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2025 Community Health Assessment Windshield Survey Community Assessment A community health assessment sometimes called a CHA
by adminCommunity health assessment / Windshield Survey 2025
Community Health Assessment / Windshield Survey Community Assessment A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. Community health assessments use such principles as Multisector collaborations that support shared ownership of all phases of community health improvement, including assessment, planning, investment, implementation, and evaluation Proactive, broad, and diverse community engagement to improve results A definition of community that encompasses both a significant enough area to allow for population-wide interventions and measurable results, and includes a targeted focus to address disparities among subpopulations Maximum transparency to improve community engagement and accountability Use of evidence-based interventions and encouragement of innovative practices with a thorough evaluation Evaluation to inform a continuous improvement process Use of the highest quality data pooled from and shared among, diverse public and private sources (Retrieved from https://www.cdc.gov/publichealthgateway/cha/plan.html ) Windshield Survey: “A windshield survey is an informal method used by community health nurses to obtain basic knowledge about a given community . It provides a subjective view of the various physical characteristics of a communal area as observed while driving or walking through a neighborhood. .”(Retrieved from; mynursingprofessionalportfolio.weebly.com/uploads/8/9/3/3/8933086/windshieldsurvey.docx ).” As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board title “Week 1 discussion questions”. A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years. A minimum of 1000 words are required. Make sure the assessment is based in the community where you live. I don’t want community health assessment from other communities, once again it must be from the community you live. Please mention the zip code of your community on the first page of the assignment. Please follow the instructions given in the syllabus Discussion Question (DQ) Participation Guidelines” and “Discussion Question (DQ) Submission Guidelines. Respectfully; Prof. Cruz
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2025 Signature Assignment Description Directions This week you will develop a PowerPoint presentation reviewing the theories from each module Please
by adminN491 Assignment Mod 8 2025
Signature Assignment Description/Directions: This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory: Describe the theory Provide 3 examples of how the theory applies to current practice Provide 3 positive patient outcomes resulting from utilizing the theory Explain 3 benefits to nursing satisfaction when utilizing the theory Describe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources) Support from literature clearly noted throughout The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides. Total Point Value of Assignment: 500 points
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2025 Assignment 2 Middle Range or Interdisciplinary Theory Evaluation As addressed this week middle range theories are frequently used
by adminMiddle Range or Interdisciplinary Theory Evaluation 2025
Assignment 2: Middle Range or Interdisciplinary Theory Evaluation As addressed this week, middle range theories are frequently used as a framework for exploring nursing practice problems. In addition, theories from other sciences, such as sociology and environmental science, have relevance for nursing practice. For the next few weeks you will explore the use of interdisciplinary theories in nursing. This Assignment asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem. Note: This Assignment will serve as your Major Assessment for this course. To prepare: Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources (see under list of Required Readings and attached pdf file) Select a clinical practice problem that can be addressed through an evidence-based practice project. Note: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Week 7 Assignment 1. Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem. Formulate a preliminary clinical/practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4. Write a 10- to 12-page paper (including references) in APA format and a minimum of 8 references or more, using material presented in the list of required readings to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question (refer to the sample paper attached as “Assignment example” ). Include the level one headings as numbered below: 1) Introduction with a purpose statement (e.g. The purpose of this paper is…) 2) Briefly describe your selected clinical practice problem. 3) Summarize the two selected theories. Both may be middle range theories or interdisciplinary theories, or you may select one from each category. 4) Evaluate both theories using the evaluation criteria provided in the Learning Resources. 5) Determine which theory is most appropriate for addressing your clinical practice problem. Summarize why you selected the theory. Using the propositions of that theory, refine your clinical / practice research question. 6) conclusion MY PRACTICE PROBLEM IS AS FOLLOWED : P: Patients suffering from Type 2 Diabetes Mellitus I: Who are involved in diabetic self-care programs C: Compared to those who do not participate in self-care programs O: Are more likely to achieve improved glycemic control THE THEORIES USED FOR THIS MODEL ARE: Dorothea Orem Self-Care Theory and The Self-Efficacity in nursing Theory by Lenz & Shortridge-Baggett, or the Health Promotion Model by Pender, Murdaugh & Parson (Pick 2) Required Readings McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing . (4th ed.). Philadelphia, PA: Wolters Kluwer Health. Chapter 10, “Introduction to Middle Range Nursing Theories” Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and use in research. Chapter 11, “Overview of Selected Middle Range Nursing Theories” Chapter 11 continues the examination of middle range theories and provides an in-depth examination of a select set of theories · Chapter 15, “Theories from the Biomedical Sciences” Chapter 15 highlights some of the most commonly used theories and principles from the biomedical sciences and illustrates how they are applied to studies conducted by nurses and in nursing practice. · Chapter 16, “Theories, Models, and Frameworks from Administration and Management” Chapter 16 presents leadership and management theories utilized in advanced nursing practice. · Chapter 18, “Application of Theory in Nursing Practice” Chapter 18 examines the relationship between theory and nursing practice. It discusses how evidence-based practice provides an opportunity to utilize research and theory to improve patient outcomes, health care, and nursing practice. Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier. Chapter 6, “Objectives, Questions, Variables, and Hypotheses” Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses. · Review Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice” · Chapter 19, “Evidence Synthesis and Strategies for Evidence-Based Practice” This section of Chapter 19 examines the implementation of the best research evidence to practice. Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing . Philadelphia, Pennsylvania: F. A. Davis. Note: You will access this article from the Walden Library databases. This book chapter evaluates the use and significance of middle-range theories in nursing research and clinical practice. DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22 (4), 355–359. Note: You will access this article from the Walden Library databases. This article describes how the Roy Adaptation Model (RAM) is used to guide nursing practice, research, and education in many different countries. Jacelon, C., Furman, E., Rea, A., Macdonald, B., & Donoghue, L. (2011). Creating a professional practice model for postacute care: Adapting the Chronic Care Model for long-term care. Journal of Gerontological Nursing, 37 (3), 53–60. Note: You will access this article from the Walden Library databases. This article addresses the need to redesign health care delivery to better meet the needs of individuals with chronic illness and health problems. Murrock, C. J., & Higgins, P. A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65 (10), 2249–2257. doi:10.1111/j.1365-2648.2009.05108.x Note: You will access this article from the Walden Library databases. This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes. Amella, E. J., & Aselage, M. B. (2010). An evolutionary analysis of mealtime difficulties in older adults with dementia. Journal of Clinical Nursing, 19(1/2), 33–41. doi:10.1111/j.1365-2702.2009.02969.x Note: You will access this article from the Walden Library databases. This article presents findings from a meta-analysis of 48 research studies that examined mealtime difficulties in older adults with dementia. Frazier, L., Wung, S., Sparks, E., & Eastwood, C. (2009). Cardiovascular nursing on human genomics: What do cardiovascular nurses need to know about congestive heart failure? Progress in Cardiovascular Nursing, 24(3), 80–85. Note: You will access this article from the Walden Library databases. This article discusses current genetics research on the main causes of heart failure. Mahon, S. M. (2009). Cancer Genomics: Cancer genomics: Advocating for competent care for families. Clinical Journal of Oncology Nursing, 13(4), 373–3 76. Note: You will access this article from the Walden Library databases. This article advocates for nurses to stay abreast of the rapid changes in cancer prevention research and its application to clinical practice. Mayer, K. H., Venkatesh, K. K. (2010). Antiretroviral therapy as HIV prevention: Status and prospects. American Journal of Public Health, 100(10), 1867–1 876. doi: 10.2105/AJPH.2009.184796 Note: You will access this article from the Walden Library databases. This article provides an in-depth examination of potential HIV transmission prevention. Pestka, E. L., Burbank, K. F., & Junglen, L. M. (2010). Improving nursing practice with genomics. Nursing Management, 41(3), 40–44. doi: 10.1097/01.NUMA.0000369499.99852.c3 Note: You will access this article from the Walden Library databases. This article provides an overview of genomics and how nurses can apply it in practice. Yao, L., & Algase, D. (2008). Emotional intervention strategies for dementia-related behavior: A theory synthesis. The Journal of Neuroscience Nursing, 40(2), 106–115. Note: You will access this article from the Walden Library databases. This article discusses a new model that was developed from empirical and theoretical evidence to examine intervention strategies for patients with dementia. Fineout-Overholt, E., Williamson, K., Gallagher-Ford, L., Melnyk, B., & Stillwell, S. (2011). Following the evidence: Planning for sustainable change. The American Journal Of Nursing, 111(1), 54–60. This article outlines the efforts made as a result of evidence-based practice to develop rapid response teams and reduce unplanned ICU admissions. Kleinpell, R. (2010). Evidence-based review and discussion points. American Journal of Critical Care, 19(6), 530–531. This report provides a review of an evidence-based study conducted on patients with aneurismal subarachnoid hemorrhage and analyzes the validity and quality of the research. Koh, H. (2010). A 2020 vision for healthy people. The New England Journal Of Medicine, 362(18), 1653–1656. This article identifies emerging public health priorities and helps to align health-promotion resources, strategies, and research. Moore, Z. (2010). Bridging the theory-practice gap in pressure ulcer prevention. British Journal of Nursing, 19(15), S15–S18. This article discusses the largely preventable problem of pressure ulcers and the importance of nurses being well-informed of current prevention strategies. Musker, K. (2011). Nursing theory-based independent nursing practice: A personal experience of closing the theory-practice gap. Advances In Nursing Science, 34(1), 67–77. This article discusses how personal and professional knowledge can be used in concert with health theories to positively influence nursing practice. Roby, D., Kominski, G., & Pourat, N. (2008). Assessing the barriers to engaging challenging populations in disease management programs: The Medicaid experience. Disease Management & Health Outcomes, 16(6), 421–428. This article explores the barriers associated with chronic illness care and other factors faced by disease management programs for Medicaid populations. Sobczak, J. (2009). Managing high-acuity-depressed adults in primary care. Journal of the American Academy of Nurse Practitioners, 21(7), 362–370. doi: 10.1111/j.1745-7599.2009.00422.x This article discusses a method found which positively impacts patient outcomes used with highly-acuity-depressed patients. Thorne, S. (2009). The role of qualitative research within an evidence-based context: Can metasynthesis be the answer? International Journal of Nursing Studies, 46(4), 569–575. doi: 10.1016/j.ijnurstu.2008.05.001 The article explores the use of qualitative research methodology with the current evidence-based practice movement. Optional Resources McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11 (1), 42–52. Calzone, K. A., Cashion, A., Feetham, S., Jenkins, J., Prows, C. A., Williams, J. K., & Wung, S. (2010). Nurses transforming health care using genetics and genomics. Nursing Outlook, 58(1), 26–35. doi: 10.1016/j.outlook.2009.05.001 McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11 (1), 42–52.
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2025 Developing and Evaluating New Practice Approaches One of the exciting aspects of participating in the
by adminDeveloping and Evaluating New Practice Approaches 2025
Developing and Evaluating New Practice Approaches One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Project issue you identified in Week 2 see attached file). To prepare: Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Project (identified during Week 2 [see attached file]). Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality. What are the theoretical bases for your proposed strategies? What might be the economic impact of implementing your proposed strategies? By tomorrow Wednesday day 10/03/18 10:00 am, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headers as numbered below: Post a cohesive response that addresses the following: 1) Briefly summarize your selected issue (see my PIICOT question below & attached file) and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies. 2) Discuss the potential economic impact of your suggested strategies. 3) How could the new practice strategies improve health care quality? Required Readings White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer. Chapter 6, “Translation of Evidence for Leadership” Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing , 28, 479-485. Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality , 24(4), 40-44. Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care , 28(5), 393-399. Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16. Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing , 24, 2649-2658. Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing , 11(4), 219-226. Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing , 69(5), 1197-1209 (see attached file). PIICOT Question In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients? P: Adult patients I: in extended intensive care within an urban acute care facility I: increased mobilization of the patients C: minimal mobilization of the patients O: early transfers of the patients from intensive care T: 6 months Due tomorrow 10/03/18 by 10:00 am. Thanks!
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