Library Assignment (CINAHL& Medline Search & APA Citation) –

Objective:  Identify appropriate methods of utilizing selected library database systems.

The purpose of the library assignment is (1) to learn to use CINAHL & Medline and (2) to become familiar with APA citation format. 

You will visit the CFK Library to learn to use CINAHL and Medline databases.  CINAHL is the acronym for Cumulative Index to Nursing and Allied Health Literature.  It is designed specifically to meet the information needs of nurses and allied health professionals. 

Go to the CFK Library’s homepage to access the electronic version of CINAHL or Medline:                              

• Click “Databases A-Z”
• Scroll down and select CINAHL and then Medline
• Follow the directions on the screen to begin searching.

For this assignment, you are required to:

• Conduct a CINAHL and/or Medline search for articles published in the last five years (2016-2021) on a Nursing topic of your choice (GLAUCOMA). Each article must be a minimum of 6 pages.

1. Identify the topic of your search and discuss why you chose this topic. (Introduction)
2. Provide a brief summary of the most important/interesting information from each of the articles that you have located and read. Cite a direct quote and a paraphrased quote in the summary of each of the 4 articles. This section should be at least 4 paragraphs, one for each article (body of the paper).
3. Conclude with a summary to end the paper.
4. Prepare your citations in a reference list of the (four articles) using APA format
   • A good website providing information on APA Documentation is the APA Formatting and Style Guide is The OWL at Purdue, they 
   • have a sample paper that is very helpful to look at and we have a reference APA book in the Upper Keys library as well. The library home page gives you additional information as well.

Grading Criteria

                ___/50  Conduct CINAHL Search. 

                                ___/10 Grammar, sentence structure, spelling.

                                ___/10 Include 4 references that meet the currency and page limit criteria.

                              ___/30 Write a paper that includes an introduction as to why you chose your topic of interest. The body of the paper should include a brief summary of each of the articles you chose. Conclude with a summary to end the paper. APA format must be correctly used for the citations in your paper. You must use at least one direct quote (exactly as written in article) and paraphrased quote (put in your own words) for each of the articles correctly. (turn in all articles with your paper with the quoted areas highlighted in the articles).

              ___/10  APA Citations (Reference page)

                      ___/2 Alphabetical

                      ___/2 Correct sequence and format (author, date, article title, journal title,                                                volume, number, page)

                    ___/2 Journal title italicized

                    ___/2 Capitalize only the first word of the article title and of the subtitle

                    ___/2 Correct format (parentheses, commas, etc.)

Examples:  Sample paper can be found at the Owl at Purdue website or use the APA 7th edition  manual (ask the library staff for assistance).

PLEASE FOLLOW INSTRUCTIONS GRAMMAR AND SPELL CHECK ! NO PLAGIARISM

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 

Total Points Possible: 200  

Requirements: 

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

• Effectiveness of Care.
• Access/Availability of Care.
• Experience of Care.
• Utilization and Risk Adjusted Utilization.
• Health Plan Descriptive Information.
• Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:

(NCQA, n.d. https://www.ncqa.org/hedis/ (Links to an external site.))

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and health care cost savings?

How can these interventions result in improved NP patient ratings?

 3 paragraph of at least 4 sentences. 2 cited sources not older than 2015

There are many factors a person can consider that young males could hear and help improve overall health. One for example and the most simple one is the use of protection during sex or contraception. Having unsafe sex contributes to the decreased health of women and children, it could be the woman having problems with birth or lack of support necessary to be able to support a newborn baby and the same goes for a baby, they need a lot of time and effort and sometimes unsafe sex leads to unwanted children and so the baby will receive not receive the support or attention needed to be cared for properly. Understanding how important it is to be safe and using protection could help again the decreased health of these groups and would benefit a lot. Something else young males can learn to improve overall health is to understand the negative effects of drugs and alcohol use, drug use is something that affects the world and many people aren’t educated on how harmful it can really be. To ask for no use of these harmful drugs is not what I am asking for but instead to educate young males and others to understand what it is they are doing and in educating them on the negatives hopefully they can see how important it is to take care of yourself and those around them and they could lower their usage or even stop entirely if possible to unhealthy addictions. The third and final factor that young males and even most teenagers and adults could address is the lack of physical activity that leads to obesity. Simply exercising a little would help towards fixing some issues and of course not all of them but it is a big step towards working together to achieve the goal of overall health. 

  

Hi 

Please see instruction below——–Following the instruction is crucial for getting all the points (please let you response follow provide instruction, thank you!) Due in 5 hours

#1 and 2———–read first posts and provide evidenced based supported response

 #1

Evaluate a culture/population of interest to assess a current need.  Examples may include patients in various care environments, gender identity groups, racial identity, ethnic identity, etc. 

As a current armed forces service member, the Veteran population is one that I admire deeply and there are several needs that can be addressed. 

Using the population/culture identified, devise a culturally sensitive response plan that addresses a specific need in that population. What objectives will you meet through this response plan?

Within the Veteran population, the specific need that I will be focusing on is suicide prevention. By creating a culturally-sensitive response plan, it will encompass all members within the veteran population, regardless of age, gender, ethnicity or background. The response plan will be specific, realistic, time-oriented and have attainable goals (Toney-Butler & Thayer, 2020). As a DNP prepared nurse, utilizing a plan is essential for goal setting. The first part of this response plan includes the facilitation of more effective communication between the Veteran and their provider, verbally and non-verbally. In both the outpatient and inpatient community settings, providers should be informally aware of the specific cultural needs related to Veterans. Even if Veterans have not seen combat, due to the prevalence of discrimination, sexual harassment/assault, there still may be underlying internal struggles that can lead to suicidal ideation and the act of suicide. The objective of effective communication will be to know what signs to look for, such as difficulty transitioning to civilian life, giving away belongings, isolation and/or lack of coping mechanisms (Bryan et al., 2012). With the use of resources and interprofessional collaboration, early recognition of behaviors can lead to the implementation of interventions with the goal of reducing the act of suicide through prevention techniques. To be culturally competent during this response plan will require patience, as the military influences expression of emotion to be minimal due to the cultural constrains (Lim, 2016). This, in addition with the Veteran’s personal cultural background, may cause internal conflict and make the situation more complex. 

After reading your textbook, consider the role of the DNP in education. Write an educational intervention plan that addresses your objectives. Using scholarly inquiry, discuss cost-effectiveness, feasibility, and the timeline for implementation of your plan.

To address the objectives listed above, the DNP as an educator can use current evidence-based research to teach Veteran’s self-regulation strategies to be used in stressful or overwhelming situations. This is relatively cost-effective, but is only feasible if the educator has the time to learn such strategies in order to reciprocate the knowledge. If the DNP is not directly involved in care, there can be coordination of other resources and delegation so that such interventions are still delivered to the Veteran. The DNP as an educator is versatile and evolving with the growth of the health care system. Even in quality-centered positions such as administration, the DNP will still have the responsibility to disseminate knowledge to facilitate the highest quality of care possible (Beeber et al., 2019). Another component to the intervention plan is to have an appropriate protocol in place if a Veteran does verbally or non-verbally give cues that they want to commit the act of suicide. This will include immediate contacting of the suicide prevention hotline, presentation to the emergency department and appropriate medication in place such an anxiolytics (with surveillance). Implementing these components of the interventional plan to prevent suicide in Veterans will have to start small and at a local level in order to evaluate effectiveness and accessibility of all necessary resources. If successful of preventing at least one Veteran from committing the act of suicide at the local level through the response and intervention plan as listed above, I find that to be effective in itself. 

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 Outlook, 67(4), 354-364. https://doi.org/1016/j.outlook.2019.02.006  (Links to an external site.)

(Links to an external site.)Bryan, C., Jennings, K., Jobes, D., & Bradley, J. (2012). Understanding and preventing military suicide.  Archives of Suicide Research. https://doi.org/10.1080/13811118.2012.667321 (Links to an external site.)

(Links to an external site.)Lim, N. (2016). Cultural differences in emotion: differences in emotional arousal level between the East and the West. Integrative Medicine Research, 5(2). https://doi.org/10.1016/j.imr.2016.03.004  (Links to an external site.)

Toney-Butler, T., & Thayer, J. (2020). Nursing process. StatPearls. Retrieved March 02, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK499937/

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#2

 HIV Prevalence in the LGBT Population

One of the current needs affecting the LGBT population in the US and across the globe is the prevalence of HIV among the population. Understandably, practices related to the LGBT population have seen an upward trend in HIV incidence. However, the evidence supporting the cause of HIV incidence and how to significantly address it is limited (DiNenno et al., 2018). Consequently, it is imperative to develop a culturally sensitive response plan through individual research to understand HIV in the specific population as applied to care settings and devise a way to address it.

Culturally Sensitive Response Plan

          Several factors are influencing the prevalence of HIV in the LGBT population, especially among gay men and bisexuals. A culturally-sensitive plan is necessary to acquaint with the population and learn how to make an informed decision on screening. Understandably, fear of victimization, need to maintain one’s image and people’s perception, or anticipating negative attitudes may cause a lack of disclosure of a person’s sexual identity or limit one’s openness to their sexual orientation (Schrimshaw et al., 2018). This information provides insight that needs to be explored further through cultural congruence. One-on-one patient conversation with patients and other members of the LGBT population can provide more information on these challenges

          In addition, the provision of care should be tailored to meet clients’ needs, while improving awareness of the importance of HIV screening. The plan is to advocate for health care providers to encourage HIV screening for the LGBT population members during the patient encounter. There are already laid out recommendations by the CDC on how to screen HIV among the LGBT in the US (DiNenno et al., 2017). It is necessary to evaluate how this has impacted the rate of HIV screening for LGBT and how this has impacted HIV prevalence. Specifically, the plan involves increasing public awareness to improve HIV screening through provider-patient education, implementing CDC’s HIV screening recommendations, and evaluating the impact on subsequent HIV screening rates and prevalence. 

Implementation of the Plan

          Now that the plan is set out, the objective would be to reduce HIV prevalence and incidence by promoting behavior change through increased HIV screening among the population. Increasing HIV screening has been established to facilitate lifestyle change and reduced HIV incidence (Shrestha et al., 2020). The core task would be to assume the role of a Doctor of Nursing Practice (DNP) as an educator to guide other health care professionals in providing institutional culturally competent care for HIV patients for the LGBT population. The DNP would take up an educator role guided by enhanced DNP knowledge as well as research to create institutional guidelines for providing care for HIV patients. By utilizing individual and combined research as well as being technology-competent, the DNP can amass a wide range of knowledge regarding the various aspects affecting care delivery for the LGBT, and therefore create guidelines to address care delivery that directly impacts the prevalence of HIV in the population.

Feasibility and Cost-Effectiveness of the Plan

The viability of the study is first enabled by the abilities of a DNP to conduct scientific research and use research evidence in nursing practice. Besides creating policies and institutional guidelines, the DNP assumes a leadership role in educating other professionals on the best practices and guidelines and observing that they are implemented for the desired patient population. As previously mentioned, the desired goal would be increased HIV screening that ultimately reduces HIV prevalence in the LGBT population. Increasing HIV screening among other preventive mechanisms has been proven to be cost-effective (Bernard et al., 2017; Shrestha et al., 2020). Therefore, the plan is economically feasible and effective for implementation. 

References

Bernard, C. L., Owens, D. K., Goldhaber-Fiebert, J. D., & Brandeau, M. L. (2017). Estimation of the cost-effectiveness of HIV prevention portfolios for

            people who inject drugs in the United States: A model-based analysis. PLoS medicine, 14(5), e1002312.

            https://doi.org/10.1371/journal.pmed.1002312

DiNenno, E. A., Prejean, J., Delaney, K. P., Bowles, K., Martin, T., Tailor, A., Dumitru, G., Mullins, M. M., Hutchinson, A., & Lansky, A. (2018). Evaluating the

            Evidence for More Frequent Than Annual HIV Screening of Gay, Bisexual, and Other Men Who Have Sex With Men in the United States: Results

            From a Systematic Review and CDC Expert Consultation. Public health reports (Washington, D.C.: 1974), 133(1), 3–21.

            https://doi.org/10.1177/0033354917738769

DiNenno, E. A., Prejean, J., Irwin, K., Delaney, K. P., Bowles, K., Martin, T., Tailor, A., Dumitru, G., Mullins, M. M., Hutchinson, A. B., & Lansky, A. (2017).

            Recommendations for HIV Screening of Gay, Bisexual, and Other Men Who Have Sex with Men — United States, 2017. MMWR. Morbidity and

             Mortality Weekly Report. 66(31), 830-832. https://www.cdc.gov/mmwr/volumes/66/wr/mm6631a3.htm

Schrimshaw, E. W., Downing, M. J., Jr, & Cohn, D. J. (2018). Reasons for Non-Disclosure of Sexual Orientation Among Behaviorally Bisexual Men: Non-

            Disclosure as Stigma Management. Archives of sexual behavior, 47(1), 219–233. https://doi.org/10.1007/s10508-016-0762-y

Shrestha, R. K., Chavez, P. R., Noble, M., Sansom, S. L., Sullivan, P. S., Mermin, J. H., & MacGowan, R. J. (2020). Estimating the costs and cost-

            effectiveness of HIV self-testing among men who have sex with men, United States. Journal of the International AIDS Society, 23(1), e25445.

            https://doi.org/10.1002/jia2.25445

# 3 and 4- #1———–read first post, provide evidenced based reponse and ask a question to encourage discourage further discussion

  #3

Evaluate a culture/population of interest to assess a current need.  Examples may include patients in various care environments, gender identity groups, racial identity, ethnic identity, etc.

Heart failure affects millions of people worldwide. The Centers for Disease Control (CDC) report, “…6.2 million adults in the United States have heart failure” (CDC, 2020, para 1).  For African Americans diagnosed with heart failure, the numbers are associated with more significant negative consequences. Blacks are 30% more likely to be diagnosed with heart failure. They are diagnosed at an earlier age and will die from the disease sooner than other races (U.S. Department of Health & Human Services, 2021).

Using the population/culture identified, devise a culturally sensitive response plan that addresses a specific need in that population. What objectives will you meet through this response plan?

Most heart failure patients are often overwhelmed or intimated by education presented in the hospitals. Lower rates of health care literacy are proportionally greater in blacks. Contributing to the black community’s low literacy rates is a belief system where negative topics are not discussed or claimed (A.S., personal communication, March 11, 2021). Lower socioeconomic status, access to healthcare, and a mistrust of the health care system also contribute to lower healthcare literacy rates and subsequent adverse clinical outcomes.

Effective management of this chronic debilitating disease depends on vigilant self-management involving knowledge and adherence of medication regimens, dietary restrictions, daily monitoring of weight, and symptom management. The Measure associated with heart failure addresses patient education and self-care elements by “…copy of written instructions or educational materials are given…” (Heidenreich, et al., 2020 p. 2). There was no requirement to assess learning.

After reading your textbook, consider the role of the DNP in education. Write an educational intervention plan that addresses your objectives. Using scholarly inquiry, discuss cost-effectiveness, feasibility, and the timeline for implementation of your plan.

Even with the emphasis of scientific evidence directing patient care, the combination of skill, formal education, personal integrity, and clinical experience cannot be underplayed. It is the combination of several types of knowledge that leads to the development of a nurse leader capable of positively influencing others in integrating healthcare services to achieve superior clinical outcomes and enhance the patient experience.

Patients are often discharged from health care facilities without proper evaluation of presented discharge materials, particularly instruction involving self-care. The teach-back method of instruction is a method to evaluate the understanding of written instructions. Yen & Leasure (2019) report use of teach-back method of patient instruction is associated with improved patient knowledge of self-care activities.

Associated implementation costs include printing of materials to reinforce the teach-back instruction. A survey would be given before and after instruction. Elements of the survey would include asking if the nurses are using the teach-back method, if the nurse’s evaluation of patient knowledge is improved and if the nurse’s self-confidence in providing instruction to the patients is improved.  The nurses’ instruction and related surveys could be given about six weeks. The desired outcome is that all patients with congestive heart failure receive education using the teach-back method.  Regardless of age, patient care environment, race, ethnicity, or gender identity, all patients would benefit from the verbal exchange of information regarding self-care activities. 

Center for Disease Control (2020). Heart Failure. https://www.cdc.gov/heartdisease/heart_failure.htm (Links to an external site.)

Heidenreich, P., Fonarow, G., Breathett, K.,  Jurgens, C., Pisani, B., Pozehl, B., Spertus, J., Taylor,K.,  Thibodeau, T., Clyde W. Yancy, C., & Boback Ziaeian, B., (2020). 2020 ACC/AHA Clinical Performance and Quality Measures for Adults With Heart Failure. https://doi.org/10.1161/HCQ.0000000000000099Circulation: Cardiovascular Quality and Outcomes.

US Department of Health & Human Services Office of Minority Health (2021). Heart disease and African-Americans. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=19 (Links to an external site.)

Yes, P., and Leasure, R. (2019). Use and effectiveness of the teach-back method in patient education and health outcomes, 36(6), pp. 284–289. Federal Practitioner

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#4

I have been living in the Rio Grande Valley of South Texas which has a 98% Hispanic population.  One thing I have noticed is that most of my nursing students are first-generation college attendees. One reason for this I believe is that this area is very underserved due to the high poverty rate.  This socio-economic status creates several situations in my students’ education, including a need to learn how to study, a gap in their prior knowledge, and the fact that many must work full-time to meet the daily needs of their families. Additionally, some of my female students are young mothers who also struggle to catch up because many of them dropped out of high school due to early pregnancies.

DNP graduates are exceptionally equipped to function as nursing faculty in varied settings. The creative use of diversely prepared faculty’s educational preparation is essential to bring the alternate and complementary approach to nursing education (Chism,2017). As a DNP, I would like to establish a class free of charge where I could give my students extra information on the availability of funds to help alleviate their financial burden and perhaps allow them to cut back on working hours to support their families.  This class could also be used for tutoring or for assistance in establishing better study habits.        

As a leader, I would like to work with the university to help raise the funds to establish a scholarship program for first-generation college students in the nursing program. I view this as one of my leadership roles where I would work to set up a committee to study the best ways to raise money for this scholarship. The coming years will very likely see shortages in the number of nurses, as well as nursing faculty (Moore, 2017). Students who graduate debt-free from their undergraduate program will have an earlier opportunity to earn a higher education degree. This is one way that I, as a DNP can help alleviate the nursing shortage while helping the Hispanic population students, I work with to enhance their education and ultimately better their lives. 

References

Chism, L.A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues. 4th ed. Jones & Bartlett.

Moore, A. (2017). Nursing shortages: how bad will it get? Nursing Standard (2014+), 31(37), 26. http://dx.doi.org/10.7748/ns.31.37.26.s24

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