NRS 490
NRS 490 Week 1 Discussion 1
Which scholarly databases (name two) in the GCU Library will you choose in order to find the best research articles to support your EBP proposal? Discuss why these two (at least) databases are better than Google Scholar or a general Internet search?
NRS 490 Week 1 Discussion 2
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.
NRS 490 Week 2 Discussion 1
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During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.
NRS 490 Week 2 Discussion 2
What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.
NRS 490 Week 3 Discussion 1
Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.
NRS 490 Week 3 Discussion 2
Name two difference methods for evaluating evidence. Compare and contrast these two methods.
NRS 490 Week 4 Discussion 1
With your mentor, discuss why understanding the health care system at the local level plays an important part in the logistics of an EBP implementation. Discuss one of your learnings from this conversation that you will take into consideration for your own change project.
NRS 490 Week 4 Discussion 2
Identify two change theories, and in your selection process include asking your mentor which one(s) he or she uses or has used. Compare and contrast each one and then note which theory makes the most sense for implementing your specific EBP project?
NRS 490 Week 5 Discussion 1
Stakeholder support is necessary for a successful change proposal project implementation. Name one internal (facility, unit or health care setting where the change process is situated) and one external stakeholder (individual or group outside the health care setting) and (1) why their support is necessary to the success of your project, and (2) how you will go about securing that support.
NRS 490 Week 5 Discussion 2
Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.
NRS 490 Week 6 Discussion 1
After discussion with your mentor, name one financial, one quality, and one clinical aspect that needs to be taken into account for developing the evidence-based practice project. For each aspect, explain how your proposal will directly and indirectly impact each of the aspects.
NRS 490 Week 6 Discussion 2
Access and review the “Capstone Project Topic Selection, Rationale, and Approval” assignment from Topic 1. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, take your discussion a step further and briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need. How has this changed since you first envisioned it, and what led to your current perspective and direction?
NRS 490 Week 7 Discussion 1
Determine one internal and one external method for dissemination of your EBP project. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How might your tactics change for each type of group?
NRS 490 Week 7 Discussion 2
While EBP is not research, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.
NRS 490 Week 8 Discussion 1
Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? What basic statistical analysis might be run to determine statistical significance?
NRS 490 Week 8 Discussion 2
Not all EBP projects result in statistically significant results. Explain what clinical significance is, the difference between clinical and statistical significance, and how you might use clinical significance to support positive outcomes in your project.
NRS 490 Week 9 Discussion 1
Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills.
NRS 490 Week 9 Discussion 2
Sustaining change can be difficult, as there are many variables that can affect the process and implementation. One critical component of EBP is to ensure that practice change is hardwired so that it will thus continue to impact outcomes over time. Name two potential barriers that may impact your EBP change proposal from continuing to obtain the same desired results six months to a year from now, and your strategies for overcoming these barriers.
NRS 490 Week 10 Discussion 1
Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Name one professional journal and one nursing or health care conference where you might present our project as a presentation or article and discuss why each of your choices is the best option for you to disseminate your new knowledge.
NRS 490 Week 10 Discussion 2
Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Then name two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What problems or impediments do you foresee in being able to follow your EBP action plan? What steps can you take to minimize these?
NRS 490 Week 2 Assignment
In collaboration with your approved course mentor, you will choose a specific evidence-based practice proposal topic for the Capstone Project. Consider the clinical environment in which you are currently working or have recently worked. The Capstone Project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. A combination of 100 “supervised clinical hours” in community health and leadership areas will be obtained through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP.
Practicum immersion experiences are required in a community health setting. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490V course. Definitions of community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. Examples of the integration of community health, leadership, and an EBP can be found at Healthy People 2020.
The goals of the practice immersion experience is to apply the learning from your research, community health, and leadership courses:
After studying this course, you should be able to:
Demonstrate and apply knowledge of factors to consider when planning to work with a chosen community.
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Schools
Worksites
Health care facilities
Communities
Each setting provides opportunities to reach people using existing social structures. This maximizes impact and reduces the time and resources necessary for program development.
In a composition of no more than 750 words, describe the nature of your proposed project topic. Include the following in your discussion:
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.
Attach the completed “Project Topic Checklist” to your assignment submission.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
NRS 490 Week 3 Assignment
Review the PICO(T) resources listed in the topic readings.
Formulate a PICOT statement using the PICOT format used in the assigned readings. The PICOT statement will provide a framework for your Capstone Project.
In a paper of 500-750 words, clearly identify the clinical problem (from your Topic 1 approved Change Proposal) and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
While APA format 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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
NRS 490 Week 4 Assignment
In nursing practice, accurate identification and usage 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 15 peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the 15 articles. The articles should be current within the last 5 years and closely relate to the PICOT statement you developed earlier in this topic. Appropriate resources to include involve 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.
While APA format 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.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
NRS 490 Week 6 Assignment
An implementation plan prepares students to apply the research they have identified and vetted to the problem or issue they have identified for their Capstone Change Proposal Project. A literature review enables students to map out and move into the active planning and development stages of the Project.
In this assignment students will develop a 750-1,000-word literature review in which to synthesize what is known and unknown about the Project issue selected. Students will use the information from the PICOT Statement and Evaluation Table assignments prior in the course to develop a planned approach to implementing the evidence-based practice solution. The underlying purpose of this assignment is to analyze how the current research supports the PICOT, and to identify what is known and what is not known in the evidence, providing a logical, constructive argument.
Include the following sections:
- Title page
- Introduction section
- A comparison of research questions
- A comparison of sample populations
- A comparison of the limitations of the study
- A conclusion section, incorporating recommendations for further research
While APA format 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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
Related
NRS 430V ( Professional Dynamics ) Entire Course
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NRS 429V (Family – Centered Health Promotion) Entire Course
Leadership Case Problem B:
UncategorizedI will have to screenshot some pages from an ebook on Chapter 2 and Chapter 7 to help you complete this assignment. It may take me a minute to get them all uploaded here. I will get them uploaded as quick as possible in the next hour, I’m hoping. Thank so much.
Sensory-Perception
Nursing HomeworksFamily Assessment
Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:
1. Values, Health Perception
2. Nutrition
3. Sleep/Rest
4. Elimination
5. Activity/Exercise
6. Cognitive
7. Sensory-Perception
8. Self-Perception
9. Role Relationship
10. Sexuality
11. Coping
NOTE: Your list of questions must be submitted with your assignment as an attachment.
After interviewing the family, compile the data and analyze the responses.
In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.
Identify two wellness problems based on your family assessment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center
Rubric
· The development of two to three open minded, family-focused questions for each of the 11 Identified Health Patterns that are both thoughtful in content and in how they support each other in eliciting a holistic view of the patient.
· Brief summarization of the findings for each functional health pattern for your family is supported by accurate details along with thoughtful reflection.
· Identification of two wellness problems that you identified about your family based on your assessment are supported by accurate details along with thoughtful reflection.
· Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
· There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
· Writer is clearly in command of standard, written, academic English
· All format elements are correct
· In-text citations and a reference page are complete. The documentation of cited sources is free of error.
Translating Evidence Into Practice
UncategorizedCourse Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
To complete:
In a 3- to 4-page paper:
By Day 7 of Week 10
This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.
For this final iteration, you will need to:
Training Session for Policy Implementation Essay
Nursing HomeworksTraining Session for Policy Implementation Essay
In this assessment, you will build on the policy presentation work you completed in Assessment 3.
Preparation
Your policy proposal presentation secured buy-in and support from the stakeholder group you addressed. They are enthusiastic about implementing your proposed policy and practice guidelines. In an effort to help ensure a smooth rollout and implementation of your proposal, senior leaders have asked you to create and lead a training session for one of the role groups in the organization that will be responsible for enacting the new policy and practices. Training Session for Policy Implementation Essay.
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In addition, senior leaders have asked you to develop and submit a training plan for review and approval before conducting the requested training session. They have also requested that you cite 2–4 credible sources that support your proposed training strategies, your intended approach to generating buy-in and support from the group, and your plans for working with the group to facilitate implementation of the policy and practice changes.
As outcomes of this training session, participants are expected to:
Understand the organizational policy and practice guidelines to be implemented.
Understand the importance of the policy to improving health care quality or outcomes.
Understand that, as a group, they are key to successful implementation.
Possess the necessary knowledge and skills for successful implementation.
Training Plan Requirements
Note: The tasks outlined below correspond to grading criteria in the scoring guide.
As key elements of your training plan, senior leaders have asked that you:
Develop strategies for engaging with the selected role group to ensure the group\’s buy-in, support, and preparedness to implement the changes in policy and practice guidelines. In a brief summary:
Describe your evidence-based strategies for engaging with the group during the training session.
Explain how will you will ensure the group\’s buy-in, support, and preparedness.
Explain why you chose this group to pilot your proposal.
Identify the training activities and materials needed support learning and skill development and to prepare the group to successfully apply the new policy or practice guidelines to their work.
Create an annotated agenda and outline for a two-hour training workshop.
Explain how each proposed activity and individual item of training material in your workshop will support learning and skill development. Training Session for Policy Implementation Essay.
Describe the policy and practice guidelines changes to be implemented.
How will these changes affect the group\’s daily work routines and responsibilities?
What examples, activities, or materials could you provide to help illustrate or clarify the nature and scope of the changes in policy and practice guidelines? Training Session for Policy Implementation Essay.
Justify the importance of the changes in policy or practice guidelines to improving the quality of care or outcomes that are related to this role group.
Why are these changes important?
How will these changes help improve the quality of care or outcomes?
How could you help to illustrate the importance of improved quality of care or outcomes for the role group you will be training?
Advocate for the importance of the role the group will play in implementing the changes in policy and practice guidelines.
Why is the group\’s buy-in and support important in implementing the changes?
Why is this group\’s work important in implementing the changes?
How could you help the group feel empowered by their involvement in implementing the changes?
Interpret complex policy considerations or practice guidelines for the role group with respect and clarity.
Does your training plan clearly lay out the expected outcomes of training for this role group?
Communicate your strategies for engaging and training the role group in a professional and persuasive manner.
Write clearly and logically, using correct grammar, punctuation, and mechanics. Training Session for Policy Implementation Essay.
Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style. Training Session for Policy Implementation Essay.
Did you cite an additional 2–4 credible sources to support your strategies for engaging and training the role group?Training Session for Policy Implementation Essay
Nurses as Change Agents in the Community Essay Assignment Paper
Nursing HomeworksNurses as Change Agents in the Community Essay Assignment Paper
In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,” the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change. Nurses as Change Agents in the Community Essay Assignment Paper.
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Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances. Nurses as Change Agents in the Community Essay Assignment Paper.
Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics. Nurses as Change Agents in the Community Essay Assignment Paper.
In addition, subscribe to the \”HealthCetera\” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment. Nurses as Change Agents in the Community Essay Assignment Paper
>Biology homework help
UncategorizedWrite in no more than a page and half (400-800 words) about a disease that can be diagnosed by the technique you have chosen. You need to cover the following:
– Briefly describe the disease and its cause.
– How the chosen technique can be used to diagnose the disease?
– Give at least an example from the published literature that reports a case where the chosen technique was used (You can support by figures).
– Conclude by describing the advantages and disadvantages of using the technique in comparison with other in diagnosis of the chosen disease.
Bibliography
– APA style
– You must use in-text citation
– Number of references, 7 minimum and 10 maximum
Format
– Font size 12
– Font type Arial
– Spacing 1.5
– You need to write a title for your assignment
– Plagiarism report <20%
see attachment
Complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing.
UncategorizedDetails:
The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.
The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.
In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.
In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:
Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate, scholarly manner.
Prepare this assignment according to the guidelines in APA Style Guide,
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 required to submit this assignment to Turnitin.
Professional Communication and Leadership in Healthcare
Nursing HomeworksCompetency 1013.1.1: Self-Discovery and Mindfulness– The graduate evaluates and displays behaviors consistent with the process of self-discovery and mindfulness
Task 1: Observing Bio-Reactions
Introduction:
Bio-reactions (fight, flight, freeze, or appease) include quick responses to stimuli that are dangerous and fearful experiences. Bio-reactions help the brain reinforce certain pathways. Some pathways associate that past reaction with other similar events. This is one way to learn. The fear response may be associated with other nonfearful events. Because the brain is so good at making these associations, we aren’t even aware of the miscue.
Bio-reactions are automatic. In most cases they are not under your control, such as when you automatically close your eyes when something flies at your face. In other cases, you can have more control over your reaction. To be in control of these responses, the first step is to become aware of when you are experiencing a bio-reaction. To be aware of your bio-reactions, it may be helpful to ask yourself the following questions:
• What caused the bio-reaction?
• What was happening in the environment around you?
• What emotions did you feel?
• How did your body react?
• What, if anything, did you do differently when you noticed you were having a bio-reaction?
• Why is it important for you to be aware of your bio-reactions?
Requirements:
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Note: Complete the Learning Brains and bio-reaction material found in module 1 in your course of study before completing this task.
A. Describe three situations where you have experienced a bio-reaction.
1. Identify which bio-reaction (fight, flight, freeze, or appease) you were experiencing in each situation from part A.
2. Describe what was happening in the environment around you during each of the identified bio-reactions.
3. Describe how your body reacted and what emotions you felt during each of the identified bio-reactions.
4. Explain why it is important to be aware of your bio-reactions.
NRS 490
Nursing HomeworksNRS 490
NRS 490 Week 1 Discussion 1
Which scholarly databases (name two) in the GCU Library will you choose in order to find the best research articles to support your EBP proposal? Discuss why these two (at least) databases are better than Google Scholar or a general Internet search?
NRS 490 Week 1 Discussion 2
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.
NRS 490 Week 2 Discussion 1
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During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.
NRS 490 Week 2 Discussion 2
What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.
NRS 490 Week 3 Discussion 1
Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.
NRS 490 Week 3 Discussion 2
Name two difference methods for evaluating evidence. Compare and contrast these two methods.
NRS 490 Week 4 Discussion 1
With your mentor, discuss why understanding the health care system at the local level plays an important part in the logistics of an EBP implementation. Discuss one of your learnings from this conversation that you will take into consideration for your own change project.
NRS 490 Week 4 Discussion 2
Identify two change theories, and in your selection process include asking your mentor which one(s) he or she uses or has used. Compare and contrast each one and then note which theory makes the most sense for implementing your specific EBP project?
NRS 490 Week 5 Discussion 1
Stakeholder support is necessary for a successful change proposal project implementation. Name one internal (facility, unit or health care setting where the change process is situated) and one external stakeholder (individual or group outside the health care setting) and (1) why their support is necessary to the success of your project, and (2) how you will go about securing that support.
NRS 490 Week 5 Discussion 2
Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.
NRS 490 Week 6 Discussion 1
After discussion with your mentor, name one financial, one quality, and one clinical aspect that needs to be taken into account for developing the evidence-based practice project. For each aspect, explain how your proposal will directly and indirectly impact each of the aspects.
NRS 490 Week 6 Discussion 2
Access and review the “Capstone Project Topic Selection, Rationale, and Approval” assignment from Topic 1. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, take your discussion a step further and briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need. How has this changed since you first envisioned it, and what led to your current perspective and direction?
NRS 490 Week 7 Discussion 1
Determine one internal and one external method for dissemination of your EBP project. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How might your tactics change for each type of group?
NRS 490 Week 7 Discussion 2
While EBP is not research, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.
NRS 490 Week 8 Discussion 1
Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? What basic statistical analysis might be run to determine statistical significance?
NRS 490 Week 8 Discussion 2
Not all EBP projects result in statistically significant results. Explain what clinical significance is, the difference between clinical and statistical significance, and how you might use clinical significance to support positive outcomes in your project.
NRS 490 Week 9 Discussion 1
Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills.
NRS 490 Week 9 Discussion 2
Sustaining change can be difficult, as there are many variables that can affect the process and implementation. One critical component of EBP is to ensure that practice change is hardwired so that it will thus continue to impact outcomes over time. Name two potential barriers that may impact your EBP change proposal from continuing to obtain the same desired results six months to a year from now, and your strategies for overcoming these barriers.
NRS 490 Week 10 Discussion 1
Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Name one professional journal and one nursing or health care conference where you might present our project as a presentation or article and discuss why each of your choices is the best option for you to disseminate your new knowledge.
NRS 490 Week 10 Discussion 2
Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Then name two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What problems or impediments do you foresee in being able to follow your EBP action plan? What steps can you take to minimize these?
NRS 490 Week 2 Assignment
In collaboration with your approved course mentor, you will choose a specific evidence-based practice proposal topic for the Capstone Project. Consider the clinical environment in which you are currently working or have recently worked. The Capstone Project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. A combination of 100 “supervised clinical hours” in community health and leadership areas will be obtained through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP.
Practicum immersion experiences are required in a community health setting. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490V course. Definitions of community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. Examples of the integration of community health, leadership, and an EBP can be found at Healthy People 2020.
The goals of the practice immersion experience is to apply the learning from your research, community health, and leadership courses:
After studying this course, you should be able to:
Demonstrate and apply knowledge of factors to consider when planning to work with a chosen community.
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Schools
Worksites
Health care facilities
Communities
Each setting provides opportunities to reach people using existing social structures. This maximizes impact and reduces the time and resources necessary for program development.
In a composition of no more than 750 words, describe the nature of your proposed project topic. Include the following in your discussion:
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.
Attach the completed “Project Topic Checklist” to your assignment submission.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
NRS 490 Week 3 Assignment
Review the PICO(T) resources listed in the topic readings.
Formulate a PICOT statement using the PICOT format used in the assigned readings. The PICOT statement will provide a framework for your Capstone Project.
In a paper of 500-750 words, clearly identify the clinical problem (from your Topic 1 approved Change Proposal) and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
While APA format 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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
NRS 490 Week 4 Assignment
In nursing practice, accurate identification and usage 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 15 peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the 15 articles. The articles should be current within the last 5 years and closely relate to the PICOT statement you developed earlier in this topic. Appropriate resources to include involve 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.
While APA format 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.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
NRS 490 Week 6 Assignment
An implementation plan prepares students to apply the research they have identified and vetted to the problem or issue they have identified for their Capstone Change Proposal Project. A literature review enables students to map out and move into the active planning and development stages of the Project.
In this assignment students will develop a 750-1,000-word literature review in which to synthesize what is known and unknown about the Project issue selected. Students will use the information from the PICOT Statement and Evaluation Table assignments prior in the course to develop a planned approach to implementing the evidence-based practice solution. The underlying purpose of this assignment is to analyze how the current research supports the PICOT, and to identify what is known and what is not known in the evidence, providing a logical, constructive argument.
Include the following sections:
While APA format 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 required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
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Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.
UncategorizedQUESTION
Nursing
Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.