Practice Issue and Evidence Summary

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Practice Issue and Evidence Summary

Question descriptionCapstone Project Milestone 1:

Practice Issue and Evidence Summary Guidelines

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Practice Issue Worksheet Directions

  1. Practice Issue Worksheet:
    1. Read the guidelines including the grading rubrics below.You will use this worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions (for your reference the topic that was approved by my instructor is underlined and in bold, see below).
      The Clinical Question
      Professor and classmates,

      Our lesson this week states “a systematic analysis of a situation serves as the basis for an effective search for the best evidence” (CCN, 2016. Para.7.) Too often I encounter patients who have a history of MI and are unaware of healthy diets, safe exercise routines, smoking cessation resources. PICO is a systematic approach to recognize, research and improve patient care.My question is: Can post management of an MI reduce readmissions for further complications and reoccurrences? P- Target population is over the age of 25, male or female.I- Implement diet programs, safe exercise routines and educational material along with prevention resources.C- Hospitals to continue current management and continued increase in hospital costs, readmissions and increased surgeries vs. implementing early prevention programs and post management. O- Desired outcome will be to see a decrease in patients being re-hospitalized for myocardial infarctions and a decrease in surgeries.T- no time factor.By detecting and finding what patients are doing wrong and seeing how they can improve we can help them decrease triggers. I developed this question after coming across a number of patients who after have an MI were readmitted for triggers and after speaking to them realized they had little education on appropriate measures such as: how to follow appropriate diet, safe exercise routines, how to properly take nitroglycerin and smoking cessation. “An essential component of evidence-based practice, the literature search is important to any research and publication activity because it enables researchers to acquire a better understanding of the topic and an awareness of relevant literature” (Dearholt & Dang, 2012, p.81).Chamberlain College of Nursing. (2016). Week Two Lesson: The Clinical Question. Retrieved from www.nursingonline.Chamberlain.eduDearholt, S. L., & Dang, D. (2012). Johns Hopkins nursing evidence-based practice: Model and guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
      1. Your practice issue will be the same for all three Milestone assignments in this course.
    1. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

  1. Evidence Summary Worksheet:
    1. Read the guidelines including the grading rubrics below.You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
    1. Find a systematic review article in the Chamberlain library on your topic. Your Systematic Review Article must be peer-reviewed and include a narrative summary (use the following link). http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S0897189716300179&site=eds-live&scope=site
    1. Please type your answers directly into the worksheet (worksheet is attached below).
 
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EBP Section F Implementation Plan

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EBP Section F Implementation Plan

Question description

In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.

 
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Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected.

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For Academic Essays-2 pages is okay

Assignment: Cancer and Women’s and Men’s Health
The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b). With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments. The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.
To prepare:

  • Select a type of cancer associated with women’s or men’s health such as breast, cervical, or ovarian cancer in women and prostate cancer in men.
  • Locate and review articles examining the type of cancer you selected.
  • Review the U.S. Preventive Services Task Force article in the Learning Resources. Think about available preventive services that providers might recommend for patients at risk of this type of cancer.
  • Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services.
  • Consider drug treatment options for patients diagnosed with the type of cancer you selected including short-term and long-term implications of the treatments.

By Day 7
Write a 2- to 3- page paper that addresses the following:

  • Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected.
  • Explain how the factors you selected might impact decisions related to preventive services.
  • Describe drug treatment options for patients diagnosed with the type of cancer you selected. Explain the short-term and long-term implications of these treatments
 
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What are similarities and differences in stepmother and stepfather roles?

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On Line Book found at: https://www.vitalsource.com/login
User name: adamsshawn89@gmail.com
Password: December@1
Click in My Bookshelf
Select Parenting Book
Chapter 12
1. How are blended families formed and what are their distinguishing characteristics?
2. What are similarities and differences in stepmother and stepfather roles?
3. What are strengths or blended families? What are major adjustment issues and how are they resolved?
4. Describe the six stages in blended families formation.
5. What are some strategies that blended families can use to be effective.
Chapter 14:
1. Discuss the unique challenges, including legal challenges that same-sex partners may face in forming families.
2. What are some parental concerns if children identify themselves as lesbian, gay, bi-sexual or transgender.
3. Discuss the research-based information regarding children who are being raised by same-sex parents.
4. What are some factors that determine sexual orientation and describe how biology and the environment can play a role.
Visit the following website and follow the directions on screen to complete the Stroop Effect Exercise. Complete the practice exercise once, then the Stroop effect exercise once. Record your times for each. Then complete the practice exercise again, and the Stroop effect exercise again. Again, record your times for each.
http://www.math.unt.edu/~tam/SelfTests/StroopEffects.html
Complete the worksheet in the attached document and submit your completed worksheet here in the Week 3 Assignment: Stroop Effect area in the Assignments link in the classroom no later than 11:55 pm EST Sunday. Be sure to make clear connections to at least two terms, concepts, or research findings from your readings or other scholarly sources to support your responses. Include any references used on a separate reference page at the end of the worksheet. References should be formatted in APA format both in-text and on your reference page. Please visit the APUS Writing Center or the Purdue OWL website for examples of APA formatted references.

 
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final project

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final project

Question descriptionFinal Assignment

1. Create a PDF of your Focus 2 Portfolio and email it with this assignment. If you email me directly, This part of the assignment is worth 50 points. You cannot send me a link to your portfolio! It has to be an attachment.Here is a video with instructions on how to create the PDF (Links to an external site.)Links to
Minimize Video

2. Answer the following questions. Do not write an “essay style” paper, number each answer individually. This part of the assignment is work 150 points.

  1. At this time, what is your intended major and career goal?
  2. Did you have a major or career goal before you started this class? Did it change?
  3. What is your Myers-Briggs Type Indicator (MBTI) type?

a. Summarize the most important information you gained about yourself from the MBTI. Do not summarize the meaning of each letter of your type. (For example, don’t write about generic qualities of an Extrovert, tell me what learning about being an Extrovert has taught you about you and your potential career options.)

  1. What are the results of your Focus 2 Work Interest Inventory (Holland Code/RIASEC)?

a. Summarize the most important information you learned about yourself from the assessment.

  1. Skills:

a. What are two (2) specific skills you currently have that your career will require?

b. What are two (2) specific skills you will need to improve or develop for this career?

c. How will you develop the skills you will need to improve or develop?

  1. Education and Training:

a. What major/training/education path must you follow to attain this career? i.e.: certificate, AA/AS degree and/or transfer to a university? Graduate school?

  1. Overall, what was the most significant thing you learned about yourself from the assessments you took in class?
  2. How has what you learned about yourself through your self-assessments affected your choice of career and major?
  1. What do you see as the most difficult obstacle or challenge in achieving your career goal?

a. What strategies will you use to overcome the obstacles?

10. Besides educational goal, what is one short term goal that you will set in order to achieve your career goal (volunteering, internship, finding a mentor, etc.)?

11. Using the SMART method, create one long term goal that you will set in order to achieve your career goals. (25 points)

-“A goal without a plan is just a wish.” – Antoine De Saint-Exupery

As we conclude this course, I want you to move forward with a concrete long-team goal toward your future career. A common goal setting method is the SMART method. Use this worksheet to create a long-term SMART goalfor your final assignment.

This question is worth 25 points of your final.

You do not have to submit a copy of this worksheet, you can type the answers within your assignment.

12. Complete the course feedback survey. All submissions are anonymous.Links to an external site.

https://www.surveymonkey.com/r/6PHWGLWLinks to an external site.

Previous

 
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Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.

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10 page paper

Question descriptionDirections:

  1. Identify your refined PICOT question.

    2. In hospital nurses( P) does antibacterial foam( I) decrease bacterial count( o) on hands as much as hand washing with soap and water? (c)

  1. Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.
  2. Describe your systematic review and include an errors analysis.
  3. Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.
  4. Summarize the case study selected.
  5. Describe the study approach, sample size, and population studied.
  6. Apply the evidence from this review to your practice specifically in your overview.
  7. Evaluate the outcomes, identifying the validity and reliability.
  8. Discuss if the study contained any bias.
  9. Determine the level of evidence identified in the review.
  10. The length should be no less than 10 Pages in APA format.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;
  • utilize spelling and grammar check to minimize errors; and

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and;
  • use APA 6th edition format
 
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Describe other theories and frameworks you would consider, and why?

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Question descriptionPrepare: Prior to beginning this discussion, please read the following articles: “Relieving human suffering: Compassion in social policy (Links to an external site.)Links to an external site.” and “A pragmatic view of Jean Watson’s caring theory.”
Reflect: Within the boundaries of the health and human services, there are thousands of employees providing a great variety of services. The process of dealing with humans in need is not simplistic. One practitioner, Dr. Jean Watson, has become a leader in Caring Theory.
Write: After reading the article, “A Pragmatic View of Jean Watson’s Caring Theory,” you are asked to do the following:

  • Assess Dr. Watson’s Caring Theory based on its strengths and limitations.
  • Describe other theories and frameworks you would consider, and why?
  • Develop a set of values that should be the foundation of a caring Perspective in the health and human services utilizing the articles from this discussion.
Tags: theories policy

Tutor Answer

 
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The Field of Human Services.

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Portfolio Development

As you assemble your assignments into your ePortfolio, consider how the various aspects of human services professional standards lead to results in the field. With the pace of daily work and expectations in all aspects of our lives, this may not be a topic to which you normally devote a great deal of time.
For this assignment, step back and take a higher-level viewpoint. Write a synthesis of what you have learned about each of the areas in your portfolio (listed below) and include the synthesis in that category of your ePortfolio. Include in each synthesis a description of how the work in your portfolio supports what you have learned in each area. Each synthesis should require 1–2 pages to complete so that the overall length of this paper could be as brief as five pages or as long as ten pages.
Once you have created a draft, select the synthesis you wrote for one aspect and take advantage of the first discussion in this unit to obtain peer feedback. You can then use the feedback to enhance your assignment before submitting it to your instructor.
As a reminder, here are the expected categories for your ePortfolio:

  • Helping Relationships.
  • The Field of Human Services.
  • Theoretical Models.
  • The Multidisciplinary Approach to Practice.
  • Moving Forward – Professional Development Goals.

Submit a document that includes all five of your syntheses in the assignment area by the end of this unit.
Paste the link to your ePortfolio in the WRITE SUBMISSION text box in the assignment submission area for your instructor.

Requirements

  • Written communication: Written communication that is free of errors that detract from the overall message.
  • Length of paper: 5–10 typed double-spaced pages.
  • Font and font size: Arial, 10 point.
 
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Identify at least one person who could potentially be a mentor for you in your career.

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Title
ABC/123 Version X		 1
Building Networks
PSY/110 Version 2		 1

University of Phoenix Material

Building Networks

Each week you’ve been learning important tools and strategies to keep you moving forward and juggling life, in general. This assignment will help you to identify career resources and explain how the skills and strategies you are learning can help you with your networking.
Ch. 6 on careers can help provide you with ideas for needed resources. This week’s brief articles and video on the Electronic Reserve Reading page also provide helpful information.
Answer all of the questions in the following table.

Respond in 50 to 100 words:
· Who are the people in your life that can help you build your professional and academic networks? Consider your friends, family, current and past co-workers, current and former classmates, teachers, community members, and neighbors.
Respond in 50 to 100 words:
· What is a professional organization you would like to join? How can joining this organization benefit you in terms of networking?
Respond in 50 to 100 words:
· What are some academic associations or school clubs that can help you with your academic network?
Respond in 50 to 100 words:
· How can you leverage social media to improve your professional and academic networks?
Respond in 50 to 100 words:
· Identify at least one person who could potentially be a mentor for you in your career. Why and how do you think this person will be able to help you grow?
Respond in 50 to 100 words:
· How can you continue to examine your career goals over time? How can you stay current in terms of assessing career opportunities? What would you do if you want to change your mind from one career path to another?
Copyright © XXXX by University of Phoenix. All rights reserved.
Copyright © 2017 by University of Phoenix. All rights reserved.
 
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What might have triggered urinary incontinence and what would you include in your advice?

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What might have triggered urinary incontinence and what would you include in your advice?

Questions:
1. Mrs Holt, 85 years old, has been admitted to acute care following a fall resulting in a fractured femur. She is a widow and lives alone with

her three cats for company.
a) What aspects would you consider in preparation for her discharge?
b) Research and discuss a minimum of three (3) services that are available to assist the older person with maintaining social contacts within your

local area.

2. Mrs Munyarryun, 67 years, has been retired from her work for two years. She rings for advice about urinary incontinence, a problem she has

experienced over the last 6 months. What might have triggered urinary incontinence and what would you include in your advice?

3. Mr Konarski, 73 years old, lives in a high-level care facility. He has dementia of the Alzheimer’s type, osteoarthritis in both knees and

ankles, and hypertension, which is controlled by medication. He requires supervision and help with all personal care. Today, however, he appears

unusually agitated and restless. What would you consider might be the cause of this change?

4. Mr Lusk, 69 years old, lives with his wife in a low-care facility. He has recently been diagnosed with early stage Dementia. You are

educating his wife (Mrs Lusk) on the aspects of managing challenging behaviour. What can you tell her about Validation therapy? Give an example

(either a conversation or situation) of when she can use this technique with her husband.

5. Forms of Restraint:
a) What are the three types of restraints?
b) For each type, identify one action which demonstrates how this restraint could be applied:
c) Identify three restraint alternatives which could be used in aged care practice.

 

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