Category: Nursing

  • NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment

    NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment

    ASSIGNMENT
     REQUIREMENTS

    Details:

    Prepare this NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

    PICOT Statement 

    Revise the PICOT statement you wrote in the Topic 1 assignment.

    The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment.

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    Research Critiques

    In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

    The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

    Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper. NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment.

    Proposed Evidence-Based Practice Change

    Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

    Prepare this NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This NRS-433V Introduction to Nursing Research- Grand Canyon University 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 NRS-433V Introduction to Nursing Research- Grand Canyon University Assignment to Turnitin. Please refer to the directions in the Student Success Center.

  • PICOT and Research Critique

    PICOT and Research Critique

    This PICOT and Research Critique  assignment is a revision of previous assignments. It includes revising highlighted areas done by my professor.  Documents to be revised PICOT , quantitative, and qualitative research critiques(each document attached separately). After revision to be placed in one attachment. Will be submitted to turnitin.
    Rubric
    , and assignment
    requirements
    attached.

    ASSIGNMENT
     REQUIREMENTS

    Details:

    Prepare this PICOT and Research Critique assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

    ORDER A PLAGIARISM-FREE PAPER

    PICOT Statement 

    Revise the PICOT statement you wrote in the Topic 1 assignment.

    The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

    Research Critiques

    In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

    The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

    Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

    Proposed Evidence-Based Practice Change

    Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

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

    This PICOT and Research Critique  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 PICOT and Research Critique  assignment to Turnitin. Please refer to the directions in the Student Success Center.

  • Clinically Appraising Qualitative Evidence for Clinical Decision Making – Evidence-Based Practice in Nursing and Healthcare

    Clinically Appraising Qualitative Evidence for Clinical Decision Making – Evidence-Based Practice in Nursing and Healthcare

    Reading Resources

    Evidence-Based Practice in Nursing and Healthcare

    Chapter 6: “Clinically Appraising Qualitative Evidence for Clinical Decision Making”

    Journal Readings

    Please retrieve and read the following Journal articles from the Library. Articles can be located through a search in the CINAHL database, OVID database, the Library (links to these are located under the Student Resources in Course Resources) or by using the link at the end of the reference if provided.

    Fielding, J., Fielding, N., & Hughes, G. (2013). Opening up open-ended survey data using qualitative software. Quality and Quantity, 47(6), 3261-3276. Retrieved from http://search.ebscohost.com.lib.kaplan.edu/login.aspx?direct=true&db=edsgao&AN=edsgcl.341328399&site=eds-live.

    Rothwell, E. (2010). Analyzing focus group data: Content and interaction. Journal for Specialists in Pediatric Nursing, 15(2), 176–180.

    Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing (BJN), 16(12), 738–744.

    Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing (BJN), 16(12), 738–744.Smith, J.,

    & Firth, J. (2011). Qualitative data analysis: The framework approach. Nurse Researcher, 18(2), 52–62.

    Web Resources

    Revisit NCQA website, specifically the Patient Experiences area.

    National Committee on Quality Assurance. (2015). retrieved

    from http://www.ncqa.org/Programs/Recognition/Practices/PatientCenteredMedicalHomePCMH/DuringEarnItPCMH/OtherPCMHResources/Element6BPatientExperienceFAQs.aspx

    Practice

    1. Read the following article “Making the Critical Appraisal for Summaries of evidence-based medicine: critical appraisal of summaries of evidence.” Retrieved

    from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738079/

    2. Post a summary of the article to Discussion Topic 2.

    3. Respond to the post of two of your peers, using the six research techniques used in qualitative research in your posting response, keeping in mind the four general areas for

    evaluating a qualitative study

  • Medicinal Cannabis Essay Paper

    Comment on the following medicinal cannabis essay paper discussions posts by students;

    Medicinal Cannabis Essay Paper 1

    The topic of cannabis use has long since been a controversial matter. For decades many have been under the impression that tetrahydrocannabinol (THC), which is the psychoactive cannabinoid primarily present in the flower of the plant, threatens both the physiological and psychological health of cannabis users. However, due to misinformation that has been publicly released the medicinal properties of the plant have been overlooked until quite recently. According to Bridgeman and Abazia (2017), the medicinal utilization of the cannabis plant in ancient Romania can be traced as far back to over 5,000 years in the past, to approximately 400
    AD
    (p. 180). During the 19
    th
    and 20
    th
    centuries in the United States cannabis was a significant patent used to treat a variety of medical issues and pain, however, in 1942, the federal government made the decision to make its usage illegal therefore enforcing legal penalties regarding possession by the middle of the century (Bridgeman & Abazia, 2017, p. 180). Since its prohibition, people that have continued to use cannabis have been labeled as criminals, which is unfortunate considering many have been imprisoned.

    With the increasing number of research studies that claim to verify the medicinal benefits of cannabis many patients that have been unsuccessful in treating physical and mental diseases and disorders with pharmaceuticals have become motivated to smoke, vape, and/or ingest cannabis or extracts of the plant; as Bridgeman and Abazia point out, “this represents the revival of a plant with historical significance reemerging in present day health care” (2017, p. 187). Although the legalization of medicinal cannabis has improved the health and well-being of many patients and will continue to do so in the future, it is important to ensure that its administration is safe and that clinicians also consider any possible adverse effects.

    Stakeholders that support medicinal cannabis are those affiliated with cannabis farms, dispensaries, and organizations that produce information and products regarding its use. Stakeholders that oppose the plant are those affiliated with the manufacturing of conventional pharmaceuticals as well as those that politically and financially benefit from prohibition, such as the Drug Enforcement Agency (DEA); Miron (2005) reports that on an annual basis, “government expenditure on enforcement of prohibition” costs approximately $7.7 billion (p. 1).

    Bridgeman, M.B. & Abazia, D.T. (2017). Medicinal cannabis: History, pharmacology, and implications for the acute care setting.
    Pharmacy and Therapeutics, 42
    (3). 180-188.

    Miron, J.A. (2005).
    The budgetary implications of marijuana prohibition
    (pp. 1-28). Harvard University.

    Medicinal Cannabis Essay Paper 2

    Cannabis or marijuana Cannabis is a plant used to achieve excitement since olden times, Chinese as a medical suggestion described it traditionally since 2737 B.C. it was extend to India from china and then later it was spread to N. Africa and reached Europe early as A.D. 500 (Connoly, 2012). The forces of cannabis were on its medicinal powers on rheumatism, malaria, gout and oddly enough absent mindedness.The effects that are experienced by the cannabis user depends on the dose used, some of the effects are increased pulse and heart rate, dilated pupils and increased appetite, distorted perception of space and time, impaired concentration and coordination(Connoly, 2012).

    Cannabis has some health benefits such as controlling of nausea and vomiting that is caused by chemotherapeutic agents while treating cancer and to stimulate appetite to a patient with AIDS (Russo, 2014). Cannabis stakeholders group is one of the stakeholders that its mission is to educate the community on cannabis issues and making safe access of it for medicinal purpose. Medical research is helping physicians and scientist to understand well the role of endocannabinoid system in regulating variety of bodily functions (Russo, 2014). They are developing a procedure for treating patients by cannabis medicines. Today cannabis both recreational and medicinal is legal in several states in spite of the lack of scientific proof regarding its effectiveness and safety. According to cannabis heath benefits, in future many countries will be using it for cure purposes since it is proven to be working and healing sick people (Russo, 2014).

    References

    Connoly,S. (2012), Cannabis. London: Franklin WattsRusso.E (2014), Future of Cannabis and Cannabinoids in Therapeutics. USA: SAGE

     

    Medicinal Cannabis Essay Paper 3

    The article “Medicinal Cannabis: History, Pharmacology, and Implications for the Acute Care Setting” by Mary Bridgeman and Daniel Abazia elucidates how medicinal cannabis has garnered increased national attention in the modern times. The bone of contention herein lies in its associated societal, ethical and legal implications as far as its use, administration, packaging and dispensing are concerned. The article notes that cannabis is the most trafficked drug not only in the United States but also in the entire world.

    Who are the stakeholders both in support of and in opposition to medicinal cannabis use?

    The American Academy of Neurology (AAN) and The Food and Drug Administration (FDA) are some of the agencies that recognize the medicinal rigor of cannabis. They support its clinical use. On the other hand, U.S. Drug Enforcement Agency has categorized marijuana under Schedule I meaning that it has categorized it as a controlled substance because of the increased potential for abuse. Similarly, the World Health Organization (WHO) has recognized the drug to have the highest prevalence rates in the world. These are some of the bodies that oppose the use of medicinal cannabis.

    What does current medical/nursing research say regarding the increasing use of medicinal cannabis?

    According to Ventura (2016), the regulation, cultivation as well as the distribution of medicinal cannabis is unique and complex. Despite the fact that there are some states that have authorized its use in medicinal treatments, the federal government has not accorded its priority. Research recognizes the clinical significance of cannabis, but the increased risk of abuse has remained to be the key impediment to its adoption and utilization of medical treatments.

    What are the policy and future practice implications based on the current prescribed rate of cannabis?

    Despite the complexity associated with the logistics of medicinal cannabis use, policies that prohibit its medicine use hurts palliative care and disrupts treatment of debilitating and chronic medical conditions. Permission to use it may be left in the hands of the states. However, its use in the future may wreak other issues linked to the increased probability of abuse, use, and trafficking. Medicinal Cannabis Essay Paper.

    References:

    Bridgeman, M. & Abazia, D. (2017). Medicinal Cannabis: History, Pharmacology and Implications for the Acute Care Setting, PMCID. 42(3): 180–188. Retrieved from < https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312634/ >

    Ventura, J. (2016). Jesse Ventura’s Marijuana Manifesto. New York: Springer.

     

    Medicinal Cannabis Essay Paper 4

    The medicinal cannabis has led to many debates regarding its usage, legality, health risks and benefits. Currently, the drug has been made legal for medical therapies, although its usage without medical prescription is still regarded illegal. The stakeholders that support the medicinal cannabis include the US Drug Enforcement Agency’s (DEA). Some of the American legislatures are also in support of this drug, alongside citizens who had massively voted for the legalization of the drug. This has led to legalization of medicinal cannabis in states like California, Puerto Rico among many others in the US. The FDA is still conducting research on the drug and insists on regulating the drug use. Statistics show that health care providers show limited support for using the drug in therapies.

    The increasing use of the medicinal cannabis has helped in suppressing symptoms like chemo effects in treating cancer, and also in treating some of the diseases. However, the indications of the drug use are not yet clear. Studies shows that the medical use of the cannabis is very effective compared to other drugs in the same category. The drug is increasingly being used for managing neurological disorders lie epilepsy, and the American Academy of Neurology has showed that oral cannabis is very effective in reducing spasticity scores in patients, central nervous system pains, and it also eases the pain in spasms.

    Despite the legalization of the medicinal cannabis, the US department of Justice still finds this legalization as unnecessary and not a federal priority. This can lead to problems for physicians as they would not be able to effectively prescribe the drug for the patients.  Canada has legalized the use of dried cannabis for medicinal use. This can lead to abuse of the drug in future. People can use the policies to abuse the drug. Medicinal Cannabis Essay Paper .

     

    Reference

    Bridgeman Barna Mary & Abazia T. Daniel.
    Medicinal Cannabis: History, Pharmacology, and Implications for the Acute Care Setting
    . March, 2017

  • Medicinal Cannabis Essay

    Comment on the follow Medicinal Cannabis Essays and give a positive response. 

    Medicinal Cannabis Essay 1

    The medicinal cannabis has led to many debates regarding its usage, legality, health risks and benefits. Currently, the drug has been made legal for medical therapies, although its usage without medical prescription is still regarded illegal. The stakeholders that support the medicinal cannabis include the US Drug Enforcement Agency’s (DEA). Some of the American legislatures are also in support of this drug, alongside citizens who had massively voted for the legalization of the drug. This has led to legalization of medicinal cannabis in states like California, Puerto Rico among many others in the US. The FDA is still conducting research on the drug and insists on regulating the drug use. Statistics show that health care providers show limited support for using the drug in therapies.

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    The increasing use of the medicinal cannabis has helped in suppressing symptoms like chemo effects in treating cancer, and also in treating some of the diseases. However, the indications of the drug use are not yet clear. Studies shows that the medical use of the cannabis is very effective compared to other drugs in the same category. The drug is increasingly being used for managing neurological disorders lie epilepsy, and the American Academy of Neurology has showed that oral cannabis is very effective in reducing spasticity scores in patients, central nervous system pains, and it also eases the pain in spasms.

    Despite the legalization of the medicinal cannabis, the US department of Justice still finds this legalization as unnecessary and not a federal priority. This can lead to problems for physicians as they would not be able to effectively prescribe the drug for the patients.  Canada has legalized the use of dried cannabis for medicinal use. This can lead to abuse of the drug in future. People can use the policies to abuse the drug. Medicinal Cannabis Essay

    Reference

    Bridgeman Barna Mary & Abazia T. Daniel. 
    Medicinal Cannabis: History, Pharmacology, and Implications for the Acute Care Setting
    . March, 2017

     

    Medicinal Cannabis Essay 2

    The topic of cannabis use has long since been a controversial matter. For decades many have been under the impression that tetrahydrocannabinol (THC), which is the psychoactive cannabinoid primarily present in the flower of the plant, threatens both the physiological and psychological health of cannabis users. However, due to misinformation that has been publicly released the medicinal properties of the plant have been overlooked until quite recently. According to Bridgeman and Abazia (2017), the medicinal utilization of the cannabis plant in ancient Romania can be traced as far back to over 5,000 years in the past, to approximately 400AD (p. 180). During the 19th and 20th centuries in the United States cannabis was a significant patent used to treat a variety of medical issues and pain, however, in 1942, the federal government made the decision to make its usage illegal therefore enforcing legal penalties regarding possession by the middle of the century (Bridgeman & Abazia, 2017, p. 180). Since its prohibition, people that have continued to use cannabis have been labeled as criminals, which is unfortunate considering many have been imprisoned.

    With the increasing number of research studies that claim to verify the medicinal benefits of cannabis many patients that have been unsuccessful in treating physical and mental diseases and disorders with pharmaceuticals have become motivated to smoke, vape, and/or ingest cannabis or extracts of the plant; as Bridgeman and Abazia point out, “this represents the revival of a plant with historical significance reemerging in present day health care” (2017, p. 187). Although the legalization of medicinal cannabis has improved the health and well-being of many patients and will continue to do so in the future, it is important to ensure that its administration is safe and that clinicians also consider any possible adverse effects.

    Stakeholders that support medicinal cannabis are those affiliated with cannabis farms, dispensaries, and organizations that produce information and products regarding its use. Stakeholders that oppose the plant are those affiliated with the manufacturing of conventional pharmaceuticals as well as those that politically and financially benefit from prohibition, such as the Drug Enforcement Agency (DEA); Miron (2005) reports that on an annual basis, “government expenditure on enforcement of prohibition” costs approximately $7.7 billion (p. 1). Medicinal Cannabis Essay

    Bridgeman, M.B. & Abazia, D.T. (2017). Medicinal cannabis: History, pharmacology, and implications for the acute care setting. 
    Pharmacy and Therapeutics, 42
    (3). 180-188.

    Miron, J.A. (2005). 
    The budgetary implications of marijuana prohibition
     (pp. 1-28). Harvard University.

  • Evidence Based Practice Argument Response

    Evidence Based Practice Argument Response

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    I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

    One of the main issues noted at the Ben Archer Health Clinic in Las Cruces in addressing evidence based practice is meetings only happen once a month (Chaires, 2017). That is the only time they are able to get everyone together at one time and dissiminate important information.  While it sounds like the best opportunity for addressing a solution, there is so much information that needs to be given, it tends to be overwhelming.  “The top three barriers to adopting evidence based practice were lack of time, inability to understand statistical terms, and inadequate understanding of the jargon used in research articles” (Majid et. al., 2011). Enough time is needed to give the information, and to process it.  The first step to resolving this would be set a time specifically to address one issue and solution at a time.  It cannot be a time when other information is being given.  Whether they add an inservice once a month, or do it every other month during their monthly meetings, a time needs to be set aside just for this one thing.  Every other month would be a good way to start.  Have one month where information is given out, and the next for an evidence based practice inservice.  It would be helpful to give everyone information prior to the meeting (an email, or flyer, with the general overview).  This will allow everyone to be familiar with the information prior to the meeting so that not too much new information is thrown at them at once.

    References:

    Chaires, K. (2017). [Personal interview].

    Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y., Chang, Y., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: nurses perceptions, knowledge, and barriers. Journal of the Medical Library Association : JMLA, 99(3), 229-236. doi:10.3163/1536-5050.99.3.010

  • The Scalpel And Silver Bear

    The Scalpel And Silver Bear

    1. What barriers, challenges and opportunities (within the educational and medical system) impacted Alvord’s training as a medical doctor?   How did her personal journey impact the doctor she has become?  How has your journey impacted your career as a nurse/health care provider?

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    2. What specific environmental, political, economic and social realities impact Navajo health, susceptibilities to disease as described by Alvord?  What role do you think your client’s environmental, economic and social reality play in your patient’s/client’s health? Use examples as given in the book.

    3. Given her unique perspective, what do you think Dr. Alvord contributes to the practice of biomedicine-Western Medicine? What does “
    hozho
    ” mean and how does it impact Dr. Alvord’s practice of medicine? How does she uniquely combine her medical practice with the Navajo medical traditions and philosophies about health and patient care?  What philosophy about health drives your patient care?

  • Musculoskeletal System Case Study/Oral PowerPoint Presentation

    Musculoskeletal System Case Study/Oral PowerPoint Presentation Guidelines

    Instructions: Our system is the musculoskeletal System. Power point must include a case study and must be real and needs to make sense. I need objectives in the power point. If you have any question feel free to contact me.

    This PowerPoint presentation should be no more than 30 minutes in length with an additional 10 minutes of discussion. You are responsible to facilitate your colleagues’ discussion of your topic. You may provide handout to facilitate your presentation and discussion.

    The scholarly Oral Presentation should include the following:

    • Abstract of the presentation (150 words maximum)

    • In depth preview of the topic

    • An exemplar and discussion of a relevant research study using the method

    GRADING RUBRIC: ORAL PRESENTATION 

    100 points total 15% of grade

     

    CRITERIA MAX.
     
    POINTS EARNED POINTS

     

    Abstract   (Introduction) provided is less than 150 words (A brief overview of the   background of the topic are provided).    _____
    10%

    An   exemplar or case study using the system is presented and discussed. ____
    10%

    Pathophysiology   of the System.______
    15%

    Clinical   Manifestations. ______
    10%

    Diagnostic   Studies/Laboratories. _____
    10%

    Clinical   Management/Treatment Modalities. ______
    15%

    Evaluation of Treatments. _____
    10%

    Patient   Education and Safety (QSEN). _____
    10%

    Class discussion   is facilitated. ____
    10%

     

    TOTAL: 100%

  • Medicare Vs. Medicaid Essay Paper

    Medicare Vs. Medicaid Essay Paper

    Watch the following video in preparation for this assignment:

    Grimes, D. (2011). What is the difference between Medicare and Medicaid?. Retrieved from https://www.youtube.com/watch?v=0ZVRcQyrEIw

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    Use what you learned from the video, the module’s required readings, and your own research to answer the following questions in your paper.

    Distinguish between Medicare and Medicaid.

    Discuss how Medicare has evolved to accommodate the changing needs of society. Do not just go through the timeline – read the materials, think about how society has changed, and explain how Medicare has changed to meet those needs.

    Discuss the impact of health care reform initiatives on Medicare/Medicaid.

    Length: Submit a 2-page Medicare Vs. Medicaid Essay Paper paper.

  • Greek, Cuban And Hindu HEALTH CARE SYSTEM essay

    1.  Greek and Hindu heritage are base on the oriental culture and the Cuban heritage in occidental.  Please discuss the beliefs of these three cultures and how they influence the delivery of health care.

    2.  Compare these three culture and how disease and prevention it is influence by the cultural practices.

    APA word Arial 12 font attached to

    A maximun of 500 words are required.

    A minimum of 2 evidence based references are required.

    please include header ++ cover page