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2025 Note Throughout this course the term parent will be used to represent a pediatric
by admin6541 DISCUS 1 2025
Note: Throughout this course, the term parent will be used to represent a pediatric patient’s caregiver, which may include a parent, stepparent, foster parent, guardian, and so on. To prepare: •Review this week’s RESOURCES , as well as “Child and Family Health Assessment,” “Cultural Perspectives for Pediatric Primary Care,” and “Developmental Management in Pediatric Primary Care” in the Burns et al. text. •Consider how a provider’s personal definition of family and family roles might impact the assessment of a child and the child’s family. •Reflect on how the culture of the provider and/or the patient may further influence the assessment. •Think about three strategies that a provider can use to assist families with making health-related decisions for children at different stages of growth and development. Consider how these strategies might change when assessing patients at different stages of growth and development and with different family backgrounds. POST 2 PAGES OR MORE ON : 1) An explanation of how a provider’s personal definition of family and family roles might impact the assessment of a child and his or her family. 2) Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment. 3) Finally, explain at least three strategies that the provider can use to assist families with making health-related decisions for children at different stages of growth and development. 4) Also, explain how these strategies might change when assessing patients at different stages of growth and development and with different family backgrounds. REFERENCES Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier. ◦ Chapter 2, “Child and Family Health Assessment” (pp. 10–31) Chapter 3, “Cultural Perspectives for Pediatric Primary Care” (pp. 32–41) U.S. Department of Health and Human Services. (2012). Healthy people 2020 topics and objectives. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics. ◦“Promoting Family Support” (pp. 13–37)
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2025 Health Care Database Systems in Practice Although we live in a world completely revolutionized by information
by adminHealth Care Database Systems in Practice 2025
Health Care Database Systems in Practice Although we live in a world completely revolutionized by information, it is important to remember that it is knowledge we are seeking, not information. —Margaret Wheatley Every day, nurses and other health care practitioners are challenged with managing large quantities of data and information. Unless this data and information can be translated into knowledge, it will have little meaningful value. Databases and data management techniques, if designed effectively, present health care organizations with the means to quickly and effectively transform data into useful knowledge. The ability to rapidly and accurately transform data into useable knowledge allows health care practitioners to make informed decisions on patient care. In this Discussion, you consider the types of data stored in a database system. You also examine how this information is used in nursing practice, and reflect on the benefits and challenges of using health care database systems and data. To prepare: Select a database system that you encounter at work or with which you are familiar. What data points are captured and used by nurses? Consider the kind of data collected and the different elements of that data. Ask yourself: How is information in this database used for nursing practice and patient care? What benefits does the database system provide? What are the challenges of using the system? Post: A minimum of 550 words with 3 references in APA format 1) A description of the system you selected and the types of data that are stored in the system. 2) Explain how this database and the data is used for nursing practice and patient care. 3) Evaluate the benefits and challenges of using the database system and the data. Required Resources Readings Coronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning. Chapter 1, “Database Systems” (pp. 4–32) This chapter defines data and database systems. It also introduces various terminologies and descriptions regarding database functions. Chapter 9, Sections 9.1–9.3, “Database Design” (pp. 412–431) This section of Chapter 9 focuses on the importance of thoughtful database design. Regardless of the quality of the data, if it is not easily accessed, it is of little value. Schraml, T. (2011). Success is an attitude. Database Trends & Applications, 25 (3), 28. Retrieved from the Walden Library databases. This article highlights the importance of consistency and standardization when developing a database design. It also identifies circumstances where deviations from certain guiding principles may be necessary. Microsoft. Virtual Academy (2013). Database fundamentals. Retrieved from http://www.microsoftvirtualacademy.com/training-courses/database-fundamentals#?fbid=2MPiQPolSfc This website contains a series of lessons on database fundamentals. Topics covered include database design, database management, and database security.
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2025 JOURNAL ENTERY 1 TO 2 PAGE To prepare Prepare this as a personal
by admin6541 Assgn WK 1 2025
JOURNAL ENTERY 1 TO 2 PAGE To prepare : Prepare this as a personal Journal and give personal experience example too •Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience. •Select and explain a nursing theory to guide your practice with pediatric patients. •Based on your strengths, weaknesses, and theory of nursing practice, develop goals and objectives for the Practicum experience in this course. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice RESOURCES National Association of Pediatric Nurse Practitioners. (2008). NAPNAP position statement on age parameters for pediatric nurse practitioner practice. Journal of Pediatric Health Care, 22(3), e1–e2. Retrieved from the Walden Library databases. U.S. Department of Health and Human Services. (2012). Healthy people 2020 topics and objectives. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx Agency for Healthcare Research and Quality. (2012). Guidelines and recommendations. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/index.html
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2025 Your topic is good but your PICOT is not in correct format Please redo your
by adminsection a 2025
Your topic is good but your PICOT is not in correct format. Please redo your question using the template I provided in the week 1 CAT and resubmit for a grade. Please send me a note in the IF so I can reset your assignment. P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder) I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor) C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor, Prognostic factor B ) O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome) T: Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed). Note: Not every question will have an intervention (as in a meaning question) or time (when it is implied in another part of the question) component. For an intervention/therapy: In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)? For etiology: Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)? Diagnosis or diagnostic test: Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)? Prevention: For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)? Prognosis/Predictions Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)? Meaning How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)? Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins. Examples of Evidence-Based PICOT Questions 1. Population : Bariatric adolescents considering or undergoing gastric bypass surgery. Intervention : The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient. Comparison : The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient. Outcome : When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care. Time: perioperative including the 6 weeks post recovery. PICOT Question : Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care and has no specialized training? 2. Intervention PICOT Question: An Intervention example: In adult patients with total hip replacements (Patient population) how effective is PCA pain medication (Intervention of interest) compared to prn IM pain medication (Comparison intervention) in controlling post operative pain (Outcome) during the perioperative and recovery time? Note: The IM pain medication would be called the control group. It would be unethical to have a control group that received NO pain medication. Many times the control group means they get “business as usual!” or the current standard of care. 3. Therapy PICOT Question: A non-intervention example: What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)? 4. Etiology PICOT Question: Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)? 5. Diagnostic PICOT Question: Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Time is implied in two weeks and 24 hours old. 6. Prevention PICOT Question: In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)? 7. Prognosis/Prediction PICOT question: Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? 8. Meaning PICOT Question: How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)?
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