Synthesize Research Evidence

Assignment Details

NU310-6: Synthesize research evidence for best practice to improve patient outcomes.

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The purpose of this assignment is for you to incorporate research evidence into a clinical model for a practice change. Using the Iowa Model for Evidence Based Practice as a guide, develop a concept map/schematic that shows the pathways necessary for a clinical change that you would like to see implemented in your current practice setting.

The concept map should include the 7 steps below in schematic format:

1. Formulate a clinical problem that is nursing sensitive and patient focused. Develop a PICO statement to articulate a research question>

P=Population (Who is your population of interest to be affected?)

 I= Intervention (What intervention will you implement to address the clinical problem?)

C= Comparison (Will you be comparing one intervention with another or an intervention with existing protocols?)

O= Outcome (What is the desired outcome from the intervention?)

T= Time (How long will the change take to implement?)

2. Determine organizational commitment

3. Develop a team to gather and appraise evidence

4. Determine if reasonable evidence exists to implement the clinical change

5. Implement a pilot change to test the feasibility

6. Evaluate the change/plan

7. Disseminate the results.

  1. The schematic/concept map should fit on one page. On a separate page, explain the rationale and process of each step of your model (briefly), incorporating references as cite sources in correct 6th edition APA style and format. You do not need to include a title page for this assignment. Provide your reference list on a separate page, with between 4-5 current scholarly references. The total submission should be no more than 3 pages. Record the hours that you spent completing each aspect of this assignment (preparation, reading, writing, etc.) on the Practice Experience Log. Submit this log along with your assignment to the Dropbox.
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Name: NURS_6002_Week_2_Assignment_Rubric

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     Excellent   Good   Fair   Poor       Continue developing your Academic Success and Professional Development  Plan by appending the original document you began in Week 1 to develop  the second component: academic resources and strategies. To do this:

·   Identify and describe at least three academic resources or strategies that can be applied to the MSN program.          Points Range:     23 (23%) – 25 (25%)   The response clearly identifies and  accurately describes in detail at least three academic resources or  strategies that can be applied to the MSN program.        Points Range:     20 (20%) – 22 (22%)   The response partially identifies  and partially describes at least three academic resources or strategies  that can be applied to the MSN program.        Points Range:     18 (18%) – 19 (19%)   The response vaguely identifies and  vaguely describes at least two academic resources or strategies that  can be applied to the MSN program.        Points Range:     0 (0%) – 17 (17%)   The response only vaguely and  inaccurately identifies one academic resource or strategy or the three  academic resources or strategies that can be applied to the MSN program  are vague and inaccurate, or is missing.     ·   Identify and describe at least three professional resources that  can be applied to success in the nursing practice in general or your  specialty in particular.          Points Range:     23 (23%) – 25 (25%)   The response clearly identifies and  accurately describes in detail at least three professional resources  that can be applied to success in nursing practice in general or in a  specialty.        Points Range:     20 (20%) – 22 (22%)   The response partially identifies  and partially describes at least three professional resources that can  be applied to success in nursing practice in general or in a specialty.        Points Range:     18 (18%) – 19 (19%)   The response vaguely identifies and  vaguely describes at least two professional resources that can be  applied to success in nursing practice in general or in a specialty.        Points Range:     0 (0%) – 17 (17%)   The response only vaguely and  inaccurately identifies and vaguely describes one professional resource  or the three professional resources that can be applied to success in  nursing practice in general or in a specialty are vague and inaccurate,  or is missing.     ·   Explain how you intend to use these resources, and how they might benefit you academically and professionally.          Points Range:     32 (32%) – 35 (35%)   Response clearly and thoroughly  explains in detail the intended use of these resources, including a  detailed explanation of how they might be beneficial academically and  professionally.        Points Range:     28 (28%) – 31 (31%)   Response explains the intended use  of these resources, including an explanation of how they might be  beneficial academically and professionally.        Points Range:     25 (25%) – 27 (27%)   Explanation of the intended use of  these resources, including an explanation of how they might be  beneficial academically and professionally is vague or inaccurate.        Points Range:     0 (0%) – 24 (24%)   Explanation of the intended use of  these resources, including an explanation of how they might be  beneficial academically and professionally is vague and inaccurate, or  is missing.     Written Expression and Formatting – Paragraph and Sentence Structure:

Paragraphs  make clear points that support well developed ideas, flow logically,  and demonstrate continuity of ideas. Sentences are carefully  focused–neither long and rambling nor short and lacking substance.  A  clear and comprehensive purpose statement and introduction is provided  which delineates all required criteria.          Points Range:     5 (5%) – 5 (5%)   Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.        Points Range:     4 (4%) – 4 (4%)   Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.     

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.        Points Range:     3.5 (3.5%) – 3.5 (3.5%)   Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.      

Purpose, introduction, and conclusion of the assignment is vague or off topic.        Points Range:     0 (0%) – 3 (3%)   Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.   Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation          Points Range:     5 (5%) – 5 (5%)   Uses correct grammar, spelling, and punctuation with no errors.        Points Range:     4 (4%) – 4 (4%)   Contains a few (1-2) grammar, spelling, and punctuation errors.        Points Range:     3.5 (3.5%) – 3.5 (3.5%)   Contains several (3-4) grammar, spelling, and punctuation errors.        Points Range:     0 (0%) – 3 (3%)   Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.   Written Expression and Formatting – The paper follows  correct APA format for title page, headings, font, spacing, margins,  indentations, page numbers, running head, parenthetical/in-text  citations, and reference list.          Points Range:     5 (5%) – 5 (5%)   Uses correct APA format with no errors.        Points Range:     4 (4%) – 4 (4%)   Contains a few (1-2) APA format errors.        Points Range:     3.5 (3.5%) – 3.5 (3.5%)   Contains several (3-4) APA format errors.        Points Range:     0 (0%) – 3 (3%)   Contains many (≥ 5) APA format errors.          Total Points: 100         

Name: NURS_6002_Week_2_Assignment_Rubric

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Who are the key stakeholders in the development of the policy? Discuss their individual roles in policy development?

  • Discuss the implications of the selected issue on the community as a whole.
  • Who all are affected by the policy?
  • Who are the key stakeholders in the development of the policy? Discuss their individual roles in policy development?
  • Explain the roles of those responsible for implementing the policy.
  • Does federal government play any role in the policy development process and its relationship in terms of funding? If yes, explain.
  • If the federal government is not involved in the policy development process and its relationship in terms of funding, should it be involved? Why or why not?
    • Research the policy demographics of CHIP in your state. Also examine the adequacy of the CHIP program in your state.
    • In your opinion, if Medicaid was meant to cover families living below the poverty line, then what is the purpose of CHIP?
    • Illustrate the differences and similarities between the two programs?
    • Every state has its own variation of CHIP. What does your state call the program?
    • Who all are covered in CHIP and what are the eligibility requirements?
    • In your state, if CHIP is meant to cover uninsured children, why are there so many uninsured families with children?
    In many national healthcare systems, the providers of care are either subsidized or work directly for government-owned facilities. In the United States, the government-operated programs, such as Medicare and Medicaid, contract with providers. The VA, on the other hand operates its own system of hospitals, clinics, and long-term care facilities. Medicare and Medicaid set the rules regarding which services are offered and the amount to be paid for those services.
    • Compare and contrast the VA Health System with Medicare and Medicaid. Describe in detail the similarities and differences.
    • What lessons can the programs learn from each other when looking at administration of services and programs offered by recipients? Discuss the implications in terms of access to care, controlling costs, and ensuring quality care.
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    Management homework help

    In the CSU Online Library, using the Business Source Ultimate database, search for and read the article titled “Hiring the Very Best,” by Tracy Mullin (2005).
    Based on the article, consider the approaches to organizational design. Analyze the effects and applications of the various organizational structures and levels of authority. Given the benefits and motivations mentioned in the article, share an analysis of the referenced company’s impact on employee motivation, morale, and organizational culture.
    Your response should be two pages in length, not including the title page or reference page. You are required to cite at least one article from the CSU Online Library (not including the referenced case study article). All sources used must be referenced; paraphrased and quoted material must have accompanying in-text citations in the proper APA format.
    The myCSU Student Portal has great learning resources available for students. Please click here to access a case study example to use as a guide for this assignment.
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      Assignment5.docx
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    Donna, a twenty-one-year-old nursing student, comes to her nurse practitioner in December with a five-week history of itchy eyes and nasal congestion with watery nasal discharge.

    Question Description

    Donna, a twenty-one-year-old nursing student, comes to her nurse practitioner in December with a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every spring and fall.

    Physical Examination

    Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal

    Skin: Flaking erythematous rash on the flexor surfaces of both arms

    Head, Eyes, Ears, Nose, and Throat: Tender overmaxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

    Lungs: Clear to auscultation and percussion

    Answer the questions about Donna and her condition and provide a pathophysiological response in the body. Examine and describe the pathophysiology associated with the possible disease.

    • What is the possible disease process according to the client’s history?
    • What assessment questions would be useful to ask about her medical and family history?
    • What evidence suggests that Donna does not have an acute severe infection?
    • If Donna has allergic rhinitis, what type of hypersensitivity reaction is involved?

    Need a discussion in APA format.

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    Finalizing the Plan

    Academic Success and professional development plan: Finalizing the Plan

    At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.

    Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

    Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

    In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

    To Prepare:

    • Review the standards of practice related to your chosen specialty.
    • Download the Nursing Specialty Comparison Matrix.
    • Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
    • Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

    The Assignment:
    Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

    • Complete the Nursing Specialty Comparison Matrix, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
    • Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
    • Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

    Note:Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template

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    HITECH Act

    Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?
    This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system. In this Discussion, you are asked to consider the role of nurses in the SDLC process.
    To prepare:
    · Review the steps of the systems development life cycle.
    · Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system.
    · Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses?
    · Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system?
    Post an analysis of the ramifications of an organization not involving nurses in each stage of the systems development life cycle when purchasing and implementing a new HIT system. Give specific examples of potential issues at each stage and how the inclusion of nurses could help avoid such issues.
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    >History homework help

    Each Essay should be 250-300 words. All Essay must be answered. Please use the book for references and make sure citation is provided if book or other references are used. 
    Essay 1. Name one person who lived/worked/governed in the state of Michigan during the 1700s OR 1800s that captured YOUR interest.  Then write an essay that answers the following questions: Who was the person?  How did this person shape the story of Michigan (or the story of a community in Michigan)? How did events/trends/landscapes in Michigan shape this person’s story (how was this person a product of their time and place)?
    Essay 2. Identify one trend or theme in the Michigan region from the time period up until 1900.  Use examples to show how the theme or trend you identify connect different events, people, and geographical features of Michigan.
    Essay 3. Why is it important to understand your local history?
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      BruceA.RubensteinLawrenceE.Ziewacz-Michigan_AHistoryoftheGreatLakesState-Wiley-Blackwell2014.pdf
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    EXAMINE CULTURALLY SENSITIVE NURSING CARE

    EXAMINE CULTURALLY SENSITIVE NURSING CARE.

     NO COMMENTS
    Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that examines culturally sensitive nursing care. The paper consists of two (2) parts and must be submitted by the close of week six (6).
    A minimum of three (3) current professional references must be provided. Current references include professional publications and valid websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.
    Part 1 – Introduction
    Address the following:
    Using your own words, define culturally competent nursing care. Support your definition with a professional literature citation.
    Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital.
    Describe how the registered professional nurse evaluates if the patient’s cultural needs have been met.
    Describe whether cultural practices must be accommodated in all aspects of health care. Provide a specific example and rationale to support your response.
    Part 2- Demonstrating Culturally Competent Nursing Care
    Address the following:
    Select one of the following cultures and focus on the direct caregiving role of the RN at the bedside:
    Asian
    Native American
    Hispanic
    Select four (4) cultural features, associated with the selected culture that influence the provision of nursing care for patients with chronic illness and at the end of their lives. Describe how the four (4) cultural features influence the provision of care to the patients. At least one (1) feature must address chronic illness and at least one (1) feature must address end of life care.
    Provide a total of four (4) nursing interventions that demonstrate nursing care, which reflect the respect for the dignity and uniqueness of those cultural features for patients experiencing chronic illness (2 interventions) and at the end of their lives (2 interventions).
    Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size, double space your work and use APA format for citations, references, and overall format
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    Explain how nurture and nature play interactive roles in shaping behavior.

     Psychology homework help
    Unit Assignments Unit II PowerPoint Presentation
    Imagine that you are a practicing psychologist, and you are the featured presenter for the upcoming psychology conference. Your chosen topic centers upon factors that influence human behaviors and cognitions. In your presentation, you want to teach the audience about biological, evolutionary, and environmental factors that influence behaviors. To do this, you will need to prepare a PowerPoint to present to the audience. In your PowerPoint presentation, be sure to include the below concepts: Identify ways in which the environment can both nurture and thwart mental ability.
    Explain how nurture and nature play interactive roles in shaping behavior. Summarize the effects of some of the main neurotransmitters in the brain, and list four hormones that influence behavior. Your PowerPoint presentation must be at least eight slides in length, not including the cover slide and reference slide. In addition to your textbook, you must use a minimum of one scholarly source. Any information from an outside source that is used should be cited appropriately according to APA format.
    You may use the notes field in PowerPoint to expand on your ideas, if necessary, but this is not required. Your presentation style should appear professional, using appropriate formatting and graphics. If you have never created a PowerPoint, or if you want to brush up on your skills, watch this tutorial created by the CSU Writing Center to learn tips and best practices for creating a PowerPoint: http://columbiasouthern.adobeconnect.com/powerpointbestpractices/
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