Assignment: Evidence-Based Project, Part 5: Recommending An Evidence-Based Practice Change 2025

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. To Prepare: Reflect on the four peer-reviewed articles you critically appraised in Module 4. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change. The Assignment: (Evidence-Based Project) Part 5: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. Add a lessons learned section that includes the following: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the evaluation table (1 slide) An explanation about what you learned from completing the levels of evidence table (1 slide) An explanation about what you learned from completing the outcomes synthesis table (1 slide) 3 to 5 references with 5 years.

Nursing Assignment Help 2025

Nurssing Role And Scope DQ Reply Week 11 Mairelys Bada 2025

Chapter 11: Patient-Centered Care and Professional Nursing Practice Question 1. Characteristics of patient-centered care are respect for patients’ values, preferences, and expressed needs (Masters, 2017). A nurse must respect the patients caring for. Everyone has distinct values, preferences and needs, therefore, nurse should be non-judgmental while caring for a patient. Each PCC characteristic has its importance. For instance, what’s important to the patient should be respected and accepted by the nurse caring for the patient. The nurse should acknowledge that what may be of valuable means to someone may not be to someone else. Also, preferences have an important role in nursing. Hence, a nurse may encounter a patient preferring to be treated by a nurse of the same gender due to religion. Lastly, a patient may have specific needs that must be addressed in order to achieve proper care. For instance, a patient with low income and is newly diagnosed with diabetes. Patient is unable to purchase the expensive medication needed for his new condition; therefore, unable to achieve proper treatment. As nurses we must understand patients’ needs and be their advocates. Question 2. First, I would consider age, gender, culture and race to proceed with an appropriate educational method for this patients’ discharge. Although, the patient is being discharged with home health care, I would not disregard that he is the patient and must be informed of discharge. So, I would go over some suggestions of times that he may take his medications and work around his daily activities schedule. In addition, involving the patient in the treatment plan may motivate the elderly to feeling more efficient and useful. Furthermore, I would address any medication interactions involved with him. However, I would also hand him documents reinstating the discharge instructions and times discussed considering age related barriers and that the load of information given may be overwhelming. Of course, reassuring him I may answer any questions concerning his new medications and diagnosis. At this point, it is crucial to know if the patient is a visual learner or audio? The nurse may hand out pamphlets or brochures. Lastly, involving family or home health care nurse in his treatment plan and discharge is an important factor in PCC. Also, I would consult with the patient the importance of taking his medications and sustaining a regimen. Considering, the patient being an elderly male African American he may be resistant at first to proceed with his medical plan and may look for remedy alternatives. Question 3. The goal of the nurse in the process of patient education is to assist the patient in obtaining the knowledge, skills, or attitude that will help the patient develop in obtaining the knowledge, skills, or attitude that will help the patient develop behaviors to meet needs and maximize the potential for positive health outcomes (Falvo, 2004,2011). It’s a nurse’s job to assure that the information being delivered is delivered correctly. In other words, the patients learning abilities, language barriers, or cultural sensitivity that may impede from treatment collaboration. Thus, assess the patients comfort level in discussing treatment plan. Also, evaluate the patient’s ability to collaborate and if any barriers. Keeping in mind, Age-related changes in cognitive function occur slowly and are thought to begin at approximately sixty-years of age in healthy adults (Miller, 2004). Depending, I would proceed to ask the patient to reinstate what he understood of the information taught to determine if the information was retained by patient. Lastly, the patient needs to be willing to participate in his plan of care to be able to obtain a good health outcome. Therefore, as a nurse my priority would be in assessing any barriers that may impede a behavioral change. Once the patient is collaborating with the nurse should ask open ended questions to promote better communication between nurse and patient. References Falvo, D. (2004,2011). Effective patient education: A guide to increased adherence. Sudbury, MA: Jones & Barlett Learning. Masters, K. (2017). Role Development in Professional Nursing Practice. Burlington, MA. Miller, C. (2004). Nursing for wellness in older adults: Theory and practice. Philadelphia,PA: Lippincott.

Nursing Assignment Help 2025

Assignemnt 1 2025

The purpose of this assignment is to create an operational budget presentation identifying key components of budgeting and possible capital purchases that may be required.Scenario: You have been asked to create an operational budget for a 20-bed nursing unit and present it to the senior leaders of your organization.Create a presentation of 10-12 slides, including comprehensive speaker notes that detail the budget. 1)Provide the key components of budgeting, including the cost of staff, activities, services, and supplies. 2)Identify and describe a relevant capital purchase this unit may require, including the need, the return on investment, benefits, etc.Use at least three references, including your textbook.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.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Assignment Help 2025

GI Case Study 2025

Chief complaint: “I have recurrent H. Pylori infection”. HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: H. Pylori infection gastritis Diabetes Mellitus, type 2 Surgeries: None Allergies : NKDA Vaccination History: Up-to-date Social history: High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea. Cardiovascular: No edema. No palpitations. Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored ABDOMEN : No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. Labs day of visit :: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal Assessment: Primary Diagnosis: Recurrent H. Pylori infection gastritis Secondary Diagnoses: Dyspepsia Differential Diagnosis: Peptic Ulcer Disease Previous medication plan: two months ago and failed. Clarithromycin 500 mg po BID for 2 weeks Omeprazole 40 mg po BID for 2 weeks and then po daily. Cipro 500 mg po BID for 2 weeks Plan: Tests Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results. Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test. Labs: No new labs are needed. Referrals : may refer based on effect of medication therapy given for 2 weeks. Follow up: return to office in 8 weeks to reevaluate symptoms. As a future nurse practitioner, it is important that you determine the medications used for recurrent H. Pylori infection. Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education. Below is the website for the American Academy of Gastroenterology Clinical Guidelines (ACG) for the updated H. Pylori therapy. Feel free to consult other peer-reviewed articles within 5 years of publication. Follow APA guidelines http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

Nursing Assignment Help 2025

Response To PICO(T) Question 2025

Respond to your colleague providing further suggestions on how their database search might be improved. At least 2 references in each peer responses! PICO(T) Question Considering the overwhelming amount of research sources now available via the internet, clinicians must utilize a systematic approach while participating in evidence-based practice (EBP) inquiries . The PICO(T) question format is one such method clinicians use to ask a question about a clinical issue one seeks to gather EBP research (Stillwell, Fineout-Overholt, Melnyk, & Williamson, 2010). The clinical issue I chose to address for this assignment is anxiety in school-age children. As a school nurse, many of the visits to my health room are related to somatic symptoms from anxiety triggers. Anxiety disorders affect 7.1% of children ages 3-17 years old, and sadly only 59% of children age 3-17 years old will receive a formal mental health treatment (CDC, n.d.). The PICO(T) question I chose is: In school-age children with anxiety (P), how does a school-based mental health intervention (I) compared with no intervention (C) affect anxiety symptoms and overall global functioning (O)? Search Terms and Databases Used for Research Based on my PICO(T) question, the terms I initially searched were “anxiety in children” and “school-based mental health”. I later narrowed down these terms further as outlined below to elicit more specific search results. The two databases I utilized for my research were CINAHL with Full-Text and PsycINFO. Search Results, Articles Returned, and Changes from use of Boolean Operators Using CINAHL with Full Text, I searched the term “anxiety in children”, which returned approximately 4,000 results. Then I searched the term “school-based mental health”, which yielded 239 results. After completing the same search using the PsycINFO database, I yielded 10,798 and 571 results, respectively. I then applied the Boolean connector “AND” combining both of the search terms. The search results dramatically decreased the number of articles for each of the databases to generate less than ten results. Database Strategies to Increase Rigor and Effectiveness Strategies I implemented to increase the rigorousness and effectiveness of my search were searching synonyms of my keywords. According to Melnyk and Fineout-Overholt (2018), different databases will yield different results depending on the keyword used. Because of this, it is a good idea to utilize single word synonyms related to your original keywords and connect them with the Boolean operator “OR” when searching. For example, for the keyword “children”, I took advantage of the automatic word matching suggestions. I searched the keywords “child OR adolescents OR youth OR teenager”, broadening my search results just “children” since my particular clinical issue related to all school-age children. Databases are programmed to search for exact words. Therefore if you limit your keywords, you may risk potentially restrict your search results too drastically (Walden University Library, n.d.).

Nursing Assignment Help 2025