Peer’s Response 2025

Have you met with the decision-makers at the practicum site to determine the type of problem they are having and ways in which your project might be developed to address this problem? What was the outcome of this meeting? I had a meeting with the program director of Richard hall community mental health center, where I will have my practicum in January. He identified two pressing issues: drop in attendance and how to deal with “no show, no call.” He reports that the current appointment time is suffering, and he would like to know how to reduce the number of “NO SHOW NO CALL” appointments. Another problem identified is the number of patients with psychotropic medication that have diabetes. The director would like to know if it is drug-related? He blames the current turbulence in health care due to corvid 19 and delta virus for the drop in the scheduled appointment. He eluded that the patients being scared has escalated since the delta virus. He reports that initially seeing patients via telehealth is okay, and the center made it all right. However, the telehealth zoom was replaced by EHealth in June 2021 in compliance with the state regulation forbidding contact via phone for medication, counseling, and group management. The meet went well. He promised to investigate the area where the agency needed to be addressed, and he promised to get back to me in two weeks. Please share your proposed PICOT question in question format. Is this PICOT question likely to change in the future? In African American adults, males older than 40 living in the rural areas with HA1c greater than 7, will Carb Manager App 5 days a week compared to Swimming five times a week reduce HA1c in 8 weeks? Yes, the PICOT question might change based on what I observe from my practicum site and their needs. Describe the translation science model you will be using or are considering using as a part of your project. Given the multiple translational science model, selecting a translational model that suits one research can be challenging. However, Strifier et al. (2020) highlighted that choosing an appropriate translational model depends on the model’s usability, validity, applicability, and acceptability. The model I plan to use for my project is the IOWA Model. The Iowa Model is A framework used in implementing evidence-based practice (EBP). There are many reasons why I choose to use the IOWA Model, such as the IOWA model has a clear and concise language that is easy to follow and understand. It has been in existence for a while and has been used in multiple evidence-based translational projects. Iowa Model Collaborative et al. (2017) also cited the Iowa model as an evidence-based tool that can be used in different settings. Additionally, the IOWA model has a strong strength of evidence. It is user-friendly and easy to access and practice. Further, the Iowa model will help me answer the key research questions relevant to my research project, such as the purpose of the research. The Iowa model will also help me identify the implementation stages and what to expect at each research stage. What is the current priority you have for the development of your project and do you believe you have support for this project from the practicum site decision-makers? My Current problem is identifying or developing an evidence-based project that will be allied with the need of the outpatient clinic where my practicum will take place. Currently, I do not know what to expect. The last time I called, I was assured that I would start in January, so they do not have a preceptor yet. I am also worried about choosing the right project and creating the right PICOT. Yes. The site is willing to take me, and I have received the approval of the medical director. From my interview with the medical Dr, The facility has multiple psychiatry, but only one DNP graduate works in that facility. References Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., & Tucker, S. (2017). Iowa model of evidence-based practice: Revisions and validation. Worldviews on Evidence-Based Nursing , 14 (3), 175–182. https://doi.org/10.1111/wvn.12223 (Links to an external site.) Lloyd, S. T., D’Errico, E., & Bristol, S. T. (2016). Use of the Iowa model of research in practice as a curriculum framework for doctor of nursing practice (DNP) project completion – PubMed. Nursing Education Perspectives , 37 (1). Reply

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Clinical Assignment: Quality Improvement Project Part 1 2025

Goal: To assess a clinical issue that is the focus of your Quality Improvement Project. Create a description of the clinical issue to be addressed in the project. Content Requirements: Identify the clinical issue that will be the focus of your Quality Improvement project. Provide rationale for the need to change the status quo. Identify best practices from the literature related to the issues.

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Capstone Change Proposal 2025

Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in LoudCloud for feedback from the instructor. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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Technology Application 2025

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. To Prepare: Review the concepts of technology application as presented in the Resources. Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies. The Assignment: (4-5 pages not including the title and reference page) In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following: Describe the project you propose. Identify the stakeholders impacted by this project. Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples. Identify the technologies required to implement this project and explain why. Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team. Use APA format and include a title page and reference page. Use the Safe Assign Drafts to check your match percentage before submitting your work.

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Pediatric – Week 5 Discussion 2nd REPLY 2025

Please reply to the following discussion with one reference . Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. CBY Discussion: How would you evaluate and manage a pediatric patient who has BP and BMI greater than what is expected for his/her age group? Which additional conditions would you want to screen for and why? A physical examination of the child is always the first start in evaluating the patient. The American Academy of Pediatrics (AAP) and Centers for Disease Control and Prevention (CDC) recommend measuring BMI in children 2 years old and older. For a pediatric patient with BMI greater than his or her age, I would manage the patient by educating the parent on healthy nutrition for the child. The parent would be aware on nutritious food and snacks to provide and to make the food enticing and enjoyable for the child. For help with adequate food resources I would also refer the parent to Women, Infants, and Children (WIC) program and Supplemental Nutrition Assistance Program (SNAP). Physical activity is also important to sustaining a healthy nutrition. It is recommended that children and adolescents engage in 60 minutes of physical activity every day. By increasing the child physical activity, it creates a demand for more calories and nutrients and improves weight status. The diagnostic studies recommended: are “HDL, cholesterol screening, random glucose test, Thyroid screen: TSH, T4, AST, ALT, HbA1c and Vitamin D level” (Burns, et al., 2019. pg. 232). The results would identify if the child has thyroid problems, high cholesterol, and liver problems from fatty food intake as well as type 2 diabetes mellitus from high consumption of sugar and carbohydrates. What physical exam findings and diagnostic results would be concerning to you in this patient and why? What would be three differentials in this case? The physical examination findings that are concerning to me in this patient are: Patients blood pressure was mildly elevated at 116/76 mmHg. Patient is 80th percentile for height. His repeat systolic BP of 116 mmHg places him between the 90th and 95th percentile which is elevated blood pressure category (Dell, 2021).This is concerning if it is not addressed as it could spill over into the category of stage 1 hypertension. The patient height age is 8 years old and his weight age is that of 13 years old. The patient height is 133 cm (52 in); 80th percentile for his age and weight is 45 kg (99 lbs) > 97th percentile for age. The patient is over the 95th percentile for his age which puts him in the obese category (Dell, 2021). Three differential diagnoses in this case are: Mood disorder : Children with ADHD also have a higher rate of mood disorders than control populations. The patient in this case has a history of ADHD (Dell, 2021). Dyslipidemia: Hypertriglyceridemia and low HDL cholesterol is strongly correlated with metabolic syndrome, which occurs almost exclusively as a consequence of obesity. The patient in this case BMI of 25.4 kg/m2 and plots above the 97th percentile for an 8 year old boy puts him in the obese category (Dell, 2021). Type 2 diabetes mellitus : Obesity is the most prominent risk factor for the development of type 2 DM in children. The average BMI for pediatric patients with type 2 DM ranges from 35 to 39 kg/m2. The patient in this case BMI of 25.4 kg/m2 and plots above the 97th percentile for an 8 year old boy puts him in the obese category (Dell, 2021). What are your final assessments (diagnoses) for this patient? ADHD: Patient has a history of ADHD Obesity: The patient in this case BMI of 25.4 kg/m2 and plots above the 97th percentile for an 8 year old boy puts him in the obese category. Hypertension : Patients blood pressure was mildly elevated at 116/76 mmHg and has an 80th percentile for height. Based on the blood pressure norms for height and age of 8 years old, the patient repeat systolic BP of 116 mmHg places him between the 90th and 95th percentile which is elevated blood pressure category (Dell, 2021). What is your treatment recommendation and education for the patient and family? Why? Medication: Adderall XR (dextroamphetamine/amphetamine, extended release) 5mg (one capsule) by mouth once daily in the morning. Adderall XR has a very positive effect on attention and behavior in most kids who have ADHD (Dell, 2021). Encourage parent to ensure medication adherence and to follow up for any questions or concerns regarding the medication. Regarding obesity and hypertension, As mentioned earlier I would encourage healthy diet and exercise and encourage patient to return for lab draws while patient is on fasting for and accurate cholesterol levels as well as fasting glucose Call clinician if having poor appetite, difficulty sleeping, or other problems. “Read through this website for parents on ADHD and questions or concerns can be addressed at the next visit” (Dell, 2021). References Burns, C., Dunn, A., Brady, M., Starr, N., Blosser, C. (2019). Burns’ pediatric primary care (7th ed.). Saunders. ISBN:9780323581967. Dell, M.S. (2021). Pediatrics 04: 8-year-old male well-child check. Retrieved from https://southu-nur.meduapp.com/document_set_document_relations/30219?section_uid=root

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