Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

• Reflect on drugs used to treat asthmatic patients,      including long-term control and quick relief treatment options for      patients. Think about the impact these drugs might have on patients,      including adults and children.
• Consider how you might apply the stepwise approach to      address the health needs of a patient in your practice.
• Reflect on how stepwise management assists health care      providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining      and maintaining control of the disease. Be specific.

 1. Submit the complete Literature Review section for the research paper you are writing. Please ensure that your Literature Review contains at least five (5) sources published within the last five years. Do not forget to provide the complete References list of the sources used in writing your Literature Review.

2.  Formulate the Research Methods for your selected topic. Please note that all students are to carry out a meta-analysis research method. Make sure that you incorporate all appropriate elements:

* the type of research used

* the step-by-step process of the research

* the tools used during the research

* how these tools were handled

Note: Remember that you should use the past tense, 3rd person, active or passive voice. 

 This is my work what I need is the references in both

1. Literature Review

The paper will begin with a background on the stress experienced by students enrolled in learning programs by putting it within the context of the Covid-19 pandemic, as presented in “Stress in Students after Lockdown Due to COVID-19 Threat and the Effects of Attending Online Classes,” which found that 69.8% of students are stressed about their studies (Raj & Fatima, 2020).

The paper will use information from the article “Understanding and Promoting Stress Management Practices Among College Students Through an Integrated Health Behavior Model”, which was published in the American Journal of Health Information in 2018. The article notes that college students are susceptible to undermanaged stress and its detrimental effects, and though they could use evidence-based stress reduction techniques (SRTs) to remedy this, many do not (Bistricky et al, 2018). The article provides a framework through which institutions can better serve students that are enrolled in online classes.

One such intervention was evaluated in the article “Evaluating an Online Stress Management Intervention for College Students,” which was published in the Journal of Counseling Psychology in 2016. The study found a number of effective techniques that reduce stress in online learners and focused on the intervention focused on present control because it has been found to be associated with a range of positive outcomes, including lower levels of depression, anxiety, and stress, controlling for a range of other variables (Hintz et al, 2016).

Going globally, the paper will analyze the efficacy of using web applications for stress management during the pandemic, as seen in a sample of Iranian college students in a study by Khademian et al (2020). This application outlines the implementation of techniques and strategies to help college students who are working online due to the pandemic.

Finally, the cumulative information will guide us to the most effective tips for successful online learning, as recommended by Walden University in their article “9 Stress Management Tips for Successful Online Learning,” found at Walden.edu. After all this, we will have enough information to decide how to best help online students reach their goals without being affected by stress.

Note: Missing References in APA format 7th Edition

2.  A meta-analysis method was performed in this study, to synthesize different results found between several studies. The MRU virtual library was used to access all the available research through the EBSCOhost databases. In an advanced search, the following keywords were used: “Students”, “Online”, and “Classes”. A limitation was set for research published within the last 5 years from February 2016 to February 2021 with articles published in English, Chinese, German, Korean, Polish, and Portuguese. The search provided access to 102 articles of which 1 of the studies was selected based on the topic and 101 were discarded. 

Professor Notes:  Please note that you need to incorporate at least five studies.  

  A convenience sample of 133 Intensive Care Unit (ICU) patients were asked whether or not they had an advance directive upon being admitted to the ICU (yes/no). We were interested in comparing results for Caucasian patients and African American respondents. Our main question of interest was: is there an association between advance directive and ethnicity? For all questions below, assume 2-tailed test and alpha= .05. 

1. Interpret the X2. Report in APA format, include the effect size if appropriate (Phi), and write a brief interpretation statement.
2. Compute the CI around the difference in proportion using the  website 

http://vassarstats.net/

 e: Topic 4 DQ 2

In their report of code of ethics (2015), the American Nurses Association defines accountability as taking self-responsibility for our actions. As nurses, we have a great responsibility to patients, peers, and ourselves all the time. Nurses that hold an RN licensed are accountable and obligated to maintain the highest ethics, transparency, and morals when caring for patients. The Nursing Practice Act and the law mandate and outlines nursing practice responsibilities. The scope of regulations in the California Nursing Practice Act clarifies nursing practice (NPA sec. 2527-2542). Nursing practice is a privilege that needs honesty, dignity, and appreciation. Nurses must be knowledgeable of updated policies and protocols of patient care, empathetic to patients and their families, flexible, and most importantly, truthful. Patients trust nurses with their lives.

We are humans and make mistakes, no doubt about that. But not taking the responsibility and correct or improve our practice is not only unethical but criminal. The one example in my nursing practice that I will never forget was a new grad. I dropped a pill on the floor and quickly picked it up; no one saw it, only me; I was in a hurry since I had more things to do. I could have given that medication, no one knew I dropped it, but for a second, I thought that if I could be dishonest with myself, how can I expect to be honest with others. I have never forgotten that experience. I threw it away and went to get a new one. Honesty, respect, and accountability define us not only as nurses but as human beings.

Working at the bedside can become overwhelming, and the more we do it, the better we develop a way of improving time management. Therefore, w a new policy is not welcomed since nurses must get used to a new practice. However, these changes are not to make us nurses angry or make us work harder. New Evidenced-based practice policies are created to help the patient heal or prevent them from getting sicker, so being flexible and understanding new guidelines and how they benefit the patient is another way of taking self-accountability. Healthcare facilities have the responsibility to educate and promote accountability. According to (Sherman, 2019), nurses develop a practice and mindset that prevents them from following new EBP; her article explains how nurses may refuse to follow new policies when they feel their approach is appropriate and can be, that does not mean it is a professional way of practicing and that is why EBP policies and procedures are in place. Flexibility to adapt and understand changes is part of the nursing practice and an obligation; not following the facility of practice’s policies and procedures is a crime.

                                                                       References

American Nurses Association (2015) Code of ethics for nurses with interpretive statements (second ed) ANA, page41. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics-code-of-ethics-for-nurses/

Sherman, R. O., & Cohn, T. M. (2019). Promoting professional accountability and ownership: Nursing leaders set the tone for a culture of professional responsibility. American Nurse Today, 14(2), 24–26.

California Nursing Practice Act (n.d.) regulations of nursing practice. https://leginfo.legislature.ca.gov

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Simply respond to the writer(student) post above supporting positively using 200-300 words APA format with references.  

 

Compilation

Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4.

In addition to the work you completed in the last four weeks, your assignment should also:

• Include an introduction and a conclusion.
• Implement the recommendations from the instructor.
• Describe the role of nursing informatics.
• Explain how nursing informatics or technology in health care will help or hinder your leadership.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.