Evidence-Based Project, Part 4: Critical Appraisal of Research 2025

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 appraisal tools 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 Tools document 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 Critical Appraisal Tools document. Be sure to include: An evaluation table A levels of evidence table An outcomes synthesis table 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. Resources: Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 5, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 124–188) Chapter 6, “Critically Appraising Qualitative Evidence for Clinical Decision Making” (pp. 189–218) Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15 (3), 202–207. doi:10.1177/1078390309338733. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1022.62&rep=rep1&type=pdf Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010a). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. American Journal of Nursing, 110 (7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2010/07000/Evidence_Based_Practice_Step_by_Step__Critical.26.aspx Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studies. American Journal of Nursing, 110 (9), 41–48. doi:10.1097/01.NAJ.0000388264.49427.f9. Retrieved from https://www.nursingcenter.com/nursingcenter_redesign/media/EBP/AJNseries/Critical2.pdf Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010c). Evidence-based practice, step by step: Critical appraisal of the evidence: Part III: The process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110 (11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5. Retrieved from https://www.nursingcenter.com/nursingcenter_redesign/media/EBP/AJNseries/Critical3.pdf ical2.pdf Rubric: Part 4A: Critical Appraisal of Research Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include: · An evaluation table · A levels of evidence table · An outcomes synthesis table– Levels of Achievement:Excellent 45 (45%) – 50 (50%) The critical appraisal accurately and clearly provides a detailed evaluation table. The responses provide a detailed, specific, and accurate evaluation of each of the peer-reviewed articles selected. The critical appraisal accurately clearly provides a detailed levels of evidence table. The levels of evidence are accurate and fully aligned to the peer-reviewed articles selected. The critical appraisal accurately and clearly provides a detailed outcomes synthesis table. The outcomes synthesis accurately describes in detail the relevance of the peer-reviewed articles selected and is fully aligned to each of the peer-reviewed articles.Good 40 (40%) – 44 (44%) The critical appraisal accurately provides an evaluation table. The responses provide an accurate evaluation of each of the peer-reviewed articles selected with some specificity. The critical appraisal accurately provides a levels of evidence table. The levels of evidence are accurate and are adequately aligned to the peer-reviewed articles selected. The critical appraisal accurately provides an outcomes synthesis table. The outcomes synthesis accurately describes the relevance of the peer-reviewed articles selected and is adequately aligned to each of the peer-reviewed articles.Fair 35 (35%) – 39 (39%) The critical appraisal provides an evaluation table that is inaccurate or vague. The responses provide an inaccurate or vague evaluation of each of the peer-reviewed articles selected. The critical appraisal provides an inaccurate or vague levels of evidence table. The levels of evidence inaccurately or vaguely align to the peer-reviewed articles selected. The critical appraisal provides an inaccurate or vague outcomes synthesis table. The outcomes synthesis inaccurately or vaguely describes the relevance of the peer-reviewed articles and is inaccurately or vaguely aligned to each of the peer-reviewed articles.Poor 0 (0%) – 34 (34%) The critical appraisal provides an evaluation table that is inaccurate and vague or is missing. The critical appraisal provides an inaccurate and vague levels of evidence table or it is missing. The critical appraisal provides an inaccurate and vague outcomes synthesis table or it is missing.Feedback: Part 4B: Evidence-Based Best Practices Based on your 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.– Levels of Achievement:Excellent 32 (32%) – 35 (35%) The responses accurately and clearly suggest a detailed best practice that is fully aligned to the research reviewed. The responses accurately and clearly explain in detail the best practice, with sufficient justification of why this represents a best practice in the field. The responses provide a complete, detailed, and specific synthesis of two outside resources reviewed on the best practice explained. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the responses provided. Accurate, complete, and full APA citations are provided for the research reviewed.Good 28 (28%) – 31 (31%) The responses accurately suggest a best practice that is adequately aligned to the research reviewed. The responses accurately explain the best practice, with adequately justification of why this represents a best practice in the field. The responses provide an accurate synthesis of at least one outside resource reviewed on the best practice explained. The response integrates at least one outside resource and two or three course-specific resources that may support the responses provided. Accurate and complete APA citations are provided for the research reviewed.Fair 25 (25%) – 27 (27%) The responses inaccurately or vaguely suggest a best practice that may be aligned to the research reviewed. The responses inaccurately or vaguely explain the best practice, with inaccurate or vague justification for why this represents a best practice in the field. The responses provide a vague or inaccurate synthesis of outside resources reviewed on the best practice explained. The response minimally integrates resources that may support the responses provided. Inaccurate and incomplete APA citations are provided for the research reviewed.Poor 0 (0%) – 24 (24%) The responses inaccurately and vaguely suggest a best practice that may be aligned to the research reviewed or are missing. The responses inaccurately and vaguely explain the best practice, with inaccurate and vague justification for why this represents a best practice in the field, or are missing. A vague and inaccurate synthesis of no outside resources reviewed on the best practice explained is provided or is missing. The response fails to integrate any resources to support the responses provided. Inaccurate and incomplete APA citations are provided for the research reviewed or is missing.Feedback: Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.– Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. No purpose statement, introduction, or conclusion was provided.Feedback: Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.– Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (one or two) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (three or four) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback: Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.– Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (one or two) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (three or four) APA format errors.Poor 0 (0%) – 3 (3%)

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Benchmark – Electronic Health Record Implementation 2025

Benchmark – Electronic Health Record Implementation Paper This benchmark assignment assesses the following programmatic competencies: 2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care. 5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care. One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process. In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario: 1) What key information would be needed in the database that would allow you to track opportunities for care improvement? 2) What role does informatics play in the ability to capture this data? 3) Which systems and staff members would need to be involved in the design and implementation process and team? 4) What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system? 5)How would the EHR team ensure that all order sets are part of the new record? 6) How would you communicate the changes, including any kind of transition plan? 7) What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective? 8) What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care? You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. 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.

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Community Assessment, Analysis, Diagnosis, Plan, and Evaluation 2025

I need a quality paper, this is instruction” This activity is intended for undergraduate nursing students. In this activity, students will observe, think critically about, and report health issues in diverse community environments. Community health nursing can improve access to care for the most vulnerable and hard-to-reach groups in any country. The community health nurse should combine knowledge of major indicators of health, social factors that contribute to declining health status, and public programs designed to address problems of health care. Efforts should encompass all levels of prevention (primary, secondary, tertiary) and should address the needs of the individual, family, aggregate, and community. A Formal APA Paper Utilizing the 8 Sentinel City subsystems you have been working on throughout this class(education, economics, transpotation, politics,….), write your assessment, analysis, nursing diagnosis, plan, and evaluation method (per the rubric) in APA format. You do not need an abstract. The order of the paper is as follows: the title page, the body of the paper (4-5 pages), a reference page. You need to submit to Safe-Assign without the title page, or the reference page to get your originality score.

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pathophysiology 2025

D. D. is a 66 year-old female suffering from shortness of breath. She smoked 2 packs a day until she quit 2 years ago. She has a history of bronchiolitis, hyperinflated lungs, pulmonary edema, and syncope. Her primary care practitioner suspects she also has pulmonary hypertension (PH). After examination, D. D. has a PAP of 35 mm Hg and mild CHF. For this week’s discussion, answer ALL questions below: 1. What is the prevalence of COPD in the United States? Use the most recent data available and provide a citation for your data.(2 pts) 2. Do COPD sufferers die of respiratory causes or other causes? Why? (2 pts) 2. What are the three different medication classes/types of bronchodilators, and how do they EACH function to alleviate the symptoms of COPD? (4 pts) 3. Is lung transplantation a solution for emphysema patients like D.D.? Why or why not? (2 pts) Please need done within the next hour, its not paragraph require just questions answered.

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Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants 2025

Due Date: Mar 10, 2019 23:59:59 Max Points: 80 Details: The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers. Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end. Include the following in your presentation: Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants 1 Unsatisfactory 0.00%2 Less than Satisfactory 76.00%3 Satisfactory 81.00%4 Good 89.00%5 Excellent 100.00% 100.0 %Content 15.0 %Environmental Factor and the Potential Effect on Infants An environmental factor is not presented. The issue chosen is not environmental. An incomplete summary of how the environmental factor potentially affects infant health or safety is presented.A general description of how the environmental factor potentially affects infant health or safety is presented. There are inaccuracies, or more evidence is needed for support or rationale.A description of how the environmental factor potentially affects infant health or safety is presented. Some support or rationale is needed.A detailed description of how the environmental factor potentially affects infant health or safety is presented. Strong support and rationale are provided. The direct effect of the environmental factor on infant health and safety is well established. 15.0 %Health Promotion Plan for Caregivers to Address Environmental Factor and Improve Infant Health and Well-Being A health promotion plan is not presented.An incomplete health promotion plan is presented. The plan fails to address the environmental issue; or, the plan does not include steps to improve health or safety for infants. There are major inaccuracies.A general health promotion plan is presented. The plan addresses the environmental issue and includes general steps to improve health or safety for infants. There are some inaccuracies. More information or evidence is needed for support. It is unclear if the plan is suitable for the chosen caregiver.A health promotion plan is presented. The plan addresses the environmental issue and includes steps to improve health or safety for infants. Some information or evidence is needed for support. The plan is realistic for the chosen caregiver. A well-developed health promotion plan is presented. The plan clearly addresses the environmental issue and includes specific steps to improve health or safety for infants. Sufficient information and evidence is provided for support. The plan is realistic for the chosen caregiver. 10.0 %Recommendations for Accident Prevention and Safety Promotion Recommendations for safety promotion and accident prevention are not offered.Some recommendations for safety promotion and accident prevention offered are summarized. The recommendations offered are unrelated to the environmental factor; steps recommended do not support the health and safety of infants.Recommendations for safety promotion and accident prevention offered are summarized. The recommendations offered are generally related to the environmental factor. Most steps recommended support the health and safety of infants. There are some inaccuracies. More information or rationale is needed for support and clarity.Recommendations for safety promotion and accident prevention offered are proposed. The recommendations offered relate to the environmental factor and the steps outlined support the health and safety of infants. Some rationale is needed for support or clarity. In general, the recommendations are realistic and suitable for the chosen situation and caregiver.Well-developed recommendations for safety promotion and accident prevention offered are proposed. The recommendations offered clearly relate to the environmental factor. The steps outlined are well thought out and support the health and safety of infants. The recommendations are realistic and highly suitable for the chosen situation and caregiver. 10.0 %Evidence-Based Examples, Interventions, and Suggestions Examples, interventions, and suggestions are not offered. None of the scholarly resources meet the assignment criteria. Some examples, interventions, and suggestions are offered. Most of the research resources do not meet the criteria as outlined in the assignment. General examples, interventions and suggestions are offered. Some of the research resources do not meet the criteria as outlined in the assignment. Examples, interventions, and suggestions offered are evidence-based. At least three scholarly research resources are utilized, and at least two peer-reviewed and no older than 6 years old. Overall, the resources support the examples, interventions and suggestions.Examples, interventions and suggestions are evidence-based and strongly supported. Three or more scholarly research resources are utilized; at least two are peer-reviewed and no older than 6 years old. 10.0 %Community, National, and Web-Based Resources for Health Promotion Resources are not included for the health promotion.Some resources are included, but overall do not meet the criteria as outlined in the assignment. The resources are not relevant to the health promotion. A description does not accompany the resources. The contact information for the resources is incomplete or inaccurate.Resources are included as part of the health promotion. Some of the resources do not meet the criteria as outlined in the assignment. A general description accompanies the resources. Some contact information for the resources is incomplete or inaccurate.Two community resources, a national resource, and a Web-based resource are included with the health promotion. Overall, the resources are relevant to the health promotion and accessible for the caregiver. A description accompanies the resources. The contact information provided for the resources is accurate.Two community resources, a national resource, and a Web-based resource are included with the health promotion. The resources are highly relevant to the health promotion and are accessible for the caregiver. A detailed description accompanies the resources. The contact information provided for the resources is complete and accurate. 15.0 %Appropriateness of Health Promotion for Caregiver and Situation No aspect of the health promotion presentation is relevant to the caregiver or associated demographicThe literacy level is not written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristic of the caregiver are not always consistent with representing the caregiver or associated demographic. Major changes need to be made for the presentation to be tailored to the caregiver or associated demographic.The literacy level is generally written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are generally written representing the caregiver or associated demographic. Some changes need to be made for the presentation to be tailored for the caregiver or associated demographic.The literacy level is written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are tailored for the caregiver or associated demographic. There are some areas that require revision or slight changeThe literacy level is written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are tailored for the caregiver or associated demographic. The presentation demonstrates insight into tailoring presentations to a specific target population. 5.0 %PowerPoint and Voice Over Requirements Presentation fails to meet the criteria outlined. The presentation contains fewer than 10 slides, omits speaker notes, and does not have a reference slide. Loom is not utilized for the presentation. Presentation meets some of the criteria outlined. A minimum of 10 slides is used for the presentation. The reference slide and speaker notes are omitted or are not complete. An attempt at a Loom presentation is made.Presentation meets most of the criteria outlined. Presentation uses 10 -12 slides, but the slide arrangement does not support the intended presentation. The reference slides and speaker notes are missing information or contain inaccuracies. A Loom presentation is submitted, but the presentation is inconsistent with the PowerPoint and speaker notes.Presentation meets the criteria outlined. Presentation uses 10 -12 slides and the slide arrangement supports the intended presentation. The speaker notes are submitted and support the presentation. The reference slide is submitted. A Loom presentation is submitted and overall is consistent with the PowerPoint and speaker notes.Presentation meets the criteria outlined. Presentation uses 10 -12 slides and the slide arrangement strongly supports the intended presentation. The speaker notes submitted are well-developed and support the presentation. The reference slide is submitted. A Loom presentation is submitted and is consistent with the PowerPoint and speaker notes. 5.0 %Visual Appeal There are few or no graphic elements. No variation in layout or typography is evident.Color is garish or typographic variations are overused and legibility suffers. Background interferes with readability. Understanding of concepts, ideas, and relationships is limited. In general, the visual presentation is not optimal for the audienceMinimal use of graphic elements is evident. Elements do not consistently contribute to the understanding of concepts, ideas, and relationships. There is some variation in type size, color, and layout. Some of the visual aspects are distracting for the intended audience.Thematic graphic elements are used but not always in context. Visual connections mostly contribute to the understanding of concepts, ideas, and relationships. Differences in type size and color are used well and consistently. Overall, the presentation is visually appealing and suitable for the intended audience.Appropriate and thematic graphic elements are used to make visual connections that contribute to the understanding of concepts, ideas, and relationships. Differences in type size and color are used well and consistently. The presentation has strong visual appeal and is developed with the intended audience in mind. 5.0 %Aesthetic Quality Design is cluttered. Materials detract from the content or the purpose of presentation is low quality.Design detracts from purpose. Text and visuals are too simplistic, cluttered, and busy. Little or no creativity or inventiveness is present.Design is fairly clean, with a few exceptions. Materials add to, not detract from the presentation. Materials used were quality products and easy to see or hear.Design is appropriate and integrates a variety of objects, charts, and graphs to amplify the message.Design is clean. Skillful handling of text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident. 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, and language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.The writer is clearly in command of standard, written, academic English. 5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 100 %Total Weightage

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