Tag: Clinical-Nursing

Name and describe 3 similarities and 3 differences between inpatient and outpatient medical records.

Cultures in Your Community. 1st Post Due by Day 3. Choose one of the cultures studied in this class that is prevalent in your community.

• Describe a plan of care for a hospice patient that includes considerations of two of the following: religion, spirituality, folk remedies, Complementary and Alternative medicine (CAM), family, or other cultural influences.

• Explain the implications for nursing practice.

Your initial post should be 250-300 words and utilize at least one scholarly source from the University Library, cited in APA format, to justify your choices.

Guided Response: Choose two of your classmates’ posts that reflect on a different culture than your initial post. Address how the factors presented in your peer’s work effect health care decision-making from the patient’s perspective. Address how these factors influence nursing practice.

Provide a substantive response (minimum of 100 words) for each of your replies. List at least one scholarly source, cited in APA format, to support your rationale.

Assignment: Disorders of the Veins and Arteries Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT. To Prepare

1. Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders. 2. Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. 3. Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis. To Complete Write a 3- to 4-page paper that addresses the following:

1. Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis. 2. Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. 3. Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Health Beliefs and Traditions of White/Non-Hispanic Subcultures Post

Review Chapter 2 of the course textbook to refresh your understanding of the primary and secondary characteristics of a culture as well as subcultures. Using the White (Non-Hispanic) or Native American/Alaska Native cultures as a primary culture, choose a subculture from that primary culture. Examples of subculture characteristics are education, gender, income level, living environment, occupation, parent, political views, sexual orientation, and single/married or you may choose your own subculture characteristic as stated in our text for this discussion.

• Compare and contrast the chosen subculture’s viewpoint on health care versus the viewpoint of the primary culture.

• Include nursing considerations associated with delivering care for the needs of the chosen subculture.

Your initial post should be 250-300 words and utilize at least one scholarly source from the University Library, cited in APA format, to justify your choices.

Guided Response: Respond to two of your peer’s posts that address a subculture different from your own initial post. Assess community factors that influence the health of the subculture identified by your peer. For example, what kind of community support is available to improve the health of the chosen group?

Provide a substantive response (minimum of 100 words) for each of your replies. List at least one scholarly source, cited in APA format, to support your rationale.

Assignment: Application: Planned Change in a Department or Unit

For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort. Book required: Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins. To prepare:

1. Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies. 2. Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue. 3. Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. 4. Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected. 5. Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort. To complete: Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

1. Identify a problem, inefficiency, or issue within a specific department/unit. 2. Describe a specific, realistic change that could be made to address the issue. 3. Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. 4. Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection. 5. Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy. 6. Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Health Beliefs and Traditions of White/Non-Hispanic Subcultures Post. Review Chapter 2 of the course textbook to refresh your understanding of the primary and secondary characteristics of a culture as well as subcultures. Using the White (Non-Hispanic) or Native American/Alaska Native cultures as a primary culture, choose a subculture from that primary culture. Examples of subculture characteristics are education, gender, income level, living environment, occupation, parent, political views, sexual orientation, and single/married or you may choose your own subculture characteristic as stated in our text for this discussion.

• Compare and contrast the chosen subculture’s viewpoint on health care versus the viewpoint of the primary culture.

• Include nursing considerations associated with delivering care for the needs of the chosen subculture.

Your initial post should be 250-300 words and utilize at least one scholarly source from the University Library, cited in APA format, to justify your choices.

Guided Response: Respond to two of your peer’s posts that address a subculture different from your own initial post. Assess community factors that influence the health of the subculture identified by your peer. For example, what kind of community support is available to improve the health of the chosen group?

Provide a substantive response (minimum of 100 words) for each of your replies. List at least one scholarly source, cited in APA format, to support your rationale.

Epidemiological Designs. For this question, read the assigned research article, linked below, which represents an epidemiological research design. Then, conduct a critical analysis of this article, analyzing the strengths, limitations, and tendencies of epidemiological method.

Descriptive Epidemiology of Chronic Hypertension, Gestational Hypertension, and Preeclampsia in New York State, 1995-2004.

In your response, respond to the items below.

• Identify and define the epidemiologic design used.

• Identify the data collection and analysis techniques used in the study.

• Discuss the strengths and weaknesses of this report.

• Identify ethical concerns you discerned in the article.

• Discuss how epidemiologic designs can be used to evaluate health outcomes and services in an EBP.

Discussion Guidelines: Support your responses with credible or scholarly academic references, using proper APA style citations. The Scholarly, Peer Reviewed, and Other Credible Sources table offers additional guidance on appropriate source types, and the In-Text Citation Helper: A Guide to Making APA In-Text Citations tutorial can clarify further questions you might have on APA. Assigned course readings and Ashford University Library resources are preferred. In your first post, provide a substantive exposition that illustrates a well-reasoned and thoughtful response to the topic, is factually correct, provides examples, and demonstrates a clear connection to the readings.

Guided Response: In your responses to at least two of your peers, provide constructive feedback adding to the critical analysis of the article reviewed. Your response must display reflective thought that illustrates an understanding of the topic under discussion and be supported with relevant evidence.

Quantitative and Qualitative Designs. For this discussion question, you will read two assigned articles that represent quantitative and qualitative research designs. Following your review, you will conduct a critical analysis of these articles, comparing and contrasting strengths, limitations, and the tendencies of each while addressing the questions and items listed below.

Quantitative Article:

The Effect of Educational Intervention on the Pain and Rehabilitation Performance of Patients Who Undergo a Total Knee Replacement.

Address each of the following:

• Identify and define the quantitative design used.

• Is the choice of design appropriate for the research question? Why or why not?

• What are the threats to external and internal validity?

• What ethical concerns did you identify?

Qualitative Article:

A Qualitative Study of Nurses’ Attitudes Towards and Accommodations of Patients’ Expressions of Religiosity and Faith in Dementia Care.

Address each of the following:

• Identify and define the qualitative design used.

• Discuss the sample and analysis/interpretation of data.

• Discuss techniques used to meet the four elements of evaluation.

• What ethical concerns did you identify?

• Discuss how qualitative studies can be used to create an EBP.

Discussion Guidelines: Support your responses with credible or scholarly academic references, using proper APA style citations. The Scholarly, Peer Reviewed, and Other Credible Sources table offers additional guidance on appropriate source types, and the In-Text Citation Helper: A Guide to Making APA In-Text Citations tutorial can clarify further questions you might have on APA. Assigned course readings and Ashford University Library resources are preferred. In your first post, provide a substantive exposition that illustrates a well-reasoned and thoughtful response to the topic, is factually correct, provides examples, and demonstrates a clear connection to the readings.

Guided Response: In your responses to at least two of your peers, provide constructive feedback adding to the critical analysis of the articles reviewed. Your response must display reflective thought that illustrates an understanding of the topic under discussion and be supported with relevant evidence.

Learning Outcomes

1. Examine key concepts relevant to quantitative, qualitative, and epidemiologic research designs.

2. Examine the purpose, structure, strengths, and weaknesses of different quantitative, qualitative, and epidemiologic research designs.

3. Discuss ethical issues related to quantitative, qualitative, and epidemiologic research designs.

4. Evaluate current nursing research literature relevant to the research proposal.

Introduction

Week Three explores key concepts relevant to quantitative, qualitative, and epidemiologic research designs and examines the purpose, structure, strengths, and weaknesses of these designs. A review of quantitative methods will focus on experimental and nonexperimental designs, and a review of qualitative methods will include the four major types of qualitative research designs. We also review the use of epidemiology in nursing practice as well as the use of epidemiological designs in evaluating health outcomes. Ethical issues related to quantitative, qualitative, and epidemiologic designs are addressed. The week concludes with development of an annotated bibliography for three research articles supporting the Research Proposal.

Required Resources

Text

Schmidt, N., & Brown, J. (2015). Evidence-based practice for nurses: Appraisal and application of research (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 6: Key Principles of Quantitative Designs

• Chapter 7: Quantitative Designs: Using Numbers to Provide Evidence

• Chapter 8: Epidemiologic Designs: Using Data to Understand Problems

• Chapter 9: Qualitative Designs: Using Words to Provide Evidence

Articles

Chen, S., Chen, C., & Lin, P. (2014). The effect of educational intervention on the pain and rehabilitation performance of patients who undergo a total knee replacement. Journal of Clinical Nursing, 23(1/2), 279-287. http://dx.doi.org/10.1111/jocn.12466

• The full-text version of this article is available in the CINAHL Complete database in the Ashford University Library. This article provides an example of a quantitative research design that you will be required to analyze as part of this week’s first discussion.

Savitz, D., Danilack, V., Engel, S., Elston, B., & Lipkind, H. (2014). Descriptive epidemiology of chronic hypertension, gestational hypertension, and preeclampsia in New York state, 1995-2004. Maternal & Child Health Journal, 18(4), 829-838. http://dx.doi.org/10.1007/s10995-013-1307-9

• The full-text version of this article is available in the CINAHL Complete database in the Ashford University Library. This article provides an example of an epidemiological research design that you will be required to analyze as part of this week’s second discussion.

Skomakerstuen Ødbehr, L., Kvigne, K., Hauge, S., & Danbolt, L. J. (2015). A qualitative study of nurses’ attitudes towards’ and accommodations of patients’ expressions of religiosity and faith in dementia care. Journal of Advanced Nursing, 71(2), 359-369. http://dx.doi.org/10.1111/jan.12500

• The full-text version of this article is available in the CINAHL Complete database in the Ashford University Library. This article provides an example of a qualitative research design that you will be required to analyze as part of this week’s first discussion.

Recommended Resources

Multimedia

Jones & Bartlett Learning. (2014). Lesson 5: Key Principles of Quantitative Design [Class lecture slides]. In Nursing Research.

• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.

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Jones & Bartlett Learning. (2014). Lesson 6: Quantitative Designs: Using Numbers to Provide Evidence [Class lecture slides]. In Nursing Research.

• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.

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Jones & Bartlett Learning. (2014). Lesson 7: Qualitative Designs: Using Words to Provide Evidence [Class lecture slides]. In Nursing Research.

• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.

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Supplemental Material

Ashford University Library. (n.d.). Nursing Research Library Guide. University, College of Health, Human Services, and Science, San Diego, CA.

• The Nursing Research Library Guide is a resource that contains tutorials and other information that will help you search the University Library’s databases. It will assist you with APA style and scholarly writing in this week’s assignment and for assignments throughout the course and program.

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The Research Problem. To prepare for this assignment, read Bringing Science to Life: NINR Strategic Plan. From this strategic plan, NINR has identified theme categories that delineate priorities for nursing research.

These theme categories include the following:

• Symptom Science: Promoting Personalized Health Strategies

• Wellness: Promoting Health and Preventing Illness

• Self-Management: Improving Quality of Life for Individuals with Chronic Illness

• End-of-Life and Palliative Care: The Science of Compassion

Next, visit the National Institute of Nursing Research’s Implementing NINR’s Strategic Plan: Key Themes web page. A brief description of the theme and examples of funded research are provided. As you review, think of the priority issue that you believe needs further investigation in your clinical practice, which you have selected as the basis of your Research Project assignment.

Complete the tutorial: Nursing Research to learn how to conduct research on the significance of the problem to nursing. Then, formulate a problem statement and a research question, and identify relevant research variables. Directions follow.

Develop a paper to account for the following items:

• Identify the theme category (problem) you selected from the NINR website as a foundation for your research proposal.

• Explain the background of the problem and relevance to nursing practice. Provide your rationale for this selection.

• Develop a problem statement and research question.

• Identify research variables.

• Discuss the significance of the problem to the profession of nursing.

The Research Problem paper

• Must be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style. For assistance, visit the Ashford Writing Center’s APA Essay Checklist for Students.

• Must include a title page with the following:

o Title of paper

 For further assistance with the formatting and the title page, please refer to the Formatting Instructions for MS Word 2013.

o Student’s name

o Course name and number

o Instructor’s name

o Date submitted

• Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. For assistance on writing introductions and conclusions as well as thesis statements, please refer to the Ashford Writing Center resources.

• Must use at least two scholarly sources in addition to the course text.

o The Scholarly, Peer Reviewed, and Other Credible Sources table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment. The Integrating Research tutorial will offer further assistance on including supporting information and reasoning.

• Must document all sources in APA style, as outlined in the Ashford Writing Center’s In-Text Citation Guide.

• Must include a separate references page that is formatted according to APA style.

• Before you submit your written assignment, you are encouraged to review The Grammarly Guide: How to Set Up & Use Grammarly tutorial, set up a Grammarly account (if you have not already done so), and use Grammarly to review a rough draft of your assignment. Then carefully review all issues identified by Grammarly and revise your work as needed.