When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

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Week 6DQ1-6DQ2- 590

6DQ1-When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

6DQ2 Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?

Discuss the issues of integrity in this case. Should criminal charges be considered in this case, if accurately reported? Discuss your answer. Why did you choose to respond to this story? How is integrity displayed in your clinical setting?

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Ethics Essay

Wrong Operation Doctor (ethics and integrity)

 Hospitals find it hard to protect patients from wrong-site surgery.

Last year a jury returned a $20 million negligence verdict against Arkansas Children’s Hospital for surgery performed on the wrong side of the brain of a 15-year-old boy who was left psychotic and severely brain damaged. Testimony showed that the error was not disclosed to his parents for more than a year. The hospital issued a statement saying it deeply regretted the error and had “redoubled our efforts to prevent” a recurrence.

So, what happened? “Health care has far too little accountability for results …. All the pressures are on the side of production; that’s how you get paid,” said Peter Pronovost, a prominent safety expert and medical director of the Johns Hopkins Center for Innovation in Quality Patient Care. He added that increased pressure to quickly turn over operating rooms has trumped patient safety, increasing the chance of error.

Kenneth W. Kizer, who coined the term “never event” nearly a decade ago, when he headed the National Quality Forum, a leading patient safety organization, said he believes reducing the number of errors will require tougher reporting rules and increased transparency.

Source: Boodman, S.G. (2011). Kaiser Health News,The Washington Post. Pozgar, 4th ed., p. 43

Questions

  1. Discuss the issues of integrity in this case.
  2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.
  3. Why did you choose to respond to this story?
  4. How is integrity displayed in your clinical setting?

Additional Sources:

https://www.washingtonpost.com/national/the-pain-of-wrong-site-surgery/2011/06/07/AGK3uLdH_story.html

https://www.insurancejournal.com/news/southcentral/2012/12/17/274239.htm

https://www.qualityforum.org/Home.aspx%20

Find a social media or website post with healthcare misinformation. Take a screenshot of this information and attach it to your discussion post. Discuss (with references) the false information in this post. Discuss how you would address this misinformation if a patient presented a copy of this to you at work.

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Health Care Misinformation Discussion

Find a social media or website post with healthcare misinformation. Take a screenshot of this information and attach it to your discussion post. Discuss (with references) the false information in this post.

Discuss how you would address this misinformation if a patient presented a copy of this to you at work.

Describe one (1) concept from the assigned theory that changed the evolution of nursing theory and research in the 21 first century.

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Henderson Nursing Theory

Each student will locate one media clip or weblink related to one of the theorists that helps understand how the theory was implemented in practice to improve outcomes. Describe one (1) concept from the assigned theory that changed the evolution of nursing theory and research in the 21 first century.

Identify the ABG results. Considering AB’s history, what is the most likely cause of her respiratory distress? Why? What diagnostic findings would help to confirm this diagnosis? What is the pathogenesis of the hypoxemia in this disorder?

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Pathophysiology discussion

Build a table to compare and contrast asthma and COPD. Be sure to include signs and symptoms, causes, and the pathophysiology associated with one treatment modalities. Be certain to cite at least one scholarly evidence- based article that is current (less than 5 years old).

Or as an alternative:

Read the case study below and answers the questions.

AB is hospitalized with deep vein thrombosis (DVT) in her left leg as a complication of abdominal surgery. She is being treated with bedrest and anticoagulant therapy. On the third postoperative day, she suddenly experiences severe dyspnea and is placed on supplemental oxygen. A blood gas is drawn with the following results: pH 7.52, PaCO2 28, HCO3 26, PaO2 80.

Questions:

1. Identify the ABG results.

2. Considering AB’s history, what is the most likely cause of her respiratory distress? Why?

3. What diagnostic findings would help to confirm this diagnosis?

4. What is the pathogenesis of the hypoxemia in this disorder?

5. How will AB’s respiratory disorder likely be treated? Please cite as least one treatment option found in the current evidence based literature not including the textbook

Why was this study conducted? What ethical precautions were taken in the study? What further ethical implications should be considered if you were going to repeat this study and what theoretical/ conceptual frameworks guided this study.

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Nursing research

Select a nursing research article from the literature that is no more than 5 years old. Be sure the content is of interest to your area of nursing! Post your article on the Discussion Forum and identify (1) Why this study was conducted; (2) what ethical precautions were taken in the study; (3) what further ethical implications should be considered if you were going to repeat this study; and (4) what theoretical/ conceptual frameworks guided this study.

Write an essay on critical analysis and evaluation of the role of the nurse in measuring and promoting quality care and prescribing medications.

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Leading and Coordinating Person Centred Care.

Write an essay on critical analysis and evaluation of the role of the nurse in measuring and promoting quality care and prescribing medications.

Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion.

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Cardiac or respiratory issue

Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion.

Analyze opportunities and challenges relating to public health, promoting health and preventing ill health when caring for children and young people.

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Breastfeeding

Analyze opportunities and challenges relating to public health, promoting health and preventing ill health when caring for children and young people.

Examine safety, ethical, legal and non-discriminatory practices in the delivery of care to children and young people classed as vulnerable and those with enduring health care needs and their families in a range of community, health and social care and education settings.

Examine the processes of learning and teaching in public health for children, young people and families and develop a health improvement resource

Describe the theoretical and operation definitions. Analyze the logical organization of the theory. Identify the stated outcomes or consequences. Identify the evaluation components of the selected theory. How is the theory evaluated in research? Discuss how the theory is congruent with nursing standards.

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Swanson caring theory

2.Identify the structural components of the selected theory:

a. Describe the purpose of the theory (descriptive, explain, predictive etc.).

b. Explain the scope of the theory (middle, interdisciplinary).

c. Identify the major concepts and major propositions.

d. Explain the major assumptions.

3. Identify the functional components of the selected theory:

a. Describe the theoretical and operation definitions.

b. Analyze the logical organization of the theory.

c. Identify the stated outcomes or consequences.

4. Identify the evaluation components of the selected theory. How is the theory evaluated in research?

a. Discuss how the theory is congruent with nursing standards.

b. Describe the validity and relevance of the theory.

c. Discuss the implications for nursing related to implementation of the theory.

5. Discuss how the theory contributes to the discipline of nursing.

6. The scholarly paper should be written clearly and concisely providing comprehensive details about the subject or topic of discussion.

7. The paper should consist of five (5) to eight (8) pages excluding the title and reference pages.

8. Use level one and level two headings (see APA page 62 to review levels of heading).

9. Write the paper in third person, not first person. This means do not use ‘we’ or ‘I’ statements.

10. Use at least four (4) references from professional peer-reviewed nursing journals to support the paper. References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory).

11. APA format is required (attention to font, spacing, spelling/grammar, a title page, a reference page, and in-text citations).