Tag: Clinical-Nursing

  • Nursing Research

    Nursing Research

    Purpose:
    Comment
    the Discussion (Class 504 Unit 5 Comment  2

    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

     

     

    Nursing research is so important to the care we provide our patients as it gives us the evidence from which we can guide our practice. Quantitative research in nursing focuses on data, numerical measurements or statistics (Melyk & Fineout-Overholt, 2014). Quantitative research can be broken down into four different designs; descriptive, correlational, experimental and quasi-experimental. Correlational quantitative research focuses on interpreting the associations of different variables without the researcher manipulating them but not going so far and to stating a cause and effect relationship between the variables. A fictitious example of this related to my PICOT question would be data that looks at the number of patients that have total joint replacements and noting that more infections occur in the summer months. There is no cause and effect relationship, just the statistical data that has been gathered.

    Another type of quantitative research is the experimental design. This design tries to determine cause and effect and variables are controlled and manipulated by the researchers. A real world example of an experimental study is that completed by Kuo, Chen, Lee, Yen and Wang (2017) which compared Aquacel dressings to a control group related to infection rates for joint replacement surgeries. Studies of this nature are very important because the control that the researchers have can give us a better clear cut answer to the question that is being asked. By eliminating certain test candidates to make the control and the study group as similar as possible we are more able to establish a cause and effect relationship.

    Not only in the field of nursing is this type of research important but in the other sciences as well. No matter what the method or design of the research study, the interpretation of the results and integrating it to the theory that it was based on is important in the analysis of results (Yarcheski & Mahon, 2013). Using the different methods and designs can yiled different results and thus give us more information and results regarding out question or research topic.

    Kuo, F.-C., Chen, B., Lee, M. S., Yen, S.-H., & Wang, J.-W. (2017). AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.
    BioMed Research International
    ,
    2017
    , 1262108.
    http://doi.org/10.1155/2017/1262108

    Melnyk, B. M., & Fineout-Overholt, E. (2014). Evidence-based practice in nursing and healthcare: a guide to best practice. Wolters Kluwer/Lippincott Williams et Wilkins.

    Yarcheski, A., & Mahon, N. E. (2013). Characteristics of Quantitative Nursing Research from 1990 to 2010. 
    Journal Of Nursing Scholarship
    , 
    45
    (4), 405-411. doi:10.1111/jnu.12038

    —

    Nursing Research

  • Quantitative Research in Nursing Paper

    Quantitative Research in Nursing Paper

    Purpose:
    Comment
    the Discussion (Class 504 Unit 5 Comment  2

    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

     

    Nursing research is so important to the care we provide our patients as it gives us the evidence from which we can guide our practice. Quantitative research in nursing focuses on data, numerical measurements or statistics (Melyk & Fineout-Overholt, 2014). Quantitative research can be broken down into four different designs; descriptive, correlational, experimental and quasi-experimental. Correlational quantitative research focuses on interpreting the associations of different variables without the researcher manipulating them but not going so far and to stating a cause and effect relationship between the variables. A fictitious example of this related to my PICOT question would be data that looks at the number of patients that have total joint replacements and noting that more infections occur in the summer months. There is no cause and effect relationship, just the statistical data that has been gathered.

    Another type of quantitative research is the experimental design. This design tries to determine cause and effect and variables are controlled and manipulated by the researchers. A real world example of an experimental study is that completed by Kuo, Chen, Lee, Yen and Wang (2017) which compared Aquacel dressings to a control group related to infection rates for joint replacement surgeries. Studies of this nature are very important because the control that the researchers have can give us a better clear cut answer to the question that is being asked. By eliminating certain test candidates to make the control and the study group as similar as possible we are more able to establish a cause and effect relationship.

    Not only in the field of nursing is this type of research important but in the other sciences as well. No matter what the method or design of the research study, the interpretation of the results and integrating it to the theory that it was based on is important in the analysis of results (Yarcheski & Mahon, 2013). Using the different methods and designs can yiled different results and thus give us more information and results regarding out question or research topic.

    Kuo, F.-C., Chen, B., Lee, M. S., Yen, S.-H., & Wang, J.-W. (2017). AQUACEL® Ag Surgical Dressing Reduces Surgical Site Infection and Improves Patient Satisfaction in Minimally Invasive Total Knee Arthroplasty: A Prospective, Randomized, Controlled Study.
    BioMed Research International
    ,
    2017
    , 1262108.
    http://doi.org/10.1155/2017/1262108

    Melnyk, B. M., & Fineout-Overholt, E. (2014). Evidence-based practice in nursing and healthcare: a guide to best practice. Wolters Kluwer/Lippincott Williams et Wilkins.

    Yarcheski, A., & Mahon, N. E. (2013). Characteristics of Quantitative Nursing Research from 1990 to 2010. 
    Journal Of Nursing Scholarship
    , 
    45
    (4), 405-411. doi:10.1111/jnu.12038

    Quantitative Research in Nursing Paper–

    April Klavinger, RN

  • Clinical Epidemiology

    Purpose: Discussion
    class 505
    .
    Unit 5

    Things to remember:

    Discussion post is at least 200 words.

    Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

    3 References, try to find resources that are 5 years or less

    No errors with APA format 6thEdition

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    To Discuss:

    Topic 1: Complete the required Readings before posting to this Discussion. Analyzing specific examples in the text from Chapters, 7, 8 and 9, explain how types of epidemiological studies impact knowledge of diagnosis, prognosis or clinical treatment. Be sure to use vocabulary that demonstrate your understanding of epidemiological terms.

    Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

    This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Clinical Epidemiology.

     

    In Clinical Epidemiology, read:

    Chapter 7: “Diagnosis”

    Chapter 8: “Prognosis”

    Chapter 9: “Treatment”

    Centers for Disease Control and Prevention [CDC]. Solve the outbreak. Disease detective. Retrieved from
    https://www.cdc.gov/mobile/applications/sto/web-app.html

    Office of Disease Prevention and Health Promotion. (2017). Partnering to heal. Retrieved from
    https://health.gov/hcq/training-partnering-to-heal.asp

    Course Web Resources

    Agency for Healthcare Research and Quality [AHRQ]. (2014). Guide to clinical preventive services. Retrieved from
    https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/index.html

    Centers for Disease control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Glossary. Retrieved from
    https://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Glossary.html

    Department of Health and Human Services. (2014).
    Leading health indicators
    . Retrieved from
    http://healthypeople.gov/2020/LHI/default.aspx

    Healthy People 2020. (2016).
    Topics and objective
    Retrieved from
    https://www.healthypeople.gov/2020/topics-objectives

    Course PDF Web Resources

    Centers for Disease Control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Retrieved from
    https://www.cdc.gov/ophss/csels/dsepd/ss1978/ss1978.pdf

    Guide to Clinical Preventive Services. (2014). Recommendations of the US preventive task force. Retrieved from
    https://archive.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide2012/guide-clinical-preventive-services.pdf 

    Clinical Epidemiology

  • Importance of quality measures using the clinical performance

    Importance of quality measures using the clinical performance

    Discussion:

    As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:

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    Why are quality measures important?

    What is the difference between quality measures and performance indicators?

    What performance measures are used for NP productivity?

    Why are incentive plans used in clinical organizations?

    To prepare:

    Read the article,
    An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes
    , by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)

    Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)

    By Day 3

    Post
    an explanation of the importance of quality measures using the clinical performance measure you identified as an example. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.

  • Critical Reading and Researching Main Ideas

    Critical Reading and Researching Main Ideas

    In this Week’s Discussion, you reviewed reading strategies and examined your own research process. Now you will put these concepts and insights in practice for this Week’s Assignment.

    To prepare for this Assignment:

    Review      the Learning Resource on Determining the Main Points of a Reading.

    Choose 
    one
     of      the preselected journal articles in this week’s Learning Resources.

    Applying      the concepts from this week’s resources, critically read the journal      article, taking notes or engaging in any research methods that you would      like to try.

    By tomorrow 11/09/17, post a 2-3 paragraphs long essay in APA format with 2 references from the list below. Include the level one and two headings as numbered below:

    1)
     Select three related main points from the journal article (excluding the Abstract), and directly quote them 
    (see attached pdf for the article).

    2)
     In addition to the directly quoted main points, 
    compose
     1–2 sentences of rationale for each main point.

     

    3)
     Use these sentences to explain the reason you selected each point from the journal article. Consider the following questions in your rationale:

    a. Why are these three specific points the author’s main ideas?

    b. What makes them stand out to you as a critical reader?

    c. How are these main points related to one another?

    By tomorrow 11/09/17 Submit your Application using the Walden Course Paper template by Day 7. Your submission should be at least 3 paragraphs long.

    Required Readings

    Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from 
    http://academicguides.waldenu.edu/writingcenter/templates/general

    Laureate Education. (2015). [Infographic]. Understanding Arguments, Baltimore, MD: Author.

    Walden University Academic Skills Center. (2017). Determining the main points of a reading. Minneapolis, MN: Author.

    Walden University. (2015). Writing a Paper: Understanding Arguments. Retrieved from

    http://academicguides.waldenu.edu/writingcenter/writingprocess/arguments

    Online journal articles:

    Grad Writing II: http://academicguides.waldenu.edu/wcss6060 
    (see attached PDF article)

    From the list of selected journal articles, choose and critically read one article in preparation for this week’s Assignment 
    (see attached PDF for the selected article).

    Please note: You will use your selected journal article throughout the course.

    Note: Walden Library Guides house a selection of journal articles listed in the resources sections for each week/module for which they are required. The citation of the reading is provided and below the citation it should state “Retrieved from the Walden Library databases.”

    Required Media

    Walden University Writing Center (Producer). (2014, January 13). WriteCast: Five strategies for critical reading (Episode 5) [Audio podcast]. 
    Retrieved from https://soundcloud.com/writecast/005-five-strategies-for

    Note: The approximate length of this media piece is 11 minutes.

    Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep005

  • Evidence-Based Practice Project—Intervention Presentation on Diabetes

    Evidence-Based Practice Project—Intervention Presentation on Diabetes

     

    1 Unsatisfactory 0-71% 0.00%

    2 Less than Satisfactory 72-75% 75.00%

    3 Satisfactory 76-79% 79.00%

    4 Good 80-89% 89.00%

    5 Excellent 90-100% 100.00%

    70.0 %Content

     

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    10.0 %Summary of Article (Includes Discussion of Research Performed and Clinical Findings)

    Content does not fulfill any of the requirements stated in the assignment criteria. Evidence-Based Practice Project—Intervention Presentation on Diabetes

    Some of the requirements stated in the assignment criteria are present. Findings and/ or methods are described but flawed, unrealistic, irrelevant, and/or inaccurate.

    Content is complete, but somewhat inaccurate and/or irrelevant. Research lacks relevance, quality, and/or innovation.

    Content is comprehensive and accurate, and definitions are clearly stated. Research is adequate, current, and relevant, and addresses all of the issues stated in the assignment criteria.

    Content is comprehensive and presents ideas and information beyond those presented through the course. Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria.

    60.0 %Proposed Integration of the New Tool or Intervention Into Practice, and Explanation of the Impact of the New Tool or Intervention on nursing practice.

    Neither the integration nor the impact of the new tool or intervention is stated. Evidence-Based Practice Project—Intervention Presentation on Diabetes

    The integration into and the impact of the new tool or intervention is stated but not thoroughly explained. Presentation does not demonstrate critical thinking and analysis.

    The integration and impact of the new tool or intervention on the nursing practice are stated and explained. Presentation satisfactorily demonstrates understanding and analysis of the basic principles.

    Statement is descriptive and reflective. Shows some planning and attention to how various components fit together, but essential elements are not present.

    Statement is thorough, descriptive, reflective, and supported with practical and sound research. Shows careful planning and attention to how disparate elements fit together to impact the nursing profession.

    30.0 %Organization and Effectiveness

     

    10.0 %Layout

    The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.

    The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.

    The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.

    The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.

    The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

    10.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

    Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

    Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

    Language is appropriate to the targeted audience for the most part. Evidence-Based Practice Project—Intervention Presentation on Diabetes

    The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.

    The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    Slide errors are pervasive enough that they impede communication of meaning.

    Frequent and repetitive mechanical errors distract the reader. Evidence-Based Practice Project—Intervention Presentation on Diabetes

    Some mechanical errors or typos are present, but are not overly distracting to the reader.

    Slides are largely free of mechanical errors, although a few may be present.

    Writer is clearly in control of standard, written academic English.

    5.0 %Evaluating and Documenting Sources (in-text citations for paraphrasing and direct quotes, references page listing and formatting, as appropriate to assignment and style)

    Contains no title slide, no references section, and no correctly cited references within the body of the presentation. Evidence-Based Practice Project—Intervention Presentation on Diabetes

    Title slide is incomplete or inaccurate. References section includes sources, but many citation errors. Citations are included within the body of the presentation but with many errors.

    Title slide has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the presentation but with some errors.

    Title slide is complete. References section includes correctly cited sources with minimal errors. Correct citations are included within the body of the presentation.

    Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation.

    100 %Total Weightage

  • Diabetes Mellitus – Chronic Illness Group Plan of Care

    Diabetes Mellitus – Chronic Illness Group Plan of Care

    Creating a Plan of Care  Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.  Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

    •Start the Diabetes Mellitus – Chronic Illness Group Plan of Care paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.

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    •You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week.  •The paper should include the care plan for your chronic illness group organized under the following headings: ◦Nursing Diagnoses ◦Assessment Data (objective and subjective) ◦Interview Results ◦Desired Outcomes ◦Evaluation Criteria ◦Actions and Interventions ◦Evaluation of Patient Outcomes

    •You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.

    •Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.

    •Include a reference page to provide reference for all citations for the paper as well as the care plan.  On a separate references page, cite all sources using APA format.

    •Use this APA Citation Helper as a convenient reference for properly citing resources.

    •This handout will provide you the details of formatting your essay using APA style.

    •You may create your Diabetes Mellitus – Chronic Illness Group Plan of Care essay in this APA-formatted template.

  • Evidence-Based Diabtes Paper and Powerpoint

    Evidence-Based Diabtes Paper and Powerpoint

    Diabetes topic 1

    Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

    In a Evidence-Based Diabtes Paper and Powerpoint of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

    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.

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    This 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.

    You are required to submit this Evidence-Based Diabtes Paper and Powerpoint assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

    Part 2 powerpoint

     

    Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

    Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

    A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.

    A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

    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.

    You are not required to submit this Evidence-Based Diabtes Paper and Powerpoint 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.

  • Practicum Project Research Paper

    Practicum Project Research Paper

    Submit a research paper that focuses on a potential practicum project. The project should focus on the background of the public health issue, essential services of public health, purpose of addressing this issue, application of theory, and projected outcomes.

    Write a 15–20-page, double-spaced paper in Word format. Apply APA standards to citation of sources.

    Utilize at least 7–10 scholarly sources in your research and be sure to include a references page. Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

  • Critical Thinking Essay Paper: Behavioral and Mental Health in Saudi Arabia

    Critical Thinking Essay Paper: Behavioral and Mental Health in Saudi Arabia

    Module 13: Critical Thinking

    Critical Thinking: Behavioral and Mental Health in Saudi Arabia

    · Evolution of mental health

    · Structure of care and access

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    · Financing of mental healthcare

    · Intervention through policy and research

    · Preventative measures enacted by governmental and nongovernmental entities

    Requirements: (power point )

    · Your presentation should be 12 slides in length, not including the title or reference slides.

    · 
    Presentation notes are required for each slide
     to support the slide content. These can be part of the presentation or delivered as a separate document. If you opt for the former, be aware that the presentation cannot be submitted in PDF format, which does not make notes visible to the instructor.

    · 
    Pictures and graph are required

    · Text Font size 24 and title font size 40

    · Each slide should have citation and note

    · Your work must follow Saudi Electronic University academic writing standards and APA style guidelines, as appropriate.

    · Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external. Critical Thinking Essay Paper: Behavioral and Mental Health in Saudi Arabia