Smith Evidence Based Reply 1 Week 1 – 2025 Angel Sheppard 9 01am Oct 23 at 9 01am Manage Discussion Entry Hello Professor and

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Smith Evidence Based Reply 1 Week 1 – 2025

Angel Sheppard

9:01am Oct 23 at 9:01am

Manage Discussion Entry

Hello Professor and class,

I chose case study #3 of an 80 year old retired army officer living along with type 2 diabetes, who had episodes of hypoglycemia using insulin and OHA’s.  The patient was dependent on an attendant to administer injections and due to irregularity of insulin dose administration this would lead to episodes of hypoglycemia.  The patient was then put on Degludec insulin and over a period of time, the patient’s HgBA1C and fasting blood sugars showed improvement. The patient also had no further episodes of hypoglycemia (Kumar, 2015.  p. 877).

Formulating a clinical question in the PICO (T) format I questioned: Do elderly patients with Type 2 diabetes show improvement with episodes of hypoglycemia, FBS and HgBA1C with Degludec?

According to (Stillwell et al, 2010. p. 59), PICOT is an acronym used for elements of the clinical question.  They are helpful for summarizing research question that explore the effects of therapy (Riva et al, 2012. p. 168).

P- Patient population

I-Intervention or issue of interest

C- Comparison of intervention or interest

O- Outcome of intervention or interest

T- Time it takes for intervention to be effective

(Stillwell et al, 2010. p. 59), Also points out there are 2 types of clinical questions, background and foreground.  Foreground question appear to use questions asked using the PICOT format to determine which interventions are most successful for patient outcomes.

Nursing research strives to understand phenomena that impact health, seeks solutions to problems, tests approaches to improving nursing care, and generates new knowledge to further our profession (CCN, 2017)

My clinical question using the PICOT format:

P- Elderly patients with type 2 diabetes

I- On Degludec and OHA’s

C- On regular insulin and OHA’s

O-Improvement of FBS, HgBA1C and no further episodes of hypoglycemia

T- No time frame measured

In asking the question: Is Degludec effective in improving hypoglycemic episodes the focus of my question would be on the prognosis of treatment.  Are patients having less episodes of hypoglycemia, is disease control with treatment?  According to the case study once the patient had started on Degludec it was noted that there was improvement in FBS and HgBA1C and no further evidence of hypoglycemia.

 

References:

Chamberlain College of Nursing. (2017). Introduction to Evidence Based. Practice.  Week 1 [Online lesson].  Downers Grove, IL  DeVry. Retrieved from: https://chamberlain.instructure.com/courses/12226/pages/week-1-lesson?module_item_id=1191535

 

Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 56(3), 167-171. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=awh&AN=88935392&site=eds-live&scope=site (Links to an external site.)Links to an external site.

 

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201003000-00028&LSLINK=80&D=ovft (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

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MN507 Discussion Board: Genomics And Genetics – 2025 Discussion Board Minimum 200 words APA Style Time New Roman Font 12 3 references in text citations not

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MN507 Discussion Board: Genomics And Genetics – 2025

  

Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12, 

(3 references- in text citations) not older than (2012-2017). No Plagiarism please.

   

Discussion Topic 1: Genomics and Genetics

Differentiate between genetics and genomics. Articulate how nurses can be involved in policy making in the field of genomics. How can research in the field be tied to practice? Identify organizations that are open to nurses in the field of genomics.

Answer Each Question/disscussion With 250 Words And 1 Citation In Apa – 2025 1 Discuss at least two implications of health care reform on the health care organization s goals

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Answer Each Question/disscussion With 250 Words And 1 Citation In Apa – 2025

  

1) Discuss at least two implications of health care reform on the health care organization’s goals and strategic plan. How will processes and operations need to be adjusted to meet the requirements of health care reform legislation?

2)Evaluate the “Comprehensive Organizational Plan” presented by Oetjen and Rotarius. Is this model suitable for any type of health care organization? Discuss the implications of the model on the ability of health care managers to contain cost, preserve quality, and promote universal access.

3)Compare and contrast at least two methods of assessing health care organizations’ operational needs and explain how they differ based upon a particular health care setting.

4)What is the purpose of a balanced scorecard? How is the balanced scorecard used to lead and manage an organization? How can the balanced scorecard be linked to organizational effectiveness as well as individual performance evaluation?

5)Describe the effect of higher levels of medical spending, profitability, and fiscal margins on process quality for health care organizations. Indicate the role of financial stability in health care organizations on their ability to adequately resource the staffing, equipment, and infrastructure that support care delivery. Specifically, what is the effect of financial flexibility in increased use of preventative and wellness measures and lower length of stay?

6)Discuss Pettigrew’s theory on the contextual dependency of strategic change. Explain the concept of the disciplining context and why medical professionals accepted and used it. Also, explain why the internal market system, which was implemented to solve financial problems, was abandoned.

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Pamphlet And Written Summary Due Saturday At 7:00 Est – 2025 To prepare for this assignment view the following brief video from the American Medical Association titled Health Literacy and Patient

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Pamphlet And Written Summary Due Saturday At 7:00 Est – 2025

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link:

Part I: Pamphlet 

Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.

Use the “Pamphlet Template” document to help you create your pamphlet. Include the following:

Select an environmental factor that poses a threat to the health or safety of infants.

Explain how the environmental factor you selected can potentially affect the health or safety of infants.

Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.

Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.

Provide a written summary of the teaching / learning interaction. Include in your summary:

Demographical information of the parent and child (age, gender, ethnicity, educational level).

Description of parent response to teaching.

Assessment of parent understanding.

Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

The Health Care Beliefs Of The Baltic And Brazilian Heritage – 2025 Header Cover page 1 Mention and discuss the health care beliefs of the Baltic and Brazilian heritage

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The Health Care Beliefs Of The Baltic And Brazilian Heritage – 2025

Header 

Cover page 

1.  Mention and discuss the health care beliefs of the Baltic and Brazilian heritage.  

2.  Discuss and give at least 2 examples of the care beliefs of these two culture.  As always present your assignment in an APA format 12 Arial font word document attached 

A minimum of 2 evidence based references no older than 5 years are required and   A maximun  of 500 words without count the first and last page are required

Power Plan- Leadership – 2025 Individual Power Plan What can you do to develop your individual power base This week you have heard

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Power Plan- Leadership – 2025

Individual Power Plan 

 What can you do to develop your individual power base? This week, you have heard and read about several types and sources of power. For this Assignment, consider your goals and how enhancing your own power may help you to achieve them.  

To Prepare •Reflect on your personal current sense of power within your organization and the profession; 

•Do a self–assessment of your leadership skills by doing the How Good are your Leadership Skills? assessment at http://www.mindtools.com/pages/article/newLDR_50.htm

 

How did you score? You do need not to reveal this in your paper, but hopefully it will guide you in how to apply the concepts to your own situation. 

•Reflect on your motivation for increasing your power within your organization and/or within the nursing profession.

 •Do a self–assessment of your leadership motivation by doing the assessment The Leadership Motivation Assessment found at http://www.mindtools.com/pages/article/newLDR_01.htm 

•Again, it is not necessary to post your score but hopefully it will guide you in how to discuss your motivation at this point in time. 

•Review the information on power in the Learning Resources and conduct additional research on your own to examine strategies that seem relevant and worthwhile for helping to enrich your power as a nurse leader. 

•Identify specific strategies you can use to develop and leverage sources and types of power to achieve desired outcomes.  

To Complete  Write a 2– to 3–page paper, not including the cover and Reference page, describing: 

•A self–assessment of your current sense of power within your organization and the profession; 

•A self–assessment of your motivation for increasing your power base;

 •Write a detailed plan for enhancing your power as a nurse and a leader–manager, including specific strategies for achieving that plan.  Be sure to include strategies for mobilizing the power of nursing for social change, empowering others, and building a personal power base.

Required Readings  

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.  •Chapter 13, “Organizational, Political, and Personal Power”  Fry, B. (2013). 

Power up your leadership: Straight talk for nurse managers. Canadian Nurse, 109(5), 32–33.  Retrieved from the Walden Library databases.   

Mindtools (1996–2015). French and Raven’s Five Forms of Power. Understanding Where Power Comes From in the Workplace. Retrieved from http://www.mindtools.com/pages/article/newLDR_56.htm

COMMENT Chinyereugo – 2025 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN 100 120 WORDS Databases are highly organized and allow students

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COMMENT Chinyereugo – 2025

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

Databases are highly organized and allow students to search for information on a topic by keyword, subject, author, title, and phrase.  But the Scholarly Database aims to serve researchers and practitioners interested in the analysis, modeling, and visualization of large-scale data sets. However, Grand Canyon University (GCU) Library has lots of databases. And one of the benefits of being a student at GCU is the access to the institution’s vast online library resources. Effective learners, students, and researchers will conduct most of them inquire using many various databases found within the GCU Library, which has “92 databases with access to over 70, 000 full-text journals and the articles”.

   The two GCU scholarly database that will help one find the best research articles are CINAHL Complete database and ProQuest Health and Medical Complete. CINAHL Complete is the ultimate research tool for nursing and allied health professionals with entry to the top nursing and allied health journals. Includes full text for more than 1,300 journals titles with indexing for more than 5,000 journal titles (GCU library, n.d). Covers more than 50 nursing specialties, speech-language pathology, and nutrition. CINAHL also provides access to health care books, nursing dissertations, selected conference proceedings, standards of practice audiovisual and book chapters etc. It is an essential tool for nursing research, CINAHL Database provides an easy-to-use interference with basic and advanced search features and searchable cited references. ProQuest has many different databases, though it is one of the most popular and prolific databases used by learners from various disciplines because it contains scholastic and popular resources from core academic subject areas (GCU, n.d.) It includes 28 databases in total. Its broad catalog enables learners to locate peer-reviewed articles from many different periodicals, as well as access dissertations and theses. The search function allows users to explore the database using a basic or advanced search that will generate a list of titles and identify full-text availability. The result page will provide users with a list of 20 titles per page with the newest publication at the top.

   These two databases I selected would be better to use than Google scholar or a general Internet search because they carry peer-reviewed articles. These databases also will offer me a more refined search that carters to my field of study. Generally, the Cumulative Index to Nursing and allied health literature they carry are taught to be a good source to search when conducting a review of qualitative evidence. Google Scholar is not a database, but its ability to extend its search to peer-reviewed journals, scholarly books, reports, and abstracts, as well as a link to library catalogs (including Grand Canyon University), makes it is a valuable research tool.

 

References

Grand Canyon University library. Becoming a Researcher/scholar/chapter 4 Effective Research. Retrieved from http://lc.gcumedia.com/res811/find-your-purpose-the-path-to-a-successful-doctoral-experience/v1.1/chapter-4-searching-for-materials.html

Grand Canyon University. (n.d.). Journal databases-Nursing and health sciences. Retrieved From:

https://library.gcu.edu/Database/Subject?subject=Nursing_And_Health_Science

Grand Canyon University

Nursing Class – 2025 1 In your own words discuss and compare the development of health care in the Chinese and Guatemalan heritage

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Nursing Class – 2025

1.  In your own words discuss and compare the development of health care in the Chinese and Guatemalan heritage.

2.  Describe if there is any similarity  between both culture regarding the health care beliefs.

As stated in the syllabus please present your assignment in an APA format word document attached under week 5 discussion questions in the discussion tab of the blackboard.  You must use the required Arial 12 font and a minimum of 2 evidence based references no older than 5 years.   sustained with the proper evidence based references no older than 5 years and a minimum of 500 words are required.  

Health Care Beliefs Of The Baltic And Brazilian Heritage… – 2025 Mention and discuss the health care beliefs of the Baltic and Brazilian heritage Discuss

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Health Care Beliefs Of The Baltic And Brazilian Heritage… – 2025

– Mention and discuss the health care beliefs of the Baltic and Brazilian heritage. 

– Discuss and give at least 2 examples of the care beliefs of these two culture.

– APA format

– A minimum of 500 words.

– A minimum of 2 evidence based references no older than 5 years.

Nursing Class – 2025 1 In your own words discuss and compare the development of health care in the Chinese and Guatemalan

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Nursing Class – 2025

1.  In your own words discuss and compare the development of health care in the Chinese and Guatemalan heritage.

2.  Describe if there is any similarity  between both culture regarding the health care beliefs.

As stated in the syllabus please present your assignment in an APA format word document attached under week 5 discussion questions in the discussion tab of the blackboard.  You must use the required Arial 12 font and a minimum of 2 evidence based references no older than 5 years.   sustained with the proper evidence based references no older than 5 years and a minimum of 500 words are required.