New Models for Evidence-Based Practice

/in /by

New Models for Evidence-Based Practice

A professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Project, keep this aim in mind. What could help to facilitate the acceptance of new practices?

As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.

To prepare:

  • Reflect on your hospital setting and the use of      evidence-based practice models. How are these models used? If they are not      used, how might the integration of an evidence-based practice model change      practice?
  • Review the Rosswurm and Larrabee article      presented in the Learning Resources focusing on the model they present for      integrating new evidence-based practices (See  attached file).
  • Research and locate an evidence-based practice      model from nursing or another discipline that could be used in your      specialty area to lead a systematic change to evidence-based practice      approaches. You may also use a model or framework discussed in your course      text, Translation of Evidence into Nursing and Health Care      Practice.
  • Consider how using a model for evidence-based      practice can facilitate adoption of new approaches to practice.

By tomorrow Tuesday 9/25/18 10 pm, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headings as numbered below:

Post a cohesive response that addresses the following:

1) Discuss the use of evidence-based models in your hospital setting.

2) Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.

Required Readings

Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.

Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).

Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.

/in /by

Examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
QUESTION:

As an advanced practice nurse (APN), it is essential to understand your medicolegal responsibilities as they relate to coding the services you provide to patients. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.

To prepare:

Select one of the provided case studies.
Review the patient documentation given for the case. Think about medicolegal considerations and the responsibilities of the advanced practice nurse.
Consider the medical codes selected by the advanced practice nurse. Reflect on how the selections might impact clinical practice and billing. Think about how the impact might differ from primary to acute care settings.
By Day 3

Post a brief description of the patient documentation given for the case study you selected. Explain any medicolegal considerations, including the role and responsibilities of the advanced practice nurse. Then, explain how medical coding might impact clinical practice and billing, as well as how implications might differ from primary to acute care settings.

Case Study 1:

Sally Jones, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. Sally had five history and physicals to complete on admissions that came in overnight. At the beginning of her shift, she had to complete two emergency admissions and was then called to intensive care, where she spent most of the afternoon. She had to leave work early because of her husband’s retirement party. Because she knew most of the patients on her rounding list, she decided to visit each patient’s room quickly for about 10 minutes. She coded all of the visits the same way she had done the day before, with codes 99231 and 99232.

ANSWER:

Introduction:

It is no secret that Evaluation and Management (E/M) miscoding and claims have been causing a major problems for the medical industry over the past several years. According to the Department of Health and Human services, there were about $6.7 billion inappropriately pain in 2010, that amounted to 21% of Medicare payments and a staggering 42% of incorrectly coded claims. Medical coding is the transformation of healthcare diagnosis, procedures, medical services and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory, and radiologic results, etc. Subsequent hospital care CPT codes 99231 and 99232, respectively, require “a problem focused interval history” and “an expanded problem focused interval history. 99231 has a problem focused history, a problem focused exam and a straight forward MDM or Medical Decision Making (or of low complexity). 99231 requires documentation to support that the patient is stable, recovering, or improving. On the other hand, 99232 CPT code requires documentation to support that the patient is responding inadequately to therapy or has developed a minor complication. Such minor complications might include careful monitoring of co-morbid conditions requiring continuous active management (Centers for Medicare & Medicaid Services. (n.d.-a).

Description of Patient Documentation in Case Study 1

In the scenario, Sally Jones should have assessed and focused well on patient’s problem and history. Even though Sally knew the patients and saw them the other day, she should not coded all her patients the way she had done the day before. She did not see the patients for two days. The patients might have improved or not, might be recovered or developed minor complications. CPT codes 99231 and 99232 are totally different. If the exam is focused on history problem and the medical decision making is straight forward or low complexity, the code used is 99231. And if the exam is focused on expanded problem and the medical decision making is moderate complexity, then it coded as 99232 (Centers for Medicare & Medicaid Services. (n.d.-a).

Explain any medicolegal

 

smilesmile. .

get-your-custom-paper




The post Examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse. appeared first on nursing term paper.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Parents of Children with Long-term Illness or Disability, Essay

/in /by

Parents of Children with Long-term Illness or Disability, Essay

Question descriptionThis week, analyze problems experienced by parents with children who have long-term illnesses or disabilities. Consider the following situations and the impact of each on parent-child socio-emotional relationships and parenting:

  1. The hospital is a far distance from where the family lives, and the parent/parents is/are unable to stay nearby to visit the child daily/weekly.
  2. Finances (and familial relations such as marriage or co-custody) are strained by the cost of treatment and/or there are other children in the home needing care.
  3. Ill children often feel abandoned and act-out, often rejecting the parent(s), who, in turn, may feel guilty and fail to discipline the children properly.

Paper Instructions:

  • Write a two- to three-page paper, not including the required title and reference pages.
  • Support your analysis using (and properly citing) material from the required readings for Week 5.
  • Format your paper according to the CSU-Global Guide to Writing & APA.
 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Where does the theory place you in the life stages?

/in /by

 
In this assignment, you will gain an understanding of the crises that occur in development based on Erickson’s theory and utilize this understanding to apply this theory to your own development.
Erickson’s theory looks at development throughout life in a series of stages, and each stage identifies a crisis that occurs in life.
Based on your age, which stage of development does the theory predict you are currently facing? It is important to note that everyone’s development is unique and may not fall into this stage theory. You may feel that the previous stage or the next stage better explains your developmental process.
Write a 700- to 1,050-word paper discussing the stage of psychosocial development you are currently experiencing. Use the following questions to help direct you:

  • Where does the theory place you in the life stages?
  • Is this stage an accurate reflection of your current life stage? Do you believe that there is congruence between the developmental tasks and psychosocial crisis and your current life circumstances?
  • If so, briefly discuss the developmental tasks and the psychosocial crisis with which you are currently engaged. If not, what stage better addresses your life stage? What is the crisis being worked through in this stage?
  • Looking at your own career development and job satisfaction at your current or previous places of employment, analyze elements that have contributed to your current status based on your gender and cultural background.
 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Informed Consent and the IRB

/in /by

Informed Consent and the IRB
As noted in your course work, all research must be approved by the institution under which it is being conducted. In order to gain such an approval, the researcher must provide an evaluation panel of the institution (typically an Institutional Review Board, IRB; or in our case the College Research Review Committee, CRRC) with information as to the type of participants they will use and how they will be handled within the research process. An important element of that handling process is informing the participants what to expect as part of the experimental condition. For this lab I would like you to do the following:
· Visit MCC’s Human Subjects Research (Links to an external site.)Links to an external site. web site:
1. Create an Informed Consent form for your research project, using the guidelines presented in the Bordens and Abbott text and in this samplePreview the document(I will do this sample).  Note that the sample was created to depict a specific situation, you will need to create an Informed Consent form that mirrors your research and the sample that you will be using.
2. Determine if your research must be reviewed (Links to an external site.)Links to an external site. by the CRRC; which, of course, is highly likely.
3. Complete the application requirements for Student Research; which includes completing the PHRP Training (Links to an external site.)Links to an external site. (I already done PHRP Training so don’t do it) as listed and filling out the College Research Review FormPreview the document. (fill everything about the research then I will fill my info when u finish it) 
Note: the research project must be approved by the instructor and the CRRC before any data can be collected; (when you finish it I will send it to my instructor to approve it). Students who collect data without permission, or collect data using methods not described within their approved CRRC application, will not be allowed to use the resulting data / analysis / write up for Paper # 4 or the Term Project.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Clinical performance evaluation is subjective and involves the judgments of the evaluator

/in /by

Clinical performance evaluation is subjective and involves the judgments of the evaluator. It is filtered by the evaluator’s perspective, values, and biases. With this in mind, select three clinical evaluation strategies that you believe are fair and accurate in order to measure student learning, and determine their competency and safety in the clinical setting. Explain your rationale for why you selected each of the strategies, and how they align with your personal philosophy of teaching.  Make sure the strategies that you selected include ways to evaluate students cognitive, psychomotor, and affective domains of learning.Mini-PresentationYou will develop a 5- to 8-minute mini-presentation of your teaching plan that you developed during week 7. Your presentation must include both audio and visual components. The presentation is a summary of your teaching plan. Guidelines for your presentation are listed below. Assignment GuidelinesYour mini-presentation should include the following information from your teaching plan:The subject or topic that you will be teachingThe level of instructionThe learning objectivesA summary of the contentYour teaching strategies and learning activitiesYour evaluation process and the rubric for your chosen assignment

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Grant Proposal

/in /by

 

Grant Proposal

For your final project, you will finalize your grant proposal to secure funding for a neuroscience investigation. This assignment will involve integrating information covered in previous weeks about brain networks and disorders that occur as the result of dysfunction in these networks. The grant proposal will require you to identify a research question based on a thorough review of the literature related to a particular disorder/syndrome and design a scientifically sound grant proposal using current methods of neuroscience investigation.
The Grant Proposal must be six to eight double-spaced pages in length (not including Title page, References, and Appendix) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..  Your proposal must contain all the sections listed below. Read the Grant Proposal Guidelines (Links to an external site.)Links to an external site. for detailed instructions as you write your proposal. View the Sample Grant Proposal Template (Links to an external site.)Links to an external site. for an example of a completed proposal.
Your Grant Proposal must include the following sections:

  • Title Page
  • Specific Aims
  • Background
  • Significance
  • Proposed Study
    • Participants
    • Procedures
    • Hypotheses and Analysis
  • Budget Justification
  • References
  • Appendix A: Budget See the last page of the Sample Grant Proposal (Links to an external site.)Links to an external site. for a template to use when creating the budget. Use the optional Budget Calculation spreadsheet (Links to an external site.)Links to an external site. to calculate the budget figures.  See the Grant Proposal Guidelines (Links to an external site.)Links to an external site. for budget details.

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

.Discuss the relationship between theory and research in nursing

/in /by

Using the readings from McEwen and Wills (2014) chapter 19: application of theory in nursing research, address the following for your initial discussion post:Complete a library search for a peer-reviewed journal article that integrates nursing theory and research.Present the article and discuss the nursing theory used, as well as the benefits of nursing theory in nursing research.Discuss the relationship between theory and research in nursing.Be sure to supplement your discussion with personal and professional experiences.Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.Please be sure to validate your opinions and ideas with citations and references in APA format.
References:McEwen, M. & Wills, E. (2014). Theoretical Basis for Nursing (4th Ed.); Lippincott Williams and Theoretical Issues in Nursing Curricula and Nursing Instruction and complete the following steps for your initial discussion post:Complete a library search for a peer-reviewed journal article that integrates nursing theory and nursing education.Present the article and discuss the nursing theory used, the benefits of nursing theory in nursing education.Discuss key considerations (curriculum design, and nursing curricula and regulatory bodies) Be sure to supplement your discussion with personal and professional experiences.Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.  Wilkins.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

xplain the strategies that you might use to meet your colleagues’ interests and goals

/in /by

 
Discussion 1: Translating Knowledge From an Evaluation Report
Instructors and professors often comment that they learn much more about their subject matter when they begin to teach it. When they try to explain the topic to someone else they begin to connect concepts in new ways. They anticipate questions that students might ask, consider different viewpoints, and think more critically.
For this Discussion, take the perspective of someone who is instructing his or her colleagues and sharing your understanding of research methods and program evaluation.
To prepare for the Discussion, select an evaluation report from this week’s resources. Consider how you would present the information to a group of colleagues.
· Post an analysis of how you would present the results of the evaluation to a group of social work colleagues.
· Identify the background information that you think they would need and the key message of your presentation.
· Explain the strategies that you might use to meet your colleagues’ interests and goals. Identify questions that your colleagues might have and what their reactions might be.
Reference (use 3 or more)
Hendricks, G., & Barkley, W. (2012). Necessary, but not sufficient: The McKinney-Vento Act and academic achievement in North Carolina. Children & Schools,34(3), 179–185.
Law, B. M. F., & Shek, D. T. L. (2011). Process evaluation of a positive youth development program: Project P.A.T.H.S.Research on Social Work Practice,21(5), 539–548.
Mallett, C. A. (2012). The school success program: Improving maltreated children’s academic and school-related outcomes. Children & Schools,34(1), 13–26.
Reupert, A., Foster, K., Maybery, D., Eddy, K., & Fudge, E. (2011). ‘Keeping families and children in mind’: An evaluation of a web-based workforce resource. Child & Family Social Work,16(2), 192–200.

Discussion 2: Contemplating Your Future

The NASW Code of Ethics makes a number of statements about social workers’ responsibility to study, use, and engage in research and evaluation. In the past, many social workers had difficulty thinking of themselves as knowledgeable and capable in research, despite completing the required research course in school. Think of yourself as a part of a new breed of social workers. You are completing your education at a point in time that places great emphasis on both research and evaluation. You also have greater access to published research than ever before. Research knowledge and skills are like muscles—if you do not use them, they will atrophy. You have an ethical obligation as a social worker to exercise and flex your research muscle. Consider how the NASW Code of Ethics guides your professional research.

· Post an analysis of how you can apply new knowledge and skills related to research and evaluation, acquired in this course to your future career.
·  Identify specific knowledge and strategies and how you intend to apply them.
·  Identify those skills that you believe will be most applicable to achieving your future goals.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Explain how it applies to you personally (You might have to stretch it on this one, but TRY because psychology always applies in every day life).

/in /by

 
Click on the following link to watch the program entitled, TEDTalks: Elyn Saks—A Tale of Mental Illness…from the Inside (15 min.), in the Mt. SAC library’s Films On Demand collection. (Captions are available for the hearing impaired). If you are accessing it from off campus, you may have to log into the library’s website using your MyMt.SAC user ID and password (e.g., Banner Account).
https://libris.mtsac.edu/login?url=http://fod.infobase.com/PortalPlaylists.aspx?wID=97184&xtid=53006 (Links to an external site.)Links to an external site.
1.  Review what it was about.
2.  Describe what you learned.
3.  Explain how it applies to you personally (You might have to stretch it on this one, but TRY because psychology always applies in every day life).
Please copy and paste Questions 1-3 from above into your post and type your answers under each question. Your total review (including the copied questions) should be at least 300 words
Chapter 15
Click on the following link to watch the program entitled, Mental Disorder (30 min.), in the Mt. SAC library’s Films On Demand collection. (Captions are available for the hearing impaired). If you are accessing it from off campus, you may have to log into the library’s website using your MyMt.SAC user ID and password (e.g., Banner Account).
https://libris.mtsac.edu/login?url=http://fod.infobase.com/PortalPlaylists.aspx?wID=97184&xtid=40122 (Links to an external site.)Links to an external site.
1.  Review what it was about.
2.  Describe what you learned.
3.  Explain how it applies to you personally (You might have to stretch it on this one, but TRY because psychology always applies in every day life).
Please copy and paste Questions 1-3 from above into your post and type your answers under each question. Your total review (including the copied questions) should be at least 300 words

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.