Evidence-based 2025

Define patient-centeredness in the context of evidence-based practice. Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers. Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Learning Materials Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 7 and 8.

Nursing Assignment Help 2025

Case Study, 3 References Min, Similaritis Less 5%, APA 6 2025

Case Study Chief complaint: “I’m here for a medication refill because I ran out of my medicines”. HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home. She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway. PMH: Primary Hypertension, Previous history of MI 1 year ago Surgeries: 1 year ago-Left Anterior Descending (LAD) cardiac stent placement Allergies : Penicillin Vaccination History: Up-to-date Social history: High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago. Family history: Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52. ROS: Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory. Physical examination: Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored HEENT : Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK : Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS : + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART : Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN : No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY : No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL : + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH : Normal affect. Cooperative. SKIN : No rashes. Positive for dry skin. Labs : Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98. A: Primary Diagnosis: Congestive Heart Failure (CHF) Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA) Differential Diagnosis: Peripheral Vascular Disease (PVD) Plan: Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index. Additional lab results : Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 % BNP – not available. As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease). Questions: 1. According to the ACC/AHA guidelines, what medications should this patient be prescribed? 2. Does he need medication(s) given his history of MI? Thanks!

Nursing Assignment Help 2025

Recruiting Participants For EBP Project 2025

For this assignment, write the Sample Section of your EBP Project Proposal in a Word document. Here is a Week 8 Sample Section Example (Word) of what the sample section can look like. Sample Section Guidelines This section covers your planned recruitment and ethical considerations for your future participants. It should take up about two to three pages, or approximately 350 to 500 words. The purpose is to tell the reader what your recruitment plan is for the study. You should have subheadings throughout this section of the paper. In this section, write about the following: Sample: Cover the following points in no more than two paragraphs each: How subjects will be recruited What the inclusion criteria will be (for more expansion, you may add the exclusion criteria to show what was consciously eliminated) The type of sample (random, purposive, convenience, etc.) The proposed sample size and rationale for this choice The selection method (random table of numbers, flip a coin, etc.— this depends on the type of study) Although this subsection should cover all these items, it may be written in a narrative style. Setting: Keeping in mind that this is a proposed setting, and it should not be recognizable for confidentiality and privacy reasons. It is a broad view of the setting. For example: The proposed setting for this study is a large teaching hospital in the northeast. The actual place where the study would be carried out is in the three medical–surgical units in this hospital. Each unit has a bed capacity of 25–30 beds with occupancy rates of 92% to 95%. The study will take place in a private conference room. Or, if a mailed questionnaire or survey is to be used: The proposed setting for data collection will be by mailing the questionnaire to the homes of the subjects. The researcher would be mailing the questionnaires from home with a return-addressed, stamped envelope. Informed Consent and Ethical Considerations: Institutional Review Board (IRB) approval will be obtained. The researcher will submit an application and proposal to the Regis College IRB first. After approval from Regis College, the institution where the study will take place usually requires IRB approval as well. The request or application may be one of three types: Exempt from review: This is for studies with no intervention or may be just for a medical record review. Expedited review: This is for minimal risk to subjects—physical or psychological. Complete institutional review: This is for studies that may pose a risk to subjects. Please address means of protecting human subjects, such as the use of pseudonyms for qualitative studies and the use of numbers to identify subjects in quantitative studies. Data storage must be addressed. Make certain that identifying data (informed consent document) is maintained in a locked file separate from de-identified data (demographics, surveys, transcripts) that also will be maintained in a locked file in the researcher’s locked office. Week 8 Sample Section Example Written by Jennifer Oddy, Entitled: Distress And Coping of Mothers of Children With Muscular Dystrophy Sampling Method, Sample, and Setting Sampling method. The participants will be recruited by criterion purposive sampling by their doctors/nurses at the Muscular Dystrophy Association clinic at Boston Children’s Hospital. Sample. Inclusion criteria are the following: (1) You are 21 years of age or greater; (2) are the mother of a child with muscular dystrophy; (3) your child is aged between 4 and 17 and was 10 years or younger at their first physical assessment by a primary care provider; (4) you provide roughly 75% or more of the home care for the child. People will not be eligible for this study if they: (1) have been diagnosed with a mental health disorder (bipolar disorder, schizophrenia, or have a physical addiction to drugs or alcohol); (2) if the child is currently residing in a long-term care facility. The sample size will ideally be about 10 participants. Phenomenological studies tend to rely on very small samples, since there is one guiding principle for selecting the sample: all participants must have experienced the phenomenon and must be able to articulate what it is like to have lived the experience (Polit & Beck, 2012). Data will be collected until saturation is accomplished. Setting. The proposed setting for this study is at the Muscular Dystrophy Association (MDA) clinic at Boston Children’s Hospital located at 300 Longwood Ave, Boston, MA. There are two directors at the clinic, an orthopedic, and a pediatric neurologist. The team members include a social worker, physical therapist, and a genetic counselor. The number of patients at the clinic cannot be disclosed, however, Boston Children’s Hospital is considered an elite clinic and is included in the MDA network that supports clinical trials and research. The hospital offers the highest level of diagnostic and treatment services, with neurologists and other specialists being very experienced in treating children with muscular dystrophy. Informed consent and ethical considerations Before enrolling participants in this study, an informed consent must be signed and approved by an Institutional Review Board (IRB, Appendix A). This will be obtained from the Muscular Dystrophy Association clinic at Boston Children’s Hospital, as well as from Regis College. An application and proposal will be sent to the IRB, requesting approval for this study. Since there is minimal risk to subjects, an expedited review will be requested (Polit & Beck, 2012). There is a risk that the participant may have feelings of discomfort while discussing the experiences of caring for a child with muscular dystrophy. This will be minimized by the researcher with empathy and compassion. If the participant would like counseling, a call will be made to their primary care provider. There are no foreseen ethical issues involved in this research study. The interviews will be tape recorded, transcribed, and held in locked files in an office. The results of the interviews will remain confidential, only being available to the researcher, in order to protect the participants. All participants involved in the study will receive full clarification of the purpose of the study, the research process, and research results in order to ensure that participants can make an informed consent to participate in the study.

Nursing Assignment Help 2025

Research 4 2025

Assignment: Evidence-Based Practice Guideline Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Sources are not required; however, if sources are used make sure to cite using the APA writing style for the essay and complete a reference page. The cover page is required. Review the rubric criteria for this assignment. Utilize the databases identified in the text to locate an Evidence-Based Practice Guideline, related to your topic identified in Module 1. Perform a rapid critical appraisal of the Evidence-Based Guideline by answering the following questions in APA format. All questions should be answered in detail and explanations offered according to guideline content when applicable. Who were the guideline developers? Were the developers of the guideline representative of key stakeholders in this specialty (inter-disciplinary)? Who funded the guideline development? Were any of the guideline developers funded researchers of the reviewed studies? Did the team have a valid development strategy? Was an explicit (how decisions were made), sensible, and impartial process used to identify, select, and combine evidence? Did its developers carry out comprehensive, reproducible literature review within the past 12 months of its publication/revision? Were all important options and outcomes considered? Is each recommendation in the guideline tagged by the level/strength of evidence upon which it is based and linked to the scientific evidence? Do the guidelines make explicit recommendations (reflecting value judgments about the outcomes)? Has the guideline been subjected to peer review and testing? Is the intent of use provided (i.e. national, regional, local)? Are the recommendations clinically relevant? Will the recommendations help me in caring for my patients? Are the recommendations practical/feasible? Are resources (people and equipment) available? Are the recommendations a major variation from current practice? Can the outcomes be measured through standard care? Be sure to include the database from which the guideline was obtained and please submit a copy of the guideline with your paper. Your APA formatted paper fully answer each question in complete sentences. Assignment Expectations: Length: Clearly and fully answer all questions; include database; attach a copy of the guideline Structure: Include a title page and reference page (if sources were used) in APA format. Your essay must include an introduction and a conclusion. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. No minimum sources are required for this assignment; if sources are used APA format is required. Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Nursing Assignment Help 2025