What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing? Explain how at least one of the obstacles you have described could impact the implementation for your EBP project.

/in /by

5DQ 1-2 590

5QD1-What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing? Explain how at least one of the obstacles you have described could impact the implementation for your EBP project.

5DQ2
Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation. Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support.

Describe what quantitative research is in your own words. Then discuss how and what type of Quantitative Data you would collect related to your POI.

/in /by

Quantitative Analysis Research Paper

Step 1: Write an introduction to the topic and end the paragraph with a thesis statement. The introduction should include 2-3 attention grabbing statements and end with 1 concise thesis statement that describes the overall purpose of your paper.

Step 2: Describing Quantitative Research
Describe what quantitative research is in your own words. Then discuss how and what type of Quantitative Data you would collect related to your POI. For example, if I was interested in changing a policy on pain scales in the pediatric setting, I might collect data on how many pain scales are used in the facility, what pain scores are and at what point a pain score (data) warrants medication administration to a patient and their expected level of relief. It is not necessary to include the design of a study in this section.

Step 3: Appraisal Tools, Studies and Matrix

Locate your 2 quantitative studies so you can appraise each separately with the tool below. Students must include: one (1) meta-analysis or systematic review AND one (1) single study, e.g. randomized control trials, quasi-experimental studies, correlation or observational studies, case control or retrospective studies, cohort studies. Mixed studies may be used for the single study, but you can NOT use it for the next assignment. Once you have found 2 different quantitative study designs as specified, complete the appraisal tool for each study using the following link.

Step 4: Article Discussion

Use the information from your appraisal tool to discuss in detail the following information for each study:

Purpose , research design and methodology (steps, procedures and strategies for gathering and analyzing data) used in each study

Data Collection describing the procedures devleoped to guide the collection of data in each study

Concepts of validity, reliability and other related terms that are applicable to each study. A full discussion of the terms and support directly from each study is expected. Use the text book required readings to assist with this section.

Step 5: Results and clinical implications
Level of evidence and quality of evidence ratings (according to tool). Discuss what the level and quality ratings mean in relation to strength of the evidence and decision to sue (or not use) this information to guide practice. You need to fully support this section from evidence in the study and other resources. Understanding the levels of evidence tells you about the type of study performed, design, methods, etc. and if those findings should be applied to your own practice area. Grade of Recommendation is important because it helps you make a judgement about the quality of evidence; together they impact the decision about implementation into practice.

The following tool can be used to help you determine strength and quality, but this information is also listed directly on the tool John Hopkins Evidence Rating Scale

Step 5: Applicability to Practice and Future Research
Discuss how the two studies may influence your practice by supporting how the findings can influence at least three (3) fo the Institute of Medicine Aims: safety, efficiency, effectiveness, patient-centered, timely, and equity. You must first discuss what the aim means first. Then, show how the aim can be met through the recommendations from the article that apply to your practice setting.

Step 6: Conclusion

Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are. How do you get certified and licensed in your state?

/in /by

Nurse Practitioner certification and licensure regulation in the state of Minnesota

To prepare:

• Review practice agreements in your state.

• Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

• Research the following:

o How do you get certified and licensed in your state?

o What is the application process for certification in your state?

o What is the primary nurse licensure office resource website in your state?

o How does your state define the scope of practice of a nurse practitioner?

o What is included in your state’s practice agreement?

o How do you get a Drug Enforcement Agency (DEA) license?

o How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

o In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Practicum/Clinical Skills and Procedures Self-Assessment.

/in /by

PRAC 6568:

Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Practicum/Clinical Skills and Procedures Self-Assessment.

What is the normal curve and where does it come from? What are two observations in your life are normally distributed and what is one which is not? What good are z-scores and why would we need to know about them?

/in /by

Given our Chapter 5 and 6 readings plus the following videos,

  1. Against All Odds – Annenberg Learner – Normal Curves  https://www.learner.org/courses/againstallodds/unitpages/unit07.html
  2. Statistics 101:  Understanding Z-scores  – Brandon Foltz ( https://www.youtube.com/watch?v=bUu5HIHIrRw )
  3. What is a Normal Distribution? – zedstatistics ( https://www.youtube.com/watch?v=RKdB1d5-OE0 )
  4. Ben Ambridge: 9 myths about psychology, debunked  https://www.ted.com/talks/ben_ambridge_9_myths_about_psychology_debunked#t-203952 (very interesting, a few offensive comments, shows some normal curves, and what do you think of the claims? There is at least one misleading statements in this talk, can you find it?)

Answer the following questions:

  1. What is the normal curve and where does it come from?
  2. What are two observations in your life are normally distributed and what is one which is not?
  3. What good are z-scores and why would we need to know about them?
  4. Find a research paper in your field of interest and then:
    1. Explain the purpose of the study and its primary hypothesis or purpose
    2. Find and name some of the variables and descriptive statistics which the study reports.  For those variables, are any of them interval or ratio scale measurements?   What descriptive statistics are reported?  What graphs or charts are used?  Does the study report skewness, outliers, or indicate that any of the data is not normally distributed?
    3. What are the names of some of the other inferential statistical tests or procedures used in that paper?  We will not have studied these, but we want to start becoming familiar with the statistical tests used to analyze data in your field of interest.
    4. List one or two of those tests and explain what you think they do.

Describe the various CBT techniques you can employ to address both the client’s emotional and behavioral responses.

/in /by

Panic disorder

You see a client who has the diagnosis, Panic disorder. The client exhibits the following emotional responses: anxiety, fear, and terror, as well as the following behavioral responses: hypervigilance and avoidance. Describe the various CBT techniques you can employ to address both the client’s emotional and behavioral responses.

Explain two strategies that you would use as a nurse to guide your decision-making in this scenario, including whether you would disclose your error. Explain the process of writing prescriptions, including strategies to minimize medical errors.

/in /by

ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS

TO PREPARE:
(a) Review the Resources and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

(b) Review the Scenario assigned

(c) Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned.

(d) Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

(e) Think about two Strategies that you would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

ASSIGNMENT INSTRUCTIONS ARE:

(1) EXPLAIN the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

(2) Describe strategies to address the disclosures and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

(3) Explain two strategies that you would use as a nurse to guide your decision-making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

(4) Explain the process of writing prescriptions, including strategies to minimize medical errors.

Note: The college requires that all papers should include a Title page, Introduction, summary, and references. Please answer All parts of the Assignment Questions with reflective critical analysis and synthesis. Write clearly and concisely with no grammatical errors to current APA manual writing rules and style.

Explain the concept of a knowledge worker. Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

/in /by

Assignment: The Nurse Leader as Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.
Reflect on the role of a nurse leader as a knowledge worker.
Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Include one slide that visually represents the role of a nurse leader as knowledge worker.
Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data.

EXPLAIN WHY YOU THINK THE PATIENT PRESENTED THE SYMPTOMS DESCRIBED. IDENTIFY THE GENES THAT MAY BE ASSOCIATED WITH THE DEVELOPMENT OF THE DISEASE.

/in /by

ALTERED PHYSIOLOGY

CASE STUDY:

A 65-YEAR-OLD OBESE AFRICAN AMERICAN MALE PATIENT PRESENTS TO HIS HEALTH CARE PROFESSIONAL WITH CRAMPY LEFT LOWER QUADRANT PAIN, CONSTIPATION, AND FEVERS TO 101. F. HE HAS HAD MULTIPLE EPISODES LIKE THIS ONE OVER THE PAST 15 YEARS AND THEY ALWAYS RESPONDED TO BOWEL REST AND ORAL ANTIBIOTICS. HE HAS REFUSED TO HAVE THE RECOMMENDED COLONOSCOPY EVEN WITH HIS HISTORY OF CHRONIC INFLAMMATORY BOWEL DISEASE { DIVERTICULITIS}, SEDENTARY LIFESTYLE, AND DIET LACKING IN FIBER. HIS PATERNAL GRANDFATHER DIED OF COLON CANCER BACK IN THE 1950s AS WELL. HE FINALLY UNDERWENT COLONOSCOPY AFTER HIS ACUTE DIVERTICULITIS RESOLVED. COLONOSCOPY REVEALED MULTIPLE POLYPS THAT WERE RETRIEVED, AND THE PATHOLOGY WAS POSITIVE FOR ADENOCARCINOMA OF THE COLON.

ASSIGNMENT INSTRUCTIONS:

IN THIS ASSIGNMENT, DEVELOP A 1- TO 2 – PAGE CASE STUDY ANALYSIS IN WHICH YOU:
(1) EXPLAIN WHY YOU THINK THE PATIENT PRESENTED THE SYMPTOMS DESCRIBED.

(2) IDENTIFY THE GENES THAT MAY BE ASSOCIATED WITH THE DEVELOPMENT OF THE DISEASE.

(3) EXPLAIN THE PROCESS OF IMMUNOSUPPRESSION AND THE EFFECT IT HAS ON BODY SYSTEMS.

(4) INCLUDE A TITLE PAGE, INTRODUCTION, SUMMARY, AND AT LEAST THREE REFERENCES PER COLLEGE REQUIREMENT OF ALL PAPERS.

(5) ANSWER ALL PARTS OF THE ASSIGNMENT QUESTIONS EXPECTATION WITH REFLECTIVE ANALYSIS CLEARLY AND CONCISELY WITH NO GRAMMATIC OR SPELLING ERROR TO CURRENT APA MANUAL WRITING RULES AND SYLES.

What role does the circadian rhythm play in xenobiotic metabolism and disease?

/in /by

Medical Toxicology

What role does the circadian rhythm play in xenobiotic metabolism and disease?