2023 Respond to this post with a positive response Ask a probing question substantiated with

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Nursing 2023 POST ABBY

Respond to this post with a positive response Ask a probing question substantiated with 2023 Assignment

 Respond to this post with a positive response :

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

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 research in the Walden Library.

Validate an idea with your own experience and additional research.

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

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use at least 3 references

                            The Accountability and Affordable Care Act of 2010

            A public policy that is impacting my workplace along with the rest of the nation’s healthcare is the Accountability and Affordable Care Act of 2010 (ACA).  Overall, this policy expanded eligibility for Medicaid to millions of Americans (Frank, Beronio, & Glied, 2014).  Before the ACA, the mentally ill was a population who struggled to gain access to care.  Fortunately, now the mentally ill can get insurance coverage which has impacted the facility in which I work.  We are always full with a waiting list of patients trying to get admitted.  

The ACA was designed to improve access, cost, and quality to care for all Americans.  According to the Substance Abuse and Mental Health Services Administration (2018), it has dramatically impacted the number of Americans who have access to mental health care.  According to Laureate Education (2012a), 32 million Americans who did not have coverage before this act will have coverage.  In conjunction with the Mental Health Parity and Addictions Equity Act, about 60 million Americans will have access to mental health services (Frank et al., 2014).  Also, the ACA was designed to help the cost of healthcare.  Unfortunately, this cost was initially expensive for our nation (Laureate Education, 2012a).  However, in the long run, the Affordable Care Act will hopefully save the nation money (Laureate Education, 2012a).  Lastly, quality was a goal of the ACA.  The ACA prompted changing payment models so that facilities are held accountable for quality care, and value of delivered care effects reimbursement rates (Knickman & Kovner, 2015).  Overall, the ACA is still a work in progress to improve access, cost, and quality of care.

As a nurse in a psychiatric facility, the ACA has impacted my daily life.  Due to the increase in access to care, my facility is always busy.  We are continuously full, and there are always patients waiting to get in.  Next week, our new building will be opening which will more than double our beds.  The ACA has also affected the quality of care given in my facility.  High importance is placed on care coordination to make sure the patient has follow-up care to avoid readmission.  Also, leadership is focused on monitoring incidences and near misses to avoid errors as errors are expensive.  The ACA has, unfortunately, added much stress to the daily lives of healthcare professionals in my facility.

Staffing in Healthcare

An enormous struggle we are facing in our facility, and one I would like to see change through public policy, is staffing of nurses and patient care techs.  This issue seems to come up in every conversation among nurses no matter where they work.  Soon, my facility will have the supply of rooms along with the demand of patients, but we do not have the staff.  This staffing crisis makes me nervous.

Kingdon’s model identifies four influential factors to get issues on the public agenda (Milstead, 2019).  First, the problem stream is the staffing crisis that hospitals and agencies face all over our nation (Milstead, 2019).  In my 11 years of nursing in three different hospitals, staffing ratios have only worsened.  Second, the policy stream attaches a solution to the problem (Milstead, 2019).  The answer to the staffing crisis may be to implement policy not allowing hospitals to admit patients if they can’t maintain a specific staffing ratio of nurses to patients.  Third, the political stream includes getting the problem and solution government attention (Milstead, 2019).  As nurses, we could set up a campaign to get the word out regarding staffing and could notify our local representatives.  The fourth factor that influences getting issues on the public agenda is the window of opportunity (Milstead, 2019).  This concept is about the timing of introducing a problem.  A good time may be close to an election year when it is vital for local representatives to get votes from their constituents (Laureate Education, 2012b).  

Due to the ACA, millions of Americans, especially the mental health population, were given access to more affordable and quality healthcare.  Unfortunately, the healthcare industry is not ready.  Staffing is the next problem needing to be addressed by our government.   

References

Frank, R.G., Beronio, K., & Glied, S.A. (2014). Behavioral health parity and the affordable care act. J Soc Work Disabil Rehabil, 13, 31-43. doi: 10.1080/1536710X.2013.870512

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Laureate Education (Producer). (2012a). Introduction to healthcare delivery, part II: Healthcare reform. Baltimore, MD: Author.

Laureate Education (Producer). (2012b). Health policy and politics. Baltimore, MD: Author.

Milstead, J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones and Bartlett Publishers.

Substance Abuse and Mental Health Services Administration. (2018). Laws and Regulations. Retrieved from https://www.samhsa.gov/about-us/who-we-are/laws-regulations

 

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2023 For some advocacy might conjure images of speaking at a congressional hearing or soliciting petition signatures at library entrances

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Nursing 2023 Need Help With Discussion: Advocacy

For some advocacy might conjure images of speaking at a congressional hearing or soliciting petition signatures at library entrances 2023 Assignment

 

For some, advocacy might conjure images of speaking at a congressional hearing or soliciting petition signatures at library entrances. Yet, social workers engage in advocacy as an agent of social change in numerous ways: 

  • Case advocacy—When a social worker addresses the lack of services or resources at the micro level, educates the client about available resources and programs, or fights for clients’ rights
  • Legislative advocacy—When a social worker addresses a policy gap at the macro level and provides information and suggestions to legislators in order to close that gap
  • Community advocacy—When a social worker represents the needs of a community at the mezzo level by engaging in group-oriented activities, such as holding a town meeting to educate the neighborhood about a particular issue they are facing

Reflecting as a social worker, what are the benefits to engaging in an act of advocacy? Are there risks associated with being an advocate? Do the risks ever outweigh the need to advocate for what is just?

Throughout this term, you have been asked to engage in an act of advocacy. For this Discussion, you will reflect on the advocacy in which you engaged and discuss both risks and values related to advocacy.

By Day 3

Post:

  • Describe the advocacy in which you engaged this term.
  • Explain how the concepts from this week’s resources apply to the act of advocacy in which you engaged.
  • Describe potential risks that you considered or that may exist for a social worker who serves as an advocate.

In APA format with references noted

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2023 Read a qualitative nursing study If a different investigator had gone into the field to study the same

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Nursing 2023 Qualitative Nursing Study Discussion

Read a qualitative nursing study If a different investigator had gone into the field to study the same 2023 Assignment

 Read a qualitative nursing study. If a different investigator had gone into the field to study the same problem, how likley is it that the conclusions would have been the same? How transferable are the research’s findings? 

APA Style 4 paragrphs, no Abstract needed, with Citations and References

NO PLAGIARISM PLEASE

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2023 Respond to this post with a positive response Ask a probing

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Nursing 2023 POST CASEY-FG

Respond to this post with a positive response Ask a probing 2023 Assignment

                        Respond to this post with a positive response :

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

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 research in the Walden Library.

Validate an idea with your own experience and additional research.

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

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                                  Main Post 

Throughout my years as an ICU nurse, critical thinking has become a skill that I utilize on a daily basis in my clinical practice. Not only are critical thinking skills a part of my daily practice, but I also observe my colleagues putting their critical thinking skills to use in their every day clinical practice. One example of critical thinking skills being used in ICU clinical practice is when multiple drips are being titrated on a patient that is extremely ill. As an ICU nurse, it is essential and vital that you utilize critical thinking skills when choosing which drip to titrate up or down or which drip to start or stop. Another instance where I have observed critical thinking skills being used in the ICU is when I would attend a rapid response on one of the medical floors. As the critical care nurse, I must use my critical thinking skills to choose the right lab tests to run, determine what might be going on with the patient that is in distress, and choose the right treatment pathway.

 

I try to improve my clinical competence in every way I can, especially by employing my critical thinking strategies. Some of the strategies I use most often include listening, continuing to learn every chance I get, and explaining to my colleagues why I came to a specific conclusion. I use the strategy of listening to improve my clinical competence because it helps me find new solutions to everyday problems that I might face in the ICU. Learning helps improve my clinical competence because it makes me a better ICU nurse. The more I learn, the more proficient I can become. I like to explain my rationale for the conclusion I came to because another colleague might have something important to add that would aid in solving the problem at hand. 

 

Clinical scholarship is defined as an approach that enables evidence-based nursing and the development of best practices to meet the needs of clients efficiently and effectively (Stanley et al., 1999). 

Critical thinking is defined as the objective analysis and evaluation of an issue in order to form a judgment (Benner, Hughes, & Stuphen, 2008, p. [Page 120]). 

Clinical practice is defined as either the field of principal professional clinical activity (Wilkes, Mannix, & Jackson, 2013).

 

After reviewing the definitions of clinical scholarship, critical thinking, and clinical practice I was able to see how each term is interconnected. In order to have a clinical scholarship like approach in clinical practice, it is essential that critical thinking tools be utilized. The development of the best practices in clinical nursing practice will not occur if there is no critical thinking involved in the process (Wilkes, Mannix, & Jackson, 2013).

These three terms should be looked at as a single unit; one cannot exist without the other. 

 

 

 

Benner, P., Hughes, R. G., & Stuphen, M. (2008). Patient Safety and Quality: An 

 

               Evidence-Based Handbook for Nurses.Rockville, MD. 

 

Stanley, J., PhD, Keating, S. B., EdD, Edwardson, S., PhD, Easley, C. E., PhD, Alichnie, 

 

               C., PhD, & Edwards, J., PhD. (1999, March 15). Defining Scholarship for the 

               

               Discipline of Nursing. Retrieved December 31, 2018, from

 

               https://www.aacnnursing.org/News-Information/Position-Statements-White-

 

               Papers/Defining-Scholarship 

 

Wilkes, L., Mannix, J., & Jackson, D. (2013). Practicing nurses perspectives of clinical 

 

scholarship: a qualitative study. BMC nursing, 12(1), 21. doi:10.1186/1472-6955-

 

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2023 Please In 2 3 paragraph respond to this post A Walk Through The Steps of a Nursing Research

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Nursing 2023 A Walk Through The Steps Of A Nursing Research

Please In 2 3 paragraph respond to this post A Walk Through The Steps of a Nursing Research 2023 Assignment

Please In 2-3 paragraph respond to this post : 

A Walk Through The Steps of a Nursing Research Study-2.docx 

What have you learned and will it make a difference?

In my welcome letter to you, I indicated that every class should change your thinking about the focus of the class. Again read the provided ” A Walk Through The Steps of a Nursing Research Study”.  This is the same document you were provided during Week 1. Has your ability to read with understanding changed? Briefly share your thoughts regarding this experience. In this discussion forum  from a “qualitative approach” briefly reflect on what you have learned about nursing research, evidence based nursing and its impact on you as a professional nurse earning a baccalaureate degree in nursing.  From a “quantitative approach”, reflect on your response to the scale of your reading and understanding of nursing research you identified in week 1. How has it changed? What activities most contributed to your enhanced knowledge base?  

Additionally, I would like you to discuss your preparedness to respond to the Institute of Medicine’s mandate that “Participants have set a goal that, by the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence* (IOM, 2007).   What strategies can you personally implement to address this mandate on a personal/professional level beyond obtaining your baccalaureate degree in nursing? What is the state of your employing institution (no need to name your institution-just identify if it is an acute care setting, long term setting etc) in addressing this mandate since it was initiated in 2007 and with only 1 year left?  Will your employing institution meet the mandate? Initiate a discussion regarding this mandate with a managerial/administrative/ person in your employing institution to gain their perspective on evidence based practice. Here is a website that you can select to review to gain information on this directive. If possible, informally ask some of your nursing colleagues if they are aware of the mandate. What challenges do you foresee to the implementation of evidence-based nursing practice in your workplace?

http://www.ncbi.nlm.nih.gov/books/NBK52821/

Lastly, discuss how you would identify the “best available evidence” and what is the  significance of “Level of Evidence” as it relates to evidence that informs your nursing practice. 

It is expected in this forum that you use/implement the appropriate nursing research terminology. Hint: consider your words like research, prove etc. 

Also my initial respond about level of understanding of  article”A Walk Through The Steps of a Nursing Research Study-“from week 1 was: 

“I read the document ” A Walk Through The Steps of a Nursing Research Study”, my comfort level in reading and understanding this document was satisfying me since I got all explanation very organized and well formated that made it easy to read and get the idea.My knowledge base of nursing and all types of researches was my effective tool to understand most of the document. From quantitative approach I can rate my comfort level 8 out of 10, which I am still happy to this level of understanding.”

Now by the end of this course is expected that my level of understanding increased, so you know how to answer this question compare to my initial post from first week.

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2023 Post your week 14 discussion questions here People of Irish Heritage People of Italian Heritage People of Puerto Rican

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Nursing 2023 Week 14

Post your week 14 discussion questions here People of Irish Heritage People of Italian Heritage People of Puerto Rican 2023 Assignment

Post your week 14 discussion questions here.

People of Irish Heritage.

People of Italian Heritage.

People of Puerto Rican Heritage.

Read chapter 23, 33 and 34 of the class textbook and review the attached PowerPoint presentations.  Read content chapter 33 and 34 in Davis Plus Online Website.  Once done answer the following questions;

1.  Discuss the organization and the family role in every one of the heritages mentioned about and how they affect (positively or negatively) the delivery of health care.

2.  Identify sociocultural variables within the Irish, Italian and Puerto Rican heritage and mention some examples.

 A minimum of 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how to present the first page and the name of the assignment when you post should be Week 14 discussion questions.

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2023 Pharmacotherapy for Endocrine and Musculoskeletal Disorders Patients with endocrine and musculoskeletal disorders often require long term treatment and

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Nursing 2023 Advanced Pharmacology

Pharmacotherapy for Endocrine and Musculoskeletal Disorders Patients with endocrine and musculoskeletal disorders often require long term treatment and 2023 Assignment

  

Pharmacotherapy for Endocrine and Musculoskeletal Disorders

Patients with endocrine and musculoskeletal disorders often require long-term treatment and care resulting in the need for extensive patient education. By appropriately educating patients, advanced practice nurses can assist patients with the management of their disorders. In clinical settings, patients with endocrine and musculoskeletal disorders typically seek treatment for symptoms that pose problems to their everyday lives as ordinary tasks may become difficult to complete. For instance, patients might have difficulty walking short distances, preparing meals, or even running errands. To reduce these symptoms and additional health risks, it is essential to develop drug therapy plans with individual patient factors in mind.

To prepare:

· Select one of the following endocrine or musculoskeletal disorders: thyroid disease, osteoarthritis, rheumatic arthritis, gout, multiple sclerosis, or fibromyalgia. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.

· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

With these thoughts in mind:

Write

A description of the endocrine or musculoskeletal disorder you selected(I am looking for an explanation at the cellular or molecular level (whenever possible). including types of drugs that would be prescribed to patients to treat associated symptoms.

· Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 1 Mrs Elle 80 years of age is a female patient who

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Nursing 2023 Critical Thinking, Ethical Decision Making, And The Nursing Process

1 Mrs Elle 80 years of age is a female patient who 2023 Assignment

 

1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. 

  1. What ethical dilemma exists?
  2. Who are the stakeholders and what gains or losses do each have?
  3. What strategies should the hospice nurse take to resolve the ethical dilemma?

2. The nurse receives a 12-year-old girl from the operating room after an emergent appendectomy due to ruptured appendix. Upon arrival to the postanesthesia care unit, the patient is drowsy, but arousable to voice; she was extubated in the operating room and is receiving oxygen by facemask at 40%. She has two peripheral IVs in her left arm that are infusing Lactated Ringers solution at 100 mL/hr. A nasogastric tube is attached to low constant suction, and a small amount of aspirate is noted. She has a urinary catheter that is draining clear, yellow urine. Her abdominal dressing is dry and intact. Upon arousal, she complains of abdominal pain.  

  1. What NANDA-approved nursing diagnoses may be relevant to this patient?
  2. Once the nursing diagnoses are determined, what steps does the nurse take to complete the Planning Phase of the Nursing Process?
  3. What is the difference between nursing diagnoses and collaborative problems?

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Theorist PowerPoint Presentation Please choose any nursing theorist that is presented in this course Follow the

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Nursing 2023 nursing theory w13 assignm

Theorist PowerPoint Presentation Please choose any nursing theorist that is presented in this course Follow the 2023 Assignment

 

Theorist PowerPoint Presentation 

Please choose any nursing theorist that is presented in this course.

Follow the information below for the PowerPoint Presentation.

Ensure that you follow the grading rubric below.

Provide feedback on at least two PowerPoint presentations.

  • Title Slide (Title, You Name, School Name, Course Number and Name, Professor Name, Date)
  • Introduction of the Nursing Theorist (Select any theorist from this course)
  • Classification of the theory (Grand Theory, Middle Range, Practice Level, etc.).
  • Discuss the model/concept of the presented theory (theoretical overview).
  • Applicability to nursing practice (Clinical or Professional Examples)
  • Implications for Nursing Research (How will this theory advance nursing practice?)
  • Conclusion (Summary)
  • References

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 understanding of scholarly writing Document Introduction to Scholarly Writing Tips for Success PDF This document which accompanies

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Nursing 2023 week 4 150 words mins follow instructions below due tomorrow December 21 at 7pm NO Plagiarism

understanding of scholarly writing Document Introduction to Scholarly Writing Tips for Success PDF This document which accompanies 2023 Assignment

 

understanding of scholarly writing.

Document: Introduction to Scholarly Writing: Tips for Success (PDF)

This document, which accompanies the media program of the same title, provides resources for improving your scholarly writing and critical-thinking skills.

Document: Stages in Critical Reading of Research Articles (Word document)

This chart describes the purpose of, and questions for, six stages of critically reading research articles. Focus on the many activities and questions that make up the critical reading process. Begin to consider the journal articles and books you read in terms of these criteria.

Document: APA Basics Checklist: Citations, Reference List, and Style (PDF)

Required Media

Laureate Education, Inc. (Executive Producer). (2012c). Introduction to scholarly writing: Purpose, audience, and evidence. Baltimore, MD: Author. 

Note:  The approximate length of this media piece is 4 minutes.

Learning to be a scholarly writer will enhance your writing skills and increase your ability to succeed as an online learner as well as in your professional life. This media program will introduce you to the key concepts of scholarly writing. 

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education, Inc. (Executive Producer). (2012d). Introduction to scholarly writing: Tips for success. Baltimore, MD: Author. 

Note:  The approximate length of this media piece is 3 minutes.

This media program presents tips for becoming a scholarly writer, including how to identify fears related to scholarly writing and connect with resources to improve writing skills. 

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Document: Course Media Credits (PDF)

Discussion: Using the Walden Library

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use the 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 is of particular interest to you.
  • Identify the database that you used to search for a peer-reviewed article in your area of practice and interest.
  • Reflect on your experience with searching the database. Did you note any difficulties when searching for an article? What steps/strategies did you find helpful for locating a peer-reviewed article? Would this database be useful to your colleagues? Would you recommend this database?
  • Once you have select your peer-reviewed article, evaluate its strengths and weaknesses in terms of scholarly writing, bias, opinion, quality of evidence, and appropriateness to its target audience.
By Day 3

Post a brief summary of your peer-reviewed article, the database you located your article in, your database searching experience, key words utilized in the search, and analysis of the strengths and weaknesses of the article.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

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