Briefly describe your healthcare organization, including its culture and readiness for change. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

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Evidenced – Based Project, Part 4: Recommending an Evidence- Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to change those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. In this assignment, you will identify an issue or opportunity for change within your organization and propose an idea for a change in practice supported by an EBP approach.

TO PREPARE:
(a) Reflect on the four peer-reviewed articles you critically appraised in module 4, i.e. your order #666772, related to your clinical topic of interest and PICOT.

(b) Reflect on your current healthcare organization and think about potential opportunities for evidenced-based change, using your topic of interest and PICOT as the basis for your reflection.

(c) Consider the best method of disseminating the results of your presentation to an audience.

THE ASSIGNMENT INSTRUCTIONS ARE: (EVIDENCE-BASED PRACTICE PROJECT)

PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE.
Create a 8- to 9-slide NARRATED PowerPoint presentation in which you do the following:

(1) Briefly describe your healthcare organization, including its culture and readiness for change. ( you may opt to keep various elements of this anonymous, such as your company name).

(2) Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholder involved, and the risk associated with change implementation in general.

(3)Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

(4) Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

(5) Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

(6) Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

(7) Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

(8) ADD a lessons learned section that include the following:
(a) A summary of the critical appraisal of the peer-reviewed articles you previously submitted i.e your order # 666772.
(b) An explanation about what you learned from completing the EVALUATION TABLE within the Critical Appraisal Tool Worksheet Template ( 1-3 Slides)
(c) The narrated presentation should have a clear and comprehensive purpose statement, introduction, and conclusion which delineates all required criteria.
(d) Use correct grammar, spelling, and punctuation with no errors.
(e) The narrated presentation should have at least TWO outside resources and TWO OR THREE course-specific resources that fully support the presentation. Use APA format.

Analyze therapeutic communication techniques and communication foundations. Describe the foundations of health care communication. Compare and contrast behavioral change theories.

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Module objectives

1.Analyze therapeutic communication techniques and communication foundations
2. Describe the foundations of health care communication
3.Examine Health care literacy
4.Compare and contrast behavioral change theories
5.Compare and contrast communicating with special patient populations

Read assignments Book by Van Servellen Chapte 2, 3, 4, 5, 8, 9
Masters (2020) chapter 10
Van Servellen: chapter 24,27,15,16,17,18,19,29

Read on week #1 for discussion Forum #1
Materials Book you gonna need is on pape 2 on the course Syllabus, i will sent you the picture later

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

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Evaluation Table

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research
Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Describe why there is such a struggle when addressing end-of-life issues What are the differences between allowing a patient to die and physician-assisted suicide?

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Ethical Delimmas

For this week assignment, write a 1500-word essay addressing each of the following points/questions. Must be < 20% Turnitin Score. Don’t forget your introduction and conclusion.

-Describe why there is such a struggle when addressing end-of-life issues
What are the differences between allowing a patient to die and physician-assisted suicide?
-Discuss the controversy that can occur when considering a patient’s right to know whether a caregiver has AIDS and the caregiver’s right to privacy and confidentiality.
-Describe the distinctions among wrongful birth, wrongful life, and wrongful conception. Discuss the moral dilemmas of these concepts
-Discuss the arguments for and against partial birth abortions
-Discuss why there is controversy over genetic markers and stem cell research

What is the difference between research utilization and evidence-based practice?  Describe the barriers to implementing research utilization and evidence-based practice? What are some strategies to overcome these barriers? 

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Communication and Research Utilization

Discussion Prompts:
What is the difference between research utilization and evidence-based practice?
Describe the barriers to implementing research utilization and evidence-based practice? What are some strategies to overcome these barriers?
Describe several methods researchers can use to communicate research findings. Which methods would you use to communicate the findings from your strategic plan?
How has your view of nursing research changed? Explain your answer.

Identify the Strengths of the strategic plan for the implementation of evidence-based practice.  Identify the Weaknesses of the strategic plan for the implementation of evidence-based practice. 

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Strategic Plan for Implementation of Evidence-Based Practice

Writer must utilize Power Point, Order #669855, to complete assignment.
One paragraph per discussion point (4 discussion points), with minimum of 3 sentences per paragraph.
Writer, login in to my IWU Portal for Paper Details and requirements.Will provide Email and Login after assigned to a writer.

Watch the video: How to Conduct a SWOT Analysis.
Prepare to discuss the following prompts:
Reply to your classmates’ presentations addressing the following prompts:
Identify the Strengths of the strategic plan for the implementation of evidence-based practice.
Identify the Weaknesses of the strategic plan for the implementation of evidence-based practice.
Give feedback on Opportunities such as possible strategies for implementing change, overcoming barriers, evaluation, or communicating findings.
Identify possible Threats to a smooth implementation of the strategic plan for implementation of evidence-based practice.

Which medications on her list may you call into the pharmacy and which would you need a written script or electronic order? What are some elements required to include on the prescription form (paper or electronic signature) for the scheduled medications?

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Week 2

You are a new FNP in a restricted state and you have your DEA license and state furnishing for schedule II-V controlled substances. You are working at a busy family practice group and you have a patient, ML, that is establishing care for the first time with your practice, and comes to you with the following scenario:

ML is a 54 y.o. Hispanic female with hx of chronic shoulder and back pain that began 10 years ago when she was in a boating accident

She lives in both US and Mexico, making regular visits across the border; lately, she has stayed in US due to Covid border crossing constraints, living with her daughter’s family

She had rotator cuff surgery in 2011 and reports to you that due to a long operation and poor positioning, she has suffered from not only pain, but also chronic numbness and tingling in her R shoulder

As “la abuela” (grandma) she is the primary caregiver of the children and homemaker for her family and her pain is exacerbated with housework, and especially with the prolonged carrying of her grandchildren; one of which is 10 m.o.

Currently, her med list is as follows

Losartan 50 mg BID for HTN

Gabapentin 300 mg po BID for pain

Atorvastatin 40 mg daily for cholesterol

Diazepam 5 mg po up to TID prn pain

Norco 5/325 mg – takes up to two, sometimes up to 4-5x a day, prn pain

She is a smoker, only smokes outside the house, and drinks 2-3 cans of beer on the weekends, but more on family celebrations

Denies recreational drugs and denies past overdoses

Recently moved to CA more permanently to stay to take care of children during Covid/school closures

She asks you to refill all her meds for 6 months like her doctor in Mexico did so she doesn’t have to make another co-pay and come back and see you so often; it’s hard for her to get an appointment, and with Covid her daughter has to take off of work to watch the kids just so she can come to you by bus since there is only one family car

Here VS are 135/75, 80, 97.5, 20 and PE unremarkable other than R shoulder exam with pain with ROM, but full ROM, no tenderness, otherwise normal, back exam including SLR are normal/neg

 

In 600 or fewer words, but a minimum of 250, please describe your approach with this patient. In your paragraphs, include the following:

What concerns do you have about her current regimen, and what alternatives will you discuss and offer? What other screenings might you apply? What are your own ethical standards on this case that you might consider in addition to legal standards?

Provide a sample of an appropriate pain contract that would suit this patient and address her specific safety concerns (cite it and attach the actual contract you found – you do not have to make your own – there are plenty online)

Include your steps to ensure safe prescribing. Include the registry you will search prior to any prescribing; name the CA registry and if you are in a different state, you should name that registry also.

If you were to keep her current list, what are the laws surrounding refills and the amounts you are allowed to dispense with the schedule II and III medications in the state of CA? In your own state?

Which medications on her list may you call into the pharmacy and which would you need a written script or electronic order? What are some elements required to include on the prescription form (paper or electronic signature) for the scheduled medications?

After you prescribe, how, when, and where would you (or your staff) go about making a report of your scheduled prescription in the state registry so that other prescribers and pharmacies could be aware?

In restricted states, APRN prescribers must follow a standardized procedure or protocol for furnishing schedule II and III controlled substances with a patient-specific approach. Please outline the minimum required components of a protocol. You may outline this in bullet form. Alternatively, you may find an appropriate protocol, clinical guideline, or standardized procedure from a literature search and attach it in lieu of outlining your own protocol.

Describe personal strengths, skills, and aptitudes that will contribute to your success in a DNP program. Discuss DNP practice-based project ideas or topics and your current or past experiences that make the topic relevant in practice today.

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Doctor of Nursing Practice—Personal Statement


The purpose of this personal statement is to provide insight into the professional goals and expectations of the applicant, congruence of topic area with practice expertise, and an opportunity to evaluate the applicant’s written communication skills.

Guidelines for the Personal/Academic/Professional Statement
Compose a personal statement of 600 to 800 words single-spaced in 12 point, Times New Roman font explaining why you wish to pursue a Doctor of Nursing Practice (DNP) degree.

Your personal statement should support your rationale for pursuing the DNP degree and the program at Purdue University Global.

Before writing your statement, you are encouraged to research the role of the DNP-prepared nurse and the program’s plan of study.

Your personal statement should include a focus on how the DNP fits your professional and educational goals.

You may also identify any information about past achievements in nursing, including professional organization memberships, nominations, certifications, and scholarly publications that support the nursing profession. The personal statement should not be a summary of your education and work history, nor should it focus on why you became a nurse and/or your undergraduate coursework/clinical experiences.

Include the following topics when composing your statement:
• Describe personal strengths, skills, and aptitudes that will contribute to your success in a DNP program.
• Explore the alignment of your professional career goals and the DNP program outcomes.
• Discuss DNP practice-based project ideas or topics and your current or past experiences that make the topic relevant in
practice today.
• Identify challenges you anticipate in meeting the program outcomes and address how you will manage these challenges.
• Explain the impact of the DNP-prepared nurse in social change.
• Provide an example of how the DNP degree can transform your current or future practice.
• Reflect on how your DNP project will commit to equity and inclusion in health care and working toward eliminating
disparities in health care for all populations.
• Identify information about past achievements in nursing including professional organization memberships, nominations, certifications, and scholarly publications that support the nursing profession.

Submit your final essay along with all admissions paperwork to your Admissions Advisor. Be sure to include your full name, email address, and Student CVUE ID number on your final essay. Your Student CVUE ID number can be found in your enrollment information or can be provided by your Admissions Advisor.

DNP PER STMT 04/2021

Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform.

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Health care reform

Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform.

As soon as possible, contact the individual’s office to request a meeting. Keep in mind that it may be difficult to get on their calendar, so plan accordingly. You may conduct the interview in person or by phone.

In advance of the interview, ask yourself:
What health care policy issue is important to me personally?
What issue do I want to bring to this person’s attention?
With this in mind, develop your list of questions for the interview around your selected health policy issue. In addition, you may wish to include questions related to health care reform:
What are your constituents most concerned about regarding health care reform?
What are the trade-offs associated with recent health care reform policy?

To complete:

Write a 3 page paper providing a summary and analysis of the interview and the health care reform issues you discussed.

What does the recommendation say should be done? Are there any groups, nursing and others, currently supporting work to implement the recommendation (e.g., Kaiser Family Foundation, professional organizations)?

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Health Policy Proposal Analysis (Policy Brief)

Review the Lavis et al. article on preparing and writing policy briefs provided in the Learning Resources.
Select one of the recommendations within the IOM The Future of Nursing: Leading Change, Advancing Health: Report Recommendations to focus on for this assignment.
Research the history of the problem behind the recommendation and what has been done to try to solve the problem.
What does the recommendation say should be done? Are there any groups, nursing and others, currently supporting work to implement the recommendation (e.g., Kaiser Family Foundation, professional organizations)? Does the recommendation suggest specific groups that should be involved in the implementation? Think critically about how the recommendation should be implemented – did the IOM get it right? What other strategies are