Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations.

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As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

The parents of a 5-year-old boy have accompanied their son for his required physical
examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

Select one scenario from above, and reflect on the material presented throughout this course.

What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number).

Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations.

Justify your response using at least three different references from current evidence-based literature.

What impact does antibiotic therapy versus no antibiotic therapy have on skin infection in diabetes?

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What impact does antibiotic therapy versus no antibiotic therapy have on skin infection in diabetes?

What is your treatment recommendation and education for the patient and family? Why?

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Answer the following questions based on the attached PDF document.

• Which essential questions will you ask this pediatric patient or his/her caregiver during this well-child check? Why are these questions important? What lab tests or diagnostic studies will you order and why?

• What diagnoses would you give the patient in this case? Include the findings that support the diagnoses.

• What is your treatment recommendation and education for the patient and family? Why? Include anticipatory guidance.

Discuss how the results from this study compare with those of a study listed in the references or your main article.

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Major conclusions from the study: In this section, you will need to analyze the conclusions reached by the researchers and compare them to the conclusions of another study from the reference section of your selected study.

You will also need explain how the study you have analyzed contributes to scientific literature and speculate about further investigations that might take place because of this research.

A. Discuss how the results from this study compare with those of a study listed in the references or your main article. Support your discussion with examples from both studies.

B. Explain how this study contributes to scientific literature. Support your explanation with specific examples.

C. Describe further investigations that could take place because of this study.

The two articles from the study are listed below:

1. Final Project Article (main article): Food Environments and Obesity. Household Diet Expenditure Versus Food Deserts – article is attached

2. Similar Study Article (reference article): Obesity Prevalence and the Local Food Environment – article is attached

Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?

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Write a 500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper.

Support your ideas with at least two (2) sources in your essay. Make sure to cite using the APA writing style for the essay.

The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4.

The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance.

Answer the following:

What is the client’s BMI?

Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?

Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention.

Identify what weakness in the client’s life may be impacting the client’s activity and diet?

What referrals would you make and why?

Demonstrate your search strategy to demonstrate how you have refined your search to, around 8 appropriate papers to support your topic.    

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Assessment task details and instructions

You should produce a robust report that critically evaluates and analyses the evidence base behind a nursing intervention of your choice.

To do this you will be expected to identify one area of nursing practice or intervention, and undertake a structured literature review of the evidence base supporting this guidance, using the structured essay format provided.

You are expected to develop a clear search strategy and to evaluate the quality of your evidence.

You will then discuss the key findings and themes within your literature. Finally you will draw conclusions from your findings and consider its impact in practice.

Your report should include the following:

⦁ Identify a topic and developing a clear focus for your study – identify how you have chosen your topic and provide background information to provide context to your research question.

⦁ Developing a search strategy – demonstrate your search strategy to demonstrate how you have refined your search to, around 8 appropriate papers to support your topic.

⦁ Summarizing the evidence – complete the summary of findings table to identify the evidence you have chosen and why it is relevant to your topic.

⦁ Appraising the evidence – You should appraise the quality of your papers, identified using a recognized critical appraisal tool, and justify your choice in text.

⦁ Identifying themes – critically appraise the key findings and themes of your literature which contribute to answering your question.

⦁ Conclude – draw conclusions from your analysis and discuss how this impacts on practice and service users.

Presentation/Formatting Guidelines

Your student roll number should be the title of the Word file. Do not insert your name anywhere in your assignment or on Turnitin.

⦁ Type your essay in a clear, readable font, size 12 or larger, with page numbers throughout

⦁ You are able to go 10% over the word count to account for in text references, if you exceed this you will not be penalized but work beyond this will not be marked (UoS Assessment and Feedback policy, 2019)

⦁ Use line spacing 1.5 or 2 in the main body of your assignment and single line spacing in your final reference list at the end of your assignment.

⦁ Provide a final word count (not including your final reference list) at the end of your assignment.

⦁ Your ‘in-text’ citations and final reference list should be written in APA 6th (Harvard) style.

Assessed intended learning outcomes

What is the correlation coefficient for HF symptoms and depressive symptoms? Name the direction and strength of the relationship.

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Quantitative Data Analysis Activity

Which pair of variables have a strong positive correlation?

Which pairs of variables have a moderate negative correlation?

Which pair of variables has the weakest correlation? Is it positive or negative?

What is the correlation coefficient for social support and adaptive problem solving?

Name the direction and strength of the relationship.

What is the correlation coefficient for HF symptoms and depressive symptoms? Name the direction and strength of the relationship.

Which pairs of variables are statistically significant at the p < 0.05 level?

Describe one internal and one external method for the dissemination of your evidence-based change proposal.

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1: Describe one internal and one external method for the dissemination of your evidence-based change proposal (CAUTION awareness and prevention in the hospital [Adventist Health Glendale]).

For example, an internal method may be the hospital board, and an external method may be a professional nursing organization.

Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?

2: In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change.

Discuss one way you will be able to evaluate whether your project made a difference in practice.

3: Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.

Develop a process to evaluate the intervention if it were implemented. Write a summary of the evaluation plan that will be used to evaluate your intervention (see attached documents to write this answer).

4: Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

5: Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

Critically explore the potential impact of the evidence base on your chosen aspect of practice.

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1500 word critical reflection on learning to enable you to evidence how you will progress to the surgical first assistant role

1-Clearly Articulate a purpose and rational for exploring and identified aspect of practice

2- Critically analyze the evidence base for your stated aspect of practice

3 – Critically explore the potential impact of the evidence base on your chosen aspect of practice.

4 – Plan actions, underpinned by the evidence base, to improve your chosen aspect of practice

5 – Develop methods for evaluating the proposed action in your chosen aspect of practice.