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2025 Assignment Evidence Based Project Is there a difference between common practice and best practice When you first went to work
by adminweek3 assign 6052 2025
Assignment: Evidence-Based Project Is there a difference between “common practice” and “best practice”? When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: An Introduction to Clinical Inquiry Create a 4- to 5-slide PowerPoint presentation in which you do the following: Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question Describe how you used keywords to search on your chosen clinical issue of interest. Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. Provide APA citations of the four peer-reviewed articles you selected. Part 2: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. Learning Resources Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings 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 2, “Asking Compelling Clinical Questions” (pp. 33–54) Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653) Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26 , 91–108. doi:10.1111/j.1471-1842.2009.00848.x Note: You will access this article from the Walden Library databases. Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27 (18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488 Note: You will access this article from the Walden Library databases. Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27 (15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485 Note: You will access this article from the Walden Library databases. Walden University Library. (n.d.-a). Databases A-Z: Nursing . Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981 Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources . Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299 Document : Matrix Worksheet Template (Word Document) Required Media Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author. Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg
Nursing Assignment Help 2025
2025 The topic of choice for this assignment is physiological adaptation the nclex test plan 4 6 pages not
by adminEvidence based practice paper 2025
The topic of choice for this assignment is “physiological adaptation” the nclex test plan. 4-6 pages; not including the title page and reference page APA format 7th edition scholarly sources provided fir this assignment I started working on this assignment, so use the rough draft as a guide to your own work and use my references provided.
Nursing Assignment Help 2025
2025 Developing PICO Questions Determining the topic of an evaluation is one of
by adminDeveloping PICO Questions 2025
Developing PICO Questions Determining the topic of an evaluation is one of the most important steps of the evaluation process. In the process of selecting a topic for evaluation, researchers should reflect on what information needs to be gathered and how it will be used. A PICO question can provide the foundation for this process. The PICO question requires researchers to determine the population to be studied, select the intervention that occurred or will occur (such as a new system), have a baseline with which to compare the evaluation, and finally, have a standard to measure the outcome of the project. Using a PICO question as a guideline helps ensure the evaluation is focused and effective. In this Discussion, you generate a PICO question that corresponds to the Evaluation Plan Focus you developed last week. To prepare: Develop a PICO question based on the Evaluation Plan Focus Assignment completed last week. Reflect on why it is important that this question be answered. Identify the “who cares?” factor. By Day tomorrow 12/28/2016, write a minimum of 550 words essay in APA format with a minimum of 3 reference from the list provided below. Include the level one headings as numbered below: 1) Post a summary of key points (evaluation goal, viewpoint, and model) from your Evaluation Plan Focus Assignment. 2) Post your PICO question. Explain why you developed this question, and why it is important to be considered. Required Readings Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science+Business Media, Inc. Chapter 3, “Determining What to Study” (pp. 48–84) This chapter focuses on how to identify the relevant questions to cover in an evaluation and how to ensure that the scope of the question is appropriate. It includes a description of different types of evaluations, including what they specifically focus on and the general type of questions they address. Gschwandtner, T., Kaiser, K., & Miksch, S. (2011). Information requisition is the core of guideline-based medical care: Which information is needed for whom? Journal of Evaluation in Clinical Practice, 17(4), 713–721. Retrieved from the Walden Library databases. This article describes the construction of a comprehensive information source to be used in the development of computerized clinical practice guideline (CPG). The authors emphasize how the information source is designed to meet the informational requirements of anyone developing a CPG for any user group. Lin, J. W., Chang, C. H., Lin, M. W., Ebell, M. H., & Chiang, J. H. (2011). Automating the process of critical appraisal and assessing the strength of evidence with information extraction technology. Journal of Evaluation in Clinical Practice, 17(4), 832–838. Retrieved from the Walden Library databases. The authors of this article explain a study that sought to create and evaluate a system to automatically determine a medical article’s evidence level. The authors describe the accuracy of the system and speculate on the causes of errors. Swennen, M. H. J., vander Heijden, G. J. M. G., Blijham, G. H., & Kalkman, C. J. (2011). Career stage and work setting create different barriers for evidence-based medicine. Journal of Evaluation in Clinical Practice, 17(4), 775–785. Retrieved from the Walden Library databases. This article describes a study that examines how a doctor’s career stage and work setting are related to their perceptions of barriers to practicing evidence-based medicine (EBM). The authors also provide a framework for classifying the identified barriers. Required Media Laureate Education (Producer). (n.d.e). PICO question. Retrieved from CDN database. (NURS 6431) This animation describes the basics of formulating a PICO question. The animation provides an example scenario of effectively generating a PICO question. Optional Resources Alliance for Health Reform. (2013). Health Information Technology. Retrieved from http://www.allhealth.org/issues.asp?wi=4 American Health Information Management Association. Retrieved from http://www.ahima.org/ Healthcare Information and Management Systems. (2013). Retrieved from http://www.himss.org/ Kaiser.edu. (n.d.). Health information technology. Retrieved from http://kff.org/health-reform/issue-brief/building-an-information-technology-foundation-for-health/ National Center for Biotechnology Information. (n.d.). Health services/technology assessment texts (HSTAT). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK16710/
Nursing Assignment Help 2025
2025 Case Studies 1 3 Respiratory disorders such as pneumonia and asthma are among the leading
by adminDiscussion: Diagnosis and Management of Respiratory, Cardiovascular, and Genetic Disorders 2025
Case Studies 1–3 Respiratory disorders such as pneumonia and asthma are among the leading causes of hospitalization in pediatric patients (U.S. Department of Health and Human Services, 2011). With such severe implications associated with many respiratory disorders, advanced practice nurses must be able to quickly identify symptoms, diagnose patients, and recommend appropriate treatment. For this Discussion, consider potential diagnoses and treatments for the patients in the following three case studies. Case Study 1: A 14-month-old female presents with a 4-day history of nasal congestion and congested cough. This morning, the mother noted that her daughter was breathing quickly and “it sounds like she has rice cereal popping in her throat.” Oral intake is decreased. Physical examination reveals the following: respiratory rate is 58, lung sounds are diminished in the bases, she has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields, and her tympanic membranes are normal. There is moderate, thick, clear rhinorrhea and postnasal drip. Her capillary refill is less than 3 seconds, and she is alert and smiling. Her RSV rapid antigen test is positive. Case Study 2: Brian is a 14-year-old known asthmatic with a 2-day history of worsening cough and shortness of breath. He reports using a short-acting beta agonist every 3 hours over the previous 24 hours. He has a long-acting inhaled corticosteroid, but the prescription ran out, and he forgot to get it refilled. He says he came today because he woke up at 2 a.m. coughing and couldn’t stop, thus preventing him from going back to sleep. Over-the-counter cough suppressants don’t help. He denies cigarette smoking, but his clothing smells like smoke. His respiratory rate is 18 and he has prolonged expiration and expiratory wheezes in all lung fields. There are no signs of dyspnea. All other exam findings are normal. Case Study 3: A father presents his 9-year-old with a 3-day history of cough. Dad states that his son is coughing up yellow mucus. The boy is afebrile and is sleeping through the night, but the father’s sleep is disturbed listening to his son coughing. Dad says he thinks his son has bronchitis and is requesting treatment. Physical examination reveals the following: respiratory rate is 18, lungs are clear to auscultation, patient is able to take deep breaths without coughing, there is no cervical adenopathy, nasal turbinates are slightly enlarged, and there is moderate clear rhinorrhea. Case Studies 4–6 Assessing, diagnosing, and treating pediatric patients for many cardiovascular and genetic disorders can be challenging. As an advanced practice nurse who facilitates care for patients presenting with these types of disorders, you must be familiar with current evidence-based clinical guidelines. Because of the clinical implications, you have to know when to treat patients with these disorders and when to refer them for specialized care. In this Discussion, you examine the following case studies and consider appropriate treatment and management plans. Case Study 4: Miguel is a 15-year-old male who presents for a sports physical. He is a healthy adolescent with no complaints. He plays basketball. He is 6 feet 5 inches tall and weighs 198 pounds. You note long arms and long thin fingers. He has joint laxity in his wrists, shoulders, and elbows. Case Study 5: Trina is a 9-year-old female who weighs 110 pounds. Vital signs are as follows: BP 122/79, P 98, R 20. Her mother reports she is a picky eater and refuses to eat fruits and vegetables. Her physical activity includes soccer practice for 1 hour a week with one game each weekend from September through November. Family history is negative for myocardial infarction, but both parents take medication for dyslipidemia. Case Study 6: You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before. She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign. To prepare: Review “Respiratory Disorders,” “Cardiovascular Disorders,” and “Genetic Disorders” in the Burns et al. text. Review and select one of the six provided case studies. Analyze the patient information. Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments. Consider strategies for educating patients and families on the treatment and management of the respiratory disorder. By Day 3 Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.
Nursing Assignment Help 2025