Analyze current evidence to validate the problem statement, identify possible causes and potential solutions and interventions.

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Literature Review

PROBLEM STATEMENT:

In South San Francisco Hospital, over 91% of contaminated blood cultures are drawn by Emergency Department (ED) Registered Nurses (RNs). This is an average of 1.63% in ED vs. 0.3% for the rest of the hospital. Contaminated blood cultures could result in false-positive results, which could lead to the patient being unnecessarily treated.

LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)
Analyze current evidence to validate the problem statement, identify possible causes and potential solutions and interventions.
Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach to address the identified need.

ADDRESS GENERALLY THROUGHOUT
Communicate the problem statement and literature review in a way that helps the audience understand the importance and validity of a proposed project.

Additional Requirements
Length of submission: 3-6 double-spaced pages.
Number of resources: 10–15 credible resources from peer-reviewed journals or professional industry publications (no more than 5 years) to support your presentation.
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to current APA 7th edition style. Header formatting follows current APA levels.
Font and font size: Times New Roman, 12 point.

Reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

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Pharmacokinetic and Pharmacodynamic Processes

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.

Identify and critically appraise the evidence base supporting a therapeutic approach in mental health nursing. Critically reflect on the importance of the therapeutic relationship in mental health nursing and the value of recovery orientated working.

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Therapeutic approaches in Mental Health Nursing

Read the instructions below and the sample essays to gain an understanding of how the essay should be structured, I will prefer you write about CBT or Mindfulness, anyone of the two that you are comfortable with. Please ready the sample essays, that is how the essay should be like, they are very good essays and good marks so follow that way

The students will be required to complete a 2,500 word case review, focusing on a specific therapeutic approach discussing its actual or potential application in mental health nursing practice.

Learning outcomes

On successful completion of the module, you will be able to:

LO1 Identify and critically appraise the evidence base supporting a therapeutic approach in mental health nursing.

LO2 Critically reflect on the importance of the therapeutic relationship in mental health nursing and the value of recovery orientated working.

LO3 Critically evaluate the implementation of a therapeutic approach in mental health nursing practice.

What is the assignment about? The assignment is to encourage you to use literature to critically examine the use of a specific therapeutic approach. You will need to introduce the psychotherapeutic approach (i.e. CBT, DBT, STEPPS, relapse prevention, BSFT, CFT, MI, mindfulness) demonstrating a critical understanding of its inception through to its current manifestation in the literature and practice. You will then introduce the client/s and specific type of distress the therapy was aiming to ameliorate.

The main body will then be using experiences from practice, underpinned by current theory, in order to demonstrate a sophisticated knowledge and understanding of the theory and application of your chosen psychotherapeutic approach in mental health nursing practice. The examples from practice can be from your application of a therapeutic approach in MH nursing and/or practice that you have observed being applied in your practice. All therapeutic interventions MUST be within the limitations of your knowledge and competence and within your role as a student nurse. You must pass each of the three learning outcomes to successfully pass the assignment.

Identify and discuss the concept or concepts of Watson’s Theory of Caring that support that Watson wrote a theory of nursing based on the criteria established in the Metaparadigm of Nursing.

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Metaparadigm & Watson

Take one component in the Metaparadigm of Nursing, identify and discuss the concept or concepts of Watson’s Theory of Caring that support that Watson wrote a theory of nursing based on the criteria established in the Metaparadigm of Nursing.

Write a critical evaluation of the effectiveness of the identified initiatives/interventions to assess their impact on recognised adult health challenges.

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Prevalence in type 2 diabetes in harrow in comparison with England

The purpose of this assignment is to write a 2000 words essay based on how a Public Health concern of your choice is being addressed/managed in a specific UK location. The aim is for you to demonstrate knowledge and understanding of public health and health promotion theories, and to use your analytical thinking skills to evaluate their practical applications.

The essay is expected to be structured as follows:

Introduction (indicative word count 200-250 words)
In the introduction you are expected to include what the essay is about, how you understand the topic (e.g. context, background, key terms), what issues you will cover and in which order, and what conclusion you intend to reach.

Main Body (indicative word count 1500-1600 words)
The main body of the essay is where you fully develop the elements outlined in the introduction. In this part of your work you are expected to include:
⦁ An analysis of the public health concern in the specific UK location along with a critical examination and review of relevant health policy and its application to the public health concern and to health economics.
⦁ An analysis of initiatives/interventions that are in place to address/manage the public health concern along with a critical discussion of their theoretical basis (behavioural/health promotion theories/models).
⦁ A critical evaluation of the effectiveness of the identified initiatives/interventions to assess their impact on recognised adult health challenges.
⦁ An analysis of the adult nurse’s health educator and health promoter roles within the inter-professional team in relation to the public health concern along with a critical evaluation of the application of health promotion theories/models within these roles.

Conclusion (indicative word count 200-250 words)
In the conclusion you are expected to provide a summary of your key findings and bring your arguments to a well-reasoned, logical conclusion. Avoid introducing any new topics.

Develop a plan for your stance regarding workplace violence. How do you plan to affect positive changes? Discuss the topic with your clinical preceptor, what would you recommend to make a difference.

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Workplace violence

1. Include a summary for time spent with your preceptor and share information for the following that was discussed with the preceptor. Expand on your entry by including citations from the articles for the week.

2. Review and develop an understanding for workplace violence

3. Review and be able to discuss the policies and procedures that are in place regarding workplace violence

4. Develop a plan for your stance regarding workplace violence. How do you plan to affect positive changes?

5. Discuss the topic with your clinical preceptor, what would you recommend to make a difference.

Present specific examples of the change you are promoting, as they are based in the evidence (results) of the research you have chosen.

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Hand washing research

Grading Criteria Possible Points Student’s Score

I. Format 17

A. Faculty: Oral Communication Skills Evaluation Instrument (5)

B. Students: Participation Evaluation (5) 8

Note: Handouts: (5)

1. Provide a separate handout of the following items:

2. Outline

3. Objectives 10

3. Length (5-6 slide[s] not counting title slide) 2

4. APA general formatting rules and citations throughout paper

II. Content 75

A. Literature Review

• Objectively Evaluate relevant aspects of each study

• Explain how selected elements of the studies support your purpose

• Use research articles to define concepts used in problem statement

B. State Purpose

• The clinical problem and how you plan to change it, and explain selected Utilization Model

• How did this model helps direct your purpose

C. Deliver a persuasive argument

• Present specific examples of the change you are promoting, as they are based in the evidence (results) of the research you have chosen.

• Anticipate criticisms of your proposed change, and support your ideas by the research results from the research you have chosen.

D. Explore implications of the study for clinical practice and further research

III. References 8

A. Correct empirical references: at least 5, from Nursing sources, from U.S., within 5 years, proper APA format / citation matched.

B. Explanation of & / or journaling of collaboration with a nursing unit if possible. This should include degree to which your project was able to be implemented.

 

Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.

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Determining the Credibility of Evidence and Resources

Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
Your identification and determination of credibility should be done within the context of your chosen scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis/health care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Study the scoring guide carefully so that you will know what is needed for a distinguished score.

Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
This is where you are selecting the specific resources to help address the issue in your chosen scenario.
Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Review the literature below and choose the appropriate model for your diagnosis/health care issue.
Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models help explain the various evidence-based nursing models.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Additional Requirements

Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.

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Locating Credible Databases and Research

Create a 1-2-page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP.

Introduction

Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.

Scenario

You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

You may choose the diagnosis for the patient in this scenario. Choose something you would find interesting to research or that applies to a clinical problem you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

Preparation

To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.

BSN Program Library Research Guide.
Evidence-Based Practice in Nursing & Health Sciences.
Databases A-Z: Nursing & Health Sciences.
Get Critical Search Skills.
Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.

You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.

Instructions

The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

For this assessment:

Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go in the clinical setting to complete this research and how you would access the desired, relevant research within research databases or other online sources.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis within the context of a specific health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.

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:

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
Explain why the sources selected should provide the best evidence for the chosen diagnosis.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
Describe the best places to complete research and what types of resources one would want to access to find pertinent information for a diagnosis within the context of a specific health care setting.
Competency 4: Plan care based on the best available evidence.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis, and ensure three out of five are specific to the diagnosis.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Describe communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Critically integrate relevant principles of law, ethics and professionalism when delivering and evaluating care for people with mental health needs.

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Casestudy essay Level7

1. Critically appraise elements of the therapeutic relationship.
2. Critically evaluate the evidence required to care for and support people with acute mental health conditions.
3. Examine a range of health assessment strategies and tools in order to develop a person-centred care plan.
4. Apply the principles of risk assessment and management that reflect positive risk taking in mental health care.
5. Critically integrate relevant principles of law, ethics and professionalism when delivering and evaluating care for people with mental health needs.