NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials Of Evidence-Based Practice – 2025 It IS A REPLY TO ONE STUDENT ONE PAGE THREE REFERENCES PLEASE COLLAPSE Top of Form Healthcare Organization Website Review Evidence based

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NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials Of Evidence-Based Practice – 2025

  

It IS A REPLY TO ONE STUDENT-ONE PAGE -THREE REFERENCES-PLEASE))

COLLAPSE

Top of Form

Healthcare Organization Website Review

               Evidence-based practice is the integration of research and clinical expertise, which will allow the patient to have more information and evidence to make their preference on their healthcare decisions (Bartol, 2019). The American Psychiatric Nurses Association (APNA) is a professional membership organization that provides education, resources, collaboration, and much more to the psychiatric nursing field. The APNA advocates for mental health through collaboration with consumer groups to promote evidence-based advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental illness and substance use disorders (APNA, 2020). Under the continuing education tap, the association encourages evidence-based programs and has multiple links for these programs in psychiatric-mental health nursing and provides different topics for individuals to learn about.

Evidence-Based Practice Utilization

               The APNA nursing organization website clearly shows how important evidence-based practice is within this community. The website shows evidence-based practices through education modules in the APNA eLearning center, conferences, publications, and academic journal. Continuing education on the website is focused on evidenced-based practice and research along with two annual conferences. The publications and academic journal focus is on providing resources for practice-related topics to mental health nursing (APNA, 2020).

Ground of EBP

               While going through the APNA website, you can easily tell the organization is grounded in evidence-based practice and wants individuals to be led to EBP research and education. The APNA is an accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission (ANCC, 2020).

Perception of Healthcare Organization

The information I received during this discussion proves the APNA relies on evidence-based practices. The organization has created an educational platform for mental health nursing professionals to find up to date evidence-based practices. This organization will be asset for many students, nurses, and providers throughout their career and I highly recommend it.

Evidence-Based Practice And The Quadruple Aim – 2025 PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW 1 ZERO 0 PLAGIARISM 2 ATLEAST 5 REFERENCES NO MORE THAN

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Evidence-Based Practice And The Quadruple Aim – 2025

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Health And LGBT Community – 2025 In this assignment you will develop two separate infographics informative posters to discuss two

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Health And LGBT Community – 2025

 

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem?
  • Which group(s) are most likely to be at risk?
  • What social/behavioral/health system determinants affect this?
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity?

Amoeba – 2025 Give a narrative about what you are doing in the body from

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Amoeba – 2025

 Give a narrative about what you are doing in the body from the pathogen’s( amoeba) point of view. How did you get into the body? In other words, how did the body inherit you? How do you move through the body? What path of destruction are you on? How will you wage battle against the body? How do you plan to win that battle? What will the body try to do to stop you? How will you fight back? Who wins? 

Use a scholarly article and cite APA format.

REPLY COMMENT TO POST 1 AND 2 – 2025 Respond to at least two of your colleagues in one or more of the following ways Share an insight

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REPLY COMMENT TO POST 1 AND 2 – 2025

Respond to at least two of your colleagues in one or more of the following ways:

  • 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 research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

POST 1

According to Cleary and Hunt, (2011), recent studies have shown the majority of nursing doctoral candidates are female, clinically experienced, and in their 40s or 50s at the time of starting their PhD. Based on that criteria, this writer fits exactly into that criteria. It is noted that other disciplines tend to start doctoral training much earlier (Cleary & Hunt, 2011).  As a practicing nurse of 30 years, most of it as an Associate Degree nurse the recognition of the PhD nurse was seen as a profession in a nursing league of their own. According to Michael and Clochesy, (2016), the PhD in nursing was predominant throughout the 20th century with members of the academic nursing community recognizing the need for the development of knowledge to inform practice and to promote the credibility of the profession.  Nursing theorists such as Jean Watson and Patricia Benner were game changers in the industry of theoretical nursing. The ability in achieving higher levels of education and in conducting research are hallmarks of professionalism (Houser, 2018).

This writer has a passion for teaching students and wants to be the best instructor she can be. She chose to go down the path of the PhD in Nursing education to increase skills and knowledge to improve what is delivered to students every day. The PhD is being pursued to separate myself from the growing amount of DNP faculty that she works with daily.  Being an alumni with Walden University for the MSN, it was an easy choice to pick Walden University for the terminal degree. Michael and Clochesy, (2016), states the PhD and DNP represent complementary and alternative approaches to the highest level of educational preparation in nursing. PhD programs prepare nurse scientists to conduct original research and to generate knowledge that may be broadly applicable or generalizable using advanced research designs and statistical evaluative methods. Conversely, DNP programs prepare students for advanced specialty practice at a high level of complexity with a concurrent focus on the development of knowledge and skills required for translation of evidence to improve health outcomes and health care delivery (Michael & Clochesy, 2016). 

Michael and Clochesy, (2016), also states two of the main reasons for not completing a doctoral program are financial and family stresses. Strategic plans must include financial considerations (e.g., research costs), support systems and a systemic approach to the dissertation to balance the demands successfully and complete a doctoral degree. Support from family and significant others, faculty, or fellow students is likely to result in greater positive feelings and outcomes (Michael & Clochesy, 2016). This student was fortunate enough to be able to personally finance the PhD program without creating student loans or an overwhelming financial burden on the family. She has a strong support network of family members including her husband and daughter. This writer plans to elevate her workplace position from a team leader of a fundamentals course to an associate degree program coordinator, associate degree of nursing director or dean of health sciences with the completion of her PhD in Nursing Education. 

References

Cleary, M., & Hunt, G. E. (2011). Demystifying PhDs: A review of doctorate programs designed to fulfil the needs of the next generation of nursing professionals. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39(2), 273-80. Retrieved from https://ezp.waldenulibrary.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fdocview%2F1022984001%3Faccountid%3D14872

Houser, J. (2018). Nursing research; Reading, using, and creating evidence (4th ed.). Jones & Bartlett Learning

Michael, M. J., & Clochesy, J. M. (2016). From scientific discovery to health outcomes: A synergistic model of doctoral nursing education. Nurse Education Today, 40, 84–86. https://doi.org/10.1016/j.nedt.2016.02.011

POST 2

What does it Mean to be a Nurse with a Practice or Research Doctorate

Over the past decade, the doctoral prepared nurse role continues to evolve as healthcare organizations continue to seek qualified nurses who are geared and prepared in providing evidence-based patient-centered care. The doctorate role in nursing practice is emerging in numerous practices setting, especially hospitals, outpatient settings, and academic institutions, using guidelines to evaluate and enact new standards of care in education and practice to enhance best patient outcomes (Beeber et al., 2019).

What are the Expectations Associated with this Degree

Being a Doctor of Nurse Practice (DNP) means individuals are prepared to apply research in promoting evidence-based practice while advocating for patients. The DNP-prepared nurse provides leadership with the highest clinical expertise, which evaluates provider practices, clinical education design, and implementation translating research into practice (Greco, 2019). The Ph.D. nurse and DNP nurse work together in collaboration with the Ph.D. nurse focusing on research methodologies and ways to implement research (Hartjes et al., 2019). In other words, the Ph.D. nurse is a nurse scientist. The Ph.D. nurse research methodologies, develop theory, generalizes and replicate findings from an analysis of results to enhance quality improvement projects, and implement regulatory compliance (Hartjes et al., 2019).

How Might this be Different for a Nurse who Holds a Different Degree

The nurse who are considering a doctoral degree may choose from various education-focused degrees, such as the Doctor of Education (EdD), or a research-focused degree, such as a Ph.D. Others chose the Doctor of Nursing Practice (DNP). The doctoral options increase the skillset and knowledge with the ability to create policy reforms applying research into evidence-based practice. Historically, the Ph.D. degree is research-intensive and prepares the nurse for a career in academia or conducting independent research (Malloch, 2017).

How Considerations Relate to my Motivation to Pursue a Doctoral Degree now

The decision that influence my career choice in obtaining a DNP is my fellow peers. I have several colleagues who are doctorate-prepared nurses. During my clinical rotation during my MSN program, I was enormously impressed by these DNP prepared nurses. These DNP nurses were able to translate current practice guidelines and evidence-based practice into the way they care for patients, which, in my opinion, were beneficial for optimal patient care. I knew I wanted to also implement quality improvement methodologies in my practice, along with translating research into practice. The DNP degree will prepare me to become a clinical expert and a leader in health care with innovation, which will help to influence policy and practice changes at the highest organizational level (Udlis, & Mancuso, 2015).

References

Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook67, 354-364. https://doi.org/10.1016/j.outlook.2019.02.006

Greco, M. (2019). The lived experience of Doctor of Nursing practice in pursuit of a Doctor of Philosophy degree in nursing. International Journal of Nursing Education11(4), 195-199. https://doi.org/10.5958/0974-9357.2019.00118.1

Hartjes, T. M., Lester, D. D, Arasi-Ruddock, L. D, McFadden, B. S.., Munro, S. P, Cowan, L. P, & Goolsby, M. J. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners31, 439-442. https://doi.org/10.1097/JXX.000000 0000000273

Malloch, K. (2017). Leading DNP professionals. Nursing Administration Quarterly41(1), 29-38. https://doi.org/10.1097/NAQ.0000000000000200

Udlis, K. A., & Mancuso, J. M. (2015). Perceptions of the role of the Doctor of Nursing Practice-prepared nurse: Clarity or confusion. Journal of Professional Nursing31, 274-283. https://doi.org/10.1016/j.profnurs.2015.01.004

EXAMPLE OF HOW REPLY FOR POST 1 AND POST 2 LOOKS LIKE.

The doctoral education is on a slow but gradual rise between the doctor of philosophy and doctor of nursing practice (Hartjes et al., 2019). The Ph.D. programs prepare nurse scientists intending to generate new knowledge to advance nursing science. The DNP programs prepare nurses to lead interprofessional teams to improve health care quality and systems (Ketefian & Redman, 2015). It is very interesting that most nurses and clinicians seek advancement with a doctoral degree into their 40s and 50s. Can you imagine what the research and practice ladder would be like if there were more doctoral prepared nurses before age 40. Educating the future is essential. You are quite fortunate to be able to go back to school where finances or not an issue. Having family support is critical in one’s success as the demands of the programs can be overwhelming. On a positive note, being a doctorally prepared nurse will provide new and compelling future opportunities.

References

Hartjes, T. M., Lester, D. D, Arasi-Ruddock, L. D, McFadden, B. S.., Munro, S. P, Cowan, L. P, & Goolsby, M. J. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners31, 439-442. https://doi.org/10.1097/JXX.000000 0000000273

Ketefian, S., & Redman, R. W. (2015). A critical examination of developments in nursing doctoral education in the United States. Revista Latino-Americana de Enfermagem (RLAE)23, 363-371. https://doi.org/10.1590/0104-1169.0797.2566

Answer A Questions – 2025 What hurdles or limitations must partners overcome before they can ultimately deduct partnership losses on their

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Answer A Questions – 2025

  • What hurdles (or limitations) must partners overcome before they can ultimately deduct partnership losses on their tax returns?
  • How do partners determine whether they are passive participants in partnerships when applying the passive loss limitation rules

Note: Please post what you view as the appropriate responses to the above prompts. Your initial post should be 250-300 words. Please provide response with a clear, well-formulated thesis; sentence structure, grammar, punctuation, and spelling count. Support ALL posts with appropriate rationale and citations from readings; document sources using APA format.

6 NURSING CARE PLAN – 2025 nursing diagnosis 1 Decreased Cardiac Output related to Altered myocardial contractility 2 Risk for Impaired Skin Integrity related to

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6 NURSING CARE PLAN – 2025

 nursing diagnosis

1. Decreased Cardiac Output  related to Altered myocardial contractility 

2. Risk for Impaired Skin Integrity related to immobility

3. Activity Intolerance related to immobility

 4. Risk for Infection related to Inadequate primary defenses: broken skin, traumatized tissues; environmental exposure

5.  Risk for Impaired Gas Exchange related to Alveolar/capillary membrane changes: interstitial, pulmonary edema, congestion

6.  Excess Fluid Volume related to  increased antidiuretic hormone (ADH) production, and sodium/water retention. 

2 Case Studies For Nurse Practitioner Program ( SEC) – 2025 2 Case Studies for Nurse Practitioner Program First PLEASE complete accurately 2 case

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2 Case Studies For Nurse Practitioner Program ( SEC) – 2025

2 Case Studies for Nurse Practitioner Program (First)

PLEASE complete accurately 2 case studies. Below I have attached the Template, Rubric/Guidelines, an Example Case Study, AND ALSO A template to Plug in the information/rearrange or take out information as needed for the case study. No plagiarism, provided proof of TurnItIn document. No references order than 5 years. 

 
Diagnosis to use

1st Case Study > ACUTE PHARYNGITIS

Differential Diagnosis= Strep Throat & Tonsillitis or Upper Respiratory Infection/Common Cold

2nd Case Study > CONJUNCTIVITIS 

Differential Diagnosis = Bacterial Conjunctivitis & Uveitis. 

Discussion – 2025 Can t I just eat healthy and lose weight Can t I just exercise for 150 minutes a

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Discussion – 2025

 

Can’t I just eat healthy and lose weight?  Can’t I just exercise for 150 minutes a week and lose weight?  Is there a connection between the 2?  Read the article below and comment on the following:

1) What is metabolic syndrome?

2) Which intervention worked best, and what are the proposed guidelines for the populations mentioned?

Advanced Pharmacology Response To A Discussion Post – 2025 CL As an advanced practice nurse assisting physicians in the diagnosis and treatment of

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Advanced Pharmacology Response To A Discussion Post – 2025

 

CL.

 

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples
  Pharmacology is the study of the interactions between drugs and the body. The two broad divisions of pharmacokinetics refers to the movement of drugs through the body, whereas pharmacodynamics refers to the body’s biological response to drugs. Pharmacokinetics describes the drug’s exposure by characterizing absorption, distribution, bioavailability, metabolism, and excretion as a function of time, while pharmacodynamics describes drug response in terms of biochemical or molecular interactions (Arcangelo et al., 2017). The focus of this discussion will be in the process of warfarin in term of pharmacokinetics and pharmacodynamics of it in the body.   Ms. J.J. ‘s Health issue:   I was in charge of Ms. J. care couple years ago, a 85 year old African American women who was diagnosed with dementia cerebral infarction due to unspecified occlusion of cerebral artery, arthropathy, major depressive disorder, atrial fibrillation with a history of long-term use of anticoagulants, contracture of muscle, constipation, hypertension and GERD. She is currently on coumadin for the atrial fibrillation and the blood levels are monitoring every week in order to control the drugs therapeutic levels and avoid any adverse reactions.  Pharmacodynamics versus pharmacokinetics of this anticoagulant:  Many statistics from the stroke prevention in atrial fibrillation (SPAF) trial suggest that safety of anticoagulant in the elderly can be maximized through a careful monitoring and maintenance of the INR which is between 2 and 3. Ms. J’s therapeutic window for warfarin 2 to 3 which is the normal range for coumadin therapeutic level. Her weekly dosage is adjusted to her current blood levels. Bleeding is the most related complication of anticoagulant. Amy INR that increasing to 3.4 or 4.0 from Ms. J will result in nose bleeding, decreasing the coumadin or stop it for one or two days will be the only option (Horton & Bushwick, 1999).     Factors influencing Ms. J’s drugs therapy:   Multiple factors may affect the absorption of her medication. For example, the presence or the absence of flood in the stomach, blood flow to the area for absorption, and the dosage form of the drug. In Ms. J’s case, the most critical factor. Influencing her absorption of coumadin is gastric motility due to the history of constipation that she has, while a routine laxative dose and stools softens are administered daily for bowel movement.  Patient-centered care plan for management of constipation:   A non-pharmacologic care plan management can be introduced for the constipation in order to reduce the frequency and the quantity of laxative and stool. Softens doses that Ms. J is getting and ultimately gain a net decrease in gastrointestinal absorption of coumadin. Increasing a dietary fiber in her menu, encourage fluid and prune juice can have a significant impact on her bowel movement (Portalatin & Winstead, 2012).     Portalatin, M., Winstead, N. (2012). Medical Management of Constipation. Clinic in Colon and   Rectal Surgery. Doi: 10.1055/s-0032-1301754. Retrieved from   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3348737/  Horton, J. D., Bushwick, B. M. (1999). Warfarin Therapy: Evolving Strategies in Anticoagulation American Family Physician. 59(3):635-646. Retrieved from   https://www.aafp.org/afp/1999/0201/p635.html     Arcangelo, V. P., Peterson, A. M., Wilburg, V., Reinhold, J. A. (2017). Pharmacotherapeutics for Advanced Practice: A Practical Approach. (4th Ed.). Wolters Kluwer Lippincott Williams &