Discussion: Using the Walden Library 2025

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library. To Prepare: Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources. Begin searching for a peer-reviewed article that pertains to your practice area and interests you. By Day 3 of Week 6 Post the following: Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not. By Day 6 of Week 6 Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources. Discussion for reply one The article I selected that pertains to my practice area and is of great interest to me is: Men, Depression, and Coping: are we on the Right Patch? The citation of the article is as followed: Whittle, E. L., Fogarty, A. S., Tugendrajch, S., Player, M. J., Christensen, H., Wilhelm, K., . . . Proudfoot, J. (2015). Men, depression, and coping: Are we on the right path? Psychology of Men & Masculinity, 16 (4), 426-438. doi:10.1037/a0039024 I use the Walden University Library database for the article search using CINAHL Plus with Full Text, peer-reviewed article, evidence-based, full text within five years. I did not find any difficulties searching for this article. The database I believe would be useful to all my colleagues. It would be useful to my colleagues because it is trusted and well organized. The database is user friendly giving multiple options and resources for help. I would recommend this database, because of the integrity of the information sources. As a professional, and new to scholar writing, finding unbiased information for research is important to provide evidence-based research to my academic audience. This database is not open to everyone, it is private to Walden University students and faculty members. So, this database is secure with credible information. That is why I would recommend it. References JavaScript required. (n.d.). Retrieved October 06, 2020, from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=15 Laureate Education (Producer). (2018). Introduction to Scholarly Writing: Purpose, Audience, and Evidence [Video file]. Baltimore, MD: Author. Discussion for reply two Initial Discussion Post Suarez, L., Dunlay, S. M., Schettle, S. D., Stulak, J. M., & Staab, J. P. (2020). Associations of depressive symptoms of outcomes in patients implanted with left ventricular assist devices. General Hospital Psychiatry, 64 , 93-98. https://doi.org/.ezp.waldenulibrary.org/10.1016/j.genhosppsych.2019.12.005 As a left ventricular assist device (LVAD) coordinator, I am always interested in providing my patients with the best options for holistic care, specifically focused on their perception of health. Implantation of these devices is to alleviate symptoms of end stage heart failure and improve patients’ quality of life (Lee, 2018). Therefore, this article really stood out to me as a beneficial study that could be used to shape my practice. I was able to access the Walden University Library Fundamentals of Library Research page and I watched the online tutorial of accessing databases ( Instructional media: Fundamentals of library research, 2020). After that, I followed the link to the Nursing Databases page in the Library and saw the list of databases offered. I opted for one that included full text articles from the list of ‘Best Bets’ ( Databases: A-Z, 2020). I chose CINAHL and typed in my subject, left ventricular assist device and quality of life, in the search bars ( Databases: A-Z , 2020). I was easily brought to a results page of articles to choose from. I didn’t have much issue accessing these articles and finding one that met my intended need. I would definitely recommend the use of CINAHL as it was easy to use, filtered results appropriately, and provided full text articles with citation. My only hesitation is that I’m not sure how easy it would have been to find the list of nursing databases if I hadn’t followed the exact link that was provided in the recommended reading. I will need to do some navigation myself from the main Walden University webpage to find the best way to navigate to the databases home page. Once I am able to find the way there, I think I will be using this database a lot for future referencing. It is really great that Walden gives us access to all these articles at our fingertips. It is so much easier than having to go to the library and thumb through text. I will most definitely recommend this way to everyone that needs to do research going forward! References Databases A-Z: Nursing . (2020). Walden University Library. Retrieved September 27, 2020, from https://academicguides.waldenu.edu/az.php?s=19981 Instructional Media: Fundamentals of library research . (2020). Walden University Library. Retrieved September 27, 2020, from https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals Lee, C. S., Gelow, J. M., Chien, C. V., Hiatt, S. O., Bidwell, J. T., Denfeld, Q. E., Grady, K. L., & Mudd, J. O. (2018). Implant Strategy-Specific Changes in Symptoms in Response to Left Ventricular Assist Devices. Journal of Cardiovascular Nursing , 33 (2), 144–151. https://doi-org.ezp.waldenulibrary.org/10.1097/JCN.0000000000000430 Suarez, L., Dunlay, S. M., Schettle, S. D., Stulak, J. M., & Staab, J. P. (2020). Associations of depressive symptoms of outcomes in patients implanted with left ventricular assist devices. General Hospital Psychiatry , 64 , 93–98. https://doi.org/.ezp.waldenulibrary.org/10.1016/j.genhosppsych.2019.12.005 Please label the replies and use the rubric

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Week 10 Assignment: Special Examinations—Breast, Genital, Prostate, and Rectal/Genitalia assessment 2025

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. To Prepare Review the Episodic note case study for this week’s Assignment. Based on the Episodic note case study: Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment. Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided. Consider what history would be necessary to collect from the patient in the case study. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Lab Assignment Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Week 10 Assignment: Special Examinations—Breast, Genital, Prostate, and Rectal/Genitalia assessment Subjective: CC: “I have bumps on my bottom that I want to have checked out.” HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed. PMH: Asthma Medications: Symbicort 160/4.5mcg Allergies: NKDA FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia Abd: soft, normoactive bowel sounds, neg rebound, neg Murphy’s, neg McBurney Diagnostics: HSV specimen obtained Assessment: Chancre PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. By Day 7 of Week 10

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Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. 2025

Be sure to address the following: · Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). · Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

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Common Models in Health Informatics Evaluation 2025

Common Models in Health Informatics Evaluation Have you ever watched a movie in which the same scene was shown several times but as viewed by different individuals? Or, have you watched a detective show in which the witnesses all had differing accounts? The same can hold true for conducting an evaluation of a health information technology project. How you plan and conduct the evaluation is largely dependent on the viewpoint you assume and the perspective with which you approach the evaluation. Consider a new patient discharge protocol at a small hospital. Do you want to know how the patient feels about the process? Do you want to gather the opinions of nurses who are using this process? Perhaps you want to determine if it is saving the hospital money by freeing up bed space in a more timely fashion. Obtaining each of these viewpoints would require a different approach. Depending on the goal of your evaluation, the model and viewpoint you opt to use will likely vary. In this Discussion, determine which evaluation model would be most effective for evaluating the health information technology described in one of the scenarios below. Your Instructor will assign a specific scenario by Day 1 of this week. Scenario 1: You have recently provided a training program to help nurses and physicians become proficient in the use of a new bedside medication verification (BMV) system. Scenario 2: The Chief Medical Officer at your hospital is interested in finding out the impact of a new decision support system on the number of adverse events occurring in the past year. Scenario 3: You are helping with the design of a new outpatient surgery center to be built adjacent to the hospital. You are tasked with evaluating the opinions of physicians, nurses, and the general public toward this facility. To prepare: Review the information on the types of evaluation models covered in this week’s Learning Resources. Determine which model would be most appropriate to use for evaluation in the scenario to which you were assigned. Consider why the viewpoint of the scenario or situation would impact the model used. View the scenario from a different viewpoint, and consider how a different model might be used. Reflect on the importance of basing an evaluation on a model. By tomorrow 12/13/2016 at 9pm, post a minimum of 550 words in APA format with a minimum of 3 references from the list below, which include the level one headings as numbered below: 1) Post which scenario (1, 2, or 3) you were assigned and two different models that could be utilized to approach the evaluation. 2) Explain why you selected those models and how you would use them. 3) Explain why it is important to consider the intended goal of the evaluation and the viewpoint that is selected. 4) Finally, assess the importance of basing an evaluation on a model. Justify your response. Required Readings Technology Acceptance Model Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predicting nurses’ intention to use telemedicine technology (eICU). Computers, Informatics, Nursing, 29(7), 411–418. Retrieved from the Walden Library databases. Nurses encounter a variety of technological tools that are used in their field. This article explores the technology acceptance model and how it applies to nurses’ intention to use telemedicine technology. Pai, F.-Y., & Huang, K. (2011). Applying the Technology Acceptance Model to the introduction of healthcare information systems. Technological Forecasting and Social Change, 78(4), 650–660. Retrieved from the Walden Library databases. This article focuses on the attempt to develop a model that will assist nurses in mastering the use of health information technology (HIT), thus enabling them to spend more time on patient care and less on clerical-type duties. The authors also studied how the use of HIT could increase patient safety. Rippen, H. E., Pan, E. C., Russell, C., Byrne, C. M., & Swift, E. K. (2013). Organizational framework for health information technology. International Journal of Medical Informatics, 82(4), e1–e13. Retrieved from the Walden Library databases. In this article, the authors highlight results of a literature review on the implementation of health information technology and the related theories and models. Based on their research, the authors developed a framework of key areas that provides a structure to organize and capture information on the use of health IT. Mohamed, A. H., Tawfik, H. M., Al-Jumeily, D., & Norton, L. (2011). MoHTAM: A Technology Acceptance Model for mobile health applications. Developments in E-systems Engineering (DeSE) Conference, 13–18. Retrieved from the Walden Library databases. In this article, the authors highlight a model they developed to determine how the decision to use a mobile health application is influenced by the design of the technology, the perceived ease of using it, and the perceived usefulness of the technology. Diffusion of Innovations Barnett, J., Vasileiou, K., Djemil, F., Brooks, L., & Young, T. (2011). Understanding innovators’ experiences of barriers and facilitators in implementation and diffusion of healthcare service innovations: A qualitative study. BMC Health Services Research, 11, 342. Retrieved from the Walden Library databases In this article, the authors describe the experiences of innovators in the medical field and the barriers that they have experienced in the implementation and diffusion of health care service innovations. Kaissi, A. (2012). “Learning” from other industries: Lessons and challenges for health care organizations. Health Care Manager, 31(1), 65–74. Retrieved from the Walden Library databases. In this paper, the author explores how diffusion of innovations occurs in a variety of different industries and how these lessons can be adapted for use in the health care industries. Thakur, R., Hsu, S. H. Y., & Fontenot, G. (2012). Innovation in healthcare: Issues and future trends. Journal of Business Research, 65(4), 562–569. Retrieved from the Walden Library databases. The medical field is a constantly evolving and improving. This article explores important innovations in the health care industry while highlighting certain issues and trends that may affect the future of the field. Dickinson, A. D., & Scott, M. (2012). Diffusion of innovations in the National Health Service: A case study investigating the implementation of an electronic patient record system in a UK secondary care trust. In UK Academy for Information Systems (UKAIS) 17th Annual Conference, 27–28 March 2012, New College, Oxford. Retrieved from http://nrl.northumbria.ac.uk/6223/2/UKAIS_2012_paperDD_MS.pdf This article examines a case study that focuses on the implementation of an electronic patient record system in a UK secondary care trust. In particular, the study highlights how new users adopt the system. Valente, T. W., & Rogers, E. M. (1995). The origins and development of the diffusion of innovations paradigm as an example of scientific growth. Science Communication, 16(3), 242–273. Copyright 1995 by Sage Publications Inc. Reprinted by permission of RISage Publications Inc. via the Copyright Clearance Center. In this article, Valente and Rogers explore the origins and development of the diffusion of innovations paradigm. Through examining the different stages, it is possible to better understand how innovations are spread, accepted, and adopted within a health care organization. Disruptive Innovation Christensen, C. M., Bohmer, R., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102–112. Retrieved from the Walden Library databases The health care field is constantly in need of new technologies to fill specific needs and niches. In this article, the authors discuss the role disruptive innovations could play in the development of the needed technologies. Dhar, M., Griffin, M., Hollin, I., & Kachnowski, S. (2012). Innovation spaces: Six strategies to inform health care. Health Care Manager, 31(2), 166–177. Retrieved from the Walden Library databases. In this article, the authors use the disruptive innovation model as the framework to examine how innovation occurs in health care organizations. They determined six strategies to encourage innovation: dedicated times, formal teams, outside ideas, idea-sharing platforms, company/job goals, and incentives. Poll, W. (2011). Derision is the sweet spot of adoption: Unleashing disruptive growth. Hospital Topics, 89(1), 23–25. Retrieved from the Walden Library databases. It is common that many people look at change and new technologies with a hint of disdain or distrust. The author of this article discusses how new ideas and disruptive innovations can be effectively presented to a somewhat hesitant organizations. Sociotechnical Theory Models Ancker, J. S., Kern, L. M., Abramson, E., & Kaushal, R. (2012). The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. Journal of American Medical Informatics Associations, 19(1), 61–65. Retrieved from the Walden Library databases. The authors of this article explain the Triangle Model for designing studies on the safety and quality outcomes of health information technology projects. The article focuses on the predictors of the model, including attributes of the technology in question, the technology provider, the organizational setting, and the population involved. Currie, L., Sheehan, B., Graham, P., Stetson, P., Cato, K., & Wilcox, A. (2009). Sociotechnical analysis of a neonatal ICU. Studies In Health Technology and Informatics, (146), 258–262. Retrieved from the Walden Library databases. In this article, the authors provide a brief overview of sociotechnical theory. The authors also describe the results of a sociotechnical analysis of a neonatal intensive care unit. Molleman, E., & Broekhuis, M. (2001). Sociotechnical systems: Towards an organizational learning approach. Journal of Engineering and Technology Management, 18(3), 271–294. Retrieved from the Walden Library databases. The authors of this article explore the application of sociotechnical systems (STS) theory for designing work processes to improve organizational performance. The authors examine the application of STS with four organizational performance indicators: price, quality, flexibility, and innovation. Scott‐Findlay, S., & Estabrooks, C. A. (2006). Mapping the organizational culture research in nursing: A literature review. Journal of Advanced Nursing, 56(5), 498–513. Retrieved from the Walden Library databases. This article provides an empirical review of the nursing literature on organizational culture and its influence on practitioners.

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Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. 2025

Topic 3 DQ 1 When a teen starts menstruating she it is possible for her to get pregnant. But with teen pregnancy comes risks. There are so many things that can go wrong with a woman in her twenties who are pregnant but those numbers go even higher in a teen. Some of the concerns are preterm birth, low birth weight, high blood pressure that leads to preeclampsia, and infant mortality. Teens are not mature to understand how important the health of the baby is. They tend to take the pregnancy for granted and not change one thing about their nutrition or physical activity. In Okeechobee County, the teen pregnancy rate is 11.97% and the rate in Florida is 10.3%. These rates are high however they have decreased over the last ten years. The decrease is most likely due to all the programs that Florida has to offer. Unfortunately, teen pregnancy cost the residents of Florida money and adds a burden on our healthcare. This could be the reason that there has been changing and we see a decrease. Healthy Start is a grant- based program through the state that helps women and infants with a variety of services. They have classes such as childbirth, car seat, parenting, and breastfeeding. Education is the main role that this program takes on. Every participates is case managed to make sure they have all the information or resources to help with their needs. All services are free to any Florida resident who is pregnant or an infant up to three years old The Pregnancy Center of Okeechobee is a local organization in my community of Okeechobee. They have services very similar to Health Start but also have a full- time RN on site with an ultrasound tech and equipment. They are grant- based but also rely on donations from the residents. The center has a thrift shop for the residents to shop from. All the items in the shop are donated so there can be anything from clothes to furniture and everything in between. The center really has great support from our little community. With all these services available and the education that is provided it is no wonder, the numbers have gone down. Using 250-300 APA format with references to support the discussion. Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

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