DESCRIBE THE IOM REPORT FRAMEWORK FOR HEALTHCARE QUALITY. HOW CAN IT BE APPLIED TO NURSING?

AFTER REVIEWING THE INSTITUTE OF MEDICINE (IOM) WEBSITE (WWW.IOM.EDU), DESCRIBE THE IOM REPORT FRAMEWORK FOR HEALTHCARE QUALITY. HOW CAN IT BE APPLIED TO NURSING?

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After reviewing the Institute of Medicine (IOM) website (www.iom.edu), describe the IOM report framework for healthcare quality. How can it be applied to nursing? How can it be applied to your actual work setting? The Institute of Medicine (IOM) website has hundreds of reports related to health and health care. After reviewing the IOM website, describe the IOM report framework for healthcare quality. How can it be applied to nursing? How can it be applied to your actual work setting?
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How should this information be reflected in the financial report? Q2: Chan and Partners Chartered Accountants is a successful mid-tier accounting firm with a large range of clients across Australia. During the 2017 year, Chan and Partners gained a new client, Medical Services Holdings Group (MSHG), which owns 100 per cent of the following entities

Q1: Steve Smith is reviewing the results of the review of subsequent cash receipts. There are several receipts listed from customers that were considered doubtful at the end of the year (30 June). Steve is also reviewing evidence that shows that another customer that had a large balance at year-end was unexpectedly declared bankrupt on 10 July.
Required
How should this information be reflected in the financial report?
Q2: Chan and Partners Chartered Accountants is a successful mid-tier accounting firm with a large range of clients across Australia. During the 2017 year, Chan and Partners gained a new client, Medical Services Holdings Group (MSHG), which owns 100 per cent of the following entities: • • Shady Oaks Hospital, a private hospital group • • Gardens Nursing Home Pty Ltd, a private nursing home • • Total Cancer Specialists Limited (TCSL), a private oncology clinic that specialises in the treatment of cancer. Year-end for all MSHG entities is 30 June. You are the audit partner reviewing the audit work papers for MSHG for the year ended 30 June 2017. Today is 13 July 2017 and the audit report is due to be signed in three weeks’ time. During your review you note that the fixed-term borrowings of MSHG totalling $75 million are approaching maturity and MSHG does not seem to have renegotiated any terms of refinancing. You are aware, from your experience with other clients, that banks are reluctant to extend financing on the same terms in the current market. The financing of MSHG was historically managed by the group’s treasurer who left the group six months ago and has not been replaced. MSHG’s financial controller, who has been with the group for nine months, has advised you that he has been busy renegotiating with some of MSHG’s key suppliers who recently requested cash on delivery for all orders rather than extending the normal credit terms. You are also aware that a fire that occurred in the hospital cafeteria last week was not adequately covered by insurance. Fortunately, no one was seriously injured in the fire, but the cafeteria was so badly damaged it had to be closed. While discussing this matter with MSHG’s law firm, they reveal that the hospital is unlikely to have adequate professional indemnity insurance to meet the current demands of several malpractice cases that have been brought against the hospital in the last 12 months.
(a) Explain your responsibilities with respect to the cafeteria fire.
(b) How will this event be handled in the financial report and the audit report?

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Developing An Evidence-Based Practice (EBP) Project Question

Developing An Evidence-Based Practice (EBP) Project Question 
Write my research paperDeveloping an Evidence-Based Practice (EBP) Project QuestionConsider issues related to your nursing practice. What stands out to you about your specialty area? What questions or concerns do you think are especially in need of attention? Why? How would you most like to contribute to the knowledge base of your profession?The EBP Project provides a significant opportunity for furthering the nursing profession. Formulating a specific, applicable question is a necessary first step for developing your project. The question defines the focus of the EBP Project and guides your selection of research methods and tools. Think about aspects of your specialty area and begin to formulate a question that relates to your nursing practice.The primary purpose of this Discussion is to provide a forum in which you and your colleagues can support each other in cultivating a practice-related question.To prepare:By tomorrow 08/28/18 10pm write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Answer the questions as numbered below:Post a cohesive scholarly response that addresses the following:1) Share your project question, as you have developed it thus far (Write the questions exactly as the PIICOT Template provided in the attached file area).2) Discuss salient elements that inform your project question: theory, current research, nursing practice, and specialty knowledge.3) Pose any questions or concerns you may have related to developing your project question or literature review. You may also include any other issues related to expanding your expertise within your specialty area.Required ReadingsTerry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 2, “Developing the Researchable Problem”American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/dnp/Essentials.pdfJeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. McCurry, M. K., Revell, S. M. H., & Roy, C. (2009). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61.Tschannen, D., Aebersold, M., Kocan, M., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal Nursing Care Quality, 30(2), 181-186. Vanderbilt University Center for Teaching. (2017) Bloom’s Taxonomy Retrieved from https://cft.vanderbilt.edu/guides-sub-pages/blooms-taxonomy/Yensen, J. (2013). PICO Search Strategies. Online Journal of Nursing Informatics (OJNI), 17 (3). Available athttp://ojni.org/issues/?p=2860Purchase the answer to view itPurchase the answer to view itPurchase the answer to view itThis is property of academicpaperguru.com. Tap into our custom essay writing service that has existed for the last decade and allow us to help you with your assignment. We are always at your service. Log in today and enjoy our affordable writing service

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Nursing homework help

Assignment: Policy/Regulation Fact Sheet
As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.
In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.
To Prepare:
· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.
The Assignment: (1 page)
Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
· Briefly and generally explain the policy or regulation you selected.
· Address the impact of the policy or regulation you selected on system implementation.
· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

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Nightingale’s Environmental Theory

Topic : Nightingale’s Environmental Theory

1. Describe the background of the theorist, description of the theory, assumptions of the theory, the application of the theory to nursing practice, and the compatibility of the theory to your personal philosophy of nursing.

The student will select a nurse theorist and prepare a PowerPoint presentation describing the background of the theorist, description of the theory, assumptions of the theory, the application of the theory to nursing practice, and the compatibility of the theory to your personal philosophy of nursing. Below you will see the criteria for each slide:

The Grading Criteria for the Nurses Theorist Presentation:

Background of the theorist                                               20%

Description of the theory                                                  20%

Assumptions of the theorist                                              20%

Comparison to your personal philosophy of nursing           10%

Application to a clinical situation                                       20%

Presentation style and creativity 10%

Total                100%

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Q2

NANDA-I accepted nursing diagnoses – SCENARIO BASED NURSING  CARE PLAN – Nursing Assignment

Nursing Case Study Assignment :

Mr Peter Jones is a 62 year old man admitted to ED with abdominal pain and constipation. Initial abdominal x-ray and a CT scan revealed a tumour obstruction in the recto sigmoid region of the colon. Mr Jones was taken in for an emergency laparotomy for the resection of the recto-sigmoid tumour.

Group significant data into logical clusters

Identify data gaps

Identify conflicting or inconsistent data

Determine the patient’s perception of normal health

Determine how the patient coping with his/her health problem

Analysing data (what does the data mean?

Identifying the person’s real or potential health problems.

Identifying the person’s strengths

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History homework help

Music History & Lit I: Composer Paper Choose a composer from any of the time periods we have discussed in class this semester (Ancient to Baroque) in order to write a 3-5 page research paper. Your research should include the following information on your composer:
 Basic biographical information
 Personal life (spouse, children, etc.)
 Educational background
 Employment history
 Important works of music
 Influence on music/contributions to the development of music
 How the composer was affected by the world around them o Consider social structure, political climate, etc.
Your paper should be written in Turabian (aka Chicago) style, and should include a title page and a list of works cited and/or biography. You should use 4 or more scholastic resources to complete your paper. Turabian writing resources can be found here: https://www.liberty.edu/casas/academic-success-center/turabian/quick-guide/ Writing for music should be in a research style – succinct, direct, and factual. For research writing tips, see the “Writing Tips” document under ‘Resources’ in Discovery.
 

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Legal Theory and Application

Argosy University Comprehensive Examination
MA Forensic Psychology
NT 7.19.2018
(Thursday, August 2, 2018 –Wednesday, August 8, 2018)
Proposed Case Vignette for Comprehensive Examination
Please read the vignette carefully. Based on information provided in the vignette, please compose a well-written and organized response to each of the questions that follow:
Interviewing and Background Information
Family of Origin:
Mr. Jones is a 27-year-old self-reported Asian male who was born in Chicago, Illinois. He stated his mother died a year ago. When Mr. Jones was question as to how his mother passed away, Mr. Jones stated “I do not want to talk about that right now. Rest my mother’s spirit, she died young. But I will say she was one of the hardest working people I knew. Some might say it was a shame my mother had the nerves to have eight kids by several different Johns, as they call them today as a sex worker. Guess what though, my mother never received government assistance and never allowed us to live in poverty. She did her business on the Westside of the city and provided a home for us on the Southside……anything we needed she provided it….” Mr. Jones stated he never met is father nor does he have information about his father. He reported having 7 siblings (2-brothers, 5-sisters). Mr. Jones is the second oldest of his siblings and indicated that he feels supported by each of them. He stated that his relationship with his siblings is “….very close…..we grew up together… we are all we got.” Mr. Jones stated that while he was growing up his mother treated him “good… my mother did the best she could… there is eight of us so I had to find my way in life.” Mr. Jones described his family as “loving, supportive, respectful, helpful… don’t get me wrong, we had our problems, all families do… but we always stuck together….my friends would call us the Rainbow Family of Ms. Chen due to my mother being Asian and my siblings and I having different colored skin from each other ….they can say what they want at the end of the day nothing like family and I would not trade them if I could….most people don’t know anything about that…”
Mr. Jones stated he has resided in the “Chicago area” for most of all my life.” Mr. Jones formerly resided in Niles, Illinois (from approximately 2014-2016).  He currently lives in Chicago, Illinois with his younger sister in his mother’s house.
Social History:
It was reported by Mr. Jones that he had 2-3 close friends as a child. He indicated that he spent more time with his siblings than his friends, further stating that his mother used to joke about him having enough brothers and sisters that he did not need friends. Despite this, Mr. Jones stated he was “very popular” in school. He reported he “used to go to the movies, roller skate, [and have] sleepovers for fun with his friends.” Mr. Jones also stated “my friends and I did not get in trouble together as I always did that on my own.” He stated he did not experience bullying as a child and specifically stated he did not bully others either.
Mr. Jones described his friendships as an adult to be “loving, peaceful, caring, [and] happy,” further indicating that he has friends outside of his siblings. He reported that he and his friends cook, go to the movies, go out to eat, spend time at each other’s houses, and “go to clubs” (prior to his court involvement) for fun. Mr. Jones stated his friendships are “I guess the same as when I was a kid,” further describing he is still close with his friends from childhood. When asked about how he generally feels about other people, Mr. Jones stated, “I don’t judge people. You treat me right, I’ll treat you right. I’m not a judgmental person.” He reported spending most of his time with his children and his younger sister, Claire doing “mostly everything they need for me to do for them.”
With regards to romantic relationships, he reported his relationships have been “good” with “no abuse.” He reported having a previous relationship and being married to Sarah, indicating further they met through a mutual friend. Their relationship reportedly ended because she “found some other piece of ****.” They were married in 2015 and have been divorced since 2016. Mr. Jones reported they have 2- daughters (ages 4 and 3). He is currently in a relationship with Eleanor, describing they met through Mr. Jones’ older brother and have been together since his divorce from Sarah. He described Eleanor as being: “peaceful, loving, caring, understanding, [and] joyful.”
Educational History:
Mr. Jones reported reaching general developmental milestones within normal limits. He related that school was hard for him and explained that he participated in “LD and BD” classes (learning disorder and behavior disorder). Mr. Jones stated, “… I was a D and F student in the beginning of my schooling career” and indicated that his grades improved overtime. He attributed this to his dyslexic and not being diagnosed until he was almost in the 8th grade. Mr. Jones indicated he had another learning disorder but could not remember the name. Mr. Jones graduated and received his high school diploma in 2008. He reported receiving detention several times for running in the hallways and talking out loud but specified that none were for fighting.
Employment History:
Mr. Jones provided a history of gainful employment. He reported his relationships with his coworkers to be “real good.” Previously, Mr. Jones worked as an investment banker assistant in Niles, Illinois for approximately four years.  Mr. Jones stated he was terminated due to “numerous calls-offs ….well some days I just could not make it in from Chicago…… I had to move back with my mother after Sarah left.” He then worked as a financial assistant for a large corporation in Chicago until he was laid off in March 2018.
Substance Use/Abuse History:
Mr. Jones reported a history of minimal alcohol use starting at age 22, stating, “I don’t like it.” He related that he does not normally drink and that the most he has ever consumed was “not even half of a cup.” Mr. Jones endorsed a history of illegal drug use, identifying marijuana as his drug of choice. He reported his marijuana use began when he was 17 years old and that he smoked “all day, every day.” His last reported use of marijuana was “a year a so ago.” He indicated that it was “not hard to stop [smoking marijuana.]” Mr. Jones reported two previous attempts at staying sober. He reported his first attempt was 5 years ago. His last attempt was 11-12 months ago, where he received out-patient substance abuse treatment for marijuana use. Mr. Jones stated, “My brother and I talked after our mother passed away and we both agreed we needed to step it up and anything that might hinder us let it go. So, hey no weed for me…we have to pick-up where our mother left off.” With regards to family use of drugs and alcohol, Mr. Jones reported that his older brother is an “alcoholic, a functioning one though.”
Mental Health History:
Mr. Jones denied the presence of mental health issues within his family. He indicated that he previously received mental health counseling when he was 14 years old. Mr. Jones stated he “doesn’t remember much about it.” Mr. Jones also reported he was psychiatrically hospitalized at a hospital in Chicago, Illinois one time and estimated that this occurred when he was about 12 or 13 years old. Mr. Jones reported being unable to remember why he was hospitalized but remembers being there. Further, Mr. Jones could not recall if he was diagnosed with a mental disorder. He denied being prescribed medication.
He endorsed experiencing symptoms such as frequent mood swings. He indicated that he was irritable when he was not “smoking weed” and often “spaced out.” Mr. Jones indicated that he will experience a “180 change” instantly and that this will happen randomly during his periods of both using and not using marijuana.  He endorsed experiencing “highs and lows quickly” and feeling “hyper,” stating that this has been occurring “a lot” since he was about 12 years of age “lasting for hours to sometimes days.” “When asked about periods of irritability, Mr. Jones stated “there’s always a reason why I am upset… someone had to do something to make me mad.” He described himself to be “irritated” during these periods, stating he did not want to be bothered [by other people] and preferred to be by himself. Mr. Jones stated he used marijuana during these periods “to help me calm down…it works…I have never been in a fight. He stated he would be irritable for “hours… until I came down off the madness.” Per Mr. Jones, these periods of irritability occurred randomly and often, similar to the periods of feeling “hyper.” Mr. Jones indicated his self-esteem was high during these periods and he felt more confident than usual. He denied experiencing any symptoms of depression and anxiety. Also Mr. Jones denied experiencing symptoms of a perceptual disturbance. With regards to speech, Mr. Jones stated “I talk anyway,” expressing he did not feel pressure to talk constantly or faster than normal. Mr. Jones denied current and previous suicidal and homicidal ideations at the time of his assessment, specifically stating, “No, that’s not an option.”
Trauma:
Mr. Jones denied experiencing or witnessing an event that he considered to be traumatic or distressing.
Abuse History/DCFS Involvement:
Mr. Jones denied ever having been abused but reported a positive history for DCFS involvement. Per Mr. Jones, when he was 15 years old, he was involved in DCFS. When queried further about the situation, Mr. Jones stated, “Basically because I didn’t want to listen to nothing my mom had to say… I wanted to be grown and do things on my own, but it was not like they took me from her or anything. They did an investigation and pop-ups to the house, you know.”
Medical History:
Mr. Jones denied a history of head injuries and endorsed a history of asthma and a heart murmur. He denied having a serious illness that required hospitalization. Mr. Jones reported that he is prescribed the inhalant medication, Albuterol, for his asthma by his medical doctor. He is also prescribed another medication of which he cannot remember the name. Despite this, Mr. Jones reported that he takes each of his medications as directed. He also reportedly has medical insurance and would seek a doctor if necessary. Mr. Jones denied any reports of a positive family medical history.
Legal History:
Mr. Jones reported on May 22, 2018 he was charged with a Possession of a Controlled Substance, specifically MFG/DEL 1<15 GR COCAINE/ANLG, Class 1 felony offense. Mr. Jones reported this is his first and only experience with the law. He stated the following as his version of the offense: “Okay so I am in the Chicago area meeting up with some friends. And we are walking around Buckingham Fountain and just kind of goofing around. We were like walking around and whatever. And then I don’t know… we sort of got into this weird semi- fight with this other group of dudes. I got pushed around a little. And I guess someone called the cops and we all got searched. And they found some cocaine in my coat pocket.” When queried further about why Mr. Jones had cocaine in his pocket, he stated, “Well I have been having a hard time paying some bills and I needed some cash, so I was trying to sell it to a friend or someone. I just really needed some extra cash. I wasn’t doing it myself. I promise.”
Mr. Jones denied having a gang affiliation history.
Behavioral Observations & Mental Status:
Mr. Jones’ first scheduled assessment appointment was scheduled for July 9, 2018 at 10:00AM. He did not arrive to this appointment and did not contact the evaluator to reschedule the appointment. Mr. Jones’ appointment was re-scheduled by our office for July 16, 2018 at 9:30AM to which Jones arrived 45 minutes late. When he arrived, Mr. Jones was dressed casually and appropriately for the weather and was cooperative throughout his evaluation. His gait appeared steady and his body movements were fluid. He presented with adequate hygiene and was dressed casually. Mr. Jones’ mood and affect were congruent throughout the assessment. He was oriented to time, place, person and situation. His thought processing appeared coherent and emotional distress was absent. Mr. Jones did not appear to be reacting to internal stimuli. At the time of the evaluation, Mr. Jones denied current and previous suicidal and homicidal ideations. Mr. Jones was overall responsive to directives and required no clarification or assistance. Mr. Jones appeared to possess sufficient literacy skills and completed the interview with satisfactory effort. Mr. Jones’ energy level was adequate. His speech and expressive and receptive language skills were unremarkable.
Task Identification:
You are the forensic case manager being asked to conduct a pre-trial evaluation with recommended services and referrals as needed. You are to act as a forensic mental health evaluator and produce a written case report addressing the questions below. The report will be submitted to the appropriate supervisor and to the judge.
Based on the vignette provided, please compose a well-written and organized response to each of the following questions. When writing your responses, please:

  • Use APA (6th edition) Style,      with 1-inch margins, double-spaced, 12 font, with a reference list at the      end.
  • Write clearly and concisely.
  • Cite appropriate, and      especially current, literature (empirical and/or theoretical).
  • Avoid all sexist idioms and      allusions.
  • Remember to demonstrate your      multicultural competence where appropriate.

Psychological Theory and Practice

  1. What assessments would you conduct to      enhance your understanding of the problems of the person in the vignette      and how would your choice of assessment(s) inform your diagnostic      formation and treatment planning? Assessments may include structured or      unstructured interviews, valid and reliable assessment measures, and/or      formalized assessment procedures that may be conducted by yourself or by      someone else referred by you. 
  2. Provide your      diagnostic impressions (based on the DSM-5) for this individual. In      narrative form, please describe how the individual meets the diagnostic      criteria for the disorder(s) chosen in addition to the differential      diagnostic thought process that you used to reach your hypotheses. Be sure      to include any additional (missing) information that is needed to either      rule out or confirm your differential diagnoses impressions.

Legal Theory and Application

  1. Explain the background, current      presentation, and behavior of the person in the vignette utilizing      biological, learning, and social theories on offenders to support your      position. Do not simply restate the background information from the      vignette. Instead, provide a theoretically-based discussion to understand      the criminal behaviors of the person in the vignette.
  2. Consider the      type of crime in the vignette and discuss how that type of crime generally      impacts a victim of it. Do not      limit yourself to discussing just the victim in this vignette. Instead obtain scholarly sources for      information on how this type of crime can affect any victim, their family      members, and other members of society. 
  3. Describe the      psycholegal standards and/or definitions for each of the following:      competence to stand trial, duty to warn, and insanity. Identify and      describe one or more landmark case(s) for each standard (at least three      cases total). Describe the elements or issues that a mental health      professional usually focuses on when assessing a person’s adjudicative      competence, risk and insanity, and any additional items that might be      especially important to focus on in the provided vignette.

Assessment, Research and Evaluation

  1. Describe      tests or assessment procedures you would employ to address the psycholegal      issues of (competence to stand trial, risk of dangerousness, and      insanity). You may refer to these from the Psychological Theory and      Assessment Section “A” if you already covered them there.       Discuss what the anticipated conclusions would be based upon information      provided in the vignette. 
  2. Develop a      research question and a testable research hypothesis regarding offenders      or the type of crime that is discussed in the vignette (such as,      addiction, recidivism, criminal behavior, etc.). Explain the variables in your question      and the type of research study that could answer your question as well as      why that research would make a contribution to the field of forensic      psychology.

Leadership, Consultation, and Ethics
A. What are the ethical and legal dilemmas this vignette introduced? What would be your immediate steps and why? Please be specific and make sure that you describe your process of ethical decision making and the solutions/consequences to which this process might lead. Your discussion should be informed by the American Psychological Association’s Ethics Code as well as the Specialty Guidelines for Forensic Psychologists.
Interpersonal Effectiveness
A. What diversity factors, cultural considerations, or other demographic variables pertaining to the person in the vignette would you take into account in rendering diagnoses, choosing assessment measures, forming case conceptualizations, and designing the treatment plan?  Be sure to discuss cultural/diversity factors that could apply even if they are not explicitly mentioned in the vignette.
B. Your writing, use of citations, ability to form a logical argument, and proper APA Style, including the use of paraphrasing, will be evaluated as a measure of your interpersonal effectiveness. No response is required for “B”. 

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Nursing Assignments

Nursing Assignments

Research (graded) Give a brief definition of nursing research and evidenced-based research. Explain differences and similarities. Remember to use references. w Role of Research (graded) Why should nurses incorporate research? What trends have created a push for nursing practice based on evidence? Remember to use references. week 2 Describe a Significant Clinical Issue (graded) Reflect on your practice and identify a significant clinical issue that you would like to search for evidence in online sources. This issue will be the basis for the Research Database Assignment that you will submit Week 4. Describe what makes your issue significant, for example, the seriousness, the number of people affected, the gaps in knowledge, and so forth. Remember to integrate references. Formulate Searchable Clinical Questions (graded) Read the assigned case study and formulate searchable, clinical questions in the PICO(T) format. There are several potential questions that could be asked. Identify if the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references. week 3 Research Problems and Designs (graded) Using your Significant Clinical Issue from Week 2, describe the knowledge gap that research could fill. Identify the PICO(T) elements that might be found in a research question related to the problem. Share a Research Database Description (graded) Review the guidelines, grading rubric, and brief video (link found in guidelines) that explain the Research Database Assignment due in Week 4. Search for one research database that is relevant to this assignment, and briefly describe the issue you are investigating, the name of the research database, and where it may be found, that is, the URL. USE THE FORM IN THE ASSIGNMENT GUIDELINES Briefly describe your process for locating databases that contain relevant research studies. Did you have any difficulties or face any challenges? week 4 Sampling (graded) The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications for using a convenience sample on the way you interpret and use the findings? Ethical and Legal Issues (graded) Read one of the case studies from Your Genes, Your Choices: Exploring the Issues Raised by Genetics Research (a PDF of this may be downloaded from Doc Sharing). Consider the legal and ethical issues that may occur as the result of genetics research. Identify the name of the case and explain something new that you learned about ethical and legal issues regarding research by completing this statement, “I didn’t know _____.” The legal/ethical dilemmas discussed in these cases are timeless, but the details of the case studies may be dated. If you would prefer, you may discuss a legal/ethical issue issue you have faced at your facility instead of analyzing a case. week 5 Measurement Strategies (graded) Describe what reliability means in terms of research and why it is important. How does a researcher ensure that reliability is maintained in instruments and between raters? Data Collection (graded) Download the Class Survey from Doc Sharing and answer the questions. You are not to submit your answers, nor is the survey graded. This experience is to provide you with insight into being a human subject. What was your impression of this data collection tool and the type of questions it asked? week 6 Applying Evidence From Research Reports (graded) Consider a policy or procedure at your facility that you believe may be not following best practices. Search for at least two research reports (preferably systematic reviews) that address the policy or procedure. Cite your sources. After reading the results sections of the reports, would you recommend to keep or change your current policy or procedure? Defend your decision based on the strength of the evidence. Analyzing Results (graded) Earlier in the course you were asked to complete the Class Survey. The results are in! Findings from students who have taken NR439 can be found in Doc Sharing. Review these and describe what the results say about this sample of students. week 7 Applying Evidence to Practice (graded) How does a nurse know what (if any) knowledge in a research study is useable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and significance have on your decisions to integrate research-based evidence into your practice? Sharing Evidence (graded) Discuss the research databases that you discovered related to the clinical issue that you chose for the Research Databases Assignment. Summarize the evidence you found in your Research Database Assignment. Explain how you would share this with your clinical practice area. ASSIGNMENTS Research Database Assignment – Week 4 Guidelines and Grading Rubric Purpose You are to locate and document research databases that relate to a significant clinical nursing issue of your choice. The research databases may be labeled as such, or may be collections of research studies, reports, articles and/or findings that are not specifically called databases. Please note: Individual journals and journal articles do not meet the criteria for a research database, and therefore, do not qualify for this assignment. Course Outcomes This assignment enables the student to meet the following course outcome: CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO #7) Due Date: You are to identify a total of five research databases (or collections of research-based evidence) that are relevant to a significant clinical nursing issue that is important to you. Submit the descriptions using the form provided in Doc Sharing to the Week 4 Dropboxby11:59 p.m. Sunday (MT). Points The assignment is worth a total of 175 points. Please see the grading rubric for details. Requirements 1. Choose a topic of interest to you that is a significant clinical nursing issue. Please note that the databases you identify could be useful sources of information for your Capstone project in NR451, so choose your topic thoughtfully. 2. Download the NR439_Research_Database_Form from Doc Sharing and type information about each database directly onto the form. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax, and write in complete sentences. 3. Save the file by clicking Save as and adding your last name, e.g., NR439_Research Database_Smith.docx. 4. Watch the video that describes this assignment by opening this link:.brainshark.com/devry/vu?pi=zHpzpHehxzHr05z0&intk=45814200″>http://www.brainshark.com/devry/vu?pi=zHpzpHehxzHr05z0&intk=45814200 5. Describe your topic of interest. This is worth 15 points. 6. Locate a total of five research databases or collections related to your topic. Each research database description is worth 30 points. You may search for these in various locations, e.g., the Internet, an intranet at work, print publications, etc. You may NOT choose the databases that are already familiar to you – MEDLINE, PUBMED (which also indexes MEDLINE), GOOGLE SCHOLAR, and CINAHL. Instead, you are expected to expand your knowledge of evidence-based sources. Places to help you begin include your textbook, which lists databases and websites that report research. The Chamberlain online library (.chamberlain.edu/”>http://library.chamberlain.edu) gives you access to several databases and provide tutorials for searching. Government sites such as those at the National Institutes of Health offer collections of research on a variety of subjects. The key to choosing the databases is that each contains research-based evidence that also pertains to your topic of interest. 7. Review each database or collection to gather information to create a description for the assignment. Each description must: a. identify the title of the research database; b. describe the location of the research database in a way that a reader could find it. This could be a URL or an APA citation; c. name owner or publisher of
the source; d. describe the research database. This must be in your own words and not copied and pasted from the original source. Include the purpose of the database and the subject matter it covers. This may be four or five sentences; and e. explain how the research found in the database relates to your topic of interest. This may be an additional paragraph, perhaps two or three sentences. 8. Submit to the Research Database basket in the Dropbox by 11:59 p.m. MT Sunday at the end of Week 4. Please post question about this paper in the Q & A Forum. Example The following is an example of a description for JBI: Title of source:Joanna Briggs Institute for Evidence-Based Nursing and Midwifery Location of source (URL):.joannabriggs.edu.au/”>www.joannabriggs.edu.au Owner or publisher:Joanna Briggs Institute for Evidence-Based Nursing and Midwifery (JBI) Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: The Joanna Briggs Institute is an international not-for-profit Research and Development Organization that provides evidence-based resources for healthcare professionals in nursing, midwifery, medicine, and allied health. Those with membershipare able to obtain evidence-based practice information from systemic reviews, evaluation reports, electronic journals, best-practice information, and consumer healthcare information. Explain how the source relates to your topic of interest: JBI is relevant to my topic of interest because it provides reports, systemic reviews, journal Articles, and best-practice information on current issues in healthcare. Hospital readmissions are a major issue in healthcare. The database had several resources addressing the problem of hospital readmissions and identifying strategies for improvement. Research Database Assignment Form Type your answers to the following questions using complete sentences and correct grammar, spelling, and syntax. Click Save as and save the file with your last name and assignment, e.g., NR439_Research_Database_Smith. Submit to the Research Database basket in the Dropbox by11:59 p.m. MT Sunday at the end of Week 4. The guidelines and grading rubric for this assignment may be found in Doc Sharing. Name: [replace this text with your name] Describe briefly your topic of interest/research question(15 possible points): #1 Database (or collection) (30 possible points): Title of Database: Location of Database (URL): Owner or publisher of Database: Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: Explain how the databaserelates to your topic of interest/question: #2 Database (or collection) (30 possible points): Title of Database: Location of Database (URL): Owner or publisher of Database: Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: Explain how the databaserelates to your topic of interest/question: #3 Database (or collection) (30 possible points): Title of Database: Location of Database (URL): Owner or publisher of Database: Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: Explain how the databaserelates to your topic of interest/question: #4 Database (or collection) (30 possible points): Title of Database: Location of Database (URL): Owner or publisher of Database: Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: Explain how the databaserelates to your topic of interest/question: #5 Database (or collection) (30 possible points): Title of Database: Location of Database (URL): Owner or publisher of Database: Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: Explain how the databaserelates to your topic of interest/question: WEEK 5 Reading Research Literature #1 Guidelines and Grading Rubric – Week 5 Purpose The student will read research literature to determine the research purpose, question, design, peer-review status, study characteristics, conflict of interest, population, sampling, vulnerable subjects, and HIPAA concerns. Course Outcomes This assignment enables the student to meet the following course outcomes: CO 2: Apply research principles to the interpretation of the content of published research studies. (PO #4 and 8) CO 4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (PO #4 and 8) Due Date:Submit to the Reading Research Literature #1 basket in the Dropbox by11:59 p.m. MT Sunday at the end of Week 5. Requirements 1. Download the research articles from the Chamberlain library. Retrieve the following research articles:Make sure you are viewing the full text PDF. If you view the article in HTML format, you may not be able to see the tables and figures that are referenced in the questions. Sanford, J., Townsend-Rocchicciolli, J., Horigan, A., & Hall, P. (2011). A process of decision making by caregivers of family members with heart failure. Research and Theory for Nursing Practice, 25(1), 55–70..devry.edu/login?url=http://search.proquest.com/docview/853503862/354CEF3F10A4D9CPQ/6?accountid=147674″>http://proxy.devry.edu/login?url=http://search.proquest.com/docview/853503862/354CEF3F10A4D9CPQ/6?accountid=147674 Schwarz, K. A., Mion, L. C., Hudock, D., & Litman, G. (2008). Telemonitoring of heart failure patients and their caregivers: A pilot randomized controlled trial. Progress in Cardiovascular Nursing, 23, 18–26..devry.edu/login?url=http://search.ebscohost.com.proxy.devry.edu/login.aspx?direct=true&db=rzh&AN=2009875572&site=ehost-live”>http://proxy.devry.edu/login?url=http://search.ebscohost.com.proxy.devry.edu/login.aspx?direct=true&db=rzh&AN=2009875572&site=ehost-live 2. Download NR439_RRL1_form and type answers to the questions directly onto the form. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax, and write in complete sentences. 3. Save the file by clicking Save as and adding your last name, e.g., NR439_RRL1_Smith.docx. 4. Watch the video on how to complete this assignment by opening this link:.brainshark.com/devry/vu?pi=zGLz8YKmYzHr05z0&intk=958145897″>http://www.brainshark.com/devry/vu?pi=zGLz8YKmYzHr05z0&intk=958145897 5. Submit to the Reading Research Literature #1 basket in the Dropbox by11:59 p.m. MT Sunday at the end of Week 5. Please post questions about this paper in the Week 5 Q & A Forum. Points:This assignment is worth 225 points. Grading Criteria Reading Research Literature #1 – Week 5 Type your answers to the following questions using complete sentences and correct grammar, spelling, and syntax. Click Save as and save the file with your last name and assignment, e.g.,NR439_RRL1_Smith. Submit to the Reading Research Literature #1 basket in the Dropbox by11:59 pm MT Sunday at the end of Week 5. The guidelines and grading rubric for this assignment may be found in Doc Sharing. Title: RRL#1 Name: [replace this text with your name] The following questions pertain to: Sanford, J., Townsend-Rocchicciolli, J., Horigan, A., & Hall, P. (2011). A process of decision making by caregivers of family members with heart failure.Research & Theory for Nursing Practice, 25(1), 55–70. 1) What is the purpose of this research? 2) What is the research question (or questions)? This may be implicit or explicit. 3) Did the authors describe the design of this study? If so, give a description. 4) What characteristics does this study possess that are qualitative in nature? Review Chapter 2. 5) What is the evidence that this journal is peer-reviewed? Does the journal have an editorial board? (Look for the journal’s website to discover this information) 6) Is there evidence of any conflict of interest? Do the authors have any potential financial gain from the results of this study? 7) Descri
be the population for this study. 8) How was the sample selected? What are the strengths and weaknesses of this sampling strategy? 9) Were the subjects in this study vulnerable? Were there any risks for them as the result of participation in the research study? 10) Are there any HIPAA concerns that are evident in this study? The following questions pertain to:Schwarz, K., Mion, P., Hudock, D., & Litman, G. (2008). Telemonitoring of heart failure patients and their caregivers: A pilot randomized controlled study. Progress in Cardiovascular Nursing, 23(1), 18–26. 11) What is the purpose of this research? 12) What is the research question (or questions)? This may be implicit or explicit. 13) Did the authors describe the design of this study? If so, give a description. 14) What characteristics does this study possess that are quantitative in nature? Review Chapter 2. 15) What is the evidence that this journal is peer-reviewed? Does the journal have an editorial board? (Look for the journal’s website to discover this information) 16) Is there evidence of any conflict of interest? Do the authors have any potential financial gain from the results of this study? 17) Describe the population for this study. 18) How was the sample selected? What are the strengths and weaknesses of this sampling strategy? 19) Were the subjects in this study vulnerable? Were there any risks for them as the result of participation in the research study? 20) Are there any HIPAA concerns that are evident in this study? WEEK 6 Reading Research Literature #2 – Week 6 (3 Pages) Type your answers to the following questions using complete sentences and correct grammar, spelling, and syntax. Click Save as and save the file with your last name and assignment, e.g.,NR439_RRL2_Smith. Submit to the Reading Research Literature #2 basket in the Dropbox by11:59 p.m. MT Sunday at the end of Week 6. The guidelines and grading rubric for this assignment may be found in Doc Sharing. Title: RRL#2 Name: [replace this text with your name] The following questions pertain to: Sanford, J., Townsend-Rocchicciolli,J., Horigan, A., & Hall, P. (2011). A process of decision making by caregivers of family members with heart failure. Research & Theory for Nursing Practice, 25(1), 55–70. 1) What methods were put in place to ensure that the subjects were giving true informed consent? 2) What was the setting for the study? 3) Was the sample adequate for the research design that was selected? 4) Describe the data collection procedure. 5) What did the authors say about the reliability and validity of their data collection and analysis? 6) What demographic information was reported? 7) What were the variables that were studied? 8) How were the data analyzed after collection? Was there any special software used? 9) Discuss the use of any figures, graphs, and tables. Was the information conveyed in an understandable and meaningful way? 10) Discuss the authors’ conclusions. Do you feel these conclusions are based on the data that they collected? The following questions pertain to:Schwarz, K., Mion, P., Hudock, D., & Litman, G. (2008). Telemonitoring of heart failure patients and their caregivers: A pilot randomized controlled study. Progress in Cardiovascular Nursing, 23(1), 18–26. 11) What methods were put in place to ensure that the subjects were giving true informed consent? 12) What was the setting for the study? 13) Was the sample adequate for the research design that was selected? 14) Describe the data collection procedure. 15) How did the authors address the reliability and validity of their data collection and analysis of the instruments used? 16) What limitations did the authors face in data collection? How could these have been lessened or minimized? 17) What demographic information was reported by the authors? 18) What were the variables that were studied? 19) Were there any inferential tests used in the analysis of data in this study? If so, what were they? 20) Discuss the use of any figures, graphs, and tables. Was the information conveyed in an understandable and meaningful way? Reading Research Literature #2 Guidelines and Grading Rubric – Week 6 Purpose The student will read research literature to determine the informed consent, study setting, sample size, data collection procedures, reliability and validity, demographic information, variables, data analysis, figures, and conclusions. Course Outcomes This assignment enables the student to meet the following course outcomes: CO 2: Apply research principles to the interpretation of the content of published research studies. (PO #4 and 8) CO 4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (PO #4 and 8) Due Date:Submit to the Reading Research Literature #2 basket in the Dropbox by11:59 p.m. MT Sunday at the end of Week 6. Requirements 1. Download the research articles from the Chamberlain library.Make sure you are viewing the full text PDF. If you view the article in HTML format, you may not be able to see the tables and figures that are referenced in the questions. Retrieve the following research articles: Sanford, J., Townsend-Rocchicciolli, J., Horigan, A., & Hall, P. (2011). A process of decision making by caregivers of family members with heart failure. Research and Theory for Nursing Practice, 25(1), 55–70..devry.edu/login?url=http://search.proquest.com/docview/853503862/354CEF3F10A4D9CPQ/6?accountid=147674″>http://proxy.devry.edu/login?url=http://search.proquest.com/docview/853503862/354CEF3F10A4D9CPQ/6?accountid=147674 Schwarz, K. A., Mion, L. C., Hudock, D., & Litman, G. (2008). Telemonitoring of heart failure patients and their caregivers: A pilot randomized controlled trial. Progress in Cardiovascular Nursing, 23, 18–26..devry.edu/login?url=http://search.ebscohost.com.proxy.devry.edu/login.aspx?direct=true&db=rzh&AN=2009875572&site=ehost-live”>http://proxy.devry.edu/login?url=http://search.ebscohost.com.proxy.devry.edu/login.aspx?direct=true&db=rzh&AN=2009875572&site=ehost-live 2. Download NR439_RRL2_form and type answers to the questions directly onto the form. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax, and write in complete sentences. 3. Watch the video on how to complete this assignment by opening the link: .brainshark.com/devry/vu?pi=zGdzBrSTYzHr05z0&intk=643784797″>http://www.brainshark.com/devry/vu?pi=zGdzBrSTYzHr05z0&intk=643784797 4. Save the file by clicking Save as and adding your last name, e.g., NR439_RRL2_Smith.docx. 5. Submit to the Reading Research Literature #2 basket in the Dropbox by11:59 p.m. MT Sunday at the end of Week 6. Please post questions about this paper in the Q & A Forum. Points:This assignment is worth 225 point

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Create a description of a nursing informatics best-practices policy document designed to define and encourage effective and safe data use in a practice setting or organization.

Please Check the Competencies:
Overview 
  
Write 3–5 pages in which you describe a nursing informatics best practices policy for effective and safe data use in a nursing practice setting or organization.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 2: Identify strategies and best practices for using informatics in nursing and health care.       

Describe the best practices needed to promote and support data security.
Describe the ethical standards needed to promote patient confidentiality.
Describe regulatory requirements that promote and support positive patient outcomes related to a specific population.
Describe the types of behaviors and skills nurse leaders need to guide the use of information technology and research for improved patient-care outcomes.

Competency 4: Communicate in a manner that is consistent with expectations of a nursing professional.       

Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

How do nurses develop best practice?
How does research support best practice?
What are best practices in your organization that you think are exemplars for improving patient care?
What nursing roles should be in place to support the use of evidenced-based practice?
How would you describe the concept of meaningful use and technology adoption stages: electronic health records (EHR) incentive programs, and how does this fit within the context of best practice?
What are the main points to consider as you review The Health Insurance Portability and Accountability Act (HIPAA), and why is this best practice?
How does the Patient Safety and Quality Improvement Act (PSQIA) support patient safety and improved patient outcomes?

Assessment Instructions 
  
Imagine an organization asks you to contribute to the development of an information system best-practices policy to help maintain patient safety and patient confidentiality in their practice setting. The organization wants you to create a document to help the group better understand why an informatics policy is needed and the practices that should be included in the policy.
A nursing informatics best-practices document can serve multiple purposes, such as a handout for new-hire orientation or as a background report given to a committee tasked with creating or updating a nursing informatics best-practices policy.
Preparation
To expand your understanding of nursing informatics best practices within the industry, research the most current information about the topics of nursing best-practices documents and nursing informatics best practices.
Using different methods (Web search, for example), locate 4–6 scholarly articles related to best practices designed to support positive patient outcomes related to the following areas:

The meaning of secure data practices.
Ethical standards needed to promote and support data security.
Patient confidentiality.
Regulatory requirements.
Behaviors and skills nurse leaders need to guide the use of information technology and research for improved patient-care outcomes.

Directions
Create a description of a nursing informatics best-practices policy document designed to define and encourage effective and safe data use in a practice setting or organization.

Purpose Statement: Statement of why an organization would create the policy. Include any reasons and intent that supports the creation of an informatics best-practices policy.
Best Practices Definitions and Descriptions: 

Definitions of secure practices, data security, and patient confidentiality.
Ethical standards.
Regulatory requirements.

Implementation: 

Behaviors – describe the behaviors nurse leaders will need to demonstrate that will guide implementation of the policy.
Skills required – describe the skills needed to ensure policy adherence.

Format your document using the professional format and style (corporate identity) used in your organization or practice setting. Note: If you are not currently working in an organizational setting, follow the formatting instructions below.
Additional Requirements

Written communication: Ensure written communication is free of errors that detract from the overall message.
APA formatting: Format resources and citations according to current APA style and formatting guidelines.
Number of resources: Cite a minimum of four peer-reviewed resources.
Length: Submit 3–5 typed, double-spaced pages.
Font and font size: Use Times New Roman, 12 point.

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