2023 Assignment 1 PICOT Statement and Literature The first step of the EBP process is to

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Nursing 2023 NRS 433 Week 1 Assignment 1 PICOT Statement And Literature

Assignment 1 PICOT Statement and Literature The first step of the EBP process is to 2023 Assignment

  

Assignment 1 PICOT Statement and Literature 

The first step of the EBP process is to develop a question from the nursing practice problem of interest. Select a practice problem of interest to use as the focus of your research. Start with the patient and identify the clinical problems or issues that arise from clinical care. Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem. Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. Suggestions for locating qualitative and quantitative research articles from credible sources: 

1. Use a library database such as CINAHL Complete for your search. 

2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section. 

3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

 To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. https://www.guideline.gov/(week 1) 

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2023 Respond in one or more of the following ways Ask a probing

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Nursing 2023 post -luke

Respond in one or more of the following ways Ask a probing 2023 Assignment

Respond  in one or more of the following ways:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

                                                              Main Post

When conducting research, it is necessary that the researcher not only know how to find the sources needed to answer the question that they have created but also how to analyze that information to understand which research design was used. Doing so will allow the researcher to provide the evidence needed to support or reject the question being asked. Quantitative research is the investigation of phenomena that lends themselves to precise measurement and quantification, often involving a controlled design (Polit & Beck, 2017). This discussion will look at two different quantitative studies and the qualities that make them so. 

Sleep Apnea Study Number One

 This study by Boulos et al.(2017) looks at the effectiveness of using home sleep apnea testing (HSAT) as a means of detecting obstructive sleep apnea (OSA)  in stroke or transient ischemic attack (TIA) inpatients and outpatients. OSA can negatively impact poststroke functional recovery and by using HSAT these patients can be screened and diagnosed for OSA sooner and improve their poststroke functional and motor recovery (Boulos et al., 2017).

The question being asked is therapeutic in nature. The design of the study is listed under the methods section as a single-center prospective observational study. An observational study means that the researchers do not intervene by manipulating the independent variable  (Polit & Beck, 2017). The independent variable within this study would be that all participants have had a stroke or TIA. Prospective designs are studies that begin with a presumed cause and look forward in time for its effect (Polit & Beck, 2017). Within this study, OSA was the presumed cause in a delay of functional and motor recovery for those patients who suffered a stroke or TIA. This design method was appropriate for the group being used. A control group would not have helped to validate the use of HSAT in stroke recovery since those within that group would not be suffering from the same effects. The use of t-tests, Wilcoxon rank sum-test, and multivariate logistic regression were used to analyze the data (Boulos et al., 2017). The results demonstrated that the use of HSAT in the poststroke or TIA population was effective at expediting the diagnosis and treatment of OSA (Boulos et al., 2017). 

Sleep Apnea Study Number Two

The second study is similar to the first in that it evaluated patients with acute ischemic stroke for the prevalence of sleep apnea and compared the functional outcomes of patients with and without sleep apnea at the 3rd month after an acute ischemic stroke (Nair et al., 2019). The type of question being asked is an etiology in that it looks to see if OSA is a risk factor for stroke. The design of the study is under the methodology section and is listed as a prospective observational study. This type of study is also known as a cohort design and as stated by Polit & Beck (2017), it is the strongest design for etiology questions when randomization is impossible. This method study is appropriate in that no manipulation was done to the independent variable (stroke). Randomization would not be appropriate for this particular study as the only treatment option would be the use of Continuous Positive Airway Pressure (CPAP) and the use of such treatment was not evaluated.

Questionnaires such as the sleep disordered Questionnaire, Berlin Questionnaire, and Epworth sleepiness scale were used to diagnose sleep apnea in the patients being evaluated and the results divided the group into those who had sleep apnea and those who did not. The two groups were then compared using Barthel scores at baseline and at 3 months. Using repeated measure of ANOVA, the results showed a significant difference with an improved functional gain in patients in the no sleep apnea group demonstrating that sleep apnea is associated with an increased risk of ischemic stroke and poor functional outcome (Nair et al., 2019).  

Conclusion

  For researchers, understanding which design method to use when creating a research study can be a great asset to promoting the change that they wish to bring about. Utilizing the wrong research design may diminish the quality of the results and may create doubt about the study overall. Understanding that quantitative studies aim to explain cause-and-effect relationships will help to guide the researcher to design their research to demonstrate causality and bring attention to the problem that they are determined to address (Polit & Beck, 2017).

 

References

Boulos, M. I., Elias, S., Wan, A., Im, J., Frankul, F., Atalla, M., … Murray, B. J. (2017). 

Unattended Hospital and Home Sleep Apnea Testing Following Cerebrovascular Events. Journal of Stroke & Cerebrovascular Diseases, 26(1), 143–149. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jstrokecerebrovasdis.2016.09.001

Nair, R., Radhakrishnan, K., Chatterjee, A., Gorthi, S. P., & Prabhu, V. A. (2019). Sleep 

Apnea-Predictor of Functional Outcome in Acute Ischemic Stroke. Journal of Stroke & Cerebrovascular Diseases, 28(3), 807–814. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jstrokecerebrovasdis.2018.11.030

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for 

nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

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2023 For this Assignment you are going to review a case study about

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Nursing 2023 Case Study

For this Assignment you are going to review a case study about 2023 Assignment

For this Assignment, you are going to review a case study about a kindergarten student named Molly who has a diagnosis of autism. You will write a 3–5-page informative essay that analyzes how Molly’s communication, behavior, social skills, cognitive skills, and sensory motor skills can be addressed in the classroom.

Please click the PDF to read Molly’s case study and the detailed directions regarding the information to include in your essay.

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2023 I need to review and re write a research assignment based on an article of topiramate in

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Nursing 2023 research paper

I need to review and re write a research assignment based on an article of topiramate in 2023 Assignment

I need to review and re-write a research assignment based on an article of topiramate in children 

APA format (please check grammar and APA Format) professor is very strict with this -check in text citations

20 pag minimum excluding cover and references 

scientific journals (no more 5 years ago )20 pag minimun excluding cover and references 

check for plagiarism

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2023 Consider the following scenario Isabel recently earned certifications offered by the American Association

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Nursing 2023 Discussion 6600 Goals

Consider the following scenario Isabel recently earned certifications offered by the American Association 2023 Assignment

Consider the following scenario:

Isabel recently earned certifications offered by the American Association of Critical Care Nurses and the American Organization of Nurse Executives for nurse managers and leaders. She was especially proud of this accomplishment and was confident it would serve her well as she continued her career. At a conference last week, she had found herself talking with a colleague about certification. To her surprise, her colleague suggested that she look into certification through the Project Management Institute. It had not occurred to Isabel that she might need or want that type of certification, but upon further reflection she could see how important it was to be able to manage projects effectively. She wondered how pursuing this type of certification might further her professional development and lead to new opportunities down the road. At the very least, she decided it was worth exploring further.

As you are aware, numerous nursing organizations offer opportunities for professional development, community service, and information gathering. There are also many certifications you can obtain through professional societies or organizations. Certifications recognize an individual’s specialty area knowledge and skills and can lead to professional empowerment. By obtaining certifications, you can help improve your quality of practice and increase your earning potential.

In this Discussion, you consider development opportunities afforded through professional associations and examine how earning certifications can advance your career.

To prepare:

  • Reflect on your professional goals. These goals may relate to the practicum professional development objectives you established in Week 1, but you are encouraged to take a broader view of what you would like to accomplish in the immediate future, as well as five or 15 years from now. Identify at least one goal that is especially important to you.
  • Think about the benefits of becoming involved in professional organizations and obtaining certifications.
  • If you already have a specialty or clinical certification, reflect on how this has impacted the achievement of your professional goals thus far.
  • Review information about two or more of the professional organizations listed in the Learning Resources. Consider the following questions:
    • As you explore each organization’s website, review the mission, vision, and value statements. Also examine the strategic plan, if possible. How do these align with your interests and your professional goals?
    • Investigate whether the organization offers networking opportunities with fellow professionals. Is there a local or regional chapter you could join?
    • What are the potential benefits of obtaining a certification through each organization? Examine the criteria for certification.
    • Evaluate your readiness and desire to become certified through each organization. What hesitations, if any, do you have?
    • How and why might this certification be useful to you and/or enhance your professional development?

Post on or before Day 3 a description of one or more of your professional goals. Explain a certification provided by a professional organization that would be of interest to you. Explain how and why this additional certification would be useful to you and/or enhance your professional development. Evaluate your readiness to obtain this certification, noting any reservations you may have.

AGAIN project is on creating a standardized way to place nursing students for clinical at Rasmussen College in Green Bay Wisconsin.  I have included all pertinant postings and papers thus far for reference.

Please email if more informaton is needed to complete assignment.

 

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2023 Unit 3 This was the discussion topic referenced below that I did not complete You can complete

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Nursing 2023 work

Unit 3 This was the discussion topic referenced below that I did not complete You can complete 2023 Assignment

 

Unit 3

This was the discussion topic referenced below that I did not complete.  You can complete it if you’d like.
Before you start, look over the instructions for the Unit 3 Assignment. This Discussion will assist with forming your responses for the Assignment.

First, think about a health problem that you find interesting, such as a disease outbreak, chronic condition (heart disease, diabetes, etc.), or common injury in a population (falling among seniors, occupational injuries, etc.). You could also choose a health problem that is currently affecting your community.

Next, choose and research an organization that is part of the public health system (local, state, federal or global health organization, non-governmental organization, or other organization) that is addressing the health problem.

Instructions

Systems thinking in public health looks at how different disciplines work together to create the public health system. When we examine the public health system as a whole, we can see several different parts; health education, health communication, the public health workforce, information technology, and even non-profit organizations concerned with population health help make the public health system work.

For the Unit 3 Discussion, you chose a public health problem and an organization that is part of the public health system (local, state, federal or global health organization, non-governmental organization, or other organization) that is addressing the health problem. Using the information, you drafted for the Unit 3 Discussion and the peer feedback you received, write a minimum 500-word expository essay that addresses the following:

· Briefly describe the health problem and organization that you chose, and what they are doing to improve population health.

· How does this organization fit into the overall public health system?

· Using systems thinking, determine what other organizations inside or outside the discipline of public health would be important for your chosen organization to build relationships with to meet their goal of improving population health. Then, describe the linkages between the organizations that make them a part of the system that is needed to address the health problem.

· You may include a diagram of the ‘system’ that shows how the organizations are linked.

Requirements

· The paper should be at least 500 words in length.

· There should be a minimum of three credible references used, including the source for your chosen organization, which should be presented in APA format.

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2023 After reviewing and studying this module s content answer the following questions Be sure to

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Nursing 2023 Reproductive Systems

After reviewing and studying this module s content answer the following questions Be sure to 2023 Assignment

 

After reviewing and studying this module’s content, answer the following questions. Be sure to complete all lab activities and attend/watch all live lectures before completing this assignment. All of your answers should be written in your own words, using full sentences, correct terminology, and proper spelling and grammar.

  1. Explain the anatomical concepts associated with the reproductive system. Summarize this module’s key points in 5-6 sentences.
  2. Explain the physiological concepts associated with the reproductive system. Summarize this module’s key points in 5-6 sentences.
  3. How will you apply the concepts you have learned about the reproductive system in real life and in your future career?
  4. Which topic within this module has been the most valuable to your learning experience and why?
  5. Which topic(s) within this module did you struggle to understand and why?
  6. (Optional) Do you have any suggestions for your instructor on how they could help you connect with the difficult topics you’ve noted?

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2023 1 The Patient protection and Affordable Care Act has many benefits for nurses and the nursing

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Nursing 2023 1-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

1 The Patient protection and Affordable Care Act has many benefits for nurses and the nursing 2023 Assignment

  

1-The Patient protection and Affordable Care Act has many benefits for nurses and the nursing profession. There are two in particular that really stood out for me personally:

Section 5309 Nurse education, practice, and retention grants. —This section discusses 2 new grants that will be primarily focused on nurse retention rates. One will award grants to accredited nursing schools or health facilities to promote career advancement among nurses. The other will give awards to nursing schools or health facilities that can demonstrate enhanced collaboration and communication among nurses and other health care professionals. Priority directed towards applicants that have not previously received an award.

Section 5509 Graduate nurse education demonstration. Appropriates $50 million per year to establish a graduate nurse education demonstration program in Medicare. Hospitals selected will be reimbursed for educational and clinical instruction costs attributed to training advanced practice nurses to provide primary/preventive care, translational care, chronic care management, as well as any other nursing services appropriate for the Medicare eligible population. Those hospitals selected will partner with community based care settings and accredited nursing schools to undertake the demonstration program and will reimburse partners for their share of costs. 

I chose these two provisions because I feel as if they are important to the future of nursing. Nursing education plays a pivotal role in health care reform as we learned last week. The higher education nurses have, the more competent they are at their jobs and the more they are able to effectively care for patients. Having programs that help fund education can greatly impact the number of nurses that are willing to go back to school. Sometimes cost is the issue and nurses simply may not be able to afford the high cost of a higher educations. These two provisions and many more have realized the importance of nursing education and are investing in it.

 
 

2-Patient Protection and Affordable Care Act (PPACA) is the health reform legislation that was established by the 111th Congress. PPACA, also known as the Affordable Care Act (ACA) or Obamacare, was signed into law by President Obama March of 2010. This new legislation provides health insurance for so many individuals who didn’t have health insurance. With the many unique individuals gaining health insurance, the demand for nursing care has also increased. The PPACA has many health-care-related provisions that have been put into action and changed the nursing field. Two key nursing provisions that have impacted nursing practice are the health care workforce loan repayment program and the graduate nurse education demonstration (“Health Care Reform: Key Provisions Related to Nursing,” 2010). The health care workforce loan repayment program gives loan repayment options for psychiatric nurses, social workers, and professional or school counselors who serve in underserved areas. To be eligible, they must work in those areas for at least two years. This will encourage prospective students to choose those fields of practice to qualify for loan forgiveness programs. The second nursing provision is a graduate nurse education demonstration. This program provides grants and loans to nurses who are pursuing advanced nursing practitioners. Advance practice nurses needs are in primary care, translational care, and chronic care management. This program will encourage nurses to pursue an advanced degree and further their education.
References:
Health Care Reform: Key Provisions Related to Nursing. (2010). Retrieved from https://c.ymcdn.com/sites/www.wocn.org/resource/resmgr/AdvocacyPolicy/PPACA_and_Nursing_-_Nursing_.pdf

 

 

3-The PPACA has many health-care related provisions that has been put into action and changed the nursing field. The health care workforce loan repayment program offers loan reimbursement options for psychiatric nurses, social workers, and professional or school counselors who work in underserved areas. In order to be qualified, they must work in those areas for at least two years. This will inspire prospective students to pick those fields of practice in order to qualify for the load forgiveness programs. The second key nursing provision is the graduate nurse education demonstration. This program provides grants and loans to nurses who are pursuing advance nursing practitioners. Advance practice nurses are needed in primary care, chronic care management. This program will encourage nurses to pursue an advance degree and further their education.

Alba

Reference

           Health Care Reform:  Key Provisions Related to Nursing. (2010). Retrieved from https://c.ymcdn.com/sites/www.wocn.org/resource/resmgr/AdvocacyPolicy/PPACA_and_Nursing_-_Nursing_.pdf 

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2023 APA Format 1 Minimum 5 full pages No word count per page Follow the

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Nursing 2023 Self Care Deficit Nursing Theory (Due 20 Hours)

APA Format 1 Minimum 5 full pages No word count per page Follow the 2023 Assignment

 

APA Format

 1) Minimum 5  full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

2)¨******APA norms

         All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted

         Don’t write in the first person 

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6  references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Topic:  Self Care Deficit Nursing Theory

1.  Introduction ( 1/2 page)

a. Identification of theorist 

b. Make a brief background of the theorist (accomplishments, career, accolades, research efforts) 

2.  Analysis of basic components/concepts and major relationships in the theory. (1 page)

3. Discuss the theory’s core concepts  and their apply in nursing today (1 /2 page)

4.  Relevance to healthcare and the client discussed. Also, (1/2 page)

a. Connect the theory to healthcare today 

5. Application to research and/or practice provided. Also, (1 page)

a. Connect the theory to current research/practice

6. Describe two peer-reviewed/research articles that detail the nursing theory being applied in clinical practice/research. Also, (1 page)

a. Summarize key findings of both articles

b. Summarize results 

c. Summarize implications for future practice.  

7.  Summary: Include theory strengths and limitation in the summary  ( 1/2 page)

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2023 Measuring expected change outcomes is crucial in research to ascertain effectiveness of

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Nursing 2023 DB Response to Marie with 2 new references in APA format

Measuring expected change outcomes is crucial in research to ascertain effectiveness of 2023 Assignment

Measuring expected change outcomes is crucial in research to ascertain effectiveness of planned change into real-world clinical practice.  Outcome evaluation is important at all levels including patient, clinician, and organization level.  Outcomes need to be measured throughout the process including at the beginning, short-term, and long-term (Melnyk & Fineout-Overholt, 2015).  Cultivating change mentors and champions can help improve outcomes and provide ongoing training with clinicians including “circulate information, encourage peers to adopt the innovation, arrange demonstrations, and orient staff to the innovation” (LoBiondo-Wood & Haber, 2014, p. 434). 

Expected Change Outcomes

The expected outcome from this change will be a decrease in surgical site infections (SSI) with postoperative patients.  Many factors come into play when measuring outcomes which include measurement tools, validity of instruments and tools to measure outcomes, as well as accurate self-reporting in regard to clinician compliance (Melnyk & Fineout-Overholt, 2015).  Outcomes can be measured by tracking statistics on postoperative patients regarding type of preoperative bathing solution used prior to surgery, the incidence of postoperative SSI, clinician compliance with intervention at point-of-care, 30-day hospital readmission data as well as patient satisfaction surveys (HCAHPS) over a 6-month period.  The results will determine if the change will be translated into practice.  

Implementation Process Outcomes

       Utilizing EBP leaders (mentors) can help with all aspects of the change process.  Mentors give guidance, encouragement, help foster self-confidence in clinicians as well as reinforce values to the team.  The ARCC change model stresses the importance of utilizing change mentors and champions to improve quality of care as well as patient outcomes.  Assigning a change leader and unit champions will help to provide support such as ongoing organizational assessment, conduct EBP workshops and provide ongoing education, encouragement with clinicians and staff focused on a culture of EPB, institute EBP implementation strategies (EBP rounds, newsletters, journal clubs, etc.), assess for and focus on overcoming barriers, facilitate involvement of staff and point-of-care clinician compliance, and implement a culture of multidisciplinary collaboration to promote and sustain EBP (Melnyk & Fineout-Overholt, 2015, p. 378).

References

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research:  Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare:  A guide to best practice (3rd ed.). Retrieved from Amazon Kindle App

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