Comment

Comment1.In medicine, Levels of evidence (LoE) are arranged in a ranking system used in evidence based practices to describe the strength of the results measured in a clinical trial or research study (Wikipedia, 2018). A method utilized in evidenced based medicine to determine the clinical value of a study (Moore, n.d.). In grading scheme, scientific evidence can range from level 1 that is the most scientifically valid; to level 5 that is the weakest form of evidence (Sharma, n.d)Different levels of evidence is categorized as follows:Level 1: Randomized controlled trial (RCT) is a study in which the patients are randomly assigned to the treatment or controlled group and are followed prospectively. It can also be in a form of Meta-analysis of randomized trials with homogenous results (Moore, n.d). Sharma (n.d) states that optic neuritis treatment trial study is a perfect example of this level of evidence.Level 2: Lesser quality RCT is a prospective comparative study. It is a study in which patient groups are separated non-randomly by exposure or treatment, with exposure occurring after the initiation of the study (Moore, n.d). Example of this study according to Sharma (n.d) is a scatter laser photocoagulation for occult choroid neovascularization.Level 3: Retrospective cohort study pertains to the study in which groups are separated by the current presence or absence of disease and examined for the prior exposure of interest. A perfect example of this level is thrombolytic therapy for acute retinal arterial occlusion (Sharma, n.d).Level 4: Moore (n.d) states that a level 4 is a Case Series, which means a report of multiple patients with the same treatment, but no control groups or comparison group. Example is macular translocation surgery for the treatment of Chroidal neovascular membrane (CNVM) and Age-related Macular Degeneration (AMD) (Sharma, n.d).Level 5: Is a case report, or expert opinion, a mere personal observation. An interventional case reports can be classified as level 5 evidence, example is a removal of choroid neovascular membrane (Sharma, n.d).Comment2Meta-analyses –This is a high level of evidence due to the ability of meta-analyses being able to establish statistical significance across studies that may have had contradictory results.  By evaluating multiple studies at one time this increases the statistical significance than with just one study alone. Practice changes in psychology can occur as a result of meta-analyses.  The researcher looks over published studies, and then studies the results for trends.Experimental studies and Quasi-experimental studies-These types of studies help to determine how effective certain nursing interventions are for patient outcomes.  As a result this could lead to many practice changes in nursing.Nonexperimental studies-Descriptive and correlational studies are sometimes referred to as nonexperimental and the reason being is that evaluating the study variables is observed naturally and not under any type of control set by the researcher.Program Evaluations, RU studies, quality improvement projects, case report.  In our textbook there is an example of a descriptive study design where women were studied with postpartum depression after having pregnancy complications.  The purpose was to describe barriers to treatment, use on internet resources for assistance for postpartum and their inclination for Internet treatment for postpartum depression.

 
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Global climate change and health paper

NURS 4015: Week 4/5 Application Rubric: Global Climate Change and HealthFor this Application, write a 4-page paper outlining the health concerns related to global climate change. Include health promotion/health protection strategies a BSN nurse could implement. Compare concerns in the U.S. with other countries.  Use the following guidelines and evaluation criteria and the headings below for each section.Use a minimum of four references from the professional nursing literature in the assigned course readings and other references in the Walden Library. If they are relevant, you may use one or two professional Web sites in addition to the literature references.Overview—30 pointsBegin this paper with a brief paragraph that provides an overview of the assignment and its purpose. There is no separate heading for this paragraph; the heading for this paragraph is the same as the title of the paper. This paragraph will be about 2–3 sentences. The last sentence in this paragraph is a sentence that begins “The purpose of this paper is to…¨Health concerns related to global climate change—90 pointsOutline the health concerns related to global climate change. Provide a summary of how this issue impacts public and global health services and scope of practice. Include health promotion / health protection strategies a BSN nurse could implement. This section will be 3–4 paragraphs.U.S. comparison—80 pointsCompare concerns in the U.S. with other countries (a minimum of two—one developed and one developing). Summarize factors that contribute to the differences between the U.S. and the other identified countries. Include appropriate statistics, or epidemiologic information. This section will be 3–4 paragraphs.Summary—50 pointsEnd the paper with a 1-paragraph summary of the main points of the paper.Format/StyleProofread the paper as described in the tips for success in this course and correct any typos, grammar, spelling, punctuation, syntax, or APA format errors before submitting your paper in the Dropbox. Up to 40 points can be deducted from the grade for this assignment for these types of errors, or for not using at least the minimum number of required references.Total points for assignment = 250 points

 
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4 pages…16 hours ..$20 fixed annotated bibilography

Annotated Bibliography from Lit SearchNursing4pages or 1200words15 sourcesannotated bibliography of a literature search of 15 peer reviewed nursing articles on effective hand off processes and performing a learning needs assessment. Annotated bibliography should be 15 peer reviewed nursing articles (no greater than 5 years old) on effective hand off processes and performing a learning needs assessment. Should be in APA Masters level format. Please send in an APA masters level document that can be edited. If there are ANY delays to completing this assignment, so that I can make alternate arrangements. Again, peer-reviewed nursing journal articles published within the last 5 years.Please use the articles I have attached, including their doi. All must be APA, In addition, please find 2 other articles peer-reviewed nursing journal articles on conducting a learning needs assessmentThis list is attached, but please include 2 other peer reviewed nursign journal articles on conducting a learning needs assessment. Please make sure they include doi(digital object identifier) for all articlesWill upload the 15 articles to be annotated and instructionsNursing experts only  for  Annotated BibliographyThe Limits of Checklists: Handoff and Narrative ThinkingBrian Hilligoss and Susan Moffatt-Bruce, 2014 – British Medical Journal Qual and SafFlow Disruptions in Trauma Care HandoffsCatchpole, Gangi, Blocker, Ley, Blaha, Gewertz, Wiegmann, 2013 – Journal of Surgical ResearchA Survey of Handoff Practices in Emergency MedicineKessler, Shakeel, Hern, Jones, Comes, Kulstad, Gallahue, Burns, Knapp, Gang, Davenport, Osborne, Velez, 2014 – Journal of Medical QualityThe Ins and Outs of Change of Shift Handoffs Between Nurses: a Communication ChallengeCarroll, Williams, Gallivan, 2012 – BMJ Qual and SafPatient Handoffs: What They Are and How They Contribute to Patient SafetyKear, 2016 – Nephrology Nursing JournalBridging Gaps in Handoffs: A continuity of care based approachAbraham, Kannampallil, Patel, 2011 – Journal of Biomedical InformaticsCan We Talk? The art and science of a handoff conversationJohnson, Arora, 2016 – BMJ Qual and SafChanges in Medical Errors after implementation of a handoff programStarmer, srivastaba, etc.., 2014, New England Journal of MedicineHandoffs and patient safety: grasping the story and painting a full pictureBirmingham, Buffman, Blegren, Lyndon, 2015 – Western Journal of Nursing ResearchStandardized handoff report form in clinical nursing education: an educational tool for patients safety and quality of care2015 Nurse Education todayOptimizing the patient handoff between emergency medical services and the emergency departmentMeisel, Shea, etc.., 2015, Annals of emergency medicineHandoffs, safety culture, and practices evidence from the hospital survey on patient safety cultureLee, Phan, etc.., 2016 – BMC Health services researchComparative evaluation of the content and structure of communication using two handoff tools: implications for patients safetyAbraham, Kannampallil, etc.. 2014, Journal of critical careBedside shift report improves patient safety and nurse accountabilityBaker, 2010, Journal of emergency nursing onlinePlease include 2 more peer reviewed nursing journal articles on conducting a learning needs assessment…. Thanks,

 
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Family Health – Week 8 SOAP NOTE

Submit a full SOAP note using provided bellow template. Presumptive Dx related to afemale or male diagnosis.Remember to include a thorough GYN/GU history.  Use attached SOAP Note template which is in the WORD format. Review the video on how to write a SOAP Note and use the perfect soap note document to guide you.Remember to always document the education about when to seek ER care.In the evaluation of the encounter also include your level of interaction with the patient.Remember to also include the reason why the patient is taking each one of the listed medicines.Try including the ages of the listed family members.Remember to include rationales with each one of the differential diagnosis. (short explanation about why each of those diagnoses were considered).You must include 3 differential diagnosis plus the actual diagnosis.On the plan, schedule a follow up appointment.On the evaluation of the patient encounter please mention what was your participation for this case, list your strengths, weaknesses and reflect on what was learned with this case.Thank you

 
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research week 11

Critique quality of the literature reviews conducted for two different types of studies- a quantitative and qualitative research.• Identify and discuss the research questions, sampling and sampling sizes, research designs (qualitative vs. quantitative), hypothesis, data collection methods, and research findings.• Discuss the credibility of the sources and the research/researchers findings.• 400-word minimum/550-word maximum without the references.• Minimum of 3 references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

 
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Discussion

The Future of Nursing 2020-2030 under the auspices of the National Academies of Sciences, Engineering, and Medicine produced a consensus report through an ad hoc committee that charts a path for the nursing profession to help our nation create a culture of health, reduce health disparities, and improve the health and well-being of the U.S. population in the 21st century.Review the link in the module and choose a chapter that is relevant to your nursing career. (An example it that nurse educators might search for education). In relation to health policy development, identify an advanced practice nurse initiative, policy, law, regulation that is being promoted by a state or federal nursing organization. Research the area of concern and discuss two of the following:The goals of the goals of the recommended action.Target possible stakeholders who would benefit from the recommendations and those organizations which may become allies.Describe tactics that advanced practice nurses could implement to improve political engagement of their coworkers.2 peer reviewed articles within the last 5 years

 
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Nursing theory

Select a theory or model

 
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PowerPoint Presentation

You are a health educator and is to educate your workplace on type 2 diabetes please include notes in your slide and  the information belowHow society views Type 2 diabetes (what society thinks it is versus what it actually is, common beliefs and practices)Preventive measuresSigns and symptomsMaking the right decisions to live a healthy lifeCompliance with treatment regimensImpact on health care resources

 
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NURSING- Writing Assignment- APA Format

Assignment: Two parts1. EBP ResearchLocate two research articles on the topic of your choice, but each article needs to use a different research method (quantitative, qualitative, or mixed methods). First, summarize both articles. Then answer the following questions…Which type of research article did you find easier to understand? ExplainIf you had to complete a research project which style would you choose and why?This section should include 2 outside references and your book. This section should be at least 2 pages.2. Political LetterIdentify a current state or national healthcare or nursing issues that effects nurses or healthcare.  Possible websites to locate an issue would be…State Nursing AssociationAmerican Nursing AssociationSpecialized Professional OrganizationsOnce you have found your issue, write a letter to your governor, senator, or congress person. Your letter should be one page, in a block format and addresses should be included. Your first paragraph should state the issue. The second paragraph should state how the issue affects you personally as a nurse (avoid medical jargon). The third paragraph should state how the issue affects the community. Your fourth and final paragraph should restate the importance of the issue and thank the individual for their time and attention to the issue.Your references for the letter should not be cited in your letter, but should be included on a separate reference page.

 
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writing assignment help

1. Dickinson and Whitman are two important poets from the antebellum period. They are very different, both in terms of form (what their poetry looks like on the page) and content. Write a comparison, using poems from the assigned reading, that includes at least three terms defined in the Poetry Lecture in Week 1, as well as the poets’ purpose in writing. What messages are they trying to convey in their poetry? Are they successful? Of the two poets, which one do you prefer and why?250 word

 
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