Evidence Based Paper – Nursing homework help

Evidence Based Paper – Nursing homework help

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Question description

REQUIREMENTS

  • When selecting a clinical issue (the clinical issue chosen is Hand washing) to be addressed in the assignment, the student is expected to draw from one of the four main categories of the NCLEX‐RN examination blueprint: assurance of a safe and effective care environment, health promotion and maintenance of health, the preservation of the patient’s psychosocial and physiological integrity.
  • Length of paper 8‐10 pages excluding the title page and the reference page.
  • The sources cited both in text and on the reference page for this assignment will be formatted according APA 6th edition guidelines.
  • A minimum of six (6) peer‐reviewed scholarly sources are required in support of the Evidence‐based Capstone Evidence‐based Paper.
  • This assignment will be graded using the Capstone Evidence‐ based Paper Rubric available in Unit 6 of the course.

PREPARING THE ASSIGNMENT

The student will be required to:

  • Produce an 8‐10 page evidence‐based paper addressing a significant clinical issue
  • Identify and explore a solution to a clinical issue
  • Gather additional background information on:

o   the clinical issue

o   the patient population

  • Develop a plan that could be carried out by a nurse to resolve the clinical issue.
  • Reflect on the knowledge and experience gained in the nursing program
  • Draw from one of the four main categories of the NCLEX‐RN examination blueprint

o   assurance of a safe and effective care environment,

o   health promotion and maintenance of health,

o   preservation of the patient’s psychosocial

o   preservation of the patient’s physiological integrity

  • With the exception of the Introduction, each criterion listed below will serve as the major headings of this assignment due in Unit Six and will include the following:
  • Title Page: (APA 6th edition formatting)
  • Introduction:

o   Offers a detailed description of the statement of purpose for the paper.

o   Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX‐RN examination blueprint:

  • Assurance of a safe and effective care environment
  • Health promotion and maintenance of health
  • Preservation of the patient population’s psychosocial integrity
  • Preservation of the patient population ’s physiological integrity
  • In this paper the student will provide a detailed description of the relationship between the category from the NCLEX‐RN examination blueprint and the clinical issue.
  • The reference to the NCLEX‐RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference.
  • Importance: The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

3

  • Patient Population: The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.
  • Proposed Solution: The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence‐based data and integrating data from peer‐reviewed journal articles. In this paper, the student will:

o   Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer‐reviewed journal articles.

o   Expand on the ethical considerations when developing the plan.

  • Goals: While the intervention will not actually be carried out, the student will discuss the plan that could be implemented by a nurse to address the clinical issue. One short‐term and one long‐term goal of the intervention will be identified. The student will include a description of how attainment of each of the goals would be measured.
  • Barriers: The student will identify a minimum of two potential barriers to the success of the plan as well as a strategy for addressing each one.
  • Benefits: The student will describe a minimum of one benefit to the patient population and one benefit to the nursing profession that will result from carrying out the plan. Provides a minimum of one scholarly, peerreviewed source in support of the benefit of the plan to the patient population.
  • Participants and Interdisciplinary Approach: The student will identify all of the parties whose participation is important for the success of implementing the plan.

o   This list will include a minimum of two members of disciplines outside of nursing.

o   A description of the benefit of including each member from another discipline to the success of the plan.

o   A minimum of one scholarly, peer‐reviewed source providing support for the success of the plan by including the healthcare team member outside of nursing.

  • Conclusion:

o   Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

o   Includes a complete statement describing why addressing this clinical problem matters and to whom.

o   Reference Page: (APA 6th edition formatting)

 
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Discuss how effective communication with the previous nurse during shift change improves patient safety by preventing errors.

 
Discuss how effective communication with the previous nurse during shift change improves patient safety by preventing errors. What can you do to track safety standards and prevent errors due to miscommunication? Has your experience with Tina Jones changed your values or feelings about your communication skills or knowledge? Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature. Remember to use APA 6th edition formatting for all discussion posts and reference citations.
Group discussion 1 :Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates. 350-400words
Discussion 2
The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not?
Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text. 350-400 words

 
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WHY IS IT SO IMPORTANT FOR HEALTHCARE ORGANIZATIONS TO MANAGE AND GOVERN THEIR INFORMATION?

WHY IS IT SO IMPORTANT FOR HEALTHCARE ORGANIZATIONS TO MANAGE AND GOVERN THEIR INFORMATION?

Why is it so important for healthcare organizations to manage and govern their information?

What is information governance? Why is it so important for healthcare organizations to manage and govern their information? What risks could a healthcare organization face if information isn’t properly or responsibly managed? In two to three pages please answer.


 

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Toward Healthcare Reform, writing homework help

Toward Healthcare Reform, writing homework help


Question descriptionDiscuss uncompensated care in the era of the Affordable Care Act (ACA). Your paper should address the following questions explicitly:

      1. What is meant by the term “uncompensated care?”
      2. Who bears the burden of uncompensated care? Please explain.
      3. To what extent has the ACA been successful in reducing this burden? To what extent has it not? (Note: Be sure to support your responses with evidence from your background readings; failure to do so will result in point deductions.)

Requirements:

  1. Length: 2-3 pages, double-spaced.
    1. Your work will be evaluated based on the grading rubric criteria. Please review this rubric before you begin working on the assignment.
    2. Required ReadingBhattacharya, D. (2013). Chapter 16: Medical readmissions and the Affordable Care Act. In Public health policy: Issues, theories, and advocacy. (pp. 365–387). San Francisco: Jossey-Bass.Goldman, H. H., & Karakus, M. C. (2014). Do not turn out the lights on the public mental health system when the ACA is fully implemented. Journal of Behavioral Health Services & Research, 41(4). 429–433.Valdovinos, E., Le, S., & Hsia, R. Y. (2015). In California, not-for-profit hospitals spent more operating expenses on charity care than for-profit hospitals spent. Health Affairs, 34(8), 1296–1303.Xavier University Library. (2014). How to write a position paper. Retrieved from http://www.xavier.edu/library/students/documents/p…
 
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Discuss the special issues that a counselor needs to be aware of regarding childhood and adolescent sexual development. Why is it important to understand these issues?

.1 Do you feel that a client with a sexual dysfunction disorder would respond to therapy differently than a person with a paraphilic disorder? What are unique issues related to treating each disorder?
5.2 What are some psychosocial causes of sexual dysfunction? How might sex therapy be used to treat some of these causes?
6.1 Discuss the special issues that a counselor needs to be aware of regarding childhood and adolescent sexual development. Why is it important to understand these issues?
6.2 Discuss the special issues that a counselor needs to be aware of regarding adult sexual development. Why is it important to understand these issues?
7.1 What are some considerations for working with elderly clients who may have cognitive memory impairment? Include at least three communication methods.
7.2 Explain why it is necessary as a counselor to have a working knowledge of cognitive and physical development among the elderly.
8.1 How do substance use disorders affect older adults? Does it affect older populations differently than younger people? Explain.
8.2 Write a short scenario that gives a fictional example of an ethical or legal issue you could encounter when working with an aging or vulnerable adult client. Describe what you could do to protect yourself in a situation similar to the scenario you describe.
Each question needs to be answered by itself and must have a cite within the answer. Reference page must also be attached. This is a questions/answer form mate not a paper form mate. Each answer must have 150-200 words.

 
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Explain the desired outcome(s) or goal(s) for improvement related to the health concern.

Question description

C. Outcomes Identification

1. Explain the desired outcome(s) or goal(s) for improvement related to the health concern.

Note: This outcome or goal should be in alignment with Healthy People 2020 objective.

D. Planning

1. Create a nursing action plan to address the identified population health concern.

a. Recommend two population-focused specific objectives.

Note: The recommended objectives should be measurable ones.

b. Recommend two population-focused specific nursing interventions to improve the health concern.

Note: Use the attached “Minnesota Intervention Wheel” as an aid in selecting the broad areas for nursing action. Select primary and secondary prevention activities only. For example, explain how you and other nurses might work with the community and your chosen target population of interest to improve the health concern.

2. Discuss potential public and private partnerships from your field experience that could be formed to implement your recommendations from parts D1a and D1b.

3. Create a specific timeline for your population-focused nursing interventions.

E. Evaluation

1. Explain how you would evaluate the effectiveness of the nursing action plan created in part D.

a. Identify the measurable tools necessary to perform the evaluation.

H. When you use sources, include all in-text citations and references in APA format.

 
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Healthcare Data Standardization

Case Study: Healthcare Data Standardization

Assignment Overview

This assignment is intended to demonstrate your comprehension of the primary applications of health informatics in healthcare organizations as well as your familiarity with the various informatics applications such as electronic health records (EHR) and telemedicine.
For this assignment, you will read a case study that examines issues concerned with data standardization in informatics. Based on the scenario described in the case study, you will create a presentation related to informatics education and training.

Assignment Details:

Perform the following tasks:
· Complete the reading assignment and the interactive lesson before attempting this assignment.
· To complete this assignment:
· Review the case study.
· Download the provided PowerPoint template to create a presentation that includes:
· Your name on the title slide of the presentation
· Identification of two or more issues with existing system
· Identification of appropriate “work-a-round” solutions for using existing system
· Overview of standard language used only in nursing
· Overview of multidisciplinary standard language
· Set of five (5) survey questions for staff input on transitioning to new system
· Presentation is free of spelling and grammar errors.
· Submit the Week 10 Assignment via Blackboard by clicking on the “Week 10 Assignment” link. Include the proper file naming convention:
· CMP105_wk10_assn_jsmith_mmddyyyy.
Grading:

Grading Criteria Points Possible Points Earned
Name on title slide of PowerPoint presentation 5
Identifies two or more issues with existing system 10
Indicates appropriate “work-a-around” solutions when using existing system 10
Provides overview of standard language used only in nursing from provided list; meets criteria expectations 10
Provides overview of a multidisciplinary standard language from provided list; meets criteria expectations 10
Creates a set of five (5) open-ended survey questions to elicit staff input 10
Presentation is free of spelling and grammar errors. 5
Total Points 60


· Case Study

Read the following case study:

A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.

A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.

As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:

· Identify two or more issues with the existing system

· Provide staff with appropriate “work-around” for using the existing system

· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps

· One standard language should pertain only to nursing

· One standard language should be multidisciplinary.

· Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.

PowerPoint Presentation


Directions:

1. Review the case study.

2. Download the provided PowerPoint template to create a presentation that includes:

· Your name on the title slide of the presentation

· Identification of two or more issues with existing system

· Identification of “work-a-round” solutions when using existing system

· Overview of standard language used only in nursing

· Overview of multidisciplinary standard language

· Set of five (5) open-ended survey questions for staff input on transitioning to the new system

 
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Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation/expansion and the impact on quality of care and reimbursement for provided services.

Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation/expansion and the impact on quality of care and reimbursement for provided services.

This is Part 1 of the Key Assignment. It covers all objectives from Weeks 1–3 and new topics and objectives in Week 4. This is the draft of your Final Report to Mr. Magone and Healing Hands Task Force. You will complete it in Unit 5.

Continue to use the scenario to assist you with this assignment. One of the areas of concern to Mr. Magone and the senior leadership of Healing Hands Hospital is the integration and adoption of information technology systems that would be needed if the hospital consolidated with a large health system or added more outpatient services or expanded into telemedicine. As a member of the Task Force support team, you have been asked to research and discuss current and future advances and issues related to information technology in healthcare. This would include integration concerns with the Healing Hands Hospital’s current electronic health record system (EHRs), new models of decision support systems, and telemedicine with wearable tracking and smartphone linked devices.

Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation/expansion and the impact on quality of care and reimbursement for provided services. Include the following information in your paper:

Future health care reimbursement trends impacted by information technology such as big data analytics and decision support systems.
Information system technologies and issues with interoperability and scalability.
Innovations in telemedicine and tracking devices.
Add this information to your draft final report that incorporates the reports prepared in Units 1-3 IP assignments. This will be the basis for your final report to be submitted in Unit 5.

Be sure to include at least three reference sources besides the textbook and use APA formatting.


 

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Identify the phenomenon of concern or problems addressed by the theory.

Identify the phenomenon of concern or problems addressed by the theory.

Identify the phenomenon of concern or problems addressed by the theory..Select a Grand or Mid-Range Theory that is appropriate to your practice setting( home care nurse).
2).Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
3).Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
4.)Identify the phenomenon of concern or problems addressed by the theory. Theory Description
1.)Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
2.)Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
3.)Interpret how the concepts are defined. Implicitly or explicitly?
4.)Examine the relationships (propositions) among the major concepts. Evaluation
1.)Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
2.)Examine if the theory has a description of the four metaparadigm concepts of nursing. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
3.)Discuss the clarity of the theory. Did it have lucidness and consistency? Application
1.)Examine how the theory would guide nursing actions.
2.)Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).


 

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What are the parameters for monitoring the success of the therapy?

J.S., age 16, comes to your office for a routine physical examination. You notice that she has facial acne that she is hiding with heavy makeup. She has tried Clearasil inconsistently without relief.

J.S., age 16, comes to your office for a routine physical examination. You notice that she has facial acne that she is hiding with heavy makeup. She has tried Clearasil inconsistently without relief. She works at a fast food restaurant as a cook after school and on the weekends. Her mother has made her stop eating chocolates and greasy foods, but that has not seemed to help her. She is concerned because her prom is in 6 weeks and she wants her face clear. On physical examination, there are open and closed comedones as well as papules on her face and back. No scarring is evident. J.S. confides that she has recently become sexually active.

Answer the following questions and please provide references

1. List specific treatment goals for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter or dietary supplement would you recommend to J.S.?

8. What dietary and lifestyle changes should be recommended for J.S.?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

 
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