are long term complications for obesity? (Discuss 2

The Application Of Data To Problem-Solving

  

The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioners and the disciplines body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

  • Reflect on the concepts of      informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario      based on your own healthcare practice or organization that would require      or benefit from the access/collection and application of data. Your      scenario may involve a patient, staff, or management problem or gap.

By tomorrow 2/26/20 5pm, post a minimum of 550 words essay in APA format with at least three scholarly references from the list of required readings below. Include the level one headers as numbered below:

1)  Post a description of the focus of your scenario. 

2) Describe the data that could be used and how the data might be collected and accessed.

3) What knowledge might be derived from that data? 

4) How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 1, Nursing Science and the Foundation of Knowledge (pp. 719)

Chapter 2, Introduction to Information, Information Science, and Information Systems (pp. 2133)

Chapter 3, Computer Science and the Foundation of Knowledge Model (pp. 3562)

24Slides. (2018). How to make an infographic in PowerPoint. Retrieved September 27, 2018, from https://24slides.com/presentbetter/how-make-infographic-powerpoint/

Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving role of the nursing informatics specialist. In J. Murphy, W. Goossen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF 

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2018). Health Informatics and Population Health: Trends in Population Health [Video file]. Baltimore, MD: Author.

Public Health Informatics Institute. (2017). Public Health Informatics: translating knowledge for health [Video file]. Retrieved from https://www.youtube.com/watch?v=fLUygA8Hpfo.

Evidence-Based Population Health Improvement Plan

Develop a population health improvement plan, based on your evaluation of the best available demographic, environmental, and epidemiological data, that focuses on your diagnosis of a widespread population health issue.

Part of effectively engaging in evidence-based practice is the ability to synthesize raw health data with research studies and other relevant information in the literature. This will enable you to develop sound interventions, initiatives, and outcomes to address health concerns that you find in data during the course of your practice.

 

In this assessment, you have an opportunity to evaluate community demographic, environmental, and epidemiological data to diagnose a widespread population health issue, which will be the focus of a health improvement plan that you develop.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Apply evidence-based practice to design interventions to improve population health.       
    • Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.
    • Develop an ethical health improvement plan to address a population health issue within a community.
  • Competency 3: Evaluate outcomes of evidence-based interventions.       
    • Propose criteria for evaluating population health improvement plan outcomes.
  • Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.       
    • Justify the value and relevance of evidence used as the basis of a population health improvement plan.
  • Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.       
    • Develop a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
  •  Questions to Consider
        As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    Recall an experience you have had working with a population, or as part of a community health improvement initiative, or a time in your care setting that you observed this type of work within your organization or community.
     
    • How were data and information about the community incorporated into the work?      
      • Was the diversity of culture and beliefs in the community taken into account?
      • Were other, secondary, health concerns of the community also taken into account?
      • Were the economic and daily environmental realities of the community taken into account?
    • What, if any, ethical issues were considered in working with specific groups and stakeholders in the community?
    • What suggestions might you offer for doing things differently, if you could revisit that work?      
      • Would you set different goals?
    • What evidence would you present to support your recommendations?
  •  Resources
        Suggested Resources
    The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.
    Evidence-Based Practice
     
    • Cabassa, L. J., Stefancic, A., O’Hara, K., El-Bassel, N., Lewis-Fernndez, R., Luchsinger, J. A., . . . Palinkas, L. A. (2015). . Trials, 16, 388401.
    • Dombrowski, J. J., Snelling, A. M., & Kalicki, M. (2014). . Workplace Health & Safety, 62(8), 3429, 350.
    • .
    • .
    • The Joint Commission. (2016). . Retrieved from www.jointcommission.org/health_care_leaders_meet_address_health_care_disparity_/
    •    
  •  Assessment Instructions
        Preparation
    Your organization is undertaking a population health improvement initiative focused on one of the pervasive and chronic health concerns in the local community. Examples of health improvement initiatives include nationwide concerns, such as type 2 diabetes, HIV, obesity, and Zika. However, your organization has asked you to determine which widespread health concern should be addressed in a population health improvement plan for the community in which you practice and has entrusted you with gathering and evaluating the relevant data.
    Requirements
    Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.
    Data Evaluation
    Evaluate community demographic, epidemiological, and environmental data.
     
    • Identify the relevant data.
    • Describe the major community health concerns suggested by the data.
    • Explain how environmental factors affect the health of community residents.
    • Health Improvement Plan
      Develop an ethical health improvement plan that effectively addresses the population health concern that you identified in your evaluation of the relevant data.
       
    • Base your plan on the best available evidence from a minimum of 35 current scholarly or professional sources.      
      • Apply correct APA formatting to all in-text citations and references.
      • Attach a reference list to your plan.
    • Ensure that your plan meets the cultural and environmental needs of your community and will likely lead to some improvement in the community’s health related to this concern.      
      • Consider the environmental realities and challenges that exist in the community.
      • Address potential barriers or misunderstandings related to the various cultures prevalent in the community.
    • Justify the value and relevance of the evidence you used as the basis of your plan.      
      • Explain why the evidence is valuable and relevant to the community health concern you are addressing.
      • Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community.
    • Propose relevant and measurable criteria for evaluating the outcomes of your plan.      
      • Explain why your proposed criteria are appropriate and useful measures of success.
    • Explain how you will communicate with colleagues and members of the community, in an ethical, culturally sensitive, and inclusive way, with regard to the development and implementation of your plan.      
      • Develop a clear communications strategy mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
      • Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community, regardless of language, disabilities, or level of education.
    • Note: Faculty may use the when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Grading Rubrik

1. Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.

Passing Grade: Evaluates community demographic, epidemiological, and environmental data in the diagnosis of a widespread population health issue. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the evaluation). 

2. Develop an ethical health improvement plan to address a population health issue within a community.

Passing Grade: Develops an ethical health improvement plan to address a population health issue within a community, and identifies assumptions on which the plan is based. 

3. Justify the value and relevance of evidence used as the basis of a population health improvement plan.

Passing Grade: Justifies the value and relevance of evidence used as the basis of a population health improvement plan, and impartially considers conflicting data and other perspectives. 

4) Propose criteria for evaluating population health improvement plan outcomes.

Passing Grade: Proposes criteria for evaluating population health improvement plan outcomes, and explains why other possible criteria were considered and rejected. 

5) Develop a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.

Passing Grade: Develops a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way; acknowledges potential difficulties and how those challenges will be met. 

6) Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Passing Grade: Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free. 

Nursing Informatics

 You will design a patient education tool that can be used by nurses for teaching patients using computer applications. You will then present your tool to the class and explain the purpose, how you created it, reasoning for your choice of applications, and provide current evidence of the effectiveness of this patient education. This presentation is 5-10 minutes 

Alterations In Cellular Processes

A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

 The role genetics plays in the disease.

 Why the patient is presenting with the specific symptoms described.

 The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

 The cells that are involved in this process.

 How another characteristic (e.g., gender, genetics) would change your response.

Symbolism And Metaphor

 

Symbolism and Metaphor

Post your response of at least 150-200 words.

Choose a NEW poem to analyze from the assigned reading list. 

Title your post with the poems title.

  • Do not use the poem you analyzed in Week 1s discussion or essay assignment.
  • Review the Closed List in the thread starters to make sure the poem is still available.
  • Read the thread starters before getting started.

You may use the following questions to develop a paragraph response to your new poem, or you may discuss another more appropriate literary element (e.g., imagery, characterization, theme) as best fits your selection:

  • What are some of the key symbols and/or metaphors in the poem, and how are they used? 
  • What are some of the meanings they convey to readers?
  • How do these elements enrich the poem and deepen your understanding of its themes?

Tips

Remember to provide evidence for your claims in the form of quoted passages from the poem. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document. Check grammar and spelling before posting.

Example APA Reference from the eBook

Blake, W. (2016). The chimney sweeper. In L.G. Kirszner & S.R. Mandell (Eds.), Compact Literature: Reading, Reacting, Writing [VitalSource digital version] (p. 959). Boston: Cengage.

Advance Nursing Research (Recruiting Participants For Your EBP Proposal)

Recruiting Participants for Your EBP Proposal.

For this assignment, write the Sample Section of your EBP Project Proposal (see attached EBP Project Proposal) in a Word document.

Here is a of what the sample section can look like.

Sample Section Guidelines

This section covers your planned recruitment and ethical considerations for your future participants. It should take up about two to three pages. The purpose is to tell the reader what your recruitment plan is for the study. You should have subheadings throughout this section of the paper.

In this section, write about the following:

1. Sample: Cover the following points in no more than two paragraphs each:

– How subjects will be recruited

– What the inclusion criteria will be (for more expansion, you may add the exclusion criteria to show what was consciously eliminated)

– The type of sample (random, purposive, convenience, etc.)

– The proposed sample size and rationale for this choice

– The selection method (random table of numbers, flip a coin, etc. this depends on the type of study)

Although this subsection should cover all these items, it may be written in a narrative style.

2. Setting: Keeping in mind that this is a proposed setting, and it should not be recognizable for confidentiality and privacy reasons. It is a broad view of the setting. For example:

The proposed setting for this study is a large teaching hospital in the northeast. The actual place where the study would be carried out is in the three medicalsurgical units in this hospital. Each unit has a bed capacity of 2530 beds with occupancy rates of 92% to 95%. The study will take place in a private conference room.

Or, if a mailed questionnaire or survey is to be used:

The proposed setting for data collection will be by mailing the questionnaire to the homes of the subjects. The researcher would be mailing the questionnaires from home with a return-addressed, stamped envelope.

3. Informed Consent and Ethical Considerations: Institutional Review Board (IRB) approval will be obtained. The researcher will submit an application and proposal to the Regis College IRB first. After approval from Regis College, the institution where the study will take place usually requires IRB approval as well. The request or application may be one of three types:

– Exempt from review: This is for studies with no intervention or may be just for a medical record review.

– Expedited review: This is for minimal risk to subjectsphysical or psychological.

– Complete institutional review: This is for studies that may pose a risk to subjects.

Please address means of protecting human subjects, such as the use of pseudonyms for qualitative studies and the use of numbers to identify subjects in quantitative studies. Data storage must be addressed. Make certain that identifying data (informed consent document) is maintained in a locked file separate from de-identified data (demographics, surveys, transcripts) that also will be maintained in a locked file in the researchers locked office.

Free of Plagiarism (Turnitin Assignment)

Health Policy, Politics, And Perspectives (Field Experience Log)

GUIDELINES FOR THE 4th FIELD EXPERIENCE REQUIREMENT:
You must attend 1 policy event, at least approximately 1 hour in length. 

The event may be online and it must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose.  Event must be health-related

GENERAL GUIDELINES:
1.  At the event, take notes, and then write up an account and analysis of the event, using the template for field experience logs (below), and the Field Experience Rubric.

FIELD LOG GUIDELINES:

As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.

 Each event log should be three to five double-spaced pages of text.

 Provide only a brief summary of the event itself.

 The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.

 Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).

 Use APA format for citations and references.

TEMPLATE FOR FIELD EXPERIENCE LOGS :
 The name of the event/meeting and who has sponsored it.

 Describe the steps taken in preparation for the event (beyond listening or attending the event).

 Place, date, time, and length of hearing/meeting/event.

 Topic under discussion.

 Names of participants and their titles (to the extent you can get them).

 Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)

 Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.

TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)!!!

Note: Attached, you will find a Field Experience Log work that you may use as a Reference for this new 4th Field Log assignment. 

Rough Draft Quantitative Research Critique And Ethical Considerations

 

Write a critical appraisal that demonstrates comprehension of two  quantitative research studies.  Successful completion of this  assignment requires that you provide a rationale, include examples, and  reference content from the study in your responses.

In  a 1,0001,250 word essay, summarize two quantitative studies, explain  the ways in which the findings might be used in nursing practice, and  address ethical considerations associated with the conduct of the study.

Prepare  this assignment according to the guidelines found in the APA Style  Guide, located in the Student Success Center. An abstract is not  required.

Healthcare Policy And Economics

 

Assignment:

Describe the qualifications to receive Medicare and/or Medicaid. How can this be modified to serve more people who are considered a vulnerable population?

Assignment Description: This assignment will be at least 1000 words or more.

This week you will reflect upon the Medicare and Medicaid programs to answer the following questions:

  • How does Medicare affect medical billing?  
  • Briefly define the qualifications for Medicare and Medicaid benefits.
  • Describe the impact that the ACA has had on Medicare and Medicaid recipients.

Assignment Expectations: 

  • Length:
    • 1000-1250 words (4-5 pages); answers must thoroughly address the questions in a clear, concise manner
  • Structure:
    • Include a title page and reference page in APA style
  • References:
    • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions