Category: Nursing

Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.

Refer to the “Example of a Slide Show for a 20-Minute Paper Presentation,” located within the textbook appendix.

You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.

While APA format 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.

You are not required to submit this assignment to Turnitin.

NUR504  Week 1 EBP Assignment 

Write a summary of 750-1,000 words that includes the following criteria:

1. An introduction that explains the focus of the article.

2. A summary of key points of the article.

3. A list of the steps taken by nursing to develop and implement an EBP.

4. Application of the learned information to a practice setting where the student either identifies an EBP that has been applied to your setting or a practice problem that would benefit from the implementation of an EBP.

5. A clear and concise conclusion.

This EBP assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

You are required to submit this EBP assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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NUR504  week2

Choose two scholarly, peer-reviewed articles about research studies.

The articles can be found using the Library or any of the sources recommended in the readings.

Address the following:

1. One article must be an example of a qualitative research study; the other must be a quantitative example.

2. These articles will be utilized for assignments in Modules 3, 4, 6 and 8.

3. Write a 350-500-word statement which includes:

4. A description of why each research study is categorized as quantitative or qualitative.

5. A justification for your selections.

6. The journal page reference for the research study selected and the reasons why it was selected.

7. A link to the selected articles or an attached copy of each article.

APA format is not required, but solid academic writing is expected.

You are not required to submit this EBP assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin

In 500-750 words Evidence-Based Practice Proposal: Evaluation of Process paper, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

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1. Describe the rationale for the methods used in collecting the outcome data.

2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.

3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.

4. Describe strategies to take if outcomes do not provide positive results.

5. Describe implications for practice and future research.

Prepare this Evidence-Based Practice Proposal: Evaluation of Process assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this Evidence-Based Practice Proposal: Evaluation of Process assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

Comment on the below Diverse Populations and Age Essay

 
Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 
To Comment:

Diverse Populations and Age

For young adult’s community can be a great source of support (Kudzma, 2014). Some of the issues that affect young adults include unemployment, college debt, sustainability, pollution, the environment, nuclear energy, and war (Kudzma, 2014). The issues that relate to health include housing, health care in neighborhoods, agricultural, and sanitation concerns (Kudzma, 2014). Young adults must choose and develop a lifelong career (Kudzma, 2014). An individual whose ethnic background is different from the dominant culture may encounter prejudice and discrimination (Kudzma, 2014). This can occur because of race, creed, language, attitudes, values, preferences, or behaviors (Kudzma, 2014). They are susceptible to prejudices at work, at school, health care, and in the community (Kudzma, 2014). Gaps in health care insurance tend to occur between the end of school and the attainment of a full-time job (Kudzma, 2014). Health care providers have removed barriers that were assumed to be responsible for poor utilization of services by individuals of low-income, minorities, and nonattendance of scheduled appointments (Kudzma, 2014).

During middle adulthood individuals make decisions that affect their lives as a result of their values and beliefs (Coover, 2014). African Americans are the second largest racial group in the United States (Coover, 2014). The leading cause of death for middle aged African American men and women is cancer (Coover, 2014). The significant variables in health promotion for this group are environmental factors (Coover, 2014). The cleanliness of the home, work, school environments helps to control the spread of infectious diseases (Coover, 2014).  Low socioeconomic status and its links affect society as a hole (American psychological association, 2017). A low socioeconomic status early in life relates risk for a shortened lifespan and for chronic medical conditions that emerge later in adulthood (American psychological association, 2014).

For older adults, the leading cause of morbidity and mortality is falls (Blais, 2014). There were more than 19,700 deaths in 2008 related to unintentional fall injuries (Blais, 2014). Older adults are frequently admitted to acute-care facilities, temporary or permanent residential situations, or long-term care facilities due to chronic or acute illnesses, related to the decline in functional status, change in economic status, and change in family structure (Blais, 2014). Older adults have fewer options for continued income and are at risk of rising costs of living placing them at risk of lower levels of socioeconomic status (American psychological association, 2017). Poverty is a risk factor for decline in mental health for older individuals (American psychological association, 2017).

References

American psychological association. (2017). 
Fact sheet: Age and socioeconomic status.
 
Retrieved from 
http://www.apa.org/pi/ses/resources/publications/age.aspx

American psychological association. (2017).
 
Socioeconomic health disparities: A health neuroscience and lifecourse perspective.
 
Retrieved from 
http://www.apa.org/science/about/psa/2011/01/health-disparities.aspx

Blais, K. (2014). Older adult. In C. L. Edelman, E. C. Kudzma, & C. L. Mandle’s 
Health promotion throughout the life span,
 
(8
th
 ed. pp 591-620). St. Louis, MO: Elsevier.

Coover, D. (2014). Older adult. In C. L. Edelman, E. C. Kudzma, & C. L. Mandle’s 
Health promotion throughout the life span,
 
(8
th
 ed. pp562-590). St. Louis, MO: Elsevier.

Kudzma, E. C. (2014). Older adult. In C. L. Edelman, E. C. Kudzma, & C. L. Mandle’s 
Health promotion throughout the life span,
 
(8
th
 ed. pp535-561). St. Louis, MO: Elsevier.

In 500-750 words Evidence-Based Practice Proposal: Implementation Plan paper, provide a description of the methods to be used to implement the proposed solution. Include the following:

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1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.

2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.

3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.

4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.

5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.

6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.

7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.

8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.

9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

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

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

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.

Comment on the following Diverse Populations and Age paper;

 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 
Diverse Populations and Age

Socioeconomic status, culture, gender, ethnicity and spirituality all affect both mental and physical health. These effects can change throughout the young, middle, and older adult life time.  Young adults (ages 18-35) can be affected by many different circumstances. Physical and emotional changes are occurring which presents both opportunities to learn and grow, but also for negative issues to impede on health ( (Edelman, Kudzma, & Mandle, 2014, p. 536). Young adult is generally the healthiest period for people. Their bodies are nearly fully grown, and the physical capabilities are in the topmost condition. (Edelman, Kudzma, & Mandle, 2014). However, many issues have detrimental effects on the health of young adults. Going out into the “real world” has its disadvantages. Ethnic minorities can encounter prejudice at any age, however, young adults are not sheltered by school rules and the comforts of home and parent lives. Prejudices and discrimination can occur for all of the afore mentioned reasons, SES, culture, gender, ethnicity and spirituality. Young adults must learn how to effective deal with these prejudices to prevent negative self-views, poor self-esteem, and excessive stress. Generalized anxiety disorder, depression and substance abuse problems often stem from not knowing how to effectively deal with these stressors.

An additional stressor for young adults is created by the person not living at home, and becoming autonomous. The person may want to choose a different religion, or may have questions about their sexual orientation or preferences. This can create stress for the person when these new values go against his or her parent’s values. The parents may not want their child to date outside of their religion, SES or ethnicity. Again, these strenuous situations can lead to self-harming behaviors such as alcohol, drugs, unsafe sex, and unsafe actions such as staying out all night, or going to dangerous situations.

Middle-aged adults (35-64) have different responsibilities, different health concerns, and different stressors. Stress from death, caring for parents and children, jobs and careers, divorce, and declining health are major issues in middle adults mental and physical health. These stressors can increase diseases such as high blood pressure, and other heart diseases, anxiety and depression, and increase the chance of substance abuse.  They may be caring for a young or older child, in grade school or college. Dealing with the financial stressors of a less than perfect body, children, parents, and themselves can all place a lot of stress on a middle-aged person,

Lastly, the older adult. After age 65, its all downhill. At least that is what some think. Some people enjoy retirement, are free from being the caregiver to their children and/or their parents. They have their house and cars paid off, and can enjoy more from life. Others however, have to deal with little or no income, inability to buy medications, an aging and ill body, and more of the stress of death.

Let’s examine a fictional family, the Lopez’s. Mrs. Lopez’s parents immigrated from Cuba to America when she was three years old. She never went to college. She married George Lopez and had two children. Her father and his mother live nearby and they are called upon to care for them from time to time. George works in a factory. Angie has been a stay at home mom most of her young adult life, and now must go out and find a job. They are dealing with the financial constraints of college, and caring for their parents on a low-income budget. The constant stress of this life can be a bit over whelming and the temptation to drink alcohol is constant. They cannot afford a vacation and have little free time, or together time. Moreover, their daughter has just announced she is bisexual, which is a sin in their religion, and they are worried about her spiritual life, but don’t want to ruin their relationship with their daughter. They are needing to take care of their parents more and more frequently now and while many generations have had to care for both parents and children at the same time is hardly a new concept, improvements in geriatric care, and all health care and preventative care are resulting in people living longer. This means that this age group often carries this burden decades longer than their parents or grandparents did (Vitelli, 2015).

The children are young adults, going to college as first generation high school graduates. Carmen, the oldest daughter feels she is bisexual. This goes against her parents and grandparent’s beliefs. She is learning how to navigate the world, as a Hispanic American in a low socio-economic class. Her sexual preference makes everyday life harder, especially when she is at home. She feels stress when approaching the subject with her parents and prefers to avoid the situation which further strains her relationship. Max has found himself in dangerous relationships, drinking excessive alcohol on several occasions, and his grades are suffering. The college he goes to has very few Hispanic people attending so he feels like an outsider more than when he lived at home. Not having a great deal of money makes matters worse as he cannot afford a car as do most of his peers.

The grandparents are still working. They never had the chance to save for retirement or have a 401k because they were never employed in a place that offered these types of benefits. They have failing health, especially Benita, the grandmother who smokes and drinks nearly every day. They worry about being a burden to their children, so they do not ask for assistance when they need it which has led to not taking medications at the right time, or at all when they cannot afford to buy them.

Being able to deal with these stressors is important to both mental and physical health. All ages have unique stressors and events that may or may not affect them.

References

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). 
Health Promotion Through the LIfeSpan
(Eighth ed.). St. Louis: Elsevier.

Vitelli, R. (2015, January 26). 
Being in the Sandwich Generation.
 Retrieved from Psychology Today: https://www.psychologytoday.com/blog/media-spotlight/201501/being-in-the-sandwich-generation

In 500-750 words Evidence-Based Practice Proposal: Change Model paper, apply a change model to the implementation plan. Include the following:

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1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.

2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

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

This Evidence-Based Practice Proposal: Change Model assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Evidence-Based Practice Proposal: Change Model assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.

HIT Usability and Design Challenges

Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential.

In this week’s Discussion, you move from the standpoint of the “outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success.

 

To prepare:

Review      the Learning Resources, focusing on the TIGER Usability and Clinical      Application Design Collaborative.

Consider      the “Best Practice Exemplars” provided in the course text 
Nursing      Informatics: Where Technology and Caring Meet
.

Review      “Case Study 1: A Usability and Clinical Application Design Challenge”      presented on page 238 of the course text 
Nursing Informatics:      Where Technology and Caring Meet
. (see bottom of this page for the      case study)

Determine      the causes of the noted usability challenges (i.e., human factors,      ergonomics, human-computer interaction), as well as potential usability      concerns experienced by staff during implementation. Consider the possible      design failures that lead to the usability challenges.

What      strategies might you employ to overcome these HIT usability challenges and      concerns?

By tomorrow Tuesday 10/03/17, 5 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list of Required Readings below. Include all level one headings as numbered below:

 

post
 a cohesive response to the following:

Place      yourself in the role of the clinical administrator tasked with      implementing the case study’s new health information technology system
.

1) Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges.

2) Determine whether these challenges were a result of implementation or design.

3) Formulate strategies for overcoming these usability challenges.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter      14, “Usability and Clinical Application Design”

This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems.

Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. 
CIN: Computers, Informatics, Nursing, 27
(3), 151–163.

The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems.

Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation. 
Nursing Research, 55
(2, Suppl. 1), S37–S42.

This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace.

Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. 
Studies in Health Technology and Informatics, 151,
 156–166.

Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.

Case Study 1: A Usability and Clinical Application Design Challenge
 

A medical center implemented an EMR with orders, clinical documentation, and results retrieval to improve efficiencies and enhance patient safety in the perinatal units of a small medical center, including Labor and Delivery (L& D), NICU, and Newborn Nursery Selection process The system was installed elsewhere in this integrated delivery network The executives wanted a fast 6-month installation at the maximum Usability challenges Existing order sets and documents from other sites were not uploaded and tailored to this site. Clinicians were asked to input individual orders (not acceptable). Needed computer terminals were ordered late and arrived the day of go-live. Clinicians competed for working terminals at the nurses’ stations Workflow among units was not considered or tested. Shared information such as mother’s blood type and L& D information was not available to NICU or Newborn Nursery, causing confusion about potential patient safety issues Generic training was given because the site tailoring was not done. On go-live, users did not know where to locate information before it had changed in the lag between training and go-live Outcomes The clinicians had to endure an unnecessarily painful implementation and its potential patient safety impacts Working out usability issues took months after go-live

The system was tested/ validated for usability, design, and practice needs Education included practice changes along with how to use the system Developed a methodology to respond rapidly to end users Outcomes Standardized practice in three different acute care hospitals in 15 months Significant improvement in core measures and nurse-sensitive outcomes.

Write a Evidence-Based Practice Proposal: Solution Description paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

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1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.

2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.

5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this Evidence-Based Practice Proposal: Solution Description assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this Evidence-Based Practice Proposal: Solution Description assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal: Literature Support

To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template.

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).

Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.

Incorporate a description of the validity of the internal and external research.

It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.

Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

Prepare this Evidence-Based Practice Proposal: Literature Support assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this Evidence-Based Practice Proposal: Literature Support assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.