DUE IN 24 HOURS

 

Respond to one classmate.  Explore your peer’s post, identify a different database, and how is that different from the one identified by your peer?

At least 1 scholarly article must be used to support your position.

Your response should be no more than 200 words.

In text citations do count in the word count, but references do not.

ANDREA’S POST:

 

Information literacy is obtained by being able to collect, utilize, manage, integrate, and produce information and data while having the information skills to do so effectively (Forster, 2015) This literacy is important to nursing research because nurses need to be able to know how to decide what information is needed in research, how to properly obtain and review this research, all while being able to teach it effectively (McGongile & Mastrian, 2018). Information literacy is an ongoing battle for nursing students to be proficient in. In 2017, Willson and Angell performed a study to develop a rubric on measuring information literacy skills of which are crucial to undergraduate nurses’ development as researchers and health professionals. In this study they were able to develop a rubric and most nursing undergraduates showed low to fair competencies in information literacy.  

Professional online databases and search engines both provide a source for an expansive amount of information. The difference between them is that professional online databases have exclusivity and generally require a subscription acquired through professional or academic associations. Search engines provide a wealth of information as well but there is no way of knowing the validity behind the information and is available to everyone.

An example of a professional online database is PubMed. Something unique about this database is that by default PubMed lists its corresponding records by date in which they were uploaded to the database.

References

Forster, M. (2015). Six ways of experiencing information literacy in nursing: The findings of a phenomenographic study. Nurse Education Today. 35(1), 195-200. https://doi.org/10.1016/j.nedt.2014.06.005

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Willson, G., & Angell, K. (2017). Mapping the association of college and research libraries information literacy framework and nursing professional standards onto an assessment rubric. Journal of the Medical Library Association. 105(2), 150–154. https://doi.org/10.5195/jmla.2017.39

Discussion on Informed Consent

Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.

Step 1: Read the attached article entitled, “Informed Consent – The Joint Commission” 

Step 2: View the video entitled, “Nursing Fundamentals: Informed Consent, Advance Directives, Reporting and Nursing Documentation”https://www.youtube.com/watch?v=9u53jNI4qoU (Links to an external site.)

Informed consent is obtained after a client receives complete disclosure of all pertinent information provided by the provider regarding the surgery or procedure to be performed. The nurse may obtain informed consent only after the client verbalizes understanding of the potential benefits and risks associated with the surgery or procedure.

Elements of Informed Consent:

1. The individual giving consent must fully understand the procedure that will be performed, the risks involved, expected/desired outcomes, expected complications/side effects, and alternative treatments or therapies available.
2. Consent is given by a competent adult, legal guardian or designated power of attorney (DPOA), emancipated or married minor, parent of a minor, or a court order.
3. A trained medical interpreter must be provided when the person giving consent is unable to communicate due to a language barrier.
4. The nurse’s role is to witness the client’s signature and ensure the provider gave the necessary information and that the client understood and is competent to sign. If it has been identified that the client does not understand the procedure or is not competent to sign the informed consent, the nurse must STOP the process and the physician must be notified immediately.

A consultation occurs when a professional provides expert advice in a particular area and determines what treatment or services the client requires. The nursing intervention evolves around facilitating coordination with other health care providers throughout the continuum of care in order to protect the client from conflicting and potentially dangerous treatments.

A referral is a formal request for a special service by another care provider so that the client can access the care identified by the primary care provider or consultant. Some examples of referrals include physical therapy, wound care, and hospice. The nursing intervention continues to evolve around monitoring the client’s response and progress.

Directions: There are three scenarios that will be used in this discussion posting. You are all responsible for the initial discussion posting and then responding to one posting in the remaining scenarios. For example, my last name is Combs, therefore my initial discussion posting will occur from CASE #1. I will then be responsible for responding to one post from CASE #2 and one post from CASE #3.

CASE #1 (A to H); CASE #2 (I to Q); CASE #3 (R to Z)

CASE #1:

30-year-old male presents to the emergency department with RLQ pain and fever. Labs reveal an elevated white blood count. The surgical intern tells the patient that appendicitis is suspected and that the plan is to proceed with surgery to remove the appendix. He explains that the surgery is to be performed to prevent complications of appendicitis, including abscess formation, sepsis or even death. He goes on to explain the risks of surgery, including bleeding, infection and damage to adjacent organs. What additional information needs to be included in this consent? Provide an evidence-based reason for your answer.

1. Whether or not the intern would undergo the procedure in a similar circumstance.
2. Alternative to the surgery, including receiving antibiotics and monitoring the patient.
3. Name of the surgeon who will actually be performing the procedure.
4. A, B and C
5. B and C only

CASE #2:

33-year-old woman is in the operating room to undergo colectomy for ulcerative colitis. Patient was given appropriate information, and consented for the procedure. During the operation, a mass is identified involving the liver. Given the previous consent, it is acceptable for the surgeon to proceed further to either biopsy or excise the lesion. Provide an evidence-based reason for your answer.

1. True
2. False

CASE #3:

14-year-old girl presents to the emergency department, accompanied by her 10-month-old daughter and boyfriend. The boyfriend is the child’s father. Patient complains of severe lower abdominal pain, although she is afebrile, with normal laboratory values and normal vital signs. No cause of the pain is able to be delineated, and the plan is to take the girl to the operating room to perform a diagnostic laparoscopy. In this case, from whom should informed consent be obtained? Provide an evidence-based reason for your answer.

1. Patient
2. Patient’s parents
3. Patient’s boyfriend

Informed Consent – The Joint Commission.pdf

 

As a practice scholar, you are searching for evidence to translate into practice. In your review of evidence, you locate a quantitative descriptive research study as possible evidence to support a practice change. You notice the sample of this study includes 200 participants and is not normally distributed. Reflect upon this scenario to address the following.

1-What statistical procedure is needed to determine an effective sample size to make a reasonable conclusion? Explain your rationale.

2-Reading through the study, you observe that the researcher used a chi-square analysis to analyze nominal and ordinal data. Is this the appropriate level of statistical analysis to answer the research question? Explain your rationale.

3-Reading further, the researcher reports that the p-level led her to conclude that the null hypothesis was rejected. In your critique of the study, you determine that the null hypothesis is true. Do these findings impact your decision about whether to use this evidence to inform practice change? Why or why not?

Hello I need answer each question separated and use 3 sources at least no later than 5 years

Week 3 Discussion

TASK

Post your initial response to the topic below.

The ACA or the AHCA: Imperfect Solutions to Increasing Access to Health Care? 

This week’s discussion focuses on the federal government’s role in protecting the public’s health using the ACA and current efforts to “repeal and replace” the ACA. Please note that the government’s role in protecting the public’s health did not begin with the ACA. In the late 1800s, Lilian Wald brought health care to the community. And in 1965, Congress passed bills authorizing Medicare and Medicaid. Since 1965, Congress has expanded government-sponsored health care to pregnant women and children.

Topic 

·  Compare the current provisions in the ACA with those in the failed first version of the AHCA. S

·  Share your opinions about why the AHCA failed in the first attempt at passage.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Week 3 Discussion

TASK

Post your initial response to the topic below.

Wellness in the Elderly

·  Develop a wellness program with a holistic approach for the older adult you identified in your Week 2 project (ATTACHED).

·  Use resources available in your community.

·  Discuss how this approach will provide an optimum level of well-being.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.