Quantitative Annotated Bibliography

In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online Writing Lab

A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

Each annotation must address the following critical elements:

• Explanation of the main purpose and scope of the cited work
• Brief description of the research conducted
• Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
• Possible shortcomings or bias in the work
• Conclusions or observations reached by the author
• Summary as to why this research lends evidence to support the potential problem identified specific to your role option.

Designing and Measuring Outcomes

As noted in previous courses of the DNP program, it is essential to design measurable outcomes that can guide the development, implementation, and evaluation of an initiative. For this Discussion, you are asked to examine professional standards and other factors that require consideration as you develop outcomes for your proposed evidence-based change. Think about the various groups that are invested in—or that may be affected by—this change. What measures would stakeholders need in order to help determine if the change aligns with organizational priorities and is successful in achieving its intended outcomes? Why is it important to establish accountability around this initiative?

To prepare:

• Look at outcomes established for at least one      evidence-based change currently underway or previously accomplished within      your practicum setting. What lessons can be learned to support the      development of outcomes for your proposed change?
• What outcomes would you identify for your proposed      change? How are these tied to AACN Essentials? What other standards or      guidelines should be considered? What interdisciplinary factors need to be      considered as you craft these outcomes? Think about other clinical and      administrative groups, as well as patients.
• How will the outcomes be measured?
• Be prepared to support your Discussion postings with      evidence from the literature and specific examples related to your      practicum setting.

By Day 3 of Week 8

Post a cohesive response that addresses the following:

By tomorrow Wednesday 4/17/19  2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:

1) Describe three outcomes for your proposed change. For each outcome, describe the evaluation criterion/criteria that is/are measurable.

2) Explain how these outcomes relate to multiple sets of standards, as well as differing groups’ needs and priorities. Why is intra- and interdisciplinary collaboration important as you design these outcomes?

3) How do the measurable outcomes for your proposed change establish accountability for you as a leader?

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition)  New York, NY: Springer Publishing Company.

• Review Chapter 14, “Creating a Culture that Promotes      Translation”

Kutney-Lee, A., Germack, H., Hatfield, L., Kelly, S., Maguire, P., Dierkes, A., & … Aiken, L. H. (2016). Nurse Engagement in Shared Governance and Patient and Nurse Outcomes. Journal Of Nursing Administration, 46(11), 605-612. doi:10.1097/NNA.0000000000000412

Sung-Heui, B. (2016). CNE SERIES. The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes. Nursing Economic$, 34(4), 161-181. 

Twigg, D. E., Gelder, L., & Myers, H. (2015). The impact of understaffed shifts on nurse-sensitive outcomes. Journal Of Advanced Nursing, 71(7), 1564-1572. doi:10.1111/jan.12616

Yankovsky, A., Gajewski, B. J., & Dunton, N. (2016). Trends in Nursing Care Efficiency From 2007 to 2011 on Acute Nursing Units. Nursing Economic$, 34(6), 266-276.

this is what she said ”  

I made a couple of changes that I saved on this attachment. Also, you need to look at your reference slides again. Per APA they must be in alphabetical order on the Reference page (slide) they are only in order of citation within the body of the text – if that makes sense. Use that Purdue Owl link to help you so you don’t lose unnecessary points. I would also make them more even between the two slides. Right now you have a lot of references  on the first slide and only a couple on the second. There is no rule as to how many to put on each slide, just balance it out.

There continues to be much debate over the structure of health care organizations. Advocates of both public and private structures are quite vocal in attempting to persuade the general public to adopt their views. Proponents of public health care structures claim the public structure will make health care universally accessible while proponents of private structures assert that quality of care can only be achieved via a private structure. In this assignment, you will contrast public and private health care structures, analyze the current viability and future sustainability of each structure, and provide a rationale for which structure you believe is optimal.

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

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• Refer to Chapters 2-4 of the Publication Manual of the American Psychological Association (6th ed.) for specific guidelines related to doctoral level writing. These chapters contain essential information on manuscript structure and content, clear and concise writing, and academic grammar and usage.
• This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
• You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Directions:
Write a paper of 1,000-1,250 words in which you contrast public and private health care structures. Include the following in your paper:

1. A contrast of public and private structures with regard to the population served, decision-making processes, financial practices, and ethical considerations relating to the quality of care and patient safety.
2. An analysis of current viability and future sustainability of each structure.
3. A rationale for selecting one structure as optimal.

Part 2: Objective information:
 Fetal heart tones are 130, with minimal variability
 Vaginal exam is 4 cm/90%effaced/ -1 station
 She is complaining of pain – 8/10 on a numerical scale.
 An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm.

How can you provide non pharmacological comfort to this patient?
 What are the pharmacological methods to use?
 Without prenatal records or history GBS is unknown. What must you provide?
 Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
 Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV?

Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues.
 Her current gestational age is 30 weeks.
 She is O+ and all other lab values are normal. No noted STI’s.

1. Group Beta Strep is missing from the labs – most often is obtained at 35 – 37 weeks gestation.
 2. Without this information it is often determined to treat the patient anyway – presumptively to protect a premature baby from the risk.
 3. What other information would you like to ask her?
 4. What nursing intervention will you provide?
 5. What screening tests are often obtained to help determine her risk for preterm labor.
 6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order?
 7. Please also give dose, side effects and possible result of the medication.