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2025 In 2008 Donald Berwick and colleagues provided a framework for the delivery of high
by adminEvidence-Based Practice & The Quadruple Aim 2025
In 2008, Donald Berwick and colleagues provided a framework for the delivery of high value care in the USA, the Triple Aim , that is centered around three overarching goals: improving the individual experience of care; improving the health of populations; and reducing the per capita cost of healthcare. 1 The intent is that the Triple Aim will guide the redesign of healthcare systems and the transition to population health. FULL ARTICLE ATTACHED FOR ASSISTANCE Reflect on how Evidenced Based Practice might impact (or not impact) the Quadruple Aim in healthcare. Consider the impact that Evidenced Based Practice may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery . To Complete: Write a brief analysis of the connection between Evidenced Based Practice and the Quadruple Aim. Your analysis should address how Evidenced Based Practice might (or might not) help reach the Quadruple Aim, including each of the four measures of : 1. Patient experience 2. Population health 3. Costs 4. Work life of healthcare providers (2 pages only no longer than 2 pages) APA FORMAT WITH REFERENCES & IN-TEXT CITATIONS
Nursing Assignment Help 2025
2025 The collection of evidence is an activity that occurs with an endgame in
by adminAssignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change 2025
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. To Prepare: Reflect on the four peer-reviewed articles you critically appraised in Module 4. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change. The Assignment: (Evidence-Based Project) Part 5: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)Chicago Lakeshore Hospital Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. Add a lessons learned section that includes the following: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the evaluation table (1 slide) An explanation about what you learned from completing the levels of evidence table (1 slide) An explanation about what you learned from completing the outcomes synthesis table (1 slide) Rurbic: Part 5: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: · Briefly describe your healthcare organization, including its culture and readiness for change. · Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.–Levels of Achievement:Excellent 18 (18%) – 20 (20%) The presentation clearly and accurately describes in detail a healthcare organization, including a detailed explanation of its culture and readiness for change. The presentation clearly and accurately describes in detail a current problem or opportunity for change. An accurate, specific, and detailed description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general is provided. Good 16 (16%) – 17 (17%) The presentation accurately describes a healthcare organization, including an accurate explanation of its culture and readiness for change. The presentation accurately describes a current problem or opportunity for change. An accurate description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided. Fair 14 (14%) – 15 (15%) The presentation inaccurately or vaguely describes a healthcare organization, including an inaccurate or vague explanation of its culture and readiness for change. The presentation inaccurately or vaguely describes a current problem or opportunity for change. An inaccurate or vague description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided. Poor 0 (0%) – 13 (13%) The presentation inaccurately and vaguely describes a healthcare organization, including an inaccurate and vague explanation of its culture and readiness for change, or is missing. The presentation inaccurately and vaguely describes a current problem or opportunity for change or is missing. An inaccurate and vague description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided or is missing.Feedback: · Propose an evidence-based idea for a change in practice using an evidence-based practice approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. · Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. · Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. · Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.–Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and accurately proposes in detail an evidence-based idea for a change in practice that is fully aligned to an evidence-based practice approach for decision making. The presentation clearly and accurately describes in detail a plan for knowledge transfer of this change, including a detailed plan for knowledge creation, dissemination, and organizational adoption and implementation that is specific. The presentation clearly and accurately describes in detail the measurable outcomes desired for the implementation of the evidence-based change. The presentation includes accurate, complete, and full APA citations of the supporting evidence-based peer-reviewed articles selected. Good 28 (28%) – 31 (31%) The presentation accurately proposes an evidence-based idea for a change in practice that is adequately aligned to an evidence-based practice approach for decision making. The presentation accurately describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption and implementation that is adequate. The presentation accurately describes the measurable outcomes desired for the implementation of the evidence-based changes. The presentation includes accurate APA citations of the supporting evidence-based peer-reviewed articles selected. Fair 25 (25%) – 27 (27%) The presentation inaccurately or vaguely proposes an evidence-based idea for a change in practice that may be aligned to an evidence-based practice approach for decision making. The presentation inaccurately or vaguely describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption and implementation that may be relevant. The presentation inaccurately or vaguely describes the measurable outcomes desired for the implementation of the evidence-based change. Inaccurate and incomplete APA citations of the supporting evidence-based peer-reviewed articles selected are provided. Poor 0 (0%) – 24 (24%) The presentation inaccurately and vaguely proposes an evidence-based idea for a change in practice that is not aligned to an evidence-based practice approach for decision making or is missing. The presentation inaccurately and vaguely describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption that implementation that is incomplete, or is missing. The presentation inaccurately and vaguely describes the measurable outcomes desired for the implementation of the evidence-based change or is missing. Inaccurate and incomplete APA citations of the supporting evidence-based peer-reviewed articles selected are provided or are missing.Feedback: Add a lessons learned section that includes: · A summary of the critical appraisal of the peer-reviewed articles you previously submitted. · What did you learn from completing the evaluation table? · What did you learn from completing the levels of evidence table? · What did you learn from completing the outcomes synthesis table?–Levels of Achievement:Excellent 27 (27%) – 30 (30%) The presentation clearly and accurately summarizes in detail the critical appraisal process of the peer-reviewed articles previously submitted. The presentation thoroughly describes in detail at least one lesson learned from completing the evaluation table that is specific. The presentation thoroughly describes in detail at least one lesson learned from completing the levels of evidence table that is specific. The presentation thoroughly describes in detail at least one lesson learned from completing the outcomes synthesis table that is specific. The presentation provides a complete, detailed, and specific synthesis of two outside resources reviewed on the lessons learned explained. The presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation. Good 24 (24%) – 26 (26%) The presentation accurately summarizes the critical appraisal process of the peer-reviewed articles previously submitted. The presentation accurately describes at least one lesson learned from completing the evaluation table that may include some specificity. The presentation accurately describes at least one lesson learned from completing the levels of evidence table that may include some specificity. The presentation accurately describes at least one lesson learned from completing the outcomes synthesis table that may include some specificity. The presentation provides an accurate synthesis of at least one outside resource reviewed related to the lessons learned explained. The presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation. Fair 21 (21%) – 23 (23%) The presentation inaccurately or vaguely summarizes the critical appraisal process of the peer-reviewed articles previously submitted. The presentation inaccurately or vaguely describes at least one lesson learned from completing the evaluation table and may lack some specificity. The presentation inaccurately or vaguely describes at least one lesson learned from completing the levels of evidence table and may lack some specificity. The presentation inaccurately or vaguely describes at least one lesson learned from completing the outcomes synthesis table and may lack some specificity. The presentation provides a vague or inaccurate synthesis of outside resources reviewed related to the lessons learned explained. The response minimally integrates resources that may support the presentation. Poor 0 (0%) – 20 (20%) The presentation inaccurately and vaguely summarizes the critical appraisal process of the peer-reviewed articles previously submitted or is missing. The presentation inaccurately and vaguely describes at least one lesson learned from completing the evaluation table and lacks specificity or is missing. The presentation inaccurately and vaguely describes at least one lesson learned from completing the levels of evidence table that lacks specificity or is missing. The presentation inaccurately and vaguely describes at least one lesson learned from completing the outcomes synthesis table that lacks specificity or is missing. The presentation provides a vague and inaccurate synthesis of no outside resources related to the lessons learned explained or is missing. The presentation fails to incorporate any resources to support the responses provided.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 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 paper formatting with no errors. Good 4 (4%) – 4 (4%) Contains a few (one or two) paper formatting errors. Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (three or four) paper formatting errors. Poor 0 (0%) – 3 (3%)
Nursing Assignment Help 2025
2025 Throughout the course you have developed aspects of your Academic and Professional Development Plan You have
by adminWk 11 (03) 2025
Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success. Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty. In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5. To Prepare: Review the scope and standards of practice or competencies related to your chosen specialty in the resources for this module. Review the MSN specializations offered at Walden by viewing the module resource, Walden University. (n.d.). Master of Science in Nursing (MSN). Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment. Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion. The Assignment: Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan. With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN) , shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization. Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum. Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.
Nursing Assignment Help 2025
2025 Write a 2 3 page paper that examines the moral and ethical issues involved
by adminAssessment 3 Instructions: Should We Withhold Life Support? The Mr. Martinez Case 2025
Write a 2-3 page paper that examines the moral and ethical issues involved in making a decision regarding limiting life support. End-of-Life Issues With our framework of ethical theories and principles in hand, we begin our look at some of the critical ethical issues in our contemporary world, starting with end-of-life issues. This assessment covers ethical questions related to end-of-life care. Passive euthanasia is the removal or refusal of life-sustaining treatment. Examples of passive euthanasia include removal of a feeding tube or a ventilator, or forgoing a life-prolonging surgery. Passive euthanasia is legal in all 50 states, and the principle of autonomy gives informed patients the right to refuse any and all treatments. Patients who are unable to make such decisions in the moment (because they are unconscious, for example) might have made their intentions clear beforehand with an advance directive or similar document. Things become more complicated, however, when a patient who is unable to make treatment choices has not made his or her wishes clear, either formally in a written document, or informally in conversations with family members or friends. Another problem concerns cases in which there is disagreement about whether the treatment is sustaining the life of a person in the full sense or merely as a body that, because of severe and irreversible brain trauma, is no longer truly a living person. Active euthanasia, or assisted suicide, introduces further difficult moral questions. A patient who has a terminal illness and who has refused treatments that would merely prolong a potentially very painful and debilitating death might want the process of dying to be hastened and made less painful. The patient might want to take his or her own life before the disease reaches its horrible final stages. Should patients be legally allowed to have help in this endeavor? If suicide itself is not morally wrong, at least in cases like these, is it wrong for another person to directly help bring about the patient’s death? Is it wrong for doctors, a role we naturally associate with healing and the promotion of life, to use their medical expertise to deliberately end a patient’s life if the patient wants this? Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Articulate ethical issues in health care. Articulate the moral issues associated with limiting life support. Competency 2: Apply sound ethical thinking related to a health care issue. Demonstrate sound ethical thinking and relevant ethical principles when considering limiting life support. Explain important considerations that arise when contemplating limiting life support. Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals. Exhibit proficiency in clear and effective academic writing skills. Preparation Case Study: Mr. Martinez . Mr. Martinez was a seventy-five-year-old chronic obstructive pulmonary disease patient. He was in the hospital because of an upper respiratory tract infection. He and his wife had requested that CPR not be performed should he require it. A DNR order was written in the charts. In his room on the third floor, he was being maintained with antibiotics, fluids, and oxygen and seemed to be doing better. However, Mr. Martinez’s oxygen was inadvertently turned up, and this caused him to go into respiratory failure. When found by the therapist, he was in terrible distress and lay gasping in his bed. This media piece provides the context for this assessment; make sure you have reviewed the case study thoroughly. Additionally, it may be useful to think through the following issues as they relate to Mr. Martinez’s case: Should Mr. Martinez be transferred to intensive care, where his respiratory failure can be treated by a ventilator, and by CPR if necessary, and his oxygen level can be monitored? What are the key ethical issues or models at play in this case study? What are the key end-of-life issues at play in this case study? How can an understanding of models and best-practice help to guide health care practitioners to make ethical and legal decisions? Instructions In a 2–3 page analysis of the case study, address the following: The patient’s directives. The patient’s quality of life. The family’s stated preferences. The moral issues associated with limiting life support. The ethical principles most relevant to reaching an ethically sound decision. Important considerations such as implications, justifications, and any conflicts of interest that might arise because of the patient’s respiratory failure. When writing your assessment submission assume that doctors cannot contact Mrs. Martinez and must make this choice on their own. To help you reach an objective, ethically sound decision, draw upon concepts and arguments from the suggested resources or your independent research. Support your response with clear, concise, and correct examples, weaving and citing the readings and media throughout your answer. Submission Requirements Written communication: Written communication is free of errors that detract from the overall message. APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines. Length: 2–3 typed, double-spaced pages. Font and font size: Times New Roman, 12 point.
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