2023 Comment 1 Evidence based practice is the conscientious integration of best research evidence

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Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED. Thanks.

Comment 1 Evidence based practice is the conscientious integration of best research evidence 2023 Assignment

Comment 1

  Evidence-based practice is the conscientious integration of best research, evidence with clinical expertise and patients’ values and needs in the delivery of high-quality, and cost-effective healthcare (University of Illinois at Chicago, 2015).

Evidence-based practice (EBP) promotes quality, safe, and cost-effective outcomes for patients, families, healthcare providers, and the healthcare system. It evolves from the integration of the best research evidence with clinical expertise and patients’ needs and values (Grove, Gray & Burns, 2015. 6th ed).

        The treatment for acute muscle strain has changed over the years.  In the past, nurses learned to ice certain injuries for the first 24 hours and then apply heat to increase blood flow. Presently, evidence-based practice shows that only heat is beneficial (The university of New Mexico, 2016, Nov.30).

       Evidence-based practice has been developed to prevent healthcare–associated intravascular device–related bloodstream infections with the use of I-Care and the acronym stands for:

  • I—IV device management
  • C—Cleaning of hands
  • A—Access: Use of alcoholic chlorhexidine to prepare the insertion site, and use of sterile alcohol swabs to clean the injection port before accessing.
  • R—Reviewing the need for the IV device on a daily basis and remove when no longer required
  • E—Education about I-Care given to: staff, patients, and other care-givers (The Joint Commission, 2013, Nov.20).

       I work in prison facility and we had several cases of flu infection during this last episode. Hand washing with soap and water and contact precaution was evidence-based practice used to prevent the spread, also screen and testing others in the same dorm help to control spread of infection.

Comment 2

Evidence-based practice (EBP) is the combination of using research and clinical expertise, and include the patients’ values when making decisions about the care of individualized patients (Rauen, Chulay, Bridges, Vollman, & Arbour, 2008). Research findings are a group of facts and they become evidence when the findings are relevant and useful in particular patient situations. One example of EBP is collecting an accurate measurement of blood pressure, and it starts with picking the correct cuff size according to the circumference of the patient’s arm. Positioning the arm is also important and that should be based on how the patient is positioned. The study also found that using an automatic cuff to measure blood pressure in patients with atrial fibrillation was interchangeable with checking the blood pressure manually (Rauen, Chulay, Bridges, Vollman, & Arbour, 2008).  

Another EBP used when assessing pain is to intervene appropriately in patients that are non-verbal or have dementia. Assess for pain and intervene with non-verbal and/or demented patients when they have conditions that typically cause pain (Flynn Makic, n.d.). Assess for facial expression, verbalizations, a change in activity, and rubbing of certain parts of the body. The nurse can also evaluate for restlessness, agitation, and combativeness. Nurses should use a valid, reliable tool for assessing pain and re-evaluate frequently (Flynn Makic, n.d.).

The first EBP on accurately measuring blood pressure is widely used in all settings of health care including home health where I work. We manually check blood pressure and are instructed on choosing the proper cuff size and proper positioning of the patient for the most accurate results. The EBP for pain assessment we use the Numeric Pain Rating Scale as well as the Wong-Baker Faces Rating Scale. The numeric scale can tell us the intensity of pain which can help guide the nurse’s choice for pain medication and for the non-verbal, limited cognitive ability, and/or patient with mild to moderate dementia we use the scale with pictures (Wong-Baker). Patients with advanced dementia will need behavioral observation to determine the presence of pain (Wells, Pasero, & McCaffery, n.d., Chapter 17).

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2023 respond The case of Jim is a great example of how value based reimbursement structures are driving improvements in

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Nursing 2023 NR533 week 2.2

respond The case of Jim is a great example of how value based reimbursement structures are driving improvements in 2023 Assignment

respond 

 

The case of Jim is a great example of how value based reimbursement structures are driving improvements in healthcare.

With fee for service, or volume based reimbursement, the hospital will receive reimbursement for providing care on two separate admissions, despite the fact that the second admission could possibly have been avoided.  Additionally, with fee for service, there is  no incentive to return the patient to the community or recover health in a timely manner.  Physicians and hospitals receive more benefit from greater length of stay and additional tests and consults.  With volume based reimbursement, there is no incentive to reduce costs or improve quality which negatively impacts patient satisfaction.   While this form of reimbursement provides maximum profits for providers, it results in epidemic unaffordable and inaccessible healthcare for populations. 

With value based reimbursement, the hospital will receive a flat fee for Jim’s diagnosis regardless of how care is provided.  The hospital will also be penalized for readmission additionally reducing reimbursement.  In the case of value based reimbursement, the hospital is incentivized to diagnose, treat, and recover the patient as quickly and efficiently as possible.  This reduces the chances of imposed unnecessary costs to the patient and improves the likelihood of quality care and thereby patient satisfaction, which is known as the Triple Aim (Martin, 2017).

With nearly 50% of the payer mix at my institution coming from government funded healthcare, value based reimbursement has a significant impact on how we deliver care with a large focus on quality and cost reduction improvement strategies.  One of the ways our hospital has tried to reduce cost is through merger.  Advocate merged with Aurora Healthcare last year and the large volume of providers has allowed us to negotiate lower contracts with vendors and suppliers.  Additionally, they are reducing costs by partnering with physician groups to provide services to patients and employees at reduced costs under a large HMO.

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2023 Think about your unique nursing practice specialty area and the population you serve Is

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Nursing 2023 N491 Discussion Mod 1:

Think about your unique nursing practice specialty area and the population you serve Is 2023 Assignment

  

Think about your unique nursing practice specialty area and the population you serve. Is there a clear connection to practice and theory in your specific nursing specialty area? In this discussion post, you will describe the relationship between theory and nursing practice and how you could implement theory into nursing practice.

  1. Describe      why nursing theory is important to today’s nursing practice.
  2. How      would you select and introduce a nursing theory or model into your nursing      practice?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

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2023 Review the attached PowerPoint presentations Once done please answer the following questions 1 Define epidemiology and discuss how

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Nursing 2023 Community Nursing – Questions

Review the attached PowerPoint presentations Once done please answer the following questions 1 Define epidemiology and discuss how 2023 Assignment

Review the attached PowerPoint presentations.  Once done please answer the following questions:     

1. Define epidemiology and discuss how the epidemiology triad can be applied to            health issues we see in the hospital?    

2. Epidemiology is not just useful for community health nurses; it is useful for all healthcare professionals. Brainstorm some ways in which epidemiology could be used in an acute care setting. What types of problems arise in acute care that might need to be measured? How could nurses use epidemiology to assess those problems and attempt to intervene? How can this data be further used in a community setting in terms of follow-up or continuation of intervention? 

3. What are some of the causes of increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors? 

4. Why is it important for nurses to know about global health issues or concerns if they are not planning to work in other countries? How can this information be used in the workplace here in the US?    

 

– Present your assignment in an APA format, word document, Arial 12 font.

– A minimum of 2 evidence-based references (besides the class textbook) are required. 

–  A minimum of 500 words (excluding the first and references page) are required.

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2023 Based on last week s reading you now have an idea of the

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Nursing 2023 Discussion :APA 6th edition format as required ( 2 paragraphs is required 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

Based on last week s reading you now have an idea of the 2023 Assignment

  

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Important Links:

https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs.

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2023 Reflection Assignment 4 Meeting Essential VIII This week reflect on your perception

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Nursing 2023 Week 5 Reflection Assignment

Reflection Assignment 4 Meeting Essential VIII This week reflect on your perception 2023 Assignment

Reflection Assignment 4: Meeting Essential VIII

This week, reflect on your perception of change theory, management roles and nursing leadership, communication conflict, and the nurse management role in patient care as it has evolved over the course of your RN-BSN program at WCU. Identify specific leadership models you support, and compare and contrast communication techniques for patient-centered care effectiveness. How does your academic work support evidence of meeting the following?

Essential VIII: Professionalism and Professional Values

  • Outcome #3: Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

Showcase your academic work related to this essential and these outcomes in your ePortfolio and directly reference it in your reflection response.

Recommended: Refer to the work you completed for NURS 510 Policy, Organization, and Financing of Health Care and LDR 432 Principles of Leadership for Healthcare Organizations, as well as other courses, to gather academic examples and evidence of having met this essential. (DOCUMENTS ATTACHED)

Your reflection should be 1–2 pages APA formatted. Reference and cite any sources you use. 

PLEASE REFER TO THE ATTACHED RUBRIC!!!!!

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2023 Write your evidence based change project status report which gives you an opportunity to share your progress The report should provide evidence

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Nursing 2023 EBP status report

Write your evidence based change project status report which gives you an opportunity to share your progress The report should provide evidence 2023 Assignment

 Write your evidence-based change project status report, which gives you an opportunity to share your progress. The report should provide evidence of your critical thinking and ability to apply research and project management principles in the clinical setting.


The requirements of this assignment include:

  1. Identify obstacles and steps taken to manage and stabilize successful implementation of your change project thus far.
  2. Discuss the project implementation to date, the resources used, and continued support needed.
  3. Identify expected project outcomes and any timeline adjustments needed.
  4. Discuss a summary of the project, the main points, and the findings, the significance of the project to the nursing profession, and any recommendations for future research.

You will submit a written paper using the format of the APA (6th ed.), including cover page, proper headings and references. The report should be at least 4 pages in length, not including the cover page and references.

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2023 Think of a time when you had a different opinion than another person Reflect on personal values evident

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Nursing 2023 writing

Think of a time when you had a different opinion than another person Reflect on personal values evident 2023 Assignment

 Think of a time when you had a different opinion than another person. 

Reflect on personal values evident in encounters/challenges with patients, friends, teachers, and others.

Note what they think and feel about these situations. 

Trace how they developed each value and how their value(s) affected these encounters. 

Identify value differences that may have contributed to conflict or misunderstanding. 

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2023 Develop a 1 to 2 page executive summary that describes the issue or opportunity that you are analyzing

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Nursing 2023 FE1

Develop a 1 to 2 page executive summary that describes the issue or opportunity that you are analyzing 2023 Assignment

 Develop a 1- to 2-page executive summary that describes the issue or opportunity that you are analyzing. Your executive summary should include the following:

  • Describe the healthcare issue or opportunity you selected.
  • Describe the stakeholder groups impacted by this issue/opportunity.
  • Explain which stakeholder groups would most likely be responsible for helping you address the healthcare issue or opportunity you selected and why. Be specific and provide examples
  • Describe the healthcare product or service that you propose to address the identified gaps/opportunities and explain why

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2023 Answer questions APA style 500 words 1 In your own words and using the proper evidence based

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Nursing 2023 Discussion week 1

Answer questions APA style 500 words 1 In your own words and using the proper evidence based 2023 Assignment

Answer questions 

APA style

500 words

1.  In your own words and using the proper evidence-based references please define the following terms;

      a.  Community health nursing  

       b.  Community based nursing   

       c.  Population focus care  

       d.  Public Health nursing

2.  Discuss any relationship between Community health nursing and Public Health Nursing and mention and discuss any relationship between both terms. 

 3.  Discuss the concept of community assessment and why is the purpose of it and how  beneficial it is for the community health nurse.

  4.  Mention and discuss at least 2 community health frameworks/models.  

Assignments must be presented in an APA format, word document, Arial 12 font attach the forum in the discussion board call “week 1 discussion questions”.  A minimum of 2 evidence-based references must be cited according to APA and  two replies to any of your peers posting sustained with the proper references are required.    A minimum of 500 words excluding the first and references page are required.

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