In the article, “Evidence-Based Practice: Critical Appraisal of Qualitative Evidence,” the author asserts that all qualitative critical appraisals base their criteria on three primary questions: 1) Are the study findings valid? 2) What were the results of the study? and 3) Will the results help me in caring for my patients? Each of these three primary questions is addressed in its own table in the article, Tables 2, 3, and 4 respectively.

Answer the discussion using 300 words… Files are attached

• Discuss the questions that would be important to include when interviewing a patient with this issue.
• Describe the clinical findings that may be present in a patient with this issue.
• Are there any diagnostic studies that should be ordered on this patient? Why?
• List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.
• Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

ATTACHED IS THE CASE SCENARIO….NEED TO USE 2 REFERENCES AT LEAST 

 Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and health care financing.

1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
2. Perceptions related to impact on health policy on decision. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making.
3. Analysis of the interview supported by the literature.

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be no shorter than 4 pages; nor longer than 5 pages in length, excluding the title, abstract and references page.
• Your paper should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions).
•  Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format. Deadline: Due by Sunday at 23:59 p.m. 

CASE STUDY: Active Labor: Susan Wong 

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information

. Reflective Questions 1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs? 2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future? 

Competency

Describe the foundations of public and community health nursing.

Scenario

The faculty in your nursing program have asked senior nursing students to create an infographic to improve potential nursing students’ understanding of public and community health nursing. You are a senior nursing student who has just completed your community rotation. You are very excited to share information about the world of public and community health nursing with incoming nursing students.

Instructions

Prepare an infographic that:

• Explains the scope of the public and community health nurse’s role.
• Describes the importance of public health nursing to the community well-being.
• Illustrates the role of the public health nurse from the 1800s to present day.
• Explains how public health operations work in the local community and state-level health systems.
• Defines settings where nurses address the needs of community-based populations.
• Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the infographic.