2023 Statistical application and the interpretation of data is important in health care Review the statistical concepts covered in this topic

Nursing 2023 Statistical Application

Statistical application and the interpretation of data is important in health care Review the statistical concepts covered in this topic 2023 Assignment

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

  1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
  2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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2023 Instructions Qualitative Annotated Bibliography For this assignment you will continue to review current research from South s Online

Nursing 2023 Week 2 Midweek Assignment

Instructions Qualitative Annotated Bibliography For this assignment you will continue to review current research from South s Online 2023 Assignment

 

Instructions

Qualitative Annotated Bibliography

For this assignment you will continue to review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online Writing Lab

A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a qualitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

Each annotation must address the following critical elements:

  • Explanation of the main purpose and scope of the cited work
  • Brief description of the research conducted
  • Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  • Possible shortcomings or bias in the work
  • Conclusions or observations reached by the author
  • Summary as to why this research lends evidence to support the potential problem identified specific to your role specialization.

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2023 For this Assignment as you examine the client case study in this week s Learning Resources consider how you might

Nursing 2023 Assignment: Week 2 Practicum Journal: Safe Prescribing (Due In Week 4) (3)

For this Assignment as you examine the client case study in this week s Learning Resources consider how you might 2023 Assignment

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

  • Evaluate clients for treatment of mental health      disorders
  • Analyze decisions made throughout diagnosis and      treatment of clients with mental health disorders

Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

  • Decision #1: Differential Diagnosis

  • Which Decision did you select?

  • Why did you select this Decision? Support your       response with evidence and references to the Learning Resources.

  • What were you hoping to achieve by making this       Decision? 

  • Support your response with evidence and references to       the Learning Resources.

  • Explain any difference between what you expected to       achieve with Decision #1 and the results of the Decision. Why were they       different?

  • Decision #2: Treatment Plan for Psychotherapy

  • Why did you select this Decision? Support your       response with evidence and references to the Learning Resources.

  • What were you hoping to achieve by making this       Decision? Support your response with evidence and references to the       Learning Resources.

  • Explain any difference between what you expected to       achieve with Decision #2 and the results of the Decision. Why were they       different?

  • Decision #3: Treatment Plan for Psychopharmacology

  • Why did you select this Decision? Support your       response with evidence and references to the Learning Resources.

  • What were you hoping to achieve by making this       Decision? Support your response with evidence and references to the       Learning Resources.

  • Explain any difference between what you expected to       achieve with Decision #3 and the results of the decision. Why were they       different?

  • Also include how ethical considerations might impact      your treatment plan and communication with clients and their family.

  • Note: Support your rationale with a minimum      of three academic resources less than five years In APA Format including introduction and conclusion 

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2023 CASE STUDY 3 Reflecting on week 4 s lessons in the syllabus select a patient population pediatric young adult

Nursing 2023 Case study 3

CASE STUDY 3 Reflecting on week 4 s lessons in the syllabus select a patient population pediatric young adult 2023 Assignment

 CASE STUDY 3 – Reflecting on week 4’s lessons in the syllabus, select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a chronic cardiovascular disease (HTN, Heart failure, Dyslipidemia, Heart murmur etc.…), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. 

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2023 Assessment 2 Quality Improvement Proposal Overview Write a quality improvement proposal 5 7 pages in length that provides your recommendations for

Nursing 2023 6612 Assessment 2

Assessment 2 Quality Improvement Proposal Overview Write a quality improvement proposal 5 7 pages in length that provides your recommendations for 2023 Assignment

Assessment 2

  • Quality Improvement Proposal
    • Overview: 
    • Write a quality improvement proposal, 5–7 pages in length, that provides your recommendations for expanding a hospital’s HIT to include quality metrics that will help the organization qualify as an accountable care organization.
      Health care has undergone a transformation since the release of the Institute of Medicine’s 2000 report To Err Is Human: Building a Safer Health System. The report highlighted medical errors as a contributing factor leading to poor patient outcomes. The Institute of Medicine challenged organizations to implement evidence-based performance improvement strategies in order to improve patient quality and safety. Multiple governmental and regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Quality and Research (AHRQ), vowed to strengthen and improve incentives for participation, safety, quality, and efficiency in accountable care organizations (ACOs).
      Health  information technology (HIT) performs an essential role in improving health outcomes of individuals, the community, and populations. Health organizations, consumer advocacy groups, and regulatory committees have made a commitment to explore current and future opportunities that HIT offers to continue momentum to meet the Institute of Medicine’s goal of improving safety and quality.
      Understanding HIT is important to improving individual, community, and population access to health care and health information. HIT enables quick and easy access to information for both patients and providers. Accessible information has been shown to improve the patient care experience and reduce redundancies, thereby reducing health care costs.
      This assessment provides an opportunity for you to make recommendations for expanding a hospital’s HIT in ways that will help the hospital qualify as an ACO.
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 2: Explain the relationship between care coordination and evidence-based data. 
      • Recommend ways to expand an organization’s HIT to include quality metrics.
      • Identify potential problems that can arise with data gathering systems and outputs.
    • Competency 3: Use health information technology to guide care coordination and organizational practice. 
      • Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
      • Write clearly and concisely, using correct grammar and mechanics.
      • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
    • Reference
      Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, DC: National Academies Press.
      Competency Map
      CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
  • Toggle DrawerResourcesHealth Informatics
  • Asssessment InstructionsPreparation
    In this assessment, you will again assume the role of case manager at Sacred Heart Hospital. This time, you are asked to develop a strategy for tracking quality metrics to help facilitate the hospital’s qualification for ACO status.
    Before drafting your proposal, complete the following simulation exercise:
    • Vila Health: Quality Metrics Tracking.
    • Note:Remember that you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
      Requirements
      Develop a proposal to expand Sacred Heart Hospital’s HIT to better include quality metrics—with the ultimate goal of qualifying for ACO status. Use the following template for your proposal:
    • APA Style Paper Template [DOCX].
    • Writing the Proposal
      The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your proposal addresses each point, at a minimum. You may also want to read the Quality Improvement Proposal Scoring Guide to better understand how each criterion will be assessed.
    • Recommend ways to expand the hospital’s HIT to include quality metrics.
      • How will you collect information and solve the problem of coordinating care for patients who are not getting diagnostic tests, such as mammograms or colonoscopies?
      • What can you do to track health information from the community or the target population to make necessary improvements?
      • How can you most effectively and efficiently show the role of informatics in nursing care coordination?
      • What evidence supports your recommendations?
    • Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice.
      • Provide examples to support your description.
    • Identify potential problems that can arise with data gathering systems and output. 
      • What suggestions can you make for avoiding those problems?
    • Write clearly and concisely, using correct grammar and mechanics.
      • Express your main points and conclusions coherently.
      • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
      • Is your supporting evidence clear and explicit?
      • How or why does particular evidence support a claim?
      • Will your audience see the connection?
    • Additional Requirements
      Proposal Format and Length
      Format your proposal using APA style:
    • Use theAPA Style Paper Template [DOCX]provided. Be sure to include:
      • A title page and references page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • See also theAPA Style Paper Tutorial [DOCX]to help you in writing and formatting your proposal.
    • Your proposal should be 5–7 pages in length,not includingthe title page and references page.
    • Supporting Evidence
    • Cite at least six sources of credible scholarly or professional evidence to support your proposal.
    • Apply APA formatting to all in-text citations and references.
    • Portfolio Prompt: You may choose to save your proposal to your ePortfolio.

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2023 Respond using one or more of the following approaches Ask a probing question substantiated with additional background information

Nursing 2023 post-jessica d

Respond using one or more of the following approaches Ask a probing question substantiated with additional background information 2023 Assignment

Respond using one or more of the following approaches:

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

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Validate an idea with your own experience and additional sources.

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

    Expand on your colleagues’ postings by providing additional strategies for addressing barriers to EBP based on readings and evidence.

                                                          INITIAL POST

            Evidence-based practice is the standard that guides clinical practices within the nursing profession. Adams (2010) asserts that evidence-based practice “is defined as the integration of best research evidence with clinical expertise and patient values to facilitate clinical decision making” (Adams, 2010, p. 274). Polit and Beck (2017) maintain that there is no consensus about what does or does not constitute evidence. There are, however, agreed upon sources of evidence which exist within a hierarchy. Systematic reviews are at the pinnacle because information is derived from multiple sources.  Randomized controlled trials are next, followed by cohort studies, single case-control studies, cross-sectional studies, qualitative studies, and finally expert opinion reports. Knowledge translation is the process of using evidence to evoke systemic change within the clinical practice (Polit & Beck, 2017).

Managing Delirium

While working on a busy surgical floor, I was caring for a confused, combative, elderly patient with a urinary tract infection who had fallen and broken her hip. During report, the night shift nurse told me that she gave the patient multiple doses of haloperidol and lorazepam which were ineffective. The patient continued to be confused and agitated, and because she was a danger to herself by continually trying to get out of bed, the night shift nurse obtained an order for soft restraints. Springer (2015) contends that the nurse should determine if the utilization of restraints is appropriate based on the patient’s current behavior, and should only be used when all other options such as distraction and de-escalation are exhausted (Springer, 2015). Because I was not there, I must assume that the nurse used evidence-based practice to decide that the restraints were necessary.

When I went in to assess the patient, she was sleeping; and in my professional opinion, the restraints were no longer appropriate. I removed the soft restraints and put the patient on one to one observation with a nursing assistant. Not long into the shift, the light for that room came on, and I heard staff in the patient’s room yelling. I walked in to find the patient screaming and striking the nursing assistant as he was attempting to change the patient. It was clear that the patient was still experiencing acute delirium. However, the television was on, the blinds were open, and every light in the room was on. Instead of using a chemical or physical restraint, I turned off the television, lights, and closed the blinds. I sat down beside the patient, spoke softly and attempted to reorient her. Although she was still confused, she was calm.

Bull (2015) asserts that nursing interventions to manage delirium include providing a therapeutic environment, frequent re-orientation, anticipating the patient’s needs, ensuring sensory assistance devices such as glasses or hearing aids are in use, observing the patient’s response, and proceeding accordingly. Non-invasive interventions should be exhausted prior to restraining a patient chemically or physically (Bull, 2015). In this case, the patient responded to non-invasive interventions. I continued to use the one to one observation to ensure safety throughout the shift but did not need to escalate to using chemical or physical restraints. By implementing evidence-based practice, I kept the patient safe without using restraints.

Background and PICOT Question

    Background questions are broad, generalized questions that focus on a clinical issue (Polit & Beck, 2017). In this case, my background questions would be: what is delirium? And, what causes delirium? The acronym PICOT (population, intervention, comparison, outcome, and time) is a format used to create a research question with the subsequent goal of finding evidence-based solutions to implement into clinical practice (Polit & Beck, 2017). My PICOT question is: in delirious patients (population), what are the effects of non-invasive management techniques (intervention), compared to restraints (comparative intervention), on patient experience (outcome) and does either intervention increase or decrease the recovery period (time)?

Organizational Critique

I work as a float nurse in my organization, with previous experience in critical care. As a float nurse, I have a unique perspective on organizational culture because I work in multiple units. Overall, my organization does facilitate a culture of safety that promotes an environment where nurses learn from mistakes and do not place blame on one another. Written policies and procedures are easily accessible on the intranet. Moreover, my organization utilizes nursing shared governance which has a special committee devoted to practices and standards. Nurses are encouraged to bring practice issues to members of shared governance, and clinical practices are continually being updated and reviewed. If a nurse has an immediate question about a clinical practice situation, Clinical Nurse Specialists are available as a resource in addition to written policies and procedures.

Organizational Barriers

            Majid et al. (2011) report that most nurses have positive attitudes about evidence-based practice. However, some barriers which reduce the utilization of evidence-based practice include inadequate time to learn and implement evidence-based practice; nurses lack understanding of statistical terminology and research jargon, and technological deficiencies which inhibit informational searches (Majid et al., 2017). I believe that inadequate time is the primary barrier to evidence-based practice implementation within my organization. Time is finite, and working 12-hour shifts means nurses do not want to stay in late or come in early for any type of training. I propose that team nursing would provide individual nurses with the opportunity to attend training during regular working hours. Dickerson and Latina (2017) maintain that team nursing is the practice of nurses working in pairs to deliver patient care. A pair of nurses make up a team; both nurses get report on all patients shared by the team, Then, when one nurse needs to step away for a break, or in this case for training, their partner is already ready to take care of their patients.  

References

Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing,33(5), 273-277. doi:10.1097/nan.0b013e3181ee037e

Bull, M. J. (2015). Managing delirium in hospitalized older adults. American Nurse Today,10(10). Retrieved from https://www.americannursetoday.com/managing-delirium-hospitalized-older-adults/.

Dickerson, J., & Latina, A. (2017). Team nursing. Nursing,47(10), 16-17. doi:10.1097/01.nurse.0000524769.41591.fc

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y., Chang, Y., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses perceptions, knowledge, and barriers. Journal of the Medical Library Association : JMLA,99(3), 229-236. doi:10.3163/1536-5050.99.3.010

Polit, D. F., & Beck, C. T. (2017). Nursing research generating and assessing evidence for nursing practice. Philadelphia: Wolters Kluwer.

Springer, G. (2015). When and how to use restraints. American Nurse Today,10(1). Retrieved from https://www.americannursetoday.com/use-restraints/.

 

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2023 As your EBP skills grow you may be called upon to share your expertise

Nursing 2023 Developing A Culture Of Evidence-Based Practice

As your EBP skills grow you may be called upon to share your expertise 2023 Assignment

 As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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2023 Review the Institute of Medicine s 2010 report The Future of Nursing Leading

Nursing 2023 Assignment

Review the Institute of Medicine s 2010 report The Future of Nursing Leading 2023 Assignment

 

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

  1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
  2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
  3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
  4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
  5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to turnitin. Please refer to the directions in the Student Success Center.

 

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2023 A 38 year old female arrives at the infusion clinic that you are working at She states that she has

Nursing 2023 Pharm

A 38 year old female arrives at the infusion clinic that you are working at She states that she has 2023 Assignment

A 38-year old female arrives at the infusion clinic that you are working at. She states that she has already had a double mastectomy and is not sure why the oncologist is ordering chemotherapy since she has already had her breast removed.

  1. Why would an oncologist order chemotherapy in addition to surgery?
  2. What are the benefits of using a combination of chemotherapy to treat cancer?
  3. What are some of the topics you should discuss with a patient that is here for her first chemotherapy treatment?

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2023 Kamila I agree there is a risk benefit dilemma when considering a bring

Nursing 2023 Week 7 Reply to Instructor

Kamila I agree there is a risk benefit dilemma when considering a bring 2023 Assignment

Kamila,

I agree there is a risk/benefit dilemma when considering a bring your own device (BYOD) policy.  The statistics you quoted from Trend Micro were enlightening regarding the high incidence of data breaches when a BYOD policy was in place. As you noted, vendors have developed software programs to provide a high level of protection to safeguard systems that can extend to personal devices. I like the sequestration of highly sensitive information to an area that would be more secure although this area could be breached as well by a motivated hacker. Did the articles your reviewed mention who was in charge of ensuring that all devices had appropriate software installed and that updates where uploaded as released to upgrade programs?

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