Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?

This is for a discussion board, nursing class and needs APA format, cite and minimum 300 words for each response.  

1. Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?

2. Refer to the topic materials and discuss how health providers design educational programs to clearly articulate objectives to engage both patients as well as families.

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3) Evaluate the cost effectiveness of addressing this health problem at the population level versus the individual level.

Epidemiology and Population Health
Reflect on your nursing practice for a moment. If you could wipe out one illness, what would it be? How would that impact not just an individual patient, but your entire patient population? What would be the long-term benefits of eliminating that one illness?
The eradication of smallpox by 1979 provides an excellent example of this scenario. This eradication came about as a result of global collaborative efforts involving many countries and organizations, as well as the application of epidemiologic methods. In spite of high initial financial costs, it is estimated that millions of dollars continue to be saved around the world each year as a result of the eradication of this disease.
The eradication of smallpox illustrates the rich history of epidemiology and demonstrates the cost/benefits and implications of improving health at the population level. The application of epidemiologic methods and principles to other critical population health issues continues to play an essential role in improving health and health outcomes.
For this Discussion, you will identify a current population health problem, and you will examine how, and if, the problem is being addressed through the application of epidemiologic principles. You will also discuss the cost-effectiveness of dealing with the problem at the population level.

To prepare:

Review      the Learning Resources, focusing on the smallpox epidemic of the 1960s and      1970s and how health organizations applied principles of epidemiology to      eradicate this disease. (See attached file)
In      light of this example, consider the cost effectiveness of addressing      smallpox at the population level.
Using      the Learning Resources, research a current population health problem      (local or global). Select one on which to focus for this Discussion.
Think      about how principles of epidemiology are being applied—or could be      applied—to address the problem.
What      lessons from the use of epidemiology in the eradication of smallpox might      be applicable to this selected problem? What are the financial benefits of      addressing this issue at the population level as opposed to the individual      level?

By tomorrow Wednesday 02/28/18 by 12pm, write a minimum of 550 words in APA format with a minimum of THREE scholarly references from the list of required readings below. Include the level one headers as numbered below:
Post a cohesive response that addresses the following:

1) Briefly summarize your selected population health problem and describe how principles of epidemiology are being applied—or could be applied—to address the problem.

2) Are there any lessons learned from the use of epidemiology in the eradication of smallpox that can be applied to your selected problem?

3) Evaluate the cost effectiveness of addressing this health problem at the population level versus the individual level.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 1, “History and Scope of Epidemiology”
Chapter 2, “Practical Applications of Epidemiology” (pages 49–80 only)
Epidemiology is defined and introduced in Chapter 1. This chapter also presents an interesting historical overview that explains the emergence of the field. The assigned section of Chapter 2 addresses several uses of epidemiology.

Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L. & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed). Burlington, MA: Jones & Bartlett Learning.
Building Cultures of Health and Wellness (xxvii)
In the “Population Health Mandate” section of the course text, the authors provide an introduction to population health, noting that it has three core components: health outcomes, health 
determinants, and policies.
Chapter 2, “The Spectrum of Care”
In Chapter 2, the authors examine the purposes of the population health approach. Two key themes are introduced in this chapter: 1) population health as it relates to the challenges of quality and cost in health care, and 2) population health as an approach to not only reducing the burden of chronic illness but also to promoting wellness and increasing prevention.
Chapter 8, “Behavioral Economics”
In Chapter 8, the authors examine effect of social and cognitive function on an individual’s economic decisions. Reinforced by legislation, behavioral economics can be applied in population health to influence and change health outcomes. Compelling examples of incremental improvements (e.g., corporate wellness programs) are provided throughout the chapter.

Larkin, H. (2010). Managing population health. Hospitals & Health Networks, 84(10), 28–32. 
This article uses examples from a diabetes pilot program to demonstrate the value of population health management. The author discusses how the application of individual patient interventions can positively affect the entire target population, as well as improve the cost effectiveness of management programs.

Center for Global Development. (n.d.). Case 1: Eradicating smallpox. Retrieved March 5, 2012, from http://www.cgdev.org/doc/millions/MS_case_1.pdf
This reading presents the eradication of smallpox in the form of a case study. Many lessons can be learned from the successful global effort to eliminate smallpox.

Centers for Disease Control and Prevention. (2011). Morbidity and mortality weekly report. Retrieved from http://www.cdc.gov/mmwr/
The Morbidity and Mortality Weekly Report (MMWR) is a weekly epidemiological report distributed by the U.S. Centers for Disease Control and Prevention (CDC) to provide, according to the MMWR website, “timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations.” It is one of the most important sources of timely public health data published anywhere.

World Health Organization. (2001). Smallpox. Retrieved from http://www.who.int/topics/smallpox/en/
The World Health Organization provides a succinct overview of the eradication of small pox and its impact on population health.

Note: Explore population health issues presented at the websites below as you prepare for this week’s Discussion and Assignment:

American Public Health Association. (2011). Retrieved from http://www.apha.org/
Centers for Disease Control and Prevention. (2011). Retrieved from http://www.cdc.gov/

Food and Agricultural Organization of the United Nations. (2011). Retrieved from http://www.fao.org/index_en.htm

U.S. Food and Drug Administration. (2011). Retrieved from http://www.fda.gov/

Healthy People 2020. (2011). Global health. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=16

U.S. Food and Drug Administration. (2011). Public health focus. Retrieved from http://www.fda.gov/NewsEvents/PublicHealthFocus/default.htm

Required Media

Laureate Education (Producer). (2012). Epidemiology and population health: Introduction to epidemiology and population health [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 6 minutes.
In this week’s program, “Introduction to Epidemiology and Population Health,” Dr. Hull and Dr. Frerich introduce foundational concepts related to epidemiology, noting that this scientific arena focuses on the study of human populations rather than individuals.

Laureate Education (Producer). (2012). Epidemiology and population health: Epidemiology in nursing practice [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 4 minutes.
In “Epidemiology in Nursing Practice,” Dr. Rebecca Lee, Dr. Donna Shambley-Ebron, and Dr. Missie Willmarth discuss how epidemiology is utilized in nursing practice and, in particular, why it is salient for DNP-prepared nurses.

Optional Resources

Long, D. A., & Sheehan, P. (2010). A case study of population health improvement at a Midwest regional hospital employer. Population Health Management, 13(3), 163–173.

Oudin, Åström D., Bertfil, F., & Joacim R. (2011). Heat wave impact on morbidity and mortality in the elderly population: A review of recent studies. Occupational and Environmental Medicine, 69(2), 99–105.

Excite. (2004). An introduction to epidemiology. Retrieved from http://www.cdc.gov/excite/classroom/intro_epi.htm

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>Criminal homework help

Submit an annotated bibliography. Be sure that you collect a minimum of 8 current (within the last 5 years) peer reviewed articles/studies from the APUS online databases for the annotated bibliography. The annotated bibliography must be relevant to your ‘working title’ of your research proposal.
The annotated bibliography will be included as an appendix in your final ‘research proposal’ that you submit in week 7.
More info on annotated bibliographies may be found at Purdue OWL.
Submit your work in APA 7th edition Style format.
Link for Library:
https://www.apus.edu/apus-library/index.html
  • attachment

    SSGS300AnnotatedBibliographyRubric.docx
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NUR 699 Evidence – Based Practice Project

NUR 699 Evidence – Based Practice Project
GCU NUR699 Wk 1 Dq 1 & Dq 2 latest 
Dq 2
What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP?
Dq 2
How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?
NUR 699 Evidence – Based Practice Project – GCU NUR699 Wk 2 Dq 1 & Dq 2 latest 
dq 1
Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.
Begin the development of your PICOT question, using the following resources:
“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix
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Text readings
Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.
You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment. NUR 699 Evidence – Based Practice Project
dq 2
What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?
GCU NUR699 Wk 3 Dq 1 & Dq 2 latest 
dq 1
What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use? NUR 699 Evidence – Based Practice Project
dq 2
What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
GCU NUR699 Wk 4 Dq 1 & Dq 2 latest 
dq 1
What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.
dq 2
Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale. NUR 699 Evidence – Based Practice Project
GCU NUR699 Wk 5 Dq 1 & Dq 2 latest 
dq 1
Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it? NUR 699 Evidence – Based Practice Project
dq 2
Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem?
GCU NUR699 Wk 6 Dq 1 & Dq 2 latest 
dq 1
When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?
dq 2
What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project? NUR 699 Evidence – Based Practice Project
GCU NUR699 Wk 7 Dq 1 latest 
Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?
GCU NUR699 Wk 8 Dq 1 & Dq 2 
dq 1
Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.
dq 2
There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.
GCU NUR699 Week 2 Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment 
Details:
Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

  1. 1. Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.
  2. 2. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry. NUR 699 Evidence – Based Practice Project.
  3. 3. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.  NUR 699 Evidence – Based Practice Project.
  4. 4. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 2 Evidence-Based Practice Proposal – Section B: Problem Description
Details:
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization. NUR 699 Evidence – Based Practice Project
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted. NUR 699 Evidence – Based Practice Project
Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.
Search Method Example
Search Method
A comprehensive electronic search was completed using the following databases:
Cochrane Central Register of Controlled Trials. NUR 699 Evidence – Based Practice Project
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse
CINAHL
Ovid
Medline
The search included English-only published articles between 1990 and 2005.
Key words used in the search were:
Pediatric asthma education
Self-management
Self-monitoring
Grade school children
Systematic reviews
Randomized controlled trials
Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.
GCU NUR699 Week 3 Evidence-Based Practice Proposal – Section C: Literature Support
Details:
To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.
Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template. NUR 699 Evidence – Based Practice Project
Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:
Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.
Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.
Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 4 Evidence-Based Practice Proposal – Section D: Solution Description
Details:
Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

  1. 1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.
  2. 2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
  3. 3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT. NUR 699 Evidence – Based Practice Project
  4. 4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.
  5. 5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section E: Change Model
Details:
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:

  1. 1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
  2. 2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
  3. 3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section F: Implementation Plan
Details:
In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. 1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
  2. 2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
  3. 3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
  4. 4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
  5. 5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. 6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper. NUR 699 Evidence – Based Practice Project.
  7. 7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. 8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
  9. 9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

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Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 6 Evidence-Based Practice Proposal: Section G: Evaluation of Process
Details:
In 500-750 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

  1. 1. Describe the rationale for the methods used in collecting the outcome data.
  2. 2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
  3. 3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
  4. 4. Describe strategies to take if outcomes do not provide positive results.
  5. 5. Describe implications for practice and future research.

Prepare this assignment according to the APA 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.
Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 7 Evidence-Based Practice Presentation
Details:
Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.
Refer to the “Example of a Slide Show for a 20-Minute Paper Presentation,” located within the textbook appendix. NUR 699 Evidence – Based Practice Project.
You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.
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. NUR 699 Evidence – Based Practice Project
GCU NUR699 Week 7 Benchmark – Evidence-Based Practice Proposal Final Paper
Details:
Throughout this course you will be developing a formal, evidence-based practice proposal.
The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word limit.
Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills. NUR 699 Evidence – Based Practice Project.
This project contains seven formal sections:

  1. 1. Section A: Organizational Culture and Readiness Assessment
  2. 2. Section B: Problem Description
  3. 3. Section C: Literature Support
  4. 4. Section D: Solution Description
  5. 5. Section E: Change Model
  6. 6. Section F: Implementation Plan
  7. 7. Section G: Evaluation of Process

Each section (A-G) will be submitted as separate assignments so your instructor can provide feedback (refer to applicable modules for further descriptions of each section).
The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.
Use the “NUR-699 EBP Implementation Plan Guide” and “NUR-699 Evidence-Based Practice Project Student Example” to assist you. Also refer to “NUR-699 Evidence-Based Practice Project Proposal Format.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. NUR 699 Evidence – Based Practice Project.

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Throughout my nursing career I have had multiple coworkers go back to school to complete the BSN. I’ve witnessed them move on to advance to higher positions in our organization, teaching, and just having the option to move unilaterally if they so wished.

 Throughout my nursing career I have had multiple coworkers go back to school to complete the BSN.  I’ve witnessed them move on to advance to higher positions in our organization, teaching, and just having the option to move unilaterally if they so wished.  I secretly wanted to go back to school but never verbalized it to anyone.  Honestly, I believe my fears have prevented me from taking the necessary steps to complete the BSN.  I recently got up the courage to talk to my husband and daughter about wanting to go back to school.  I admitted to them, and most importantly, to myself, that the fear of learning the technology, writing papers, and doing something that is going to take hard work, was preventing me from fulfulling a dream.  I have received nothing but support and encouragement.  So here I am. Taking the first steps to accomplish my goal of graduating with a Bachelors Degree in Nursing.     I have several concerns as I embark on this journey.  Mainly, it is wondering if I am going to be able to balance working full time night shift with school.  I’ve not written papers in years.  The thought of reintegrating myself into the writing mode and learning the technology facets that are now used is a daunting thought.  As I start to read the posts by all of you I am realizing I am not alone.  I am willing and frankly determined to accomplish this goal.     After reading the course materials, I am definately realizing I will have to manage my time.  I will organize my day to specifically set aside time to study and be realistic about it.  The one strategy in particular that has hit a chord with me and that I will have to work on most, is asking for help.  I have to acknowledge to myself that if I need help it is okay to ask for it.  It doesn’t mean I am a failure.  Also, I will work on enjoying this journey.  

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Human culture is changing faster than humans can evolve

 Biology homework help
Sexual selection is a specific form of natural selection that states that some individuals in a population are more reproductively successful than others. The theory goes on to discuss traits that occur in individuals that don’t really offer increased survivability, but seemingly are in place for the sole purpose of attracting a mate. A male peacock’s bright feathers and horns of a male ibex are examples of these sexual traits.
Can you think of other examples? Do humans display any of these characteristics? 50 words count
 
Human culture is changing faster than humans can evolve. What evidence of rapid environmental change do you see locally, nationally, and globally? Explain. 50 words count
Write a paragraph on allele frequency and a paragraph on gene pool.
comment on Katelynn post 50 word count
 
One major change in our environment, as compared to most of human history, is our access to food! I think of how easy it is for me to run to the grocery store and pick up food shipped here from all over the world. It has not always been such a simple and common thing to enjoy the produce of other continents. Our “food environment” has, in a way, expanded beyond our immediate geographic location, and so our access to more varied nutrient sources is heightened. We also have abundant access to junk food! So, there is great opportunity for the emergence of both wonderfully healthy populations and woefully disease-ridden populations.
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Reflect on a patient who presented with a hematologic or metabolic disorder during your Practicum experience.

QUESTION

nursing

Journal Entry:

Reflect on a patient who presented with a hematologic or metabolic disorder during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

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INTEGRATE CLINICAL JUDGMENT IN PROFESSIONAL DECISION-MAKING AND IMPLEMENTATION OF THE NURSING PROCESS THROUGH ANALYSIS OF COMMUNITY HEALTH NURSING PRACTICE

INTEGRATE CLINICAL JUDGMENT IN PROFESSIONAL DECISION-MAKING AND IMPLEMENTATION OF THE NURSING PROCESS THROUGH ANALYSIS OF COMMUNITY HEALTH NURSING PRACTICE
 NO COMMENTS
NR443 Guidelines for Caring for Populations
Milestone 3: Intervention and Evaluation
Purpose
The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population.
Course Outcome
This assignment enables the student to meet the following course outcomes.
CO #2. Integrate clinical judgment in professional decision-making and implementation of the nursing process through analysis of community health nursing practice. (PO #4)
CO #6. Recognize effective nursing skills and collaborative techniques used with consumers and other healthcare providers within all levels of healthcare. (PO #2)
CO #8. Incorporate evidence-based practice in the planning of professional nursing care to individuals, families, aggregates, and communities. (PO #8)
Due Date
Scenario
You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal.
Directions
Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.)
Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides)
Proposed Intervention: Propose one community health nursing intervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific:
Who is your target population?
Where is this intervention taking place?
Will it take place one time or multiple times?
How will you reach out to your target population?
How will you get your target population involved?
What is the CH Nurses role in this intervention?
Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?)
Is anyone else involved besides yourself (C/PHN)?
If yes, are they paid or volunteers?
What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)?
Intervention Justification: Justify why the problem and your nursing interventions should be a priority.
Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides).
Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides)
Include discussion about the long-term and short-term impact on your community if the intervention is successful. Keep in mind your desired outcomes when analyzing the evaluation.
Summary: The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished, e.g., “Based on ABC, it is imperative our community has XYZ. Thank you for your consideration.”
In addition to the slides described above, your presentation should include a title slide, and reference slide. Remember, you are presenting to your leadership team, so the slides should include the most important elements for them to know in short bullet pointed phrases. You may add additional comments in the notes section to clarify information for your instructor.
Guidelines
Application: Use Microsoft PowerPoint 2010.
Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide).
Submission: Submit your files via the basket in the Dropbox: “Caring for Populations: Intervention and Evaluation” by 11:59 p.m. Sunday of Week 6.
Save the assignment with your last name in the file title. Example: “Smith Intervention and Evaluation”
Late Submission: See the course policy on late submissions.
Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.
Best Practices in Preparing PowerPoint
The following are best practices in preparing this project:
Be creative, but realistic with your intervention and evaluation tool.
Incorporate graphics, clip art or photographs to increase interest.
Slides should be easy to read with short bullet points and large font.
Review directions thoroughly.
Cite all sources within the slide show as well as on the reference page.
Proofread prior to final submission.
Spell check for spelling and grammar errors prior to final submission.
Abide by the CCN academic integrity policy.
Grading Rubric: Caring for Populations: Intervention and Evaluation (250 points)
Criteria A
(92–100%)
Outstanding or highest level of performance B
(84–91%)
Very good or high level of performance C
(76–83%)
Competent or satisfactory level of performance F
(0–75%)
Poor or failing or unsatisfactory level of performance Pts
Problem identification
10 points Presentation includes at least one slide that introduces the problem and significant findings in the community
(9–10 points) Problem is introduced but lacks support with findings
(8 points) Supportive findings discussed but problem identification not clear.
(7 points) Problem is not introduced and does not have significant community findings
(0–6 points) /10
Proposed intervention
85 points One community health nursing intervention is proposed that would address one or more of the major direct or indirect factors that contribute to the problem. Intervention includes specifics:
*Where is this intervention taking place?”
*Will it take place one time or multiple times?
*How will you reach your target population?
*How will you involve your target population? Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.)
CHN role? Is anyone else involved besides yourself (C/PHN)?
*What level(s) of prevention are you addressing?
*Community setting is clear.
(78–85 points) One intervention is proposed but is missing one or two specific details.
(71–77 points) Intervention is missing more than two specific details.
(65–70 points) Intervention is not proposed or insufficient.
Intervention justification and application of evidence-based literature
30 points Includes at least one slide that discusses why this intervention should be a priority based on two scholarly findings. Two or more quality references from professional literature are cited that clearly support your rationale.
(28–30 points) Includes slide stating why the intervention should be a priority. Two references cited but information in the reference may be biased or not directly relevant to your rationale.
(25–27 points) Intervention justification inadequate or fewer than two references cited.
(23–24 points) Lacks slide on intervention justification. No references cited.
(0–22 points) /30
Evaluation
85 points Presentation includes at least one proposed quantitative or qualitative evaluation method and desired outcomes. Long-term and short-term impact on your community if the intervention is “successful” discussed.
(78–85 points) At least one evaluation method described but lacks discussion on long and short-term impact on community
(71–77 points) Long and short term impact on community discussed, but evaluation method unclear.
(65–70 points) Presentation lacks clear evaluation method and future impact.
(0–64 points) /85
Summary
20 points Includes at least one summary slide that reiterates the problem and purpose of the presentation.
(19–20 points) Summary does not clearly reiterate the problem OR purpose.
(17–18 points) Lacks reiteration of problem AND purpose.
(15–16 points) Summary slide not present.
(0–14 points) /20
Overall presentation
10 points Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read.
(9–10 points) Presentation is accurate and covers most elements but lacks creativity.
(8 points) Presentation lacks flow and creativity or is difficult to follow. (7 points) Presentation lacks any attempt at organization and comes across as chaotic.
(0–6 points) /10
Mechanics
10 points Includes title slide (1)
Grammar, punctuation, and sentence structure are correct. (3)
References properly cited within the paper (2)
Reference page includes all citations. (2)
Evidence of spell and grammar check. (2)
(9–10 points) Title slide incomplete
Minimal errors in grammar, punctuation and/or sentence structure noted
Citations are present but not in correct format
References are present, with minimal errors in format
(8 points) Missing title slide
Multiple grammar and punctuation errors noted
(7 points) Title slide and citations are missing
References are missing or incomplete
No evidence of proof-reading prior to submitting paper
(0–6 points) /10
Total points: /250
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What role does communication and interaction play in the culture of Sardinia?

Psychology homework help
Packet One
Speaker: Susan Pinker
Video Title: The Secret to Living Longer May be Your Social Life

1.What role does communication and interaction play in the culture of Sardinia?
2.How has culture (for example, family structure) influenced longevity in Sardinia?
3.Does face-to-face communication have the same health benefits as online and social media communication?
Speaker: N/A

Video Title: Dove: You’re More Beautiful Than You Think

https://www.youtube.com/watch?v=litXW91UauE
1.At one point, one of the female participants says, “I should be more grateful of my natural beauty. It impacts the choices and the friends that we make, the jobs we apply for, how we treat our children, it impacts everything. It couldn’t be more critical to your happiness.” Explain how we view ourselves impacts the way we communicate and view others.
2.Choose one of your cultural identities. Write down how this cultural identity has shaped how your view yourself.
Speaker: Apollo Robbins
Video Title: The Art of Misdirection

1.What is the importance of attending in the perception process? How does what you attend to and what you don’t attend to impact the way you view the world?
2. You are walking through an airport, what you would be most likely to attend to (BE HONEST). Rate each one based on the likelihood it would gain your attention. Remember that the context is an airport. 1 = Most likely to gain your attention; 1 = Less likely to gain you attention. NOTE: You CANNOT have the same score for each one.
(a) A morbidly obese woman wearing skintight clothing ____
(b) A Muslim man wearing traditional Muslim religious clothing and his wife in a hijab ___
(c) A white male reading the newspaper ___
(d) An African-American man holding hands with a white male ___
(e) A woman consoling her screaming child ___
(f) A male giving with a syringe injecting himself with something ___
(g) A person in a wheelchair with both legs amputated ___
Speaker: N/A
Video Title: Labels are for Cans, Not People

1. What are some of the assumptions that the participants of this video made about others? How did they form these opinions?
2.What was surprising to the participants when the lights were turned on?
3.Were the participants’ original assumptions about the others in the group accurate? Explain.
Speaker: N/A
Video Title: 10 Surprising Ways to Offend People in Other Cultures
https://www.youtube.com/watch?v=UTE0G9amZNk
1.What cultural offense did you find most surprising? Why?
2.Why is communication so important in avoiding cultural offenses?
3.Describe an experience in which you unknowingly offended someone from another culture. What happened?
Speaker: Saba Safdar
Video Title: Everything You Wanted to Know About Culture

1.Saba Safdar explains that one of the best ways to study culture is to explore different values. Why is this an effective way to understand culture?
2.One of the themes that Saba Safdar focuses on is humor. Explain what she discusses about culture and humor. What does humor have to do with culture?
Packet Two
Speaker: Julian Treasure
Video Title: How to Speak So That People Want to Listen (5:00)

1.What are some of the voice strategies that Julian Treasure mentions?
2. How might you change your voice and delivery strategies based on different cultural audiences?
Speaker: Linda Cliatt-Wayman
Video Title: How to Fix a Broken School

1. How does the speaker gain the audience’s attention? Identify the specific strategy.
2. How is the speaker credible to speak on this topic?
3. What is her preview of main points?
4. What is her main point #1? How does she support main point #1?
5. What is her main point #2? How does she support main point #2?
6. What is her main point #3? How does she support main point #3?
7. How did she conclude her speech? How did she reference what she stated in the introduction?
Packet 3
Speaker: Zachary Wood
Video Title: Why It’s Worth Listening to People We Disagree With

1. What is Zachary Wood’s attention getter?
2. What is Zachary Wood’s thesis?
3. How did Zachary Wood’s own cultural background impact how others perceived him? Use examples.
4. What are some of the consequences of closing our minds to others’ ideas and opinions?
5. Even though Zach’s mother was a liberal Democrat, she encouraged him to explore differing opinions, ones that opposed his own. How does culture influence the way in which we view different issues?
Speaker: Ester Perel
Video Title: The Secret to Desire in a Relationship
www.ted.com/talks/esther_perel_the_secret_to_desire_in_a_long_term_relationship
1. What are the relational dialectics that Ester Perel discusses? How can this balance be challenging?
2. What role does communication have in romantic relationships? What would communication look like in your relationship?
Packet 4
Speaker: Celeste Headless
Video Title: 10 Ways to Have a Better Conversation
www.ted.com/talks/celeste_headlee_10_ways_to_have_a_better_conversation
1. According to the speaker, what is the role of listening in society and what are some of the problems that are happening in society?
2. What are your strengths from the tips 10 things she talks about?
3. What are your areas for growth from the 10 things she talks about?
Speaker: Ester Perel
Video Title: The Secret to Desire in a Relationship
www.ted.com/talks/esther_perel_the_secret_to_desire_in_a_long_term_relationship
1. What are the relational dialectics that Ester Perel discusses? How can this balance be challenging?
2. What role does communication have in romantic relationships? What would communication look like in your relationship?

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What got you interested in your current career?

Psychology homework help
Topic 4: Influence of Gender and Sexual Orientation Interview Sheet
Directions:

Find an individual with a gender different than your own in a career that interests you. In a brief interview find the answers to the questions listed below. Include proper in-text citations as well as a reference note below as appropriate. Please note that for personal communications, you will only need to include an in-text citation and not a reference note.

Note: American Psychological Association (APA) ethical guidelines indicate that interviewees have the right to refuse to answer any question posed to them by an interviewer. Please ensure that your interviewees are aware of this, and do not force them to answer where the opportunity to reply has been refused.

1. What got you interested in your current career?

2. How did your gender influence your career choice?

3. Did you have any same gender models or mentors that encouraged your career development? If not, was this problematic?

4. Did you observe any barriers in your education, employment, or advancement based on your gender?

5. Which gender appears to have an easier time getting into and establishing a career in this area?

6. Which gender most often holds the positions of power/influence/authority within this field? How does this compare to the male/female ratio?

7. Have there been any changes that have impacted the employment of males/females within the career?

8. How does sexual orientation impact a career in this field?

9. Have you observed any overt or covert discrimination based on gender/sexual orientation? Is it a common or rare occurrence?

10. With regard to gender/sexual orientation, what is the one thing you would like to change within the field?

References

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