Tag: Clinical-Nursing

  • NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Week 1 – Assignment 2 Discussion

    You are a family nurse practitioner working in a community health center. The patient you are about to see is a 3 month old natal female infant for a well-baby check. The child has just been adopted. The mother stays at home with the baby and the father works outside the home. They are covered by private health insurance through the father’s work. The parents own their own home in a suburban area, neither smoke, and they have one dog. Answer the following questions using course resources (texts) and two other evidence based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame).

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    What are the components of a well-child check for this 3-month old infant?

    Write an educational intervention plan for the parents. What are you going to teach the parents about their baby?

    When completing a physical exam for this baby, what would be of particular focus and why?

    Week 2 – Assignment 1 Discussion

    SOAP Note – NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template.

    SOAP Note: Choose one patient from an area of weakness identified from the Week 1 Pre-Predictor Exam and submit a SOAP note of this patient. Remember to remove all forms of patient identification from the SOAP note format. Provide a reference (s) for the differential diagnosis and treatment plan in APA format. The reference should be within a 3-5 year time frame and come from a textbook, guideline,or currently published peer reviwed journal article.

    Submission Details:

    By Wednesday, October 18, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

    Include the reference number from eMedley in your document.

    Submit your SOAP note into the discussion area below by Sunday, October 15, 2017 along with clinical insights about your case.

    Respond to two peers with a substantial response that includes supportive references by Wednesday, October 18, 2017.

    Week 3 – Assignment 1 Discussion

    Assignment 1: SOAP Note -NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template.

    SOAP Note: Choose one patient from an area of weakness identified from the Week 1 Pre-Predictor Exam and submit a SOAP note of this patient. Remember to remove all forms of patient identification from the SOAP note format. Provide a reference (s) for the differential diagnosis and treatment plan in APA format. The reference should be within a 3-5 year time frame and come from a textbook, guideline, or currently published peer reviewed journal article.

    Submission Details:

    By Wednesday, October 25, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

    Include the reference number from eMedley in your document.

    Submit your SOAP note into the discussion area below by Sunday, October 22, 2017 along with clinical insights about your case.

    Respond to two peers with a substantial response that includes supportive references by Wednesday, October 25, 2017.

    Name:

    Pt. Encounter Number:

    Date:

    Age:

    Sex:

    SUBJECTIVE

    CC:

    Reason given by the patient for seeking medical care “in quotes”

    HPI:

    Describe the course of the patient’s illness, including when it began, character of symptoms, location where the symptoms began, aggravating or alleviating factors, pertinent positives and negatives, other related diseases, past illnesses, and surgeries or past diagnostic testing related to the present illness.

    Medications:
    (List with reason for med )

    PMH

    Allergies:

    Medication Intolerances:

    Chronic Illnesses/Major traumas

    Hospitalizations/Surgeries

    “Have you ever been told that you have diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems, kidney problems, or psychiatric diagnosis?”

    Family History

    Does your mother, father, or siblings have any medical or psychiatric illnesses? Is anyone diagnosed with: lung disease, heart disease, HTN, cancer, TB, DM, or kidney disease?

    Social History

    Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, and marijuana. Safety status

    ROS

    General

    Weight change, fatigue, fever, chills, night sweats, and energy level

    NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Cardiovascular

    Chest pain, palpitations, PND, orthopnea, and edema

    Skin

    Delayed healing, rashes, bruising, bleeding or skin discolorations, and any changes in lesions or moles

    Respiratory

    Cough, wheezing, hemoptysis, dyspnea, pneumonia hx, and TB

    Eyes

    Corrective lenses, blurring, and visual changes of any kind

    Gastrointestinal

    Abdominal pain, N/V/D, constipation, hepatitis, hemorrhoids, eating disorders, ulcers, and black, tarry stools

    Ears

    Ear pain, hearing loss, ringing in ears, and discharge

    Genitourinary/Gynecological

    Urgency, frequency burning, change in color of urine.

    Contraception, sexual activity, STDs

    Female: last pap, breast, mammo, menstrual complaints, vaginal discharge, pregnancy hx

    Male: prostate, PSA, urinary complaints

    Nose/Mouth/Throat

    Sinus problems, dysphagia, nose bleeds or discharge, dental disease, hoarseness, and throat pain

    Musculoskeletal

    Back pain, joint swelling, stiffness or pain, fracture hx, and osteoporosis

    Breast

    SBE, lumps, bumps, or changes

    Neurological

    Syncope, seizures, transient paralysis, weakness, paresthesias, and black-out spells

    Heme/Lymph/Endo

    HIV status, bruising, blood transfusion hx, night sweats, swollen glands, increase thirst, increase hunger, and cold or heat intolerance

    Psychiatric

    Depression, anxiety, sleeping difficulties, suicidal ideation/attempts, and previous dx

    OBJECTIVE

    Weight BMI

    Temp

    BP

    Height

    Pulse

    Resp

    General Appearance

    Healthy-appearing adult female in no acute distress. Alert and oriented; answers questions appropriately. Slightly somber affect at first and then brighter later.

    Skin

    Skin is brown, warm, dry, clean, and intact. No rashes or lesions noted.

    HEENT

    Head is normocephalic, atraumatic, and without lesions; hair evenly distributed. Eyes: PERRLA. EOMs intact. No conjunctival or scleral injection. Ears: Canals patent. Bilateral TMs pearly gray with positive light reflex; landmarks easily visualized. Nose: Nasal mucosa pink; normal turbinates. No septal deviation. Neck: Supple. Full ROM; no cervical lymphadenopathy; no occipital nodes. No thyromegaly or nodules. Oral mucosa, pink and moist. Pharynx is nonerythematous and without exudate. Teeth are in good repair
    .

    Cardiovascular

    S1, S2 with regular rate and rhythm. No extra sounds, clicks, rubs, or murmurs. Capillary refills two seconds. Pulses 3+ throughout. No edema.

    Respiratory

    Symmetric chest wall. Respirations regular and easy; lungs clear to auscultation bilaterally
    . NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Gastrointestinal

    Abdomen obese; BS active in all the four quadrants. Abdomen soft, nontender. No hepatosplenomegaly
    .

    Breast

    Breast is free from masses or tenderness, no discharge, no dimpling, wrinkling, or discoloration of the skin
    .

    Genitourinary

    Bladder is nondistended; no CVA tenderness. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation. No vulvar lesions noted. Well estrogenized. A small speculum was inserted; vaginal walls are pink and well rugated; no lesions noted. Cervix is pink and nulliparous. Scant clear to cloudy drainage present. On bimanual exam, cervix is firm. No CMT. Uterus is antevert and positioned behind a slightly distended bladder; no fullness, masses, or tenderness. No adnexal masses or tenderness. Ovaries are nonpalpable.

    (Male: Both testes are palpable, no masses or lesions, no hernia, and no uretheral discharge.)

    (Rectal as appropriate: No evidence of hemorrhoids, fissures, bleeding, or masses—Males: Prostrate is smooth, nontender, and free from nodules, is of normal size, and sphincter tone is firm).

    Musculoskeletal

    Full ROM seen in all four extremities as the patient moved about the exam room.

    Neurological

    Speech clear. Good tone. Posture erect. Balance stable; gait normal.

    Psychiatric

    Alert and oriented. Dressed in clean slacks, shirt, and coat. Maintains eye contact. Speech is soft, though clear and of normal rate and cadence; answers questions appropriately.

    Lab Tests

    Urinalysis—pending

    Urine culture—pending

    Wet prep—pending

    Special Tests

    Diagnosis

    Include at least three differential diagnosis

    Final diagnosis

    Evidence for final diagnosis should be
    documented
    in your Subjective and Objective exams.

    PLAN including education

    Plan:

    Further testing

    Medication

    Education

    Nonmedication treatments

    Follow-up

    Week 4 – Assignment 1 Discussion

    Assignment 1: Grand Rounds – NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    As a major project in this course, you will deliver a Grand Rounds presentation.

    The health care topic for this presentation will be decided by your course faculty based on the results of the APEA Pre-Predictor Exam in Week 1. Your presentation will consist of a patient scenario that you experienced in your clinical setting. The format of your presentation can be Microsoft PowerPoint. APA format is also expected, and references should be cited. Include references at the bottom of the slides and a final reference list on the last slide.

    Your goal is to:

    Provide a case study to go with the diagnosis.

    Utilize research articles or other materials to support your findings.

    Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).

    Discuss best practices for optimal outcomes.

    In addition to submitting your presentation, you will also be expected to lead a discussion throughout the week. You will want to keep the presentation interesting, professional, and focused to the topic.

    When the week is over, you will update, revise, and complete your presentation on the basis of student comments and instructor feedback.

    In Week 1, the instructor will divide the class into groups and assign you a week in which you will be expected to present your case. Some of you will present in Week 4, some will present in Week 7, and the remainder will present in Week 9. NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Those who are not presenting in a given week are responsible for participating in at least two presentations.

    For additional details, please see the Grand Rounds assignment page in the week in which you are assigned to present.

    Submission Details:

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    Name your document SU_NSG6440_W4_A1_LastName_FirstInitial.doc.

    Week 5 -Assignment 1 Discussion

    Assignment 1: Discussion

    As a family nurse practitioner, you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes in complaining of having difficulty concentrating in school. On exam, you also note that the patient is very thin and frail in appearance and is asking you for diet pills.

    What are some initial areas for concern? What screening tools can help lead you closer to your diagnosis?

    Describe 1 health promotion strategy you can discuss with the patient.

    Be sure to address the following in your plan of care: pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referral/s.

    Your work should integrate course resources (text/s) as well as a minimum of two (2) other evidence-based guidelines and/or articles published within 3–5 years.

    Submission Details:

    Name your document SU_NSG6440_W5_A1_LastName_FirstInitial.doc.

    Submit by Saturday, November 4, 2017.

    Week 6 -Assignment 1 Discussion

    Assignment 1: SOAP Note -NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template.

    SOAP Note: Choose one patient from an area of weakness identified from the Week 1 Pre-Predictor Exam and submit a SOAP note of this patient. Remember to remove all forms of patient identification from the SOAP note format. Provide a reference (s) for the differential diagnosis and treatment plan in APA format. The reference should be within a 3-5 year time frame and come from a textbook, guideline, or currently published peer reviewed journal article.

    Submission Details:

    By Wednesday, November 15, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

    Include the reference number from eMedley in your document.

    Submit your SOAP note into the discussion area below by Sunday, November 12, 2017 along with clinical insights about your case.

    Respond to two peers with a substantial response that includes supportive references by Wednesday, November 15, 2017.

    Week 7 -Assignment 1 Discussion

    Assignment 1: Grand Rounds

    As a major project in this course, you will deliver a Grand Rounds presentation.

    The health care topic for this presentation will be decided by your course faculty based on the results of the APEA Pre-Predictor Exam in Week 1. Your presentation will consist of a patient scenario that you experienced in your clinical setting. The format of your presentation can be Microsoft PowerPoint. APA format is also expected, and references should be cited. Include references at the bottom of the slides and a final reference list on the last slide.

    Your goal is to:

    Provide a case study to go with the diagnosis.

    Utilize research articles or other materials to support your findings.

    Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).

    Discuss best practices for optimal outcomes.

    In addition to submitting your presentation, you will also be expected to lead a discussion throughout the week. You will want to keep the presentation interesting, professional, and focused to the topic.

    When the week is over, you will update, revise, and complete your presentation on the basis of student comments and instructor feedback.

    In Week 1, the instructor will divide the class into groups and assign you a week in which you will be expected to present your case. Some of you will present in Week 4, some will present in Week 7, and the remainder will present in Week 9.

    Those who are not presenting in a given week are responsible for participating in at least two presentations.

    For additional details, please see the Grand Rounds assignment page in the week in which you are assigned to present.

    Submission Details:

    Name your document SU_NSG6440_W7_A1_LastName_FirstInitial.doc.

    Submit by Saturday, November 18, 2017.

    Week 8 – Assignment 1 Discussion

    Assignment 1: SOAP Note

    Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template.

    SOAP Note: Choose one patient from an area of weakness identified from the Week 1 Pre-Predictor Exam and submit a SOAP note of this patient. Remember to remove all forms of patient identification from the SOAP note format. Provide a reference (s) for the differential diagnosis and treatment plan in APA format. The reference should be within a 3-5 year time frame and come from a textbook, guideline, or currently published peer reviewed journal article.

    Submission Details:

    By Wednesday, November 29, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

    Include the reference number from eMedley in your document.

    Submit your SOAP note into the discussion area below by Sunday, November 26, 2017 along with clinical insights about your case.

    Respond to two peers with a substantial response that includes supportive references by Wednesday, November 29, 2017.

    Week 9 -Assignment 1 Discussion

    Assignment 1: Grand Rounds NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    This week continues the Grand Rounds presentations as assigned by the instructor.

    Those who are not presenting this week are responsible for participating in at least two presentations.

    Keep in mind the following guidelines while taking part in this assignment:

    For those who are presenting, post your presentation to this Discussion Area by Saturday, December 2, 2017. Begin facilitating the discussion and continue to lead it throughout the week.

    For those who are participants this week, begin participating on Saturday, December 2, 2017, and continue until the end of the week.

    For the presenters:

    The Grand Rounds presentation should consist of a patient scenario that you experienced in your clinical setting or a diagnosis that has been covered within the course material prior to this week. This may be presented in Microsoft PowerPoint or Microsoft Word format

    Your goal is to:

    Provide a case study to go with the diagnosis.

    Utilize research articles or other materials to support your findings.

    Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).

    Discuss best practices for optimal outcomes.

    In addition to submitting your presentation, you will also need to lead a discussion. Here are some guidelines:

    To prepare for your presentation, rehearse the key points and findings of your research and think about points you can make to initiate the discussion and keep it going.

    Develop questions you can ask to initiate the discussion and keep it going.

    As you approach the end of the discussion period, ask participants to:

    Summarize the discussion.

    Draw conclusions from the collective group discussion.

    Keep the presentation interesting, professional, and focused to the topic. APA format is expected and references should be cited. If you are presenting on Microsoft PowerPoint, include references at the bottom of the slide(s) and a final reference list on the last slide.

    When the week is over, update/revise/complete your presentation based on students’ comments and instructor’s feedback.

    For the participants:

    Those who are not assigned to present this week should review at least two presentations and participate in the discussion. Here are some guidelines for participation:

    Prepare for the discussion by reading the presenter’s submission.

    Keep your participation at the level of critical thinking—analyzing, synthesizing, and evaluation. Make connections between what you are learning in this course and what you already know.

    Make comparisons, note contrasts, and challenge points of view. Interact with both presenters and other students.

    Add to the experience what you might have read about the topic or experienced personally.

    Be prepared to substantiate your points of view.

    At the end of the week, be prepared to summarize or draw conclusions from the presentation experience.

    Week 10 – Assignment 1 Discussion

    Assignment 1: Evidence-Based Clinical Intervention

    By Friday, December 8, 2017, submit your Evidence-Based Clinical Intervention to the Discussion Area.

    Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:

    The medical problem/diagnosis/disease.

    Typical presenting signs and symptoms including:

    Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected

    Concomitant disease states associated with the diagnosis

    The pathophysiology of the problem.

    Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.

    Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.

    The expected outcomes of the intervention.

    Algorithms if available.

    A typical clinical note in SOAP format.

    Respond to at least two of your classmates’ Evidence-Based Clinical Interventions using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

    Week 10 -Assignment 2 Discussion

    Assignment 2: Reflection

    By Saturday, December 9, 2017, reflect on the course and what you have learned over the last ten weeks. Write up a brief summary of how you meet each course objective. Include examples from both the course and practicum experiences. NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

    Post your response to the Discussion Area by Saturday, December 9, 2017. Include references to support your work. Respond to at least two of your peers providing substantial feedback supported with references.

    NSG6440 Practicum IV: Family Health – Primary Care Study Guides & Discussion Essay Assignment Papers

  • NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

    NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

    Week 1 discussion

    Discussion 1

    This discussion prompt refers to the Pathways to Safer Opioid Use simulation.

    After participating in the Pathways to Safer Opioid Use simulation exercise, reflect on the following.

    Have you empowered a patient to believe they could make needed lifestyle modifications irrespective of the barriers that exist in their environment? Please provide examples. If so, you were engaged in health promotion activities as part of your nursing role.

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    Where there any strategies used in this simulation exercise that you use to improve patient health literacy? Are there any that you use that were not mentioned here? In your experience, how effective are these strategies?

    What are some of the biggest challenges you encounter when trying to improve health literacy? What solutions can you offer to manage these challenges?

    Discussion 2

    Choose two emerging populations, such as Latino/Hispanic Americans, Asian Americans/Pacific Islanders, or Black/African Americans. How do health issues differ between the two populations?

    Week 2 discussion – NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

    Discussion 1

    How should you respond if your health promotion values conflict with a client’s values?

    Discussion 2

    What ethical issue have you recently encountered when teaching health promotion strategies to a patient? What ethical decision-making process did you use?

    Week 3 discussion

    Discussion 1

    How should you use Gordon’s Functional Health Patterns to assess individual health? What health screening interventions do you regularly participate in?

    Discussion 2

    What family characteristics may contribute to potential or actual dysfunctional health patterns?

    Week 4 discussion

    Discussion 1 Watch the Ted Talk video,

    What if our health care system kept us healthy?

    Watch Video

    Rebecca Onie: What if our healthcare system kept us healthy?

    Duration: (16:35)

    User: TED – Added: 6/12/12

    What role does your facility play in keeping people healthy? Would the Health Leads program work in your facility? Why or why not?

    Discussion 2

    How do the nutrition and fitness goals in Healthy People 2010 compare to those in Healthy People 2020?

    Week 5 discussion – NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

    Discussion 1

    What resources do you use to determine safety and effectiveness of complementary and alternative medicine?

    Discussion 2

    Discuss some of the psychophysiological aspects of stress. Which evidence-based stress management interventions do you apply to clinical practice? How effective are they?

    Week 6 discussion

    Discussion 1

    What methods can nurses use to actively influence health policies and legislation?

    Discussion 2

    Discuss the controversy regarding childhood immunization and the potential affect on community health.

    Week 7 discussion

    Discussion 1

    What essential elements should be included in a health teaching plan addressing physical, emotional, social, and spiritual challenges in adolescents?

    Discussion 2

    Discuss factors that contribute to risk-taking behaviors and situations during adolescence. What impact might stress play on this age group? Do you see any connection between stress and common adolescent risk factors? Consider the findings from the 2013 APA report Stress in America on millennials (pages 19-21 of the report).

    Week 8 discussion

    Discussion 1

    Please watch the film, And the Band Played On.

    This film may be available on the Internet through free sites such as Youtube and Vimeo (please note: accessing these sites is at your own risk). You may also view the film for purchase online through sites such as Amazon or HBO.

    What factors inhibited the early war against acquired immunodeficiency syndrome (AIDS)? Do you believe the AIDS outbreak could have been stopped? Why or why not? What role does advocacy play in the film? How much publicity does HIV/AIDS receive today? What’s the story of HIV/AIDS in the 21st century? Explain.

    Discussion 2

    How do occupation and culture influence psychosocial stressors that affect middle-aged adults? How does your occupation influence psychosocial stressors?

    Week 2 Ethical Health Promotion Paper

    Find a scholarly, peer-reviewed article no more than four years old that discusses an ethical health promotion-related issue. Use the WCU library databases to search for appropriate articles.

    In your paper:

    Briefly summarize the presented issue.

    Describe your thoughts on the role health care professionals should play in resolving the ethical issue.

    Provide specific theories and refer to specific ethical codes to support your position.

    Your paper should be 2–3 pages long. Use APA to cite and reference the article and any other optional sources you use. Adhere to APA formatting throughout your paper.

    Week 3 Community Strategic Plan: Part A, Community Assessment – NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

    For this assignment, identify an area of focus in community health within your own community.

    Using Gordon’s Functional Health Patterns framework (p. 130 in your e-text), assess the health risks in your community.

    In your community assessment paper, include the following:

    Identify resources in your community that would enable you to complete a community assessment and submit a summary of your findings (1–2 paragraphs).

    Refer to Table 8-2: Examples of Community Strengths and Concerns, and assess the strengths and concerns of your community (2–3 paragraphs).

    Identify potential barriers to implementing community health plans in your community and brainstorm ways of addressing these barriers (2–3 paragraphs).

    Plan ahead: Next week, as Part B of this assignment, you will select one (1) identified risk from this assessment to develop a community-focused strategic plan to address that health risk. It is recommended that you look ahead to next week’s assignment so that you can begin framing your chosen community health focus.

    Your paper should be 2–3 pages in length, not including the cover and reference pages. Use APA throughout.

    You must include 2–3 sources that are APA cited and referenced in your paper. (Sources may include community resources such as flyers, brochures, interviews, news stories, and local research data from credible sources.)

    Review the rubric for further information on how your assignment will be graded.

    Week 4 Community Strategic Plan: Part B, Strategic Plan

    For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.

    Potential topics may include:

    • Using prenatal and infancy home visits to prevent child abuse and neglect

    • Preventing falls in the elderly

    • Reducing population salt intake

    • Reducing tobacco use among adults

    • Preventing risky sexual behavior among youth and young adults

    • Reducing drug experimentation among young adults

    Include the following in your NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers:

    Introduction:

    Provide an overview of the community health issue as described in Part A with identified causes and influences, including knowledge gaps.

    Detail the prevalence of the issue inside and outside the United States.

    Describe potential monetary costs associated with the issue in the United States.

    You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).

    Describe advance practice roles and management strategies that affect change at the community level.

    Identify key community and social resources that negatively and positivelyaffect the selected issue.

    Identify changes or enhancements in community-related services for your selected topic.

    Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.

    Conclusion:

    A summary of the goals and challenges

    An assessment of the outlook for action/progress

    Appendix A: Include your community assessment from Week 3 as Appendix A.

    Your paper should be 3–5 pages in length (not including the cover or reference pages). Use APA throughout.

    Include 2–3 scholarly sources that are carefully selected and appropriate to the topic. References should be current—no more than four years old.

    Due: Sunday, 11:59 p.m. (Pacific time)

    Points: 110

    Review the rubric for further information on how your assignment will be graded.

    Before you begin, review some strategic plans to garner ideas for developing your own strategic plan.

    ACL strategic plan (2013–2018)

    A strategic plan to make improvements in the network of community-based long term care and supportive services for older adults and adults with disabilities in San Francisco

    Week 5 Disease Analysis Paper

    For this NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers assignment, you will select a disease of your choice and conduct a detailed analysis of that disease, exploring it from a balanced traditional and alternative health perspective.

    Begin by searching the Center for Disease Control (CDC) website Diseases and Conditions Index to choose a disease or condition of interest to you.

    Next, review the website for Healthy People 2020 for information related to the disease or the disease category (e.g., mental health for ADHD).

    In your paper, discuss the following:

    Prominent aspects of this disease

    Current data and statistics related to the disease

    Health disparities related to the disease

    Prevention strategies including complementary and alternative health therapies

    Contemporary research and clinical studies related to the disease

    An analysis of the pathophysiologic effects of stress related to the disease

    Evidence-based stress management interventions that might help with prevention or cure

    The paper should be between 3–4 pages.

    Incorporate at least three scholarly sources within the paper. Sources should be no more than three years old.

    Use proper APA format to cite and reference sources.

    Review the rubric for further information on how your assignment will be graded.

    Due: Sunday, 11:59 p.m. (Pacific time)

    Week 7 Adolescent Health Risk Seminar

    For this assignment, you will develop and deliver a 10–15 minute seminar/workshop aimed at the teen or young adult audience on a specific health risk associated with the population. you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool.

    * If you predominantly work with a specific population and would like to present a relevant health risk seminar to that population, you must seek instructor approval in advance. Email your instructor through the Virtual Office.

    1. Choose a health risk associated with adolescence. Some categories to consider may include:

    Suicide

    Pregnancy

    Substance use and abuse

    Motor vehicle crashes

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    Tobacco use

    Sexually transmitted disease

    Domestic violence

    Mental health issues

    Sexual identity issues

    Eating disorders

    Nutrition and fitness

    2. As the health care advocate, you will present the following to the target audience (adolescents or young adults)in 10-15 slides or screens:

    An overview of the risk factor

    Contributing factors

    Prevalence of the health risk (meaningful data)

    Explain your role with the issue as a health care practitioner/advocate

    Ways to identify a problem and address the issue

    Present an activity or project or exercise for the audience to engage in related to the topic

    Help and support resources

    3. In your research materials, incorporate 3–4 current sources with one containing the most current statistics.

    4. Use age-appropriate creativity to ensure the message gets across to the selected audience.

    As you plan your seminar, consider:

    How will you initiate a conversation (rather than give a lecture)?

    How will you keep the attention and respect of this audience?

    5. Use APA for citing and referencing your sources.

    6. Keep your design and audio appropriate to the audience, yet professional. Your presentation must include both audio and visual components and be professional in nature.

    What is a seminar?

    See this week’s Resource folder for curriculum and topic ideas.

    Review the rubric for further information on how your assignment will be graded.

    Submit your final presentation here for grading and post a copy in the discussion board to share with your peers

    Due: Sunday, 11:59 p.m. (Pacific time)

    Points: 300

    Week 7 Final Adolescent Health Risk Seminar Presentation

    Click the link above to post a copy of your final presentation to the discussion board to share with your classmates no later than Sunday, 11:59 p.m. (Pacific time).

    (You must also submit it to the assignment folder above for grading.) In the final presentation discussion board, review and comment on at least four presentations by the end of the course (for a total of 4 comments, minimum). You are encouraged to view and comment on as many peer projects as you can. NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

    Week 8 Global Health Risk Paper

    Choose a global health issue. For this assignment, you will introduce the health issue and discuss the interventions necessary to prevent the issue and promote health.

    Some topics to consider may include:

    Anthrax

    Bioterrorism

    Cholera

    Clostridium botulinum infection

    Community-associated methicillin-resistant Staphylococcus

    Ebola virus disease

    Escherichia coli

    Human immunodeficiency virus disease

    Malaria

    Plague

    Severe respiratory distress syndrome

    Small pox

    Suicide

    Tuberculosis

    Vancomycin-resistant enterococcus infection

    West Nile virus

    Include the following in your paper:

    Introduction/overview of the health issue and the prevalence in the United States and worldwide

    Contributing factors

    Prevention strategies

    Signs and symptoms

    Diagnostic tests (if applicable)

    Advanced practice nursing role and management strategies

    Medical/pharmacological management (if applicable)

    Follow-up care

    Conclusion

    Write a 3–4 page paper following APA format. You must include 2–3 scholarly sources in your citations and references.

    Review the rubric for further information on how your assignment will be graded.

    Due: Sunday, 11:59 p.m. (Pacific time)

    Points: 100

    NURS 561 Health Promotion & Disease Prevention Study Guides & Discussion Essay Assignment Papers

  • Depression: How Illnesses and Injuries Affect the Mind Essay Assignment Paper

    Depression: How Illnesses and Injuries Affect the Mind Essay Assignment Paper

    Assignment: How Illnesses and Injuries Affect the Mind

    Health complications can be stressful, especially in more vulnerable populations like young children and the elderly. With stress and loss of function often come depression and other psychological manifestations. As a nurse, part of your job is to recognize and educate patients and caregivers on how to deal with the psychological complications of a health crisis.

    Develop a teaching plan for treating the potential psychological issues that may result from health crises in either the elderly or young children. You will use PowerPoint to present your teaching plan. Some considerations to make include:

    · In what ways does mental health need to be considered across the illness/injury continuum?

    · How can nurses help both patients and caregivers work through mental blocks and depression associated with an illness or injury?

    · Although treatment will take place in a medical facility, how can non-medical treatments be used as a supplement?

    Include the main elements of your presentation to a group of parents or elderly or their caregivers. This PowerPoint presentation should include between 8–10 slides. It will be assessed using the How Illnesses and Injuries Affect the Mind Rubric. Prior to submitting your Assignment, make sure to review the rubric, which is located in the Course Information area. Depression: How Illnesses and Injuries Affect the Mind Essay Assignment Paper.

    Writing Resources and Program Success Tools

    · .waldenu.edu/bbcswebdav/institution/USW1/201830_03/BS_NURS/NURS_4005/artifacts/USW1_NURS_4005_AWE_Checklist_4000Level.docx” title=”AWE Checklist (Level 4000)”>AWE Checklist (Level 4000)

    This checklist will help you self-assess your writing to see if it meets academic writing standards for this course.

    ·

    For this Depression: How Illnesses and Injuries Affect the Mind Essay Assignment Paper, review the following:

    · AWE Checklist (Level 4000)

    · The Week 3 Assignment Rubric for additional instruction and guidance

    Depression: How Illnesses and Injuries Affect the Mind Essay Assignment Paper

  • Electrolyte imbalance paper

    Electrolyte imbalance paper

    WEEK 3 DQ1 Share a case study of an electrolyte imbalance from your practice or from the literature. Summarize the case study in 1-2 paragraphs. Then discuss the clinical manifestations of the imbalance, the pathophysiology behind the imbalance, normal cell membrane transport of the electrolyte(s), and any alterations in cell membrane transport caused by the imbalance. How was the electrolyte imbalance resolved? Analyze the case study to determine any areas in which patient or staff education may have helped to prevent the electrolyte imbalance.

    Q2

    ORDER A PLAGIARISM-FREE PAPER NOW

    A widespread belief is that caffeine has a diuretic effect when consumed and will induce dehydration if used by athletes or those who perform strenuous exercise. Discuss the pathophysiology behind this belief. Share your thoughts on whether you agree or disagree that caffeine can induce dehydration. Support your answer with evidence-based literature.

    Electrolyte imbalance paper

  • Walden nurs6052 all week discussions

    Walden nurs6052 all week discussions

    Week 1 discussion

    Nursing Research and Evidence-Based Practice

    In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

    Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

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    To prepare:

    Consider a recent clinical experience in which you were providing care for a patient.

    Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

    What questions have you thought about in a particular area of care such as a procedure or policy?

    Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.

    Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.

    Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

    By Day 3

    Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional strategies for addressing barriers to EBP based on readings and evidence.

    Week 2 discussion

    Literature Searches

    An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.

    For this Discussion, you will practice searching the literature to find evidence on a specific topic.

    To prepare:

    Choose a simple search term(s) relating to a topic of your PICOT question.

    Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.

    Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.

    Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.

    Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?

    By Day 3

    Post a summary of your search. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. Compare the types of information found in the articles from different levels and the value of the information from each level. Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings.

    Week 3 discussion

    Theory, Research, and Evidence-Based Practice

    As they explore the world around them, young children often want to know the “why” and “how” of the things they observe. This is similar to what researchers do when they approach a new problem. Researchers develop new theories or build on old ones to explain the “why” of the world around them. They use models and conceptual frameworks to help explain “how” the processes and events they observe occur. Together, theories and models provide an understanding of the world and allow researchers to explore it in meaningful ways.

    Virtually all research questions can benefit from the use of an existing theory or model. Researchers should consider their research questions and select the most suitable theory or model, which then serves as a foundation for the research design. The selection of a theory or model is an important part of the research process.

    In this Discussion, you focus on the role of theory and models in research and evidence-based practice.

    To prepare:

    Review the information in Chapter 6 of the course text. Focus on the various conceptual theories and models that are currently used in nursing research.

    Select one of the theories or models described that is of interest to you.

    Using the Walden Library, search for and identify a research article that uses the theory or model you selected.

    Reflect on how the theory or model provides structure to the research study described in the article.

    Now, think about an issue in your practice area that you would be interested in exploring through research.

    Review this week’s media presentation and consider strategies for locating and identifying a relevant theory or model for a research study.

    By Day 3

    Post a summary of the article that you located and explain how the theory or model that you selected was used in the research study. Assess the value of basing research on an established theory or model.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Week 4 discussion

    Ethical Dimensions of Research Studies

    In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval.

    This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research.

    To prepare:

    Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.)

    As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified?

    By Day 3

    Post a description of the case that you selected and the ethical issues involved. Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es). Suggest how the research might have been conducted differently to avoid or minimize the ethical problems. Discuss how research can be done on sensitive issues while still protecting the rights of the research subjects.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Week 5 discussion

    Quantitative Research Designs

    In order to find the best information on a topic, not only should you develop a question and search for resources, but you should also know how to analyze the value of the resources that you identify. There are different ways to evaluate resources, such as using the hierarchy of evidence, which you explored in Week 4 of this course. Another way to evaluate resources is to consider the appropriateness of the research design. Understanding how research designs contribute to the quality of a study is essential for being able to analyze resources when conducting a literature review or locating evidence for practice.

    In this Discussion, you consider the different research designs and evaluate how these designs have been used to research a specific topic. You also consider strategies for selecting an appropriate research design.

    To prepare:

    Review the information in the course texton quantitative research designs. Focus on the information in Box 9.1, “Guidelines for Critiquing Research Designs in Quantitative Studies” located on page 230 of the course text.

    Select a topic from the list below and search the Walden Library to find two different quantitative research studies addressing that issue:

    Caregiver stress

    Anxiety in children

    Sleep apnea

    Depression in college freshmen

    Rural health care issues

    Post-traumatic stress syndrome

    Traumatic brain injury in veterans

    Health effects of environmental contaminants

    Bipolar disorder

    End-of-life ethical issues

    Alternative medicine

    For each of the sources that you select, identify the type of quantitative research design used, and evaluate whether it is the most appropriate approach to the research.

    Consider the ramifications of choosing an inappropriate design for a research study.

    By Day 3

    Post the topic you selected, references for the two sources you identified, and the quantitative research design used in each. Critique the appropriateness of the design used and justify your comments with information from the Learning Resources. Discuss the ramifications of choosing an inappropriate design for a research study.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days in one or more of the following ways:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Week 6 discussion

    Validity in Quantitative Research Designs

    Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research.

    To prepare:

    Review the information in Chapter 10 of the course text on rigor and validity.

    Read the method section of one of the following quasi-experimental studies (also located in this week’s Learning Resources). Identify at least one potential concern that could be raised about the study’s internal validity.

    Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.

    Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.

    Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.

    Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity.

    Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice.

    By Day 3

    Post the title of the study that you selected and your analysis of the potential concerns that could be raised about the study’s internal validity. Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity. Discuss the dangers of failing to consider the validity of a research study.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues in one or more of the following ways:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 7 discussion

    Qualitative Research Designs

    For the past 2 weeks, you have focused on the features and considerations of quantitative research designs. However, quantitative designs are not appropriate for all research questions. Perhaps you are concerned with how patients react when confronted with negative test results, or you wish to study how views on a certain health topic change over time. In each of these cases, the emphasis is more on understanding the thinking and experiences of an individual or group than on numerical measurements. For these types of questions, a qualitative or mixed methods research design is the most appropriate.

    For this Discussion, you focus on the different types of qualitative research designs, when they are used, and why they are important.

    To prepare:

    Reflect on the comments made by Dr. Mauk in this week’s media presentation on the value of qualitative research in nursing.

    Locate the journal Qualitative Health Research in the Sage Premier database in the Walden Library.

    From this journal, select an article of interest to you that was published within the last 3 years.

    Review the information on different qualitative research designs in Chapter 21 of your course text.

    Determine what qualitative research design was used in your selected article and evaluate whether it was the best choice.

    Consider ethical issues involved in the study and how the researchers addressed them.

    Think about how using a quantitative design would have affected the type of data gathered.

    By Day 3

    Post an APA citation for the article that you selected and provide a brief summary of the content and the qualitative research design used. Evaluate the appropriateness of the design, and explain how ethical issues in the study were addressed. Analyze how the study would have been different if a quantitative design had been used.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 8 discussion

    Planning for Data Collection

    Data collection is an important part of both quantitative and qualitative research. Although the actual approach to gathering information may vary, for either research design, researchers need to plan in advance how the data will be gathered, reported, and stored, and they need to ensure that their methods are both reliable and valid. As nurses review research when considering a new evidence-based practice, it is important to be familiar with sound collection practices in order to ascertain the credibility of the data presented.

    Consider the following scenario:

    Nurses and other health care professionals are often interested in assessing patient satisfaction with health care services. Imagine that you are a nurse working in a suburban primary care setting that serves 10,000 patients annually. Your organization is very interested in understanding the patient’s point of view to help determine areas of care that can be improved. With this focus in mind, consider how you would create a survey to assess patient satisfaction with the services your organization provides. You may wish to consider variables such as the ease of accessing care, patient wait time, friendliness of the staff, or the likelihood that a patient would recommend your organization to others.

    For this Discussion, you generate questions and an overall plan for data collection that would be appropriate for a patient satisfaction survey in relation to the above scenario.

    To prepare:

    Consider the guidelines for generating questions presented in this week’s Learning Resources.

    Review the scenario and formulate at least five questions that you could use to evaluate patient satisfaction.

    Reflect on the different methods or instruments that can be used for gathering data described in Chapter 13 and Chapter 22 of the course text. Which methods or instruments would work well for the scenario?

    Determine an appropriate sample size for the scenario.

    By Day 3

    Post the questions that you created for gathering information about patient satisfaction based on the above scenario. Explain which method or instrument you would use to gather data. Describe the sample size appropriate for the population and how you would select participants. Provide a rationale for your choices, and explain how you can ensure high standard of reliability and validity.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from the readings or after synthesizing multiple postings.

    Week 9 discussion

    Data Analysis—Small Group Discussion

    As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.

    In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups.

    To prepare:

    Review the information in your assigned chapter.

    As a group, develop a 1-page study sheet that includes the following:

    The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies.

    A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies.

    An explanation of the key statistical tests and how they measure significance (if applicable).

    Note: This should be a collaborative effort, with each member of the group making contributions to the design and content of the study sheet. Use the Groups link on the left navigation bar to collaborate with your group. When you have developed your 1-page study sheet, select one member to post it to the Week 9 Discussion Forum so that the rest of your colleagues can access it.

    By Day 5

    Post your group’s study sheet. Discuss why it is important for nurses to understand the basics of these statistical methods.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two other groups on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Week 10 discussion

    Weighing the Evidence

    When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research.

    In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.

    To prepare:

    Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.”

    Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion.

    Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions?

    Consider possible alternate conclusions that the researchers could have drawn based on their data.

    Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

    By Day 3

    Post an APA citation and brief summary of the research article that you selected. Describe the data and the results of any statistical tests or analyses presented in the article. Explain how the researchers formulated their conclusion, any weaknesses in their analysis or conclusions, and offer at least one alternate interpretation of their data. Propose at least one additional research study that could be done to further investigate this research topic.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 11 discussion

    Creating a Culture of Evidence-Based Practice

    An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

    In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

    To prepare:

    Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.

    Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?

    Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.

    Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?

    Reflect on how nurses can disseminate findings from evidence-based practice research.

    By Day 3

    Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Walden nurs6052 all week discussions

  • NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Week 1 discussion

    The Effects of “To Err Is Human” in Nursing Practice

    The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’” have guided significant changes in nursing practice in the United States.

    In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.

    To prepare:

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    Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Consider the following statement:

    “The most significant barrier to improving patient safety identified in “To Err Is Human”is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”

    Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.

    By Day 3

    Post your thoughts on how the development of information technology has helped address the concerns about patient safety raised in the “To Err Is Human” report. Summarize how informatics has assisted in improving health care safety in your organization and areas where growth is still needed.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 2 discussion

    Nursing Informatics Competencies

    Today’s fast-paced health care environment demands nurses to be skilled not only in their clinical practice or specialty area but in the use of technology tools that improve practice and lead to better patient care. Basic and advanced technology competencies are required and expected as technology increasingly touches and changes the job of every nurse. Numerous organizations, including the American Nurses Association (ANA), the American Medical Informatics Association (AMIA), and Healthcare Information and Management Systems Society (HIMSS), have developed nurse-specific technology competencies. The challenge for nurses is to identify both needs and training opportunities.

    In this Discussion, you identify the role informatics plays in your professional responsibilities. You pinpoint personal gaps in skills and knowledge and then develop a plan for self-improvement. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    To prepare:

    Review Nursing Informatics: Scope and Standards of Practice in this week’s Learning Resources, focusing on the different functional areas it describes. Consider which areas relate to your current nursing responsibilities or to a position you held in the past. For this Discussion, identify one or two of the most relevant functional areas.

    Review the list of competencies recommended by the TIGER Initiative. Identify at least one skill in each of the main areas (basic computer competencies, information literacy competencies, and information management competencies) that is pertinent to your functional area(s) and in which you need to strengthen your abilities. Consider how you could improve your skills in these areas and the resources within your organization that might provide training and support.

    By Day 3

    Post the key functional area(s) of nursing informatics relevant to your current position or to a position you recently held, and briefly describe why this area(s) is relevant. Identify the TIGER competencies you selected as essential to your functional area(s) in which you need improvement. Describe why these competencies are necessary and outline a plan for developing these competencies. Include any resources that are available to you within your organization and the ways you might access those resources. Assess how developing nursing informatics competencies would increase your effectiveness as a nurse.NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using the following approach: Assume the role of a consultant. Respond to your colleagues as someone who can offer advice on improving their skills on the competencies they identified as needing improvement. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Week 3 discussion

    Standardized Coding Systems

    As a result of the fragmented nature of the health care system, professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that specialty. In the past, limited attention has been given to codifying practices in order for them to be understood and utilized across disciplines or through different information technology systems. The implementation of a federally mandated electronic medical records system, therefore, poses a challenge to nursing professionals and others who must be prepared to utilize standardized codes for the new system. Why are coding standards important for promoting consistent, high-quality care?

    According to Rutherford (2008, para. 15), “Improved communication with other nurses, health care professionals, and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language.” In this Discussion you consider the reasoning behind and the value of standardized codification. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    To prepare:

    Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise.

    Reflect on the importance of continuity in terminology and coding systems.

    In the article, “Standardized Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies.

    Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then, identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology.

    By Day 3

    Post an explanation of why nurses need to document care using standardized nursing languages and whether this standardization can be limited to specialty areas or if it should be across all nursing practice. Support your response using specific examples from your own specialty or area of expertise and using at least one additional resource from the Walden Library. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 4 discussion

    Current Information and Communication Technologies

    With so much attention focused on health care reform, it is important that nurses be given the opportunity to use high-quality technology tools. These tools can increase access to vital medical information, promote effective communication among health care professionals, and improve the patient experience. By actively seeking out and adopting these tools, nurses can greatly enhance the quality and safety of care that they provide. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    This Discussion focuses on identifying quality technology tools that increase the ability of nurses to provide safe, effective care.

    To prepare:

    Review the various technology tools described in this week’s Learning Resources.

    Identify a recently adopted information, education, or communication technology tool in your specialty area. Reflect on how it is used and how its use impacts the quality of care.

    Consider how your identified technology tool might impact nursing practice if it were more widely used. What are some barriers preventing increased usage? How could wider implementation be facilitated?

    By Day 3

    Post a description of a current or new information, education, or communication technology tool that is being used in your specialty area and assess its impact on the quality of care. Highlight the effect that increased use of this technology would have on nursing practice and discuss the barriers that are slowing or hindering its adoption. Summarize how adoption of the technology tool could be facilitated.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 5 discussion

    Electronic Health Records

    Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.

    To Prepare:

    Review the Learning Resources focusing on the implementation of EHRs in an organization. Reflect on the various approaches used.

    If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?

    Reflect on the reactions of others during the implementation process. Were concerns handled effectively?

    If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.

    Search the Walden Library for examples of effective and poor implementation of EHRs.

    By Day 3

    Post an overview of at least three challenges in the implementation of electronic health records and provide an example of each challenge. Develop strategies for addressing each challenge based on what has been demonstrated to be successful. Cite your resources. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    Week 6 discussion

    Successful Implementation of Electronic Health Information Technology

    Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?

    This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system. In this Discussion, you are asked to consider the role of nurses in the SDLC process.

    To prepare:

    Review the steps of the systems development life cycle.

    Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system.

    Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses?

    Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system? NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    By Day 3

    Post an analysis of the ramifications of an organization not involving nurses in each stage of the systems development life cycle when purchasing and implementing a new HIT system. Give specific examples of potential issues at each stage and how the inclusion of nurses could help avoid such issues.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight fro NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papersm having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 7 discussion

    Understanding Workflow Design

    As you explored last week, the implementation of a new technology can dramatically affect the workflow of an organization. Newly implemented technologies can initially limit the productivity of users as they adjust to their new tools. Such implementations tend to be so significant that they often require workflows to be redesigned in order to achieve improvements in safety and patient outcomes. However, before workflows can be redesigned, they must first be analyzed. This analysis includes each step in completing a certain process. Some systems duplicate efforts or contain unnecessary steps that waste time and money and could even jeopardize patient health care. By reviewing and modifying the workflow, you enable greater productivity. This drive to implement new technologies has elevated the demand for nurses who can perform workflow analysis.

    In this Discussion you explore resources that have been designed to help guide you through the process of workflow assessment. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    To prepare:

    Take a few minutes and peruse the information found in the article “Workflow Assessment for Health IT Toolkit” listed in this week’s Learning Resources.

    As you check out the information located on the different tabs, identify key concepts that you could use to improve a workflow in your own organization and consider how you could use them.

    Go the Research tab and identify and read one article that is of interest to you and relates to your specialty area.

    By Day 3

    Post a summary of three different concepts you found in “Workflow Assessment for Health IT Toolkit” that would help in redesigning a workflow in the organization in which you work (or one with which you are familiar) and describe how you would apply them. Next, summarize the article you selected and assess how you could use the information to improve workflow within your organization. Finally, evaluate the importance of monitoring the effect of technology on workflow. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Read a selection of your colleagues’ responses. Focus particularly on questions raised for which you can add comments based on your experiences or situations. Consider how your colleagues’ postings reflect and/or differ from your own perceptions and opinions. Review the Learning Resources for any clarification needed before responding.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    Week 8 discussion

    Using Health Information Technology as a Source of Evidence-Based Practice

    Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

    To prepare:

    Read the following scenario from the text (McGonigle & Mastrian, 2011, p. 482):

    Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    Consider how the resources identified in the scenario above could influence an organization’s practice.

    Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

    By Day 3

    Post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Read a selection of your colleagues’ responses. Focus particularly on those questions raised to which you can add comments based on shared experiences or situations. Consider how your colleagues’ postings reflect and/or differ from your own perceptions and opinions. Review the Learning Resources for any clarification needed before responding.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Week 9 discussion

    HITECH Legislation

    In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

    Improve quality, safety, and efficiency, and reduce health disparities

    Engage patients and families

    Improve care coordination

    Improve population and public health

    Ensure adequate privacy and security protections for personal health information

    For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    To prepare:

    Review the Learning Resources on the HITECH legislation and its primary goals.

    Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.

    Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.

    Reflect on how the incentives and meaningful use impact the quality of patient care.

    Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

    By Day 3

    Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Week 10 discussion

    Security of Health Care Records

    With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

    In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.

    A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).

    Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    To prepare:

    Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.

    Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?

    Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.

    Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.

    By Day 3

    Post an analysis of the nurse’s responsibility to protect patient information and the extent that HIT has made it easier or more difficult to protect patient privacy. Comment on any security or ethical issues related to the use of portable devices to store information. Assess the strategies your organization uses to safeguard patient information and how these promote a culture of safety. Describe an area where improvement is needed and one strategy that could address the situation.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 11 discussion

    Health Literacy

    In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.

    In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.

    To prepare:

    Think about the nurse’s role in improving the health literacy of patients.

    Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.

    Reflect on experiences you have had with patients who self-diagnose using online medical sources.

    Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    What are some strategies you could employ to improve the health literacy of patients?

    By Day 3

    Post your assessment of the nurse’s role in improving the health literacy of patients. Then, identify the resource you would recommend to patients for evaluating online health information and why it would be beneficial. Describe additional strategies for assisting patients in becoming informed consumers of online health information.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, evidence or research.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Validate an idea with your own experience and additional research.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 4 assignment

    Using the Data/Information/Knowledge/Wisdom Continuum

    Have you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.

    Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.

    To prepare:

    Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.

    Develop a clinical question related to your area of practice that you would like to explore.

    Consider what you currently know about this topic. What additional information would you need to answer the question?

    Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.

    Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.

    Once you have identified useful databases, how would you go about finding the most relevant articles and information?

    Consider how you would extract the relevant information from the articles.

    How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?

    By Day 7 of Week 4

    Write a 3- to 4-page paper that addresses the following:

    Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.

    Identify the databases and search words you would use.

    Relate how you would take the information gleaned and turn it into useable knowledge.

    Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Your paper must also include a title page, an introduction, a summary, and a reference page

    Week 6 assignment

    Assignment: Application: Adoption of New Technology Systems

    As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.

    Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:

    Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.

    Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.

    Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.

    Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.

    Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.

    Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.

    For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    To prepare

    Review the Learning Resources this week about successful implementations of EHRs.

    Consider how you would present the new EHR system to the nurses to win their approval.

    Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?

    By Day 7 of Week 6

    Write a 3- to 5-page paper which includes the following:

    Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.

    Analyze the role of nurses as change agents in facilitating the adoption of new technology.

    Week 8 assignment

    Assignment: Creating a Flowchart

    Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

    In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

    To prepare:

    Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.

    Consider how you would design a flowchart to represent the current workflow.

    Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

    To complete:

    Write a 3- to 5-page paper which includes the following:

    Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.). NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    Next, in your paper:

    Explain the process you have diagrammed.

    For each step or decision point in the process, identify the following:

    Who does this step? (It can be several people.)

    What technology is used?

    What policies and rules are involved in determining how, when, why, or where the step is executed?

    What information is needed for the execution of this step?

    Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

    Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.

    Summarize why it is important to be aware of the flow of an activity.

    Remember to include a cover page, introduction, and summary for your paper

    Week 11 assignment

    Assignment: Health Information Patient Handout

    One of the pivotal goals of consumer health literacy efforts is to design educational materials that attract as well as educate users. In this Assignment, you design a health information document on a topic that is of interest to you.

    To prepare:

    Select a health issue of interest to you.

    Identify the audience or population that you seek to educate about this issue.

    Search the Internet to find credible sites containing information about your selected topic.

    Review the two health literacy websites listed in this week’s Learning Resources. Focus on strategies for presenting information. NURS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

    To complete:

    Design an educational handout on the health issue you selected.

    Include a cover page.

    Include an introduction that provides:

    An explanation of your issue and why you selected it

    A description of the audience you are addressing

    In the handout itself:

    Develop your handout in such a way that it attracts the attention of the intended audience.

    Include a description of the health issue and additional content that will enhance your message (i.e., key terms and definitions, graphics, illustrations, etc.).

    Recommend four or five sites that provide clear, valuable, and reliable information on the topic.

    Note: Remember to keep the information in your health handout and its design at the appropriate level for the audience you are seeking to inform. Submit your Assignment as a Word document.

    By Day 5

    Submit the Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.

    Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.

    Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.

    If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

    Click on the Submit button to complete your submission. URS 6051 Transforming Nursing & Healthcare Through Information Technology Discussion Papers

  • Rasmussen nur2058 – Balancing School and Life – My Quality of Life Self-Care Plan

    Rasmussen nur2058 – Balancing School and Life – My Quality of Life Self-Care Plan

    Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

    The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.

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    Use the Quality of Life Self-Care Wheel to assess your current state. After you determine your scores, in a 2-3 page paper complete the following:

    Discuss those areas that are strengths (higher scores) and those areas that need further development (lower scores).

    Identify two strategies you can use to maintain or maximize each identified strength.

    Identify two strategies you can use to strengthen each area needing development. Explain how you will put these strategies into action. Be specific. For example, instead of stating, “I need to exercise,” your action should state “I will begin to walk 20 minutes a day, 3 days a week.” The action should be SMART- Specific, Measurable, Attainable, Realistic, Timeframe

    Also attach your completed form

    Minimum length 2-3 pages not including cover or referencing. APA formatting

    Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

    rasmussen nur2058 – Balancing School and Life – My Quality of Life Self-Care Plan

  • Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Week 1 -Assignment 2 Discussion

    Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this spirit of inquiry, you are asked in this discussion to:

    Identify a problem or issue from within your specialty area that you feel needs to be improved upon. The Doctor of Nursing Practice site (http://www.doctorsofnursingpractice.org/resources/dnp-scholarly-projects/) provides many examples of these projects. The list below may help focus your thoughts.

    Educational program

    Evidence-based healthcare policy change

    Evidence-based clinical issue or protocol for specific disease/condition

    Discuss the relevance of the issue from your perspective (not the literature at this juncture) in relation to your selected advanced role option.

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    What piqued your interest about this issue or problem?

    How does it relate to your area of specialization?

    What gave you the idea that evidence exists to support this change? See “note” below.

    Provide a rationale as to why this will be an evidence-based project to improve outcomes and not generate new evidence (research). Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Please remember that the project will not be implemented during this course and no data will be collected. The outcome of this course is to complete a project proposal only.

    Week 2 – Assignment 1 Discussion

    Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this spirit of inquiry, you are asked in this discussion to:

    Briefly describe the problem or issue that you have decided to be the topic for your project proposal in order to orient your classmates and faculty

    Indicate how it relates to your area of specialization

    State your PICOT question. Indicate in parentheses after each segment, what part of PICOT the preceding words represent. For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T). Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Discuss which process model resonates with you and will help keep you focused during the project. Process models included in your text (Melnyk & Fineout-Overholt, 2011) are:

    Clinical scholar model

    Stetler model of evidence-based practice

    Iowa model of evidence-based practice to promote quality care

    Model for evidence-based practice change by Rosswurm and Larrabee

    Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model

    Provide feedback to your classmates that focuses on:

    The use of correct PICOT format for the question to guide the literature search.

    Does the question reflect a clinical research question or one appropriate for an evidence-based practice project?

    Week 3 – Assignment 1 Discussion

    In this discussion, you will share your search strategies that you have employed to find evidence for your study. For this discussion:

    State your PICOT question. Did using the terms used in this question lead you to useful research studies?

    What MESH terms have you tried? Did they help you find additional studies? Are you finding MESH terms useful to expand or delimit your search?

    Are you finding relevant articles? If not, how did you modify your search to increase productivity?

    Indicate which databases you used—those you found useful and those that were not.

    What levels of evidence do the studies you are finding represent?

    Post any questions or concerns you may have and provide feedback and recommendations to your classmates. Working together and sharing search strategies is very helpful.

    Use the Search Tracker to keep track of search terms. Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Using the appropriate Rapid Clinical Appraisal (RCA) Tools, appraise one or two articles and add the information to your Evaluation Table to receive feedback from faculty. At this juncture, your table is a work in progress. You will complete it in Week 4. The RCA Tools and Evaluation Table in Word for you to complete can be found in the Week 3 Overview section.

    Week 4 – Assignment 1 Discussion

    Discuss your experience completing the rapid critical appraisal process.

    Was it really “rapid” or was it more of a laborious process?

    Did reading the abstract help you make quick decisions about including or excluding the study?

    What worked best for you in terms of the approach you decided to use to complete the appraisal and Evaluation Table? What didn’t work?

    Post any questions or concerns you may have and provide feedback and recommendations to your classmates. Working together and sharing search strategies is very helpful.

    Week 5 – Assignment 1 Discussion

    This week the discussion focuses on creating a Synthesis Table(s) as a means to summarize and organize the body of evidence from the Evaluation Table. The Synthesis tables will be included in your formal proposal in the Appendix. In the body of the paper, you will describe the “keeper” studies in narrative format.

    For this discussion, include the following:

    Share your approach to synthesizing the evidence. What were the variables of interest you identified?

    Learning to write in a scholarly fashion requires that you are able to succinctly summarize an article in a sentence or two and cite it appropriately using APA format. In this discussion, practice summarizing 2 articles you have identified from the Synthesis Table as pertinent to your proposal. Include the level of evidence, study design, and evidence of rigor. Use appropriate APA citation in text and references. Incorporate feedback from peers and faculty in your Dropbox assignment for this week.Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    In addition to research studies, patient preference and clinical expertise should also be considered. Discuss how you will incorporate these important perspectives into your project proposal.

    Week 6 – Assignment 1 Discussion

    For this week’s discussion, please address the following:

    Briefly describe the clinical issue or problem for your project, the setting, and population of interest to orient classmates and faculty

    Write your clinical question

    Describe the intervention you plan to test

    What type of study will you conduct? Will it be experimental? Quasi-experimental? Provide a rationale for your answer.

    Provide feedback on the clinical questions of your colleagues

    Week 7 – Assignment 1 Discussion

    This discussion will focus on the measurement tools you will use to evaluate change from the intervention. The purpose of this discussion is to fine-tune your thinking about evaluation by receiving feedback from colleagues and faculty. Include in your discussion:

    Write a brief description of your project that starts by stating your clinical question and succinctly explaining your planned intervention in order to orient everyone.

    Will you need to develop your own evaluation tools or are valid and reliable tools available?

    If you create your own tools, what are your thoughts on pilot testing them? How will you go about this? Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Will you gather baseline data? Will you use pre- and posttests? How will you measure change?

    How will you identify the participants for your study? How does the sampling method chosen further define the type of study you will be doing?

    How will you ensure confidentiality of study participants?

    Week 8 – Assignment 1 Discussion

    The discussion for this week will revolve around the analysis phase of your project. Include the following points in your discussion:

    Begin with a brief description of your project that includes your clinical question, your planned intervention, the type of study you will conduct and how you plan to evaluate the outcomes. Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    What type of statistical analysis will be done?

    What is a reasonable timeline for your project?

    What expenses should be considered? Include both obvious expenses, such as materials, as well as those that are hidden, such as time, which equates to part of your salary.

    Will you need to consider a funding source for your project?

    Week 9 – Assignment 1 Discussion

    Although you will not implement your project during this course, it is important that you understand the various steps that are necessary to do so. As you begin to formulate your strategic plan for implementing your change project, discuss the following specific to your proposed project:

    Who are the stakeholders? Please identify them by role or job within the organization, not by name. Can you identify any “champions” or people within your organization that you can convert to champions?

    What potential barriers do you foresee and what strategies do you envision to prevent or overcome these barriers?

    What change theory will you use to guide you?

    Week 10 – Assignment 1 Discussion

    For this discussion question, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

    By the end of the course, the student should be able to:

    Demonstrate synthesis of the knowledge and skills acquired in preceding graduate nursing core and specialty curriculum content. Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Evaluate current health policy and legal and ethical considerations in addressing the health promotion and disease prevention of a target population.

    Integrate this synthesis in the creation of a scholarly project of either an evidenced-based practice proposal or a research proposal that generates new nursing knowledge. Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools

    Disseminate significant components of the project through a written paper and oral presentation.

    Evidence-Based Practice (EBP) Process, PICOT Question and Rapid Clinical Appraisal (RCA) Tools.

  • Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Week 1 discussion

    Nursing Research and Evidence-Based Practice

    In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

    Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

    To prepare:

    ORDER A PLAGIARISM-FREE PAPER NOW

    Consider a recent clinical experience in which you were providing care for a patient.

    Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

    What questions have you thought about in a particular area of care such as a procedure or policy?

    Review Chapter 2, pages 36—39 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.

    Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.

    Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

    By Day 3

    Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional strategies for addressing barriers to EBP based on readings and evidence.

    Week 2 discussion – Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Literature Searches

    An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.

    For this Discussion, you will practice searching the literature to find evidence on a specific topic.

    To prepare:

    Choose a simple search term(s) relating to a topic of your PICOT question.

    Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.

    Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.

    Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?

    By Day 3

    Post a summary of your search. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. Compare the types of information found in the articles from different levels and the value of the information from each level. Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings.

    Week 3 discussion- Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Theory, Research, and Evidence-Based Practice

    As they explore the world around them, young children often want to know the “why” and “how” of the things they observe. This is similar to what researchers do when they approach a new problem. Researchers develop new theories or build on old ones to explain the “why” of the world around them. They use models and conceptual frameworks to help explain “how” the processes and events they observe occur. Together, theories and models provide an understanding of the world and allow researchers to explore it in meaningful ways.

    Virtually all research questions can benefit from the use of an existing theory or model. Researchers should consider their research questions and select the most suitable theory or model, which then serves as a foundation for the research design. The selection of a theory or model is an important part of the research process.

    In this Discussion, you focus on the role of theory and models in research and evidence-based practice.

    To prepare:

    Review the information in Chapter 6 of the course text. Focus on the various conceptual theories and models that are currently used in nursing research.

    Select one of the theories or models described that is of interest to you.

    Using the Walden Library, search for and identify a research article that uses the theory or model you selected.

    Reflect on how the theory or model provides structure to the research study described in the article.

    Now, think about an issue in your practice area that you would be interested in exploring through research.

    Review this week’s media presentation and consider strategies for locating and identifying a relevant theory or model for a research study.

    By Day 3

    Post a summary of the article that you located and explain how the theory or model that you selected was used in the research study. Assess the value of basing research on an established theory or model.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Week 4 discussion – Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Ethical Dimensions of Research Studies

    In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval.

    This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    To prepare:

    Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.)

    As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified?

    By Day 3

    Post a description of the case that you selected and the ethical issues involved. Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es). Suggest how the research might have been conducted differently to avoid or minimize the ethical problems. Discuss how research can be done on sensitive issues while still protecting the rights of the research subjects.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Week 5 discussion -Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Quantitative Research Designs

    In order to find the best information on a topic, not only should you develop a question and search for resources, but you should also know how to analyze the value of the resources that you identify. There are different ways to evaluate resources, such as using the hierarchy of evidence, which you explored in Week 4 of this course. Another way to evaluate resources is to consider the appropriateness of the research design. Understanding how research designs contribute to the quality of a study is essential for being able to analyze resources when conducting a literature review or locating evidence for practice.

    In this Discussion, you consider the different research designs and evaluate how these designs have been used to research a specific topic. You also consider strategies for selecting an appropriate research design. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    To prepare:

    Review the information in the course texton quantitative research designs. Focus on the information in Box 9.1, “Guidelines for Critiquing Research Designs in Quantitative Studies” located on page 230 of the course text.

    Select a topic from the list below and search the Walden Library to find two different quantitative research studies addressing that issue:

    Caregiver stress

    Anxiety in children

    Sleep apnea

    Depression in college freshmen

    Rural health care issues

    Post-traumatic stress syndrome

    Traumatic brain injury in veterans

    Health effects of environmental contaminants

    Bipolar disorder

    End-of-life ethical issues

    Alternative medicine

    For each of the sources that you select, identify the type of quantitative research design used, and evaluate whether it is the most appropriate approach to the research. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Consider the ramifications of choosing an inappropriate design for a research study.

    By Day 3

    Post the topic you selected, references for the two sources you identified, and the quantitative research design used in each. Critique the appropriateness of the design used and justify your comments with information from the Learning Resources. Discuss the ramifications of choosing an inappropriate design for a research study.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days in one or more of the following ways:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Week 6 discussion- Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Validity in Quantitative Research Designs

    Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research.

    To prepare:

    Review the information in Chapter 10 of the course text on rigor and validity.

    Read the method section of one of the following quasi-experimental studies (also located in this week’s Learning Resources). Identify at least one potential concern that could be raised about the study’s internal validity. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.

    Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.

    Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.

    Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity.

    Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice.

    By Day 3

    Post the title of the study that you selected and your analysis of the potential concerns that could be raised about the study’s internal validity. Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity. Discuss the dangers of failing to consider the validity of a research study.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues in one or more of the following ways:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 7 discussion – Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Qualitative Research Designs

    For the past 2 weeks, you have focused on the features and considerations of quantitative research designs. However, quantitative designs are not appropriate for all research questions. Perhaps you are concerned with how patients react when confronted with negative test results, or you wish to study how views on a certain health topic change over time. In each of these cases, the emphasis is more on understanding the thinking and experiences of an individual or group than on numerical measurements. For these types of questions, a qualitative or mixed methods research design is the most appropriate.

    For this Discussion, you focus on the different types of qualitative research designs, when they are used, and why they are important.

    To prepare:

    Reflect on the comments made by Dr. Mauk in this week’s media presentation on the value of qualitative research in nursing. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Locate the journal Qualitative Health Research in the Sage Premier database in the Walden Library.

    From this journal, select an article of interest to you that was published within the last 3 years.

    Review the information on different qualitative research designs in Chapter 21 of your course text.

    Determine what qualitative research design was used in your selected article and evaluate whether it was the best choice.

    Consider ethical issues involved in the study and how the researchers addressed them.

    Think about how using a quantitative design would have affected the type of data gathered.

    By Day 3

    Post an APA citation for the article that you selected and provide a brief summary of the content and the qualitative research design used. Evaluate the appropriateness of the design, and explain how ethical issues in the study were addressed. Analyze how the study would have been different if a quantitative design had been used.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 8 discussion – Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Planning for Data Collection

    Data collection is an important part of both quantitative and qualitative research. Although the actual approach to gathering information may vary, for either research design, researchers need to plan in advance how the data will be gathered, reported, and stored, and they need to ensure that their methods are both reliable and valid. As nurses review research when considering a new evidence-based practice, it is important to be familiar with sound collection practices in order to ascertain the credibility of the data presented.

    Consider the following scenario:

    Nurses and other health care professionals are often interested in assessing patient satisfaction with health care services. Imagine that you are a nurse working in a suburban primary care setting that serves 10,000 patients annually. Your organization is very interested in understanding the patient’s point of view to help determine areas of care that can be improved. With this focus in mind, consider how you would create a survey to assess patient satisfaction with the services your organization provides. You may wish to consider variables such as the ease of accessing care, patient wait time, friendliness of the staff, or the likelihood that a patient would recommend your organization to others.

    For this Discussion, you generate questions and an overall plan for data collection that would be appropriate for a patient satisfaction survey in relation to the above scenario. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    To prepare:

    Consider the guidelines for generating questions presented in this week’s Learning Resources.

    Review the scenario and formulate at least five questions that you could use to evaluate patient satisfaction.

    Reflect on the different methods or instruments that can be used for gathering data described in Chapter 13 and Chapter 22 of the course text. Which methods or instruments would work well for the scenario?

    Determine an appropriate sample size for the scenario.

    By Day 3

    Post the questions that you created for gathering information about patient satisfaction based on the above scenario. Explain which method or instrument you would use to gather data. Describe the sample size appropriate for the population and how you would select participants. Provide a rationale for your choices, and explain how you can ensure high standard of reliability and validity.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from the readings or after synthesizing multiple postings.

    Week 9 discussion- Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Data Analysis—Small Group Discussion

    As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.

    In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    To prepare:

    Review the information in your assigned chapter.

    As a group, develop a 1-page study sheet that includes the following:

    The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies.

    A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies.

    An explanation of the key statistical tests and how they measure significance (if applicable).

    Note: This should be a collaborative effort, with each member of the group making contributions to the design and content of the study sheet. Use the Groups link on the left navigation bar to collaborate with your group. When you have developed your 1-page study sheet, select one member to post it to the Week 9 Discussion Forum so that the rest of your colleagues can access it.

    By Day 5

    Post your group’s study sheet. Discuss why it is important for nurses to understand the basics of these statistical methods.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two other groups on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Week 10 discussion – Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Weighing the Evidence

    When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research.

    In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.

    To prepare:

    Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.”

    Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion.

    Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions?

    Consider possible alternate conclusions that the researchers could have drawn based on their data.

    Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

    By Day 3

    Post an APA citation and brief summary of the research article that you selected. Describe the data and the results of any statistical tests or analyses presented in the article. Explain how the researchers formulated their conclusion, any weaknesses in their analysis or conclusions, and offer at least one alternate interpretation of their data. Propose at least one additional research study that could be done to further investigate this research topic.

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 11 discussion- Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Creating a Culture of Evidence-Based Practice

    An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

    In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

    To prepare:

    Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?

    Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.

    Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?

    Reflect on how nurses can disseminate findings from evidence-based practice research.

    By Day 3

    Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Read a selection of your colleagues’ responses.

    By Day 6

    Respond to at least two of your colleagues on two different days using one or more of the following approaches:

    Ask a probing question, substantiated with additional background information, and evidence.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

    Validate an idea with your own experience and additional sources.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Week 2 project

    Introduction to Course Project

    Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.

    For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

    Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

    Note: This Course Project will serve as the Portfolio Assignment for the course. In addition to submitting portions of this Project in Weeks 2 and 5, you will turn in all three deliverables in Week 10. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Course Project: Part 1—Identifying a Researchable Problem

    One of the most challenging aspects of EBP is to actually identify the answerable question.

    —Karen Sue Davies

    Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

    In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

    To prepare:

    Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.

    Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.

    Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.

    Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

    Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

    Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

    Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

    To complete:

    Write a 3- to 4-page paper that includes the following:

    A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

    The 5 questions you have generated and a description of how you analyzed them for feasibility

    Your preliminary PICOT question and a description of each PICOT variable relevant to your question

    At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    By Day 7

    Submit your Project. It will also be a component of your Portfolio Assignment for this course, which is due by Day 7 of Week 10.

    Reference:

    Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144

    Submission and Grading Information

    To submit your completed Project for review and grading, do the following:

    Please save your Project using the naming convention “WK2Proj+last name+first initial.(extension)” as the name.

    Click the Week 2 Project Rubric to review the Grading Criteria for the Project.

    Click the Week 2 Project link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Proj+last name+first initial.(extension)” and click Open.

    If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

    Click on the Submit button to complete your submission.

    Week 5 project

    Course Project: Part 2—Literature Review

    This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.

    The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

    To prepare:

    Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.

    Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.

    Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.

    To complete:

    Write a 3- to 4-page literature review that includes the following:

    A synthesis of what the studies reveal about the current state of knowledge on the question that you developed

    Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.

    Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry

    Your literature review summary table with all references formatted in correct APA style

    Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.

    By Day 7 of Week 5

    This part of the Course Project is due. It will also be a component in your Portfolio Assignment in this course, which is due by Day 7 of Week 10.

    Week 7 assignment – Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Assignment: Critiquing Quantitative, Qualitative, or Mixed Methods Studies

    Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.

    To prepare:

    Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.

    Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.

    Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:

    Critique Template for a Qualitative Study

    Critique Template for a Quantitative Study

    Critique Template for a Mixed-Methods Study

    Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond? Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    To complete this Assignment:

    Complete the two critiques using the appropriate templates.

    Write a 2- to 3-page paper that addresses the following:

    Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.

    Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.

    Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

    As you complete this Assignment, remember to:

    Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.

    Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references. Submit this combined document.

    By Day 7 of Week 7

    Week 10 course project- Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Course Project: Part 3—Translating Evidence Into Practice

    In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

    Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

    To prepare:

    Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?

    With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.

    Explore possible consequences of failing to adopt the evidence-based practice that you identified.

    Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

    To complete:

    In a 3- to 4-page paper:

    Restate your PICOT question and its significance to nursing practice.

    Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.

    Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

    By Day 7 of Week 10

    This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

    Note: In addition, include a 1-page summary of your project.

    For this final iteration, you will need to:

    Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary. Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

    Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.

    Nursing Research and Evidence-Based Practice Essay Assignment Papers and Discussions

  • Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Course Project: Introduction to Course Project

    Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.

    For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

    Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

    Course Project: Part 1—Identifying a Researchable Problem

    ORDER A CUSTOM-WRITTEN PAPER NOW

    One of the most challenging aspects of EBP is to actually identify the answerable question.

    —Karen Sue Davies

    Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

    To prepare:

    Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.

    Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.

    Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.

    Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

    Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

    Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

    To complete:

    Write a 3- to 4-page Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice paper that includes the following:

    A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

    The 5 questions you have generated and a description of how you analyzed them for feasibility

    Your preliminary PICOT question and a description of each PICOT variable relevant to your question

    At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    By Day 7

    WEEK 5

    Course Project: Part 2—Literature Review

    This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.

    The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

    To prepare:

    Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.

    Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.

    Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.

    To complete:

    Write a 3- to 4-page literature review that includes the following:

    A synthesis of what the studies reveal about the current state of knowledge on the question that you developed

    Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.

    Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Your Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice literature review summary table with all references formatted in correct APA style

    wEEK 7

    Assignment: Critiquing Quantitative, Qualitative, or Mixed Methods Studies

    Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.

    To prepare:

    Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.

    Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic: 1) Select one article that utilizes a quantitative research design and 2) select a second article that utilizes either a qualitative OR a mixed methods design. These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.

    Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:

    Critique Template for a Qualitative Study

    Critique Template for a Quantitative Study

    Critique Template for a Mixed-Methods Study

    Consider the fields in the templates as you review the information in each article. Begin to draft a paper in which you analyze the two research approaches as indicated below. Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?

    To complete this Assignment:

    Complete the two critiques using the appropriate templates.

    Write a 2- to 3-page Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice paper that addresses the following:

    Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.

    Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

    As you complete this Assignment, remember to:

    Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.

    Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references. Submit this combined document.

    week 10

    Course Project

    By Day 7

    Submit your Course Project. Reminder: You will combine Parts 1, 2, and 3 of your Course Project (assigned in Weeks 2, 4, and 8 respectively) into one cohesive and cogent paper.

    Note: In addition, include a 1-page summary of your project.

    For this final iteration you will need to:

    Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on then Grammarly and SafeAssign reports, revise your paper as necessary. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.

    Note: The Course Project will be your Portfolio Assignment for this course.

    Submission and Grading Information. Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice

    To submit your completed Project for review and grading, do the following:

    Please save your Project using the naming convention “WK10Proj+last name+first initial.(extension)” as the name.

    Click the Week 10 Project Rubric to review the Grading Criteria for the Project.

    Click the Week 10 Project link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Proj+last name+first initial.(extension)” and click Open.

    If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

    Click on the Submit button to complete your submission.

    Qualitative Health Research Discussion Essay Assignment Papers – NURS 6052 – Essentials of Evidence-Based Practice