Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurses role in supporting the patients psychological and emotional needs. Provide an example.
Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.
For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5 to ICD-10.
To Prepare
The Assignment
Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.
This is a scientific review of literature of the provided articles associated with finding ways to improve the preparedness of emergency departments in handling patient surges during pandemics and disasters. An introduction, body, and conclusion must be done for each article to be reviewed.
Introduction: Provides an introductory paragraph that explains what the working topic or issue is and provides the key topics or themes that will be covered in the review.
Body: Summarizes and synthesizes main points or themes and combines them into a coherent whole. You should not just paraphrase other researchers work but add your own interpretations and discuss the significance of findings in relations to the themes. The literature review should use well structured paragraphs with transitions to draw connections, comparisons, and contrasts.
Conclusion: summarizes the key findings or themes. You connect the literature back to your primary question or topic. Additionally gaps in research should be identified, ex. “The scarcity of literature in this topic made Gray, et al. to resort to using secondary data leading to the qualitative approach that they used. The main limitation of the study is the lack of quantitative data to strengthen the argument presented.”
QUALITATIVE ARTICLE CRITIQUE
Article reference in APA format:
Purpose of the Study:
Research Question(s) in the article:
What are the central concepts being explored (e.g. pain, grief, etc.)?
Are most of the references recent (less than 10 years old)? YES NO
METHODS:
What is the research design (historical research, case study, grounded theory, phenomenology, etc.)?
What are the characteristics of the participants who were included in and excluded from the study (e.g. age, health status, gender, ethnicity, socioeconomic, education, etc.)?
Included:
Excluded:
Do you think the methods used to select the participants for the study biased the results? YES NO
Why?
Did the researcher critically examine his/her own role, potential bias, and influence?
YES NO UNSURE
Did many participants refuse to participate, withdraw from the study, drop out or die?
YES NO NOT STATED
Were there any co-existing influences that could have affected the participants’ behavior?
YES NO
If YES, what were they?
What method(s)/tool(s) were used for data collection? (circle as appropriate)
FOCUS GROUP STRUCTURED INTERVIEW OBSERVATION
UNSTRUCTURED INTERVIEW OTHER
How were the data were recorded (tape recorder, field notes, video, etc.)?
Were methods used to ensure rigor of the data collected; if so, what were they?
YES NO NOT STATED
Methods used:
What was the environment where the data was collected?
Do you think the data collection methods biased the results?
YES NO
HUMAN RIGHTS PROTECTION:
Was informed consent obtained? YES NO
Was the client reasonably able to participate? YES NO
Was the study potentially/actually harmful to client/other? YES NO
List any ethical principles ignored (e.g. truth, confidentiality, etc.)
DATA ANALYSIS:
What methods of data analyses were used? How were categories/themes derived?
What were the main findings of the study? (the major concepts/themes that emerged)
Were any statistics used? YES NO NOT APPLICABLE
Were there clinically significant findings?
YES NO NOT APPLICABLE NOT SURE
If yes, what were they?
DISCUSSION:
Do you agree with the investigator’s opinion? YES NO
If not, why not?
Are the results consistent with past research? YES NO NOT APPLICABLE
If not, why not?
OVERALL IMPRESSIONS:
Overall, what is the risk of bias in this study?
LOW MEDIUM HIGH
Does the bias influence your confidence in using the results?
Major limitations of the study:
Major strengths of the study:
Are the results transferable?
USING THE RESEARCH RESULTS:
Will information from the study help you with:
Assessment? YES NO MAYBE
Procedure/Protocol? YES NO MAYBE
Intervention? YES NO MAYBE
Interpersonal Relationships? YES NO MAYBE
Worklife/Environment? YES NO MAYBE
Education Programs? YES NO MAYBE
Quality Improvement Programs? YES NO MAYBE
Other:
Does the evidence from this study lend support or opposition to your EBP question? Why?
PICOT QUESTION:
In NICU patients (P), does bathing only once a week (I) compared to twice a week (C) lead to skin dryness (O) over the duration of their hospital stay (T)?
1. Use APA formatting with a title page and headers.
2. Put the PICOT question below the first header.
3. Submit the synthesized literature review with statistics of significance, that has been reviewed by group members, here in this assignment.
4. Include how the literature provides a rationale or solution for your proposed interventions
5. Remember to include your APA formatted references, double spaced, with hanging indents.
Use the research report template below to write a research report which focuses on distraction for venepuncture/procedure. Devise a research question that you would like to ask and develop a tool (questionnaire, online survey, interview schedule, focus group schedule, an observational tool, an audit etc) that can be used to explore this question, using rationale (discuss the reasons why you have developed the tool, including why and how you recruited your participants) and supporting literature. Consider and discuss the ethical issues that may arise from the method you intend to use. Select two key appropriate / relevant research studies on sleep in adolescents. Provide a critical comparison of the two studies (Summarise the findings and conclusions of the studies and make comparisons / draw on similarities). You can also support the findings and conclusions of these chosen studies with other literature as appropriate.
Discuss ethical issues that require consideration.
Support each setion with relevant supporting literature.
Describe why their articles meet the requirements for primary research and comment on their assessment of its potential to inform evidence-based practice. Did they miss anything? If the chosen peer article is not a primary research article, clarify the difference in primary research and the selected article. PRIMARY research studies are those studies that are written by the actual people who conducted the study being shared, not a study that they read about and are commenting on.
Describe why their articles meet the requirements for primary research and comment on their assessment of its potential to inform evidence-based practice. Did they miss anything? If the chosen peer article is not a primary research article, clarify the difference in primary research and the selected article. PRIMARY research studies are those studies that are written by the actual people who conducted the study being shared, not a study that they read about and are commenting on
PICO Question: Do nurses who utilize the barcode scanning system compared to not using it reduce the rate of documented medication errors and adverse events?
The purpose of this assignment is to write a scholarly paper discussing a communicable disease, demonstrating knowledge of epidemiological principles and the community health nurses role in disease surveillance, including case finding, data collection, reporting, and evaluation.
Choose a communicable disease from the modified CDC’s “2018 National Notifiable Conditions” provided by the instructor. Only ONE student per topic. Write a scholarly paper on the selected communicable disease. The paper should be 2,000 words length maximum.
The paper should contain a cover page, abstract (appears prior to the actual paper, is not indented or cited. It is a mini condensed version of the following paper and not an introduction), appendix (graphic-end of paper), and reference page (which are not part of the word count) and follow APA guidelines. Introduction and conclusion part of a paper but not scored on rubric.
1. Present a brief clinical description of a communicable disease (including signs and symptoms, diagnostic methods, treatment, incubation, possible complications and prognosis).
2. Provide a written epidemiological description of the model, selecting an appropriate epidemiological model (use the EPI Triangle) and describe the model and what it depicts.
3. Provide a visual/graphic of the model. In the appendix include and label a diagram of the model. (Not generic but specific to the disease, if not your own model needs to be cited).
4. Describe each of the following: agent, host, and environment, the characteristics and factors as well as the relationships between them. In detail.
NOTE: They are different sections of the rubric.
5. Discuss the local, national and global impact of the disease including statistics on prevalence and incidence. Discuss the effects/implications of the disease locally, nationally and globally. If the disease is not a current threat may discuss historical context instead.
6. Based on available data, assess and evaluate the effectiveness of current public health education and prevention programs (local/global) related to this disease. Identify gaps and areas of opportunity for improvement, further research or program successes as applicable.
7. Apply the following roles of professional nursing regarding the surveillance of this disease: case finding, reporting, data collection and analysis, and follow-up/evaluation. Each discussed separately. Refer to resource in files.
8. Cite a minimum of four current professional references.
9. Prepare this assignment according to APA guidelines.
10. Please review the grading rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
11. You are required to submit this assignment to Turn It In. Any match rate above 15 % will be returned automatically and marked late.
Create a 3-5 page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.
Introduction
PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.
It stands for:
The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.
You are encouraged to complete the Vila Health PICO(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.
Reference
Boswell, C., & Cannon, S. (2015). Introduction to nursing research. Jones & Bartlett Learning.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.
PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.
Scenario
For this assessment, please use a health care issue of interest from your current or past nursing practice.
If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.
Instructions
For this assessment, select a health care issue of interest and apply the PICO(T) process to develop the research question and research it.
Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.
If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.
In your submission, make sure you address the following grading criteria:
Define a practice issue to be explored via a PICO(T) approach. Create a PICO(T)-formatted research question
Identify sources of evidence that could be potentially effective in answering a PICO(T) question (databases, journals, websites, etc.).
Explain the findings from articles or other sources of evidence as it relates to the identified health care issue.
Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Our team has experienced writers that follow all the codes used in professionalism when writing academic essays. We focus our services on satisfied clients. Through critical attention to detail, our writers abide by all the instructions given by clients. Additionally, the paper format is done according to the dictates of the client in respect to the set academic style. We are proud of completing outstanding top-quality papers.