Question description Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.” Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response Response posts: Minimum 100 words excluding reference

Question description

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response

Response posts: Minimum 100 words excluding references

Discusion 1

Today I will be discussing community health/public health nursing. The purpose of this post is to compare and contrast community/public health nursing with hospital base nursing practice in regards to core functions and essential services. Health promotion is a vital component to the overall health and wellbeing to individuals (Nies & McEwen, 2015). There are many different ways that nurses are able to promote health and wellness in different settings.

There are many similarities and differences to nursing in the community and nursing in the hospital setting, but one of the main goals for nursing overall is to promote healthy living (Nies & McEwen, 2015). The way these two areas of nursing work toward this goal often differ, but depend on each other. Discharge planning in the acute hospital setting begins at the time of admission (Graham, Gallagher, & Bothe, 2013). The nurse in the acute care setting is responsible for assessing the patient and identifying potential outpatient needs throughout the duration of their stay (Graham et al., 2013). Discharge planning can be an arduous task at times, and nurses are not always able to adequately prepare a patient and their support system, for an impending discharge (Graham et al., 2013). Acute care nurses are tasked with addressing a patient’s immediate issues, educating them during their stay, and arranging the appropriate outpatient resources (Graham et al., 2013). The unit I work on often has readmissions of patients who are noncompliant outpatient. Community nurses are a vital resource that assist patients with continuing their outpatient care in the hopes of decreasing readmissions (Cramm, Hoeijmakers, & Nieboer, 2014). An essential service of the community health nurse is to reaffirm and expand upon the education the patient received while in the inpatient setting.

In conclusion, the goal of nursing is the same for the community health nurse and the acute care nurse. Both areas of nursing rely on each other to identify a need, and to then continue the patient’s plan of care. Coordination of care is an important aspect across all areas of nursing, and by utilizing different skills, their mutual goals are achieved.

References

Cramm, J. M., Hoeijmakers, M., & Nieboer, A. P. (2014). Relational coordination between community health nurses and other professionals in delivering care to community-dwelling frail people. Journal of Nursing Management, 22(2), 170-176. doi:10.1111/JONM.1204

Graham, J., Gallagher, R., & Bothe, J. (2013). Nurses’ discharge planning and risk assessment: Behaviours, understanding and barriers. Journal of Clinical Nursing, 22(15-16), 2338-2346. doi:10.1111/JOCN.12179

Nies, M. A., & McEwen, M. (2015). Community/Public Health Nursing: Promoting the Health of Populations. St. Louis, MO: Elsevier.

Discussion 2

Being the daughter of a nurse who did home health, I got to hear a little bit of how community/public health worked. It is very different from hospital nursing. Community/public health nursing focus on helping the patients thrive at home. The goal of community/public health nursing is to help individuals maintain their health at home and improve the health of the community they serve (Nies & McEwen, 2014). The hospital nursing I am used to is to get them in and out because our ED is overcrowded and we need beds for those patients. I feel that hospital nursing has moved away from being able to actually care for our patient to getting them in and out as fast as they can so that we can help the next person, it feels like an assembly line.

Just the other week at work, we had severe overcrowding in our emergency department. That morning our manage came out and said that anyone that is potentially or is discharged needs to be out by noon, mind you she tells us this at 10 in the morning and we are taking more patients that we are supposed to have. Needless to say, that was such a busy day and eating lunch was out of the question. Since our patients are living longer with chronic conditions, it has resulted in increased needs from the nursing staff (Vallés et al, 2018).

Community/public health nursing on the other hand is designed to be there to help the public when they are needing advice their health (Nies & McEwen, 2014). Health promotion is defined as a combination of education, related organization, economic, and environmental support for individuals or communities on their health (Nies & McEwen, 2014). Community/public health nurses are the nurses that do the booths to help the public become aware of certain diseases and provide the community ways to either prevent it or help manage the symptoms.

Hospital nursing and community/public health nurses focus on very different things in their day to day tasks. Hospital nurses focus on getting the acute illness fixed while community/public health nurses work on helping the patient’s manage their long term illnesses. While both types of nurses do very different things they are both as important to the healthcare system and we couldn’t help our patients the way we do without one another.

 
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Question description The first step of the EBP process is to develop a question from the nursing practice problem of interest. (An example is attached). this is supposed to be one big research paper which is supposed to be done over 5 weeks for my class developing each part every week.) (So this part is choose a nursing practice problem of interest, develop PICOT and gather literature. The details are below.) Select a practice problem of interest to use as the focus of your research.

Question descriptionThe first step of the EBP process is to develop a question from the nursing practice problem of interest. (An example is attached). this is supposed to be one big research paper which is supposed to be done over 5 weeks for my class developing each part every week.) (So this part is choose a nursing practice problem of interest, develop PICOT and gather literature. The details are below.)

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page PICOT Statement and a reference list with abstracts.

APA STYLE REQUIRED VERY CREDIBLE SOURCE REQUIRED, AS IN LEGIT RESEARCH ARTICLES (This whole instructions seems lots but this part of the assignment is pretty small, but i wanted to make sure you have all the details so you have an idea.)

PICOT Statement and Literature Search
picot_example.png
 
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Question description In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project. For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 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 not required to submit this assignment to Turnitin. NRS-490-RS-LiteratureEvaluationTable.docx

Question descriptionIn nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to Turnitin.

NRS-490-RS-LiteratureEvaluationTable.docx

 
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Use a library database such as CINAHL Complete for your search. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative

Question description

Details:

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide- An abstract is not required..

 
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