Week 2 Discussion

Post your initial response to the topic below.

Topic

Age related changes can affect the lifestyle/quality of life of the elderly.

·  As a Nurse, what do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly?

·  How would you help an elderly patient adjust to the two changes you identified?
 

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

A premise of epidemiology is that health outcomes are not random occurrences within a population, but are linked to particular risk factors and diseases. Epidemiologists utilize a range of study design methods to evaluate evidence-based associations to understand and improve health outcomes. Use the specific Excel worksheets, located in the “Excel Study Design Workbook,” to complete this assignment.

Part 1: Study Design Comparison

Using the “Study Design Comparison Worksheet,” compare and contrast the characteristics of the different types of study design types discussed in this course. You will be able to use this as a reference throughout the program.

Part 2: Article Comparison

Consider an area of interest that you want to explore as a potential topic for your Epidemiological Profile project. Search for two articles that fit any two of the four study designs (randomized trial, cohort, case-control, and cross-sectional) pertaining to the interest area you chose. Review the articles provided in the “Study Design Resource Document” to practice identifying articles for each study design. (Do not use the actual articles listed in the “Study Design Resource Document” for this assignment.) Complete the “Article Comparison Worksheet” to compare the study design characteristics in each of your two articles. Include details of any gaps in the characteristics or identify if information is missing.

General Requirements

Upon completion of both worksheets, submit the “Excel Study Design Workbook.”

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

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

AttachmentsPUB-540-RS-ExcelStudyDesignWorkbook.xlsx
PUB-540-RS-StudyDesignResource.docx 

answer the following questions:

1. identify and elaborate on at least two historical figures that became important to the development of Public Health Nursing and explain why

2.relate the six (6) epidemiological processes to the current COVID-19 pandemic

3. identify a negative environmental influence health story (ex, the water supply in Flint, Michigan) how have individuals, families, or communities been affected? Now discuss measures needed to foster a health-promoting environment.

This is for a community nursing class

Use proper apa 7th edition in the responses

at least 2 references must be utilized

reply1

In clinical research and in implementation of EBP projects, results that are statistically significant are many a times often interpreted, and wrongly so, as being clinically significant or important. Clinical significance, unlike statistical significance which indicates the reliability of the study results, reflects the impact of such results into clinical practice (Leung, 2017). The results may be reliable but impactful in terms of practice. This means that most times, clinical data is often analysed with traditional statistical probability with the result that the study results may be difficult to interpret clinically. The results do not give clinicians enough information to make clinical decisions. Clinical significance of data ensures that it provides information on the magnitude or direction of the results. Inclusion of more clinically relevant information such as confidence intervals and effect sizes is essential (Page, 2014). This way, clinical significance is important as it helps support the intended project outcomes by making them ore clinically relevant. Evidence based practice is meant to affect clinical decision making. However, if interpreting the research results is either difficult or impeded by the presentation of such results, this intention can hardly be achieved (Page, 2014). Clinical interpretation of research on treatment outcomes in important because of its influence in decision making. It imparts or confers confidence that the results are a true and reliable presentation of findings.

Source: Leung, W. (2017). Balancing statistical and clinical significance in evaluating treatment effects. BMJ Quality and Safety, 77(905), 73-81. doi:10.1136/pmj.77.905.201

Page, P. (2014). Beyond statistical significance: Clinical intepretation of rehabilitation research literature. International Journal of Sports Physical Therapy, 9(5), 726-736. Retrieved March 31, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4197528/#__ffn_sectitle

reply2

One of the barriers that I foresee preventing my EBP change proposal from continuing would be staff participation. I would need ER nurses to assess the patient and implement the checklist on admission. The ER nurses are very busy and often have 10 patients at the same time. Initiating a new project during a pandemic, and adding more work to the nurses already heavy workload is probably not the best way to ensure that the project is continued. Another barrier would be the patient’s health acuity at that time may not permit for the nurse to talk to the patient at length about their health literacy, support system and financial status. To overcome these barriers, I would ask that the checklist be completed at some point during the admission process, perhaps when the patient is in their room and stable. Having management and administrative support from the beginning will be a key factor in the success of the project. They will be able to inform me on similar projects that were implemented and techniques that were used to ensure continuation. Frequent audits of charts by nurse leaders would also ensure that the checklist has been started and education is being documented. If the checklist becomes part of the patient’s permanent record, there would be proof of task completion. Having this information in the patient’s medical records will help with clinical auditing results and changes can be made to the checklist as needed to improve quality of care.

Esposito, P., & Dal Canton, A. (2014). Clinical audit, a valuable tool to improve quality of care: General methodology and applications in nephrology. World journal of nephrology, 3(4), 249–255. https://doi.org/10.5527/wjn.v3.i4.249

Ginex, P. (2018) Overcome Barriers to Applying Evidence Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change