Please complete this assignment on the worksheet attached. 

1. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.)Links to an external site..

2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.

3. Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.)Links to an external site. (both worksheets appear in ONE form) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

4. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

5. Your practice issue will be the same for all three Milestone assignments in this course.

6. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

1. Develop an evidence summary by following the grading criteria below.

2. Document this on the evidence summary portion of the worksheet.

3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

4. Please type your answers directly into the worksheet.

THE CHOSEN REVIEW SYSTEM

Obstetrics/Delivery

McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., … MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD001141. doi:10.1002/14651858.CD001141.pub5

                     Abstract

Background

There is extensive evidence of important health risks for infants and mothers related to not breastfeeding. In 2003, the World Health Organization recommended that infants be breastfed exclusively until six months of age, with breastfeeding continuing as an important part of the infant’s diet until at least two years of age. However, current breastfeeding rates in many countries do not reflect this recommendation.

Objectives

To describe forms of breastfeeding support which have been evaluated in controlled studies, the timing of the interventions and the settings in which they have been used.

To examine the effectiveness of different modes of offering similar supportive interventions (for example, whether the support offered was proactive or reactive, face-to-face or over the telephone), and whether interventions containing both antenatal and postnatal elements were more effective than those taking place in the postnatal period alone.

To examine the effectiveness of different care providers and (where information was available) training.

To explore the interaction between background breastfeeding rates and effectiveness of support.

Search methods

We searched Cochrane Pregnancy and Childbirth’s Trials Register (29 February 2016) and reference lists of retrieved studies.

Selection criteria

Randomised or quasi-randomised controlled trials comparing extra support for healthy breastfeeding mothers of healthy term babies with usual maternity care.

Data collection and analysis

Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. The quality of the evidence was assessed using the GRADE approach.

Main results

This updated review includes 100 trials involving more than 83,246 mother-infant pairs of which 73 studies contribute data (58 individually-randomised trials and 15 cluster-randomised trials). We considered that the overall risk of bias of trials included in the review was mixed. Of the 31 new studies included in this update, 21 provided data for one or more of the primary outcomes. The total number of mother-infant pairs in the 73 studies that contributed data to this review is 74,656 (this total was 56,451 in the previous version of this review). The 73 studies were conducted in 29 countries. Results of the analyses continue to confirm that all forms of extra support analyzed together showed a decrease in cessation of ‘any breastfeeding’, which includes partial and exclusive breastfeeding (average risk ratio (RR) for stopping any breastfeeding before six months 0.91, 95% confidence interval (CI) 0.88 to 0.95; moderate-quality evidence, 51 studies) and for stopping breastfeeding before four to six weeks (average RR 0.87, 95% CI 0.80 to 0.95; moderate-quality evidence, 33 studies). All forms of extra support together also showed a decrease in cessation of exclusive breastfeeding at six months (average RR 0.88, 95% CI 0.85 to 0.92; moderate-quality evidence, 46 studies) and at four to six weeks (average RR 0.79, 95% CI 0.71 to 0.89; moderate quality, 32 studies). We downgraded evidence to moderate-quality due to very high heterogeneity.

We investigated substantial heterogeneity for all four outcomes with subgroup analyses for the following covariates: who delivered care, type of support, timing of support, background breastfeeding rate and number of postnatal contacts. Covariates were not able to explain heterogeneity in general. Though the interaction tests were significant for some analyses, we advise caution in the interpretation of results for subgroups due to the heterogeneity. Extra support by both lay and professionals had a positive impact on breastfeeding outcomes. Several factors may have also improved results for women practising exclusive breastfeeding, such as interventions delivered with a face-to-face component, high background initiation rates of breastfeeding, lay support, and a specific schedule of four to eight contacts. However, because within-group heterogeneity remained high for all of these analyses, we advise caution when making specific conclusions based on subgroup results. We noted no evidence for subgroup differences for the any breastfeeding outcomes.

Authors’ conclusions

When breastfeeding support is offered to women, the duration and exclusivity of breastfeeding is increased. Characteristics of effective support include: that it is offered as standard by trained personnel during antenatal or postnatal care, that it includes ongoing scheduled visits so that women can predict when support will be available, and that it is tailored to the setting and the needs of the population group. Support is likely to be more effective in settings with high initiation rates. Support may be offered either by professional or lay/peer supporters, or a combination of both. Strategies that rely mainly on face-to-face support are more likely to succeed with women practising exclusive breastfeeding.

 

week 2/ discussion forum/student posted

        

     Exploring the rate of seasonal-pattern depression in an Inuit Community

Methodology:  Quantitative 

Design:  Ethnography

Rationale:  To assess the rate of seasonal-depression in an Inuit community above 70 degrees N.

2. Democracy in America

Methodology:  Qualitative

Design:  Grounded theory

Rationale:  To review “Democracy in America” by Alexis de Tocqueville and translated and edited by Harvey C. Mansfield and Delba Winthrop.

3. The relationship between compassion fatigue and burnout among critical care nurses

Methodology:  Qualitative

Design:  Correlation

Rationale:  To evaluate the literature related to emotional distress among healthcare professionals in the Intensive Care Unit, while emphasizing the prevalence of compassion fatigue and burnout.

4. Two drugs for Alzheimer’s show promise

Methodology:  Quantitative

Design:  Quasi-experimental design

Rationale:  The combination of two approved drugs for Alzheimer’s, acamprosate and baclofen, together open up the possibility for a therapeutic approach for the disease.

5. Evaluating technology with student success

Methodology:  Quantitative

Design: Case Study

Rationale:  To show measurements used to monitor student success and describe strategies used to promote online discussion as a key component of effective online courses.

6. Factors that influence weight control among women

Methodology:  Qualitative

Design:  Survey

Rationale:  To investigate the influence of work hours and employment on weight gain and weight loss with middle-aged women.

7. The meaning of living with brain injury and stroke 10 years after the injury

Methodology:  Quantitative

Design:  Survey

Rationale:  To indicate that rehabilitation following an ABI should consider if clients’ use everyday technology influences their activity and participation and adopt appropriate interventions.

8. Exploring the beliefs of healing among Aborigines

Methodology:  Qualitative

Design: Observational

Rationale:  To give insight on the beliefs of the Aborigines.

References

Account Respecting Beliefs of Australian Aborigines. (1896). The Journal of American Folklore, 9(34), 199-203. doi:1. Retrieved from http://www.jstor.org/stable/533404 doi:1

Au, N., Hauck, K., & Hollingsworth, B. (2013). Employment, work hours and weight gain among middle-aged women. International Journal of Obesity, 37(5), 718-24. doi:http://dx.doi.org/10.1038/ijo.2012.92

Chumakov, I., Nabirotchkin, S., Cholet, N., Milet, A., Boucard, A., Toulorge, D., Cohen, D. (2015). Combining two repurposed drugs as a promising approach for alzheimer’s disease therapy. Scientific Reports, 5, 7608. doi:10.1038/srep07608

Drescher, S. (2001). Democracy in America. The Journal of American History, 88(2), 612-614. Retrieved from http://search.proquest.com/docview/224908446?accountid=87314

Fasse, R., Humbert, J., & Rappold, R. (2009). Rochester institute of technology: Analyzing student success. Journal of Asynchronous Learning Networks, 13(3), 37.

Haggarty, J. M., Cernovsky, Z., Husni, M., Minor, K., Kermeen, P., & Merskey, H. (2002). Seasonal affective disorder in an arctic community. Acta Psychiatrica Scandinavica, 105(5), 378-384. doi:10.1034/j.1600-0447.2002.1o185.x

Lindén, A., Lexell, J., Lund, M. L., Arbetsterapi, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, & Umeå universitet. (2010). Perceived difficulties using everyday technology after acquired brain injury: Influence on activity and participation. Scandinavian Journal of Occupational Therapy, 17(4), 267-275. doi:10.3109/11038120903265022

1. Lab Assignment: Tickler System (For Medical Coding and Billing)

Research tickler systems online. Create a 5-slide presentation, using Power Point, describing a tickler system and showing some system examples. 

2. Lab Assignment: Healthcare Cash Flow 

Below are some articles introduced in this lesson that provide tips and techniques for managing a medical office’s revenue and collections. Look through the articles, then write a 4-paragraph paper that summarizes the following:

Today you are the manager of ABC Clinic. You are facing issues in your collection department and need a solution to help increase your revenue. What are some ways it might do this?

Feel free to make assumptions about how ABC Clinic operates. Enter your ideas into a Word document labeled “CashFlow” 

Helpful links:

• Increase Your Revenue Tip #1 – Prescription Refills
• The 9 Essentials for an Effective Year End (and year to come)
• Seven Ways to Improve Your Patient Collections
• Take a Closer Look at Your Superbill to Ensure Accurate Billing
• Hidden Ways Medical Billing Shortcomings Hurt Your Practice
• Top 6 Medical Billing Tips and Best Practices

3. Lab Assignment: Financial Report Worksheet 

Look at the financial statements for Middlesex Hospital, then answer the questions in the Finance Statement Worksheet.  or download it below.

 

Strengths-Based Leadership

It is relatively easy to describe our acquired expertise, but most of us struggle when asked to describe our natural talents.
—Rath, 2007, p. 21

Recognizing innate talents is critical not only for leveraging one’s own strengths, but for fostering a workplace environment in which everyone’s contributions are respected and maximized. This is valuable because “the opportunity for individuals to play to their strengths most of the time is the key factor that shows the greatest correlation to outstanding performance in the widest range of business outcomes including profits, productivity, customer satisfaction, and safety and employee retention” (Buckingham, 2011, p. 5).

Charged with the complex and considerable goal of promoting health care quality and safety, nurse leader-managers must learn how to draw upon each person’s strengths to foster collaboration toward this shared purpose.

In this Discussion, you assess your own strengths and consider how they can be applied in a health care organization to improve quality and safety.

To prepare:

• Review the Learning Resources focusing on strengths-based leadership.
• If you have not already done so, follow the instructions in Strengths Finder 2.0 to complete the online assessment and read the sections in Part II that are associated with your five top strengths.
• Consider the results of the assessment. What insights, questions, or concerns arise as you think about these results?
• Think about how your identified strengths relate to your current role as a leader-manager and to the professional contributions that you hope to make now and in the future. Give focused attention to patient safety and health care quality; how and why are your strengths valuable for promoting optimal patient outcomes and creating systems-level change?
• Evaluate strategies for applying your strengths in the health care workplace. Identify at least two that you can use to add value to a team or workgroup to improve quality and safety.

By Day 3

Post a brief description of your identified strengths and explain how and why they are beneficial in your role as a nurse leader-manager. Explain at least two strategies for applying your leadership strengths in a health care organization to improve quality and safety.

Read a selection of your colleagues’ responses.

 

Required Readings

Rath, T. (2007). Strengths finder 2.0. New York, NY: Gallup Press.
Part I, “Finding Your Strengths—An Introduction” (pp. 1–31)
Part II, “Applying Your Strengths” (pp. 33–172)Read Part I first, then complete the online assessment as instructed in the book. Read the sections in Part II that are associated with your five top strengths.

Note: You must purchase a new, unopened copy of this book in order to acquire the access code that you will need to complete the online assessment.

Buckingham, M. (2011). Strong leadership. Leadership Excellence, 28(1), 5.
Retrieved from the Walden Library databases.

The author explains how strengths-based leadership creates competitive advantage for organizations. “The opportunity for individuals to play to their strengths most of the time is the key factor that shows the greatest correlation to outstanding performance in the widest range of business outcomes including profits, productivity, customer satisfaction, and safety and employee retention” (p. 5).

Cooper, H., & Cottrell, R. R. (2010). Charting your career path through clear professional values and purpose. Health Promotion Practice, 11(1), 13–15.
Retrieved from the Walden Library databases.

This article provides direction for clarifying professional values and purpose, and using that for career development. “The importance of understanding and articulating values at an individual level is that they can assist in developing one’s unique contribution to one’s profession, just as a professional organization’s values assist in directing the organization” (p. 14).

Note: This is an individual assignment. In 1,500-2,000 words,   describe the teaching experience and discuss your observations. The   written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale     for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and     areas of improvement

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

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion. 

You are required to submit this assignment to Turnitin