• Pick two (2) issues of the Articles of Confederation and describe the main problems that the United States was faced with under the Federation government.
• Analyze two major debates (see textbook Section 7.4) by which the Constitution was created in the summer of 1787.

Then, address one (1) of the following to your initial post:

• Discuss the ratification process of the Constitution of 1787.
• How did ratification lead to the formation of America’s first two political parties, the Federalists and Anti-Federalist?
• What were the major differences between the Federalist and Anti-Federalist, and who were the best-known members of each party?

 APA format for in-text citations and list of at least **2 references** 

                                    TOPIC: What Are the Data Saying?

The DNP must have a basic understanding of statistical measurements and how they apply within the parameters of data management and analytics. This assignment will allow you to demonstrate your understanding of basic statistical tests and how to choose the appropriate test for the study being performed. You will also discuss the reliability and validity factors associated with the data sources used.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Doctoral learners are required to use APA style for their writing assignments. 

· You are required to submit this assignment to LopesWrite. 

Directions:

The purpose of this assignment is to write a paper including a comparison table. The table will be provided as an appendix to the final paper.

Using the GCU Library, locate a quantitative, qualitative, and mixed methods article related to your DPI topic. You may reuse articles from Topic 1 assignment.

Using the “Comparative Table Template,” create a table that compares quantitative, qualitative, and mixed methods articles. Provide the table as an appendix to the paper.

Organize the table according to the following.

1. Type of article.

2. Title of the article.

3. Type of analysis: Describe the process of analysis. There can be more than one.

4. Applicability of test: Describe other analyses that could be used and why?

5. Reliability and validity: Describe either the reliability and validity measures of tools used in the study or the techniques used to enhance reliability and validity in the study.

Write a 1,000 to 1,250 word paper discussing the application of data analysis, reliability and validity, and assorted statistical tests used in health related research. Include the following in your paper:

1. State the types of study used in each article.

2. Discuss the types of statistical tests used within each article and why they have been chosen.

3. Discuss the applicability of the chosen statistical test and why the statistical test was chosen.

4. Discuss the differences between parametric and nonparametric tests and how they were applied in the articles you chose.

5. Evaluate how the factors of reliability and validity are accounted for in the articles (of instruments and surveys or in the design and data collection conducted).

6. Summarize how the chosen studies could be applied within the context of your practice.

STUDY MATERIALS

Read Chapters 2 and 3 in Clinical Analytics and Data Management for the DNP.

URL: 

http://gcumedia.com/digital-resources/springer-publishing-company/2014/clinical-analytics-and-data-management-for-the-dnp_ebook_1e.php

 Flannelly, L. T., Flannelly, K. J., Jankowski, K. R. B. (2014). Fundamentals of measurement in healthcare research. Journal of Health Care Chaplaincy, 20(2), 75-82.

URL: 

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103939044&site=eds-live&scope=site

 Revised standards for quality improvement reporting excellence: SQUIRE 2.0. (2017).

URL: 

http://squire-statement.org/index.cfm?fuseaction=Page.ViewPage&PageID=471 

The Assignment

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
3. Is the assessment supported by the subjective and objective information? Why or why not?
4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
5. Would you reject/accept the current diagnosis? Why or why not? Identify five possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

In this Assessment 1 Assignment:

You will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting. 

You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. 

You will also formulate a differential diagnosis with several possible conditions.

Review the following Episodic note case study for this Assignment: See Below

Assessment of the Abdomen and

Gastrointestinal System

ABDOMINAL ASSESSMENT:

Subjective:

• CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

• HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started

3 days ago. He has not taken any medications because he did not know what to

take. He states the pain is a 5/10 today but has been as much as 9/10 when it

first started. He has been able to eat, with some nausea afterwards.

• PMH: HTN, Diabetes, hx of GI bleed 4 years ago

• Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10

units qhs

• Allergies: NKDA

• FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN,

Hyperlipidemia, GERD

• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

• Heart: RRR, no murmurs

• Lungs: CTA, chest wall symmetrical

• Skin: Intact without lesions, no urticaria

• Abd: soft, hyperactive bowel sounds, pos pain in the LLQ

• Diagnostics: None

Assessment:

• Left lower quadrant pain

• Gastroenteritis

PLAN: 

1. Students
2. This is your main assignment for this week.  Attached is a blank Care Plan template.  I will also included a case study that you will use to complete your Care Plan. Basically, a Care Plan is the Nursing Process, which we have studied over the past few week.  We will use the information that we learned to Assess the patient using subjective and objective data, formulate a nursing diagnosis, develop a plan of care for the patient, implement our plan, and then evaluate our plan.
3. We will discuss the CARE PLAN on the Webinar this week.  
4. The care plan details are as follows: Much of the information is given to you.  There is one diagnosis listed and you will need to develop a second diagnosis for this patient.    Make sure that you have three references in APA format.  If the information is included in the case study (example:  Nursing diagnosis, interventions, etc.) you can use them in your care plan.  This is your first care plan, so much of it is fill in the blanks.  Good luck and I will be glad to help you with this assignment. APA format.  If the information is included in the case study (example:  Nursing diagnosis, interventions, etc.) you can use them in your care plan.  This is your first care plan, so much of it is fill in the blanks.  Good luck and I will be glad to help you with this assignment. 
5. Attached is the care plan template.  Please submit to the drop box by the due date.

   A 48 year old male is admitted to the interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities. A sandbag in on the site which has to stay for another 1.5 hours per md orders. The patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. In addition, the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post-op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already “has his problem fixed with the stent placement”. He states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life.interventional holding area after having a cardiac cath. The patient received a cardiac stent in the right coronary artery (RCA) and the insertion site was angiosealed. The insertion site is soft, no bruising noted, or active bleeding. Pulses are palpable in bilateral lower extremities. A sandbag in on the site which has to stay for another 1.5 hours per md orders. The patient is complaining of discomfort in the groin area and rates his pain 8 on 1-10 scale. In addition, the patient and his wife have verbalized they desire (but feel they will not be able to) to manage the new medication regime and post-op care and are having difficulty understanding why it is so important to take these new medications and quit smoking since he already “has his problem fixed with the stent placement”. He states he is going to have problems integrating these new “rules” into his daily life because he works around people who smoke all the time and does not want these medications to interfere with his life.     

Nursing Diagnosis:

 -Acute Pain related to tissue trauma and prescribed post procedure immobilization as evidence by patient rating pain 8 on 1-10 scale.      Demographics:  White male, 48 years old.  Weight is 285 pounds, Height is 5’9″. Pt is married and his wife and 2 children are at the bedside.  Pt speaks fluent English.  He is Catholic.  He finished high school and 2 years of community college.  He is employed in an office with about 30 other employees.    Past medical history:  HTN, Hyperlipidemia, Smokes    

Current labs:  Glucose – 165, Sodium 140, Potassium 3.2, Chloride 98, BUN 15, Creatinine 0.8. 

Chest Xray – normal

Medications:  Select 3 medications for your care plan.  One should be for hypertenstion, 1 should be for pain while in the hospital, the 3rd one is of your choice (a medication that goes along with his diagnosis).    

Nursing Outcomes:

-The patient will rate his groin pain less than 5 on a 1-10 scale within in 2 hours from admission. 

-The patient and his wife will relate to the nurse that they feel like they can integrate the new medication and stop smoking regimen into their lifestyle before discharge.

-The patient and his wife will verbalize 4 benefits of quitting smoking for the heart by discharge.

-The patient and his wife will demonstrate and verbalize how to administer and take his new medications before discharge.

Nursing Interventions:

-The nurse will assist the patient with re-positioning techniques as needed to help alleviate pain.

-The nurse will educate the patient and his wife on 4 benefits of quitting smoking by discharge.

-The nurse will verbalized and demonstrate to the patient and his wife how the patient needs to take his new medications by discharge.  The patient and his wife will verbalize their understanding of the medications.

  Chapter 32: Constructive Dialogue and ERM: Lessons from the Financial Crisis Case and provide response for following questions.

1. What are the preconditions for conducting constructive dialogue in an organization?
2. Is effective risk management possible without constructive dialogue?
3. What are the forces that tend to undermine effective risk management in an organization?
4. Given its obvious value in helping an organization to understand the major risks that could prevent it from accomplishing its mission and objectives, why was the financial sector, including a risk-sensitive organization such as Goldman Sachs, so slow in adopting ERM?

You are required to respond to the questions thoroughly, in 250 -to-300 words for each question. Be sure to include at least three reference sources. APA rules for formatting, quoting, paraphrasing, citing, and listing of sources are to be followed.