Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers. 

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

• Review the Resources and consider the importance of critically appraising research evidence.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3. 
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Response to each person 200 words each

1) 

Preparing for disasters is something many only think about during “that season”; hurricane season, winter blizzards, tornadoes , fire, flooding etc. however, disasters can happen at any time, so continued and sustained preparedness is essential.

       For the most part I knew my level of preparedness as I’ve lived in many areas of the world where “that season” happened on a regular basis.  Essential documents stored in plastic bins, easily accessible to place in to a car in the event of needed evacuation or sheltering in place, food, water, medical documents as well; only once I was not prepared but many things were happening in my life at that time which caught me off guard.  I worked a disaster relief effort with the American Red Cross in the aftermath of Hurricane Andrew in southern Florida and learned many things due to that experience and my time in the military has prepared me for many other man-made disasters.

       We have recently moved to the southwest and I now own a home again, so we are not quite as prepared as we were previously as a homeowner.  The tools and supplies needed to secure my home at this time are lacking so this is a step in preparation that must be accomplished, otherwise, based on the checklist, I am still prepared for nearly any disaster that may strike, or at least I would hope to be! 

       From the perspective of a community health nurse; education is the key to disseminating information to community members.  From participating in and education regarding local flu outbreaks, encouraging vaccinations for those at risk or simple education regarding hand hygiene and the correct way of covering your cough, along with health and wellness to maintain the highest levels of immunity for something as simple yet as deadly as the flu can be, is important.  Man made, natural or environmentally fueled disasters are difficult to disseminate information except through ongoing education or community preparedness sponsored events or work shops.  Ongoing drills within the school systems or community centers will assist in preparedness for disaster specific to the geographical area.  Instructions; written, verbal or expressed for personal preparedness, the how and why, and where to find needed supplies would all begin and continue through education.  Reporting of potential outbreaks or disasters through proper channels would also provide the community with added resources.  In the event of a disaster, nurses would need to assist in identifying who is at risk and what to do regarding those individuals, their friends and families, as would the nurse.  But always keeping in mind the scope of practice and current knowledge base of the nurse.

                                                                                                         References

Clark, M.J. (2015) Population and Community Health Nursing (6th ed). Boston, MA: Pearson

Community Health Nursing in Disaster Management.  Retrieved from (authorstream.com)

How to Prepare for Emergencies.  Retrieved from (redcross.org)

2) 

preparing yourself for disaster is one of the best and smartest things we can all accomplish in life, both as medical field personnel and human beings in general. Disaster preparedness refers to measures taken to prepare for and reduce the effects of disasters. That is, to predict and, where possible, prevent disasters, mitigate their impact on vulnerable populations, and respond to and effectively cope with their consequences. wide efforts to give citizens the training, education, and resources they need to prepare in advance against the threat of a possible local disaster at an individual and collective level. Despite the frequency of stories seen on the news that prove the devastation of unexpected natural disasters or local violence, local governments struggle to impart on citizens the importance of preparedness. The optimistic hope that an unexpected disaster could never destroy one’s home or hurt one’s family, is a difficult misperception to overcome. The goal of community preparedness is to maximize citizens’ awareness of the importance of proactive planning, and encourage participation in disaster preparedness activities. Begin your planning by identifying local emergency response organizations and leaders and asking them to be part of your education and planning efforts. Use all available communication channels to recruit members of your community to participate in your emergency preparedness team. For tips on marketing communications for local government. Once you’ve recruited citizens to participate in your preparedness team, schedule regular meetings that are always open for others to join and attend. The first primary objective of the group should be to develop a disaster preparedness plan. By engaging citizens in the planning process, they will be more likely to encourage friends, family, and neighbors to get involved and will help spread your message of the importance of individual and community preparation. Make sure your emergency planning takes into consideration seniors, children, and community members with special needs. Identify all the senior centers, assisted living facilities, day care centers, schools, and adult day habilitation centers in your community. Work with their leadership to make sure you have a plan in place in the event that such facilities need to be evacuated, or receive urgent care.

The first step of in completing your course project is to choose two compliance plans from the list of compliance violation areas below.

  1.Clinical staff members are not washing their hands between patients.

2.Employee attacks patients while under the influences of narcotics.

After you choose two areas (only two!), write a paragraph about each one to present to your faculty member. In each paragraph, explain why you believe the chosen area represents key issues in compliance and why you want to develop a compliance plan for this area. (1 page total)

INTERMOUNTAIN HEALTHCARE: PATIENT SAFETY AND WORKPLACE STRESS IS MY FINAL PROJECT I’M WORKING ON

Utilizing evidence-based literature and quality standards, propose an initiative that addresses your problem selected in Milestone One. If you chose a problem in your workplace, be sure to utilize data from that healthcare organization; if you created a hypothetical healthcare organization, you may use a public domain database with instructor permission. You will also implement your performance improvement initiative and discuss what success of the performance improvement plan will look like after implementation. As this is a scholarly initiative, this assignment must adhere to all APA requirements and formatting, and include peer-reviewed and evidence-based sources to support any and all claims. As you develop this final part of the assignment, consider the following prompts to formulate your paper. 

III. Performance Improvement Initiative A. Propose an initiative that will address this problem within the department of your chosen healthcare organization. What specific relevant quality standard will this quality initiative address? B. Discuss the data determinants of success, as related to this initiative. In other words, what type of data will be indicative of a quality outcome? 

IV. Implementation of the Plan in the Organization A. What interdepartmental communication channels will be used for plan implementation? B. What manner of data interpretation will be used to communicate the findings within the organization? C. If this initiative was implemented, what do you believe would be the hypothetical effect(s) on patient care outcomes? How will health information systems support those improvements in patient care? D. What do you think the hypothetical effect of the quality or performance initiative will be on the culture of safety within the organization? 

Guidelines for Submission: This paper should be two to five pages in length, not including the cover page or reference page. Use APA format for the reference list and all internal citations.   

1 PAGE 1 REFERENCE APA

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

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