Choose one current (within last 5 years) research article in which to evaluate dimensions of effectiveness. Utilize a conceptual based model to analyze effectiveness based on population perspective outcomes.
Read the 2017 ACC Roadmap for Innovation-ACC Health Policy Statement on Healthcare Transformation (Links to an external site.)…
For this assignment, discuss the modification process in legislation development. After reading the article, compare the modification process of legislation development to that of healthcare policy.
Policy modifications arise due to performance and feedback, much like a simple Plan, Do, Study, Act model. Performance and perceptions stimulate the change process, if actions are not effective. In policy modification, changes are stimulated throughout all stages of the design, rulemaking, operating, and evaluating phases. This process of change is necessary when policies are ineffective or stratifications change, especially with health determinants.
In a study of medical surgical nursing student exam grades Dr. Koestler examined 40 participants in an undergraduate medical surgical class. The exam grades were reported on a continuous scale from 0 to 100. The SPSS assignment records the exam grades for all 40 subjects.
1. Use the Exam_Score2 dataset to prepare the following in SPSS (20 points).
a. A frequency distribution
b. A cumulative frequency distribution
c. A histogram (cut and paste to this document)
d. A frequency polygon
2. Determine from your output (20 points)
a. Using the Robert E. Smith School of Nursing Grading Scale determine what percentage of the students failed the exam?
b. Determine the Mean, Mode and Median of this data set
3. How would you describe the shape of this distribution in terms of: Shape, Modality, Center, Range, Outliers, Gaps (30 points)
4. Submit the output to assignment portal by due date (10 points)
2. Reading Assignment (20 points): Read Chapter 3 & 5 of Statistics for Evidence-based Practice in Nursing (2017) Chapters 3 & 5
a) Answer the following questions in your own words:
i. What is the difference between the independent variable and dependent variable. Give examples of each
ii. Differentiate between a discrete variable, continuous variable, qualitative variable and quantitative variable
iii. What are some ways to improve reliability and validity
iv. Levels of measurement are an important factor in determining which type of chart to use. Explain why this is the case
Assignment Description:
The following specifications are required for this assignment:
• Length: 1500 words; answers must thoroughly address the questions in a clear, concise manner.
• Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.
• References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
• Don’t forget to do an introduction and a conclusion and make sure your Turnitin score is <20%.
Read the case study presented at the end of Chapter 8 (Guido, p.133) which begins, “The patient was hospitalized for extreme low back pain…”
• Was there informed consent for the initial medications given to the patient?
• How would you determine that informed consent had been given for the MRI and the medications needed for sedation for the test?
• Was the informed consent deficient to the degree that there was a lack of informed consent for the patient for the second dose of medications?
• How would you decide this case?
Read the case study presented at the end of Chapter 9 (Guido, p. 150) which begins, “Jimmy, a Floridian, has undergone two liver transplants.”:
• What questions would you anticipate the judge to ask Jimmy to ascertain his level of maturity, understanding of the full consequences of his lack of action, and possible alternative reasons for requesting that he be allowed to make his own medical decisions?
• How should the judge evaluate the mother’s response to her son’s request?
• Does the state of residency factor into the judge’s decision?
• Are there additional issues that should be addressed prior to deciding the outcome of this case?
• How would you decide the case?
Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.”
You are his primary nurse and must assist in somehow resolving this impasse.
• What do you do about the informed consent form?
• Who signs and why?
• Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective.
• Now decide the best course of action based on a purely legal perspective.
• Did you come to the same conclusion using both an ethical and a legal approach?
A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, her skin is warm and flushed, and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.
You get more information from A.M. and learn the following:
Instructions:
Summarize the questions above and formulate what may be happening with A.M. and the expected treatments to improve her condition.
Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks
Complete the following case study. Your response should be a minimum of 250 words and include two peer-reviewed nursing or medical journals from the last five years. You may use your textbook but it should not substitute for one of your scholarly references. Include a title page, in-text citations and a reference page in APA format. Refer to the case study grading rubric for guidance. You must answer each question included in the case study.
Case Study:
Many factors and events have influenced the current structure, function, and financing of community health services. Understanding this background gives the community health nurse a stronger base for planning for the health of the population. A group of nurses has been asked to present a 1 hour in service to their colleagues at the local health department on the structure and economics of community health services. The presentation has to include information about a variety of topics:
2DQ1
Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.
2DQ2
Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.
Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.
source–Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Read the case study content and identify one different health need for each section of the care planning proforma; based on that health need, propose an evidence-based nursing intervention.
First section of the paper
1. Discuss the identified chronic or influential medical conditions within the family, including relationship to the student (i.e. Mother has diabetes, Father has cancer)
2. Provide a general description of the client’s significant familial chronic illnesses and potential health concerns based on the findings in the genogram
Second section of paper
1. Identify health promotion practices based on recommendations from scholarly resources (example: CDC, NIH, KSU Library, Nursing databases)
2. Provide examples of lifestyle changes that would benefit this client’s future health
3. Mechanics of writing
a. All written assignments must be neat, legible, and adhere to the basic mechanics of writing (grammar, punctuation and spelling)
b. Formatting must adhere to APA 7th Edition Manual
c. Correctly formatted in-text citations within body of the paper
d. References from at least three – four scholarly sources on the reference page
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