Identify the research design. Describe the setting of the study. Describe the sample (participants) and inclusion/exclusion criteria. Identify sample size as determined by power analysis.

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Survey of Nurses: Administration Barriers of Epi-pens in Schools.

1. Abstract: 150 words

2. Introduction–
• Introduce the topic
• Identify the problem and target phenomenon
• Data to support the problem
• List the study purpose, aims, research question(s) or hypotheses
• Describe significance of the study to nursing

3. Background/literature review:

4. • Identify conceptual framework of study
• Comparison of the issue over time might be helpful (most recent 5 years, OK to use articles up to a decade if they were seminal works) 10 Peer reviewed articles
• Summarize and critique relevant theoretical and empirical literature
• Summarize what is known and not known about the selected area of study
• Summarize findings and present rationale for the study

5. Approach/Methods:
• Design: Identify the research design.
• Setting: Describe the setting of the study.
• Sample: Describe the sample (participants) and inclusion/exclusion criteria. Identify sample size as determined by power analysis.
• Define terms (conceptual/operational definitions)
• Instrumentation: Describe instruments including (reliability/validity; sensitivity/specificity; Physiological measures: Report precision and accuracy
• Procedure: Describe the procedures for data collection
• Procedure: Describe the procedures for implementing the study
• Data Analysis: Describe procedures for data analysis
• Protection of human subjects: Discuss the process of protection of human subjects (IRB (Institutional Review Board); HIPAA (Health Insurance Portability and Accountability); Confidentiality

6. Results
• Include Table Shells that reflect the aims, objectives and analysis plan

7. Conclusions
• Identify potential strengths/limitations of your study

8. Appendices
• Include relevant materials in this area

Was this patient appropriate for a nurse practitioner as a provider? Is consultation or collaboration with another health care provider required? What community resources are available in the provision of care for this client?

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OSCE case studies assignment#

ASSIGNED OSCE CASE STUDIES:

1. Students will develop and complete My Checklist and Patient Notes of assigned case scenarios per week using the templates for My Checklist and Patient Note which will be submitted in the Blackboard under Assignment Tab with heading OSCE case studies.

2. The completed My checklist and Patient Notes for all weekly-assigned case scenarios will be submitted on or before the given deadline.

3. All assigned case scenarios can be retrieved from Mastering the USM LE Step 2 CS Clinical Examination: Retequiz (2013) 3rd edition, ISBN -13:978-0071443340, thecourse supplemental reference material.

4. The grading for My Checklist (2.5%) and Patient Note (2.5% per case scenario) of weekly-assigned 5 case scenarios will be equivalent to a total of five (5%) of the total total grade.  See rubric for grading of assignments and late assignments will follow late assignment submission policy.

5 case scenarios (5 pts) 1. 65 year old woman complaining of hearing loss 2. 65 year old man with difficulty of swallowing 3. 41-year old man with blurred vision 4. 25-year old man complaining of sore throat 5. 25-year old pregnant woman for prenatal visit auscultation, the examiner evaluates pertinent systems associated with the subjective complaint including applicable systems which may be causing the problem, or which will manifest or may potentially manifest complications and records positive and pertinent negative findings.

b. Performs appropriate diagnostic studies if equipment is available.
c. Records results of pertinent, previously obtained diagnostic studies. d. Use Handout Guidelines to Physical Examination.

3. Assessment (2 points)

a. Diagnosis/es with pathophysiology is (are) derived from the subjective and objective data

b. Differential diagnoses with pathophysiology are prioritized — (minimum of 2) c. Diagnosis/es come(s) from the medical domain d. Assessment includes health risks/needs assessment

4. Plan (2 points)
a. Appropriate diagnostic studies with rationale
b. Therapeutic treatment plan with rationale

c. Was this patient appropriate for a nurse practitioner as a provider? Is consultation or collaboration with another health care provider required?

d. Health promotion/disease prevention carried out or planned: education, discussion, handouts given, evidence of patient’s understanding.

e. What community resources are available in the provision of care for this client?

f. Referrals initiated (including to whom the patient is referred to and the purpose)

g. Target dates for re-evaluating the results of the plan and follow up.

Recapitulation of OSCE Case studies Assignments:

1.Subjective (4 points)
State the patient’s chief complaint, reason for visit and/or the problem for which the patient sought consultation.

  • a. History of Present Illness: All symptoms related to the problem are described using the following cue descriptive categories:

1) Precipitating/alleviating factors (including prescribed and/or self-remedies and their effect on the problem).

2) Associated symptoms

3) Quality of all reported symptoms including the effect on the patient’s lifestyle

4) Temporal factors (date of onset, frequency, duration, sequence of events)

5) Location (localized or generalized? does it radiate?)

6) Sequelae (complications, impact on patient and/or significant others

7) Severity of the symptoms

  • b. Past Medical History including immunizations, allergies, accidents, illnesses, operations, hospitalizations.
  • c. Family History includes family members’ health history.
  • d. Social history to include habits, residence, financial situation, outside assistance, family inter-relationships.
  • e. Review of Systems relevant to the chief complaint/presenting problem is included.

Charles R. Drew University of Medicine and Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing NUR620: Advanced Physical Assessment and Clinical Diagnosis Course Syllabus Fall 2022 August 27 — November 13, 2022

Include pertinent positives and negatives.

 

Select one of the visual art pieces from Chapters 1-6 or the lessons from Weeks 1-3 to use as a point of inspiration. Create a painting, sculpture, drawing, or work of architecture inspired by your selected art piece. Write a reflection about the relationship between your art production and the inspiration piece.

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Art work

Art work to choose from

  • ” Christo and Jeanne-Claude, The Gates, 1979-2005. Central Park, New York City.”
  • ” Juan Gris, Portrait of Picasso, 1912. Oil on canvas. (Public Domain)”
  • ” Leonardo da Vinci, Mona Lisa, 1503. Oil on wood panel. (Public Domain) “

Instructions
This week you will use your readings from the past two weeks as a point of departure to create your own artistic production and a reflection paper.

Part 1: Art Creation
Select one of the visual art pieces from Chapters 1-6 or the lessons from Weeks 1-3 to use as a point of inspiration. Create a painting, sculpture, drawing, or work of architecture inspired by your selected art piece.

Part 2: Reflection
Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

  • Introduction
  • Inspiration Piece
  • Include image.
  • Record the title, artist, year, and place of origin.
    Briefly explain the background of the inspiration piece.
  • Your Art Piece
  • Include image.
    Provide a title.
    Explain the background of your piece.
  • Connection
    Explain the thematic connection between the two pieces.
    How are they similar and different?
    Are they the same medium? How does the medium impact what the viewer experiences?
    How do the formal elements of design compare to on

How does the article relate to the PICOT question? Is the article qualitative, quantitative, or mixed methods?

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Literature Evaluation Table

Student Name:

Nursing Practice Problem (200-250 words):

 PICOT Question:

Criteria Article 1 Article 2 Article 3
APA-formatted article citation with permalink      
How does the article relate to the PICOT question?      
Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

     
Purpose statement      
Research question(s)      
Outcome(s)      
Setting

(Where did the study take place?)

     
Sample      
Method      
Key findings of the study and implications for nursing practice      
Recommendations of the researcher      

 

Criteria Article 4 Article 5 Article 6
APA-formatted article citation with permalink      
How does the article relate to the PICOT question?      
Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

      
Purpose statement      
Research question(s)      
Outcome(s)      
Setting

(Where did the study take place?)

     
Sample      
Method      
Key findings of the study and implications for nursing practice      
Recommendations of the researcher      

 

Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest.

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Diabetic

Assignments

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question known as a PICOT question. The PICOT question must be relevant to a nursing practice problem.

Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:

  1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.
  2. Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
  3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest.

Note: This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology.

Articles must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. The PICOT question will also provide a framework for your capstone project.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic reviews, literature reviews, and metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are not required to submit this assignment to LopesWrite.

 

Explain why you think the patient presented the symptoms described. Identify the genes that may be associated with the development of the disease. Explain the process of immunosuppression and the effect it has on body systems.

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Invasive aspergillosis.

Scenario:

A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

The Assignment (1 page case study analysis)

Develop a 1-page case study analysis in which you:

Explain why you think the patient presented the symptoms described.

Identify the genes that may be associated with the development of the disease.

Explain the process of immunosuppression and the effect it has on body systems.

 

Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

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Assessment Description

PICOT is utilized by the health care community to identify and study a nursing practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process may not be relevant to nursing practice as they are based on a medical practice problem.

Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

In adult patients admitted for new onset diabetes mellitus, does return demonstration of skills related to verbal communication of skills improve compliance with blood glucose control six weeks after discharge?

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Introduction to Nursing Research

Week 1
Welcome to Introduction to Nursing Research! This course is divided into five major topics.
– Topic 1 – History and Process of Nursing Research, Evidence–Based Nursing Practice, and Quantitative and Qualitative Research Processes. The reading assignments are included in the Path are essential to learning the concepts and completing the assignments.
– Topic 2 – Research Ethics and Evaluating Qualitative Research.
– Topic 3 – Research Ethics and Evaluating Quantitative Research.
– Topic 4 – Measurement, Statistics and Appraisal
– Topic 5 – Characteristics of Nursing Research Utilization and Evidence–Based Practice.

SAMPLE PICOT: In adult patients admitted for new onset diabetes mellitus, does return demonstration of skills related to verbal communication of skills improve compliance with blood glucose control six weeks after discharge?

Types of Research Methods

Quantitative Research
Quantitative research results in objective numbers and numeric variables (quantifiable) data.
Types of quantitative research:
• Descriptive – is the systematic collection of data to describe the variable, characteristics of a population, or current phenomena being identified.
• Correlational – looks at the association or relationship between variables and may identify the relationship between the variables.
• Quasi–experimental – can identify why certain things happen (correlational relationship between receiving a treatment and not receiving a treatment).
• Experimental – evaluates an experimental medication, treatment, or procedure.

Qualitative Research
Qualitative research results in subjective descriptive characteristics that cannot be measured with numbers. Qualitative research may be used to gain understanding of different cultures, traditions,
behaviors, and/or customs. Types of qualitative research:
• Phenomenology – is used to study people through their lived experiences and data are usually collected via interview.
• Grounded theory – is the collection and analysis of data from interviews and/or observation.
• Ethnography – is the study of people and cultures, many times, by observation.
• Exploratory–descriptive – is used to describe and document various aspects of an event.
• Historical – examines past events to make a prediction about future events by performing a systematic collection of data to examine the past to learn about the future.
• Case study – provides an in–depth look at a particular problem or illness. The case study usually involves one particular case or episode.

Mixed Methods
Uses both a qualitative and quantitative study design.

Systematic Reviews
A systematic or integrative review of the literature is not a research study. It is a review of several research studies to help provide insight or prove a point. Do not choose a systematic review for any of the assignments you will submit for this term (PICOT/Evidence Appraisal, Qualitative Critique, Quantitative Critique, or Final Paper).

Searching the Literature
Searching the literature can be a daunting process. However, the use of a Boolean search method can make finding appropriate articles easier. There are three terms to use when conducting a Boolean search: AND, OR, NOT. For example, if you are conducting a search for qualitative articles related to central lines, you can search:

  • Central Lines NOT
  • Peripheral catheter NOT

Peripheral IV AND Qualitative method
Completing your PICOT and Evidence Appraisal
Download the grading rubric to help guide completion of this assignment. You will also need to download the Literature Evaluation Table to use for your assignment. Make sure that you include you PICOT summary as indicated by the rubric.

In your Case Study Analysis related to the scenario provided, explain the following: any racial/ethnic variables that may impact physiological functioning and; how these processes interact to affect the patient.

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Alteration in cardiovascular and respiratory system is a critically important component of disease diagnosis and treatment

Case study scenario for this Assignment;

Scenario 1: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air.

APA format, include an introduction, and conclusion. Assignment 2-pages case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

  • the cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms;
  • any racial/ethnic variables that may impact physiological functioning and;
  • how these processes interact to affect the patient.

 

Explain the issues that as a Nurse Practitioner would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

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Cultural factors associated with the patient assigned

Case Study:

Shawn Billings, a 28-year-old African American patient comes in to the clinic today. He has been deemed a “frequent flyer” by the staff at the clinic and was at the clinic last week and 4 days ago with a migraine, given a shot of Toradol and Ativan and sent home. He is here today again for an extreme headache. He is very agitated today. He is here with his father and worried that he will not get any medication.

To prepare:

  • Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
  • By Day 1 of this week, you will be assigned a case study by your Instructor. Note: See the “Course Announcements” section of the classroom for your case study assignment.
  • Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
  • Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
  • Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3 of Week 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that as a Nurse Practitioner would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.