Practice Issue And Evidence Summary Guidelines

Please complete this assignment on the worksheet attached. 

1. Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required List of Approved Systematic Reviews (Links to an external site.)Links to an external site..

2. Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.

3. Download the required Milestone 1 Practice Issue and Evidence Summary Worksheets (Links to an external site.)Links to an external site. (both worksheets appear in ONE form) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

4. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

5. Your practice issue will be the same for all three Milestone assignments in this course.

6. Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

1. Develop an evidence summary by following the grading criteria below.

2. Document this on the evidence summary portion of the worksheet.

3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

4. Please type your answers directly into the worksheet.

THE CHOSEN REVIEW SYSTEM

Obstetrics/Delivery

McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J. L., … MacGillivray, S. (2017). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD001141. doi:10.1002/14651858.CD001141.pub5

                     Abstract

Background

There is extensive evidence of important health risks for infants and mothers related to not breastfeeding. In 2003, the World Health Organization recommended that infants be breastfed exclusively until six months of age, with breastfeeding continuing as an important part of the infant’s diet until at least two years of age. However, current breastfeeding rates in many countries do not reflect this recommendation.

Objectives

To describe forms of breastfeeding support which have been evaluated in controlled studies, the timing of the interventions and the settings in which they have been used.

To examine the effectiveness of different modes of offering similar supportive interventions (for example, whether the support offered was proactive or reactive, face-to-face or over the telephone), and whether interventions containing both antenatal and postnatal elements were more effective than those taking place in the postnatal period alone.

To examine the effectiveness of different care providers and (where information was available) training.

To explore the interaction between background breastfeeding rates and effectiveness of support.

Search methods

We searched Cochrane Pregnancy and Childbirth’s Trials Register (29 February 2016) and reference lists of retrieved studies.

Selection criteria

Randomised or quasi-randomised controlled trials comparing extra support for healthy breastfeeding mothers of healthy term babies with usual maternity care.

Data collection and analysis

Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. The quality of the evidence was assessed using the GRADE approach.

Main results

This updated review includes 100 trials involving more than 83,246 mother-infant pairs of which 73 studies contribute data (58 individually-randomised trials and 15 cluster-randomised trials). We considered that the overall risk of bias of trials included in the review was mixed. Of the 31 new studies included in this update, 21 provided data for one or more of the primary outcomes. The total number of mother-infant pairs in the 73 studies that contributed data to this review is 74,656 (this total was 56,451 in the previous version of this review). The 73 studies were conducted in 29 countries. Results of the analyses continue to confirm that all forms of extra support analyzed together showed a decrease in cessation of ‘any breastfeeding’, which includes partial and exclusive breastfeeding (average risk ratio (RR) for stopping any breastfeeding before six months 0.91, 95% confidence interval (CI) 0.88 to 0.95; moderate-quality evidence, 51 studies) and for stopping breastfeeding before four to six weeks (average RR 0.87, 95% CI 0.80 to 0.95; moderate-quality evidence, 33 studies). All forms of extra support together also showed a decrease in cessation of exclusive breastfeeding at six months (average RR 0.88, 95% CI 0.85 to 0.92; moderate-quality evidence, 46 studies) and at four to six weeks (average RR 0.79, 95% CI 0.71 to 0.89; moderate quality, 32 studies). We downgraded evidence to moderate-quality due to very high heterogeneity.

We investigated substantial heterogeneity for all four outcomes with subgroup analyses for the following covariates: who delivered care, type of support, timing of support, background breastfeeding rate and number of postnatal contacts. Covariates were not able to explain heterogeneity in general. Though the interaction tests were significant for some analyses, we advise caution in the interpretation of results for subgroups due to the heterogeneity. Extra support by both lay and professionals had a positive impact on breastfeeding outcomes. Several factors may have also improved results for women practising exclusive breastfeeding, such as interventions delivered with a face-to-face component, high background initiation rates of breastfeeding, lay support, and a specific schedule of four to eight contacts. However, because within-group heterogeneity remained high for all of these analyses, we advise caution when making specific conclusions based on subgroup results. We noted no evidence for subgroup differences for the any breastfeeding outcomes.

Authors’ conclusions

When breastfeeding support is offered to women, the duration and exclusivity of breastfeeding is increased. Characteristics of effective support include: that it is offered as standard by trained personnel during antenatal or postnatal care, that it includes ongoing scheduled visits so that women can predict when support will be available, and that it is tailored to the setting and the needs of the population group. Support is likely to be more effective in settings with high initiation rates. Support may be offered either by professional or lay/peer supporters, or a combination of both. Strategies that rely mainly on face-to-face support are more likely to succeed with women practising exclusive breastfeeding.

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Social Science homework help

For this Assignment, review your agency learning agreement and the results of your midterm evaluation. Consider how your field education experience fulfilled the goals and objectives in your agency learning agreement. Reflect on what you would like to gain in future field education experiences.
Note: You should receive your midterm evaluation from your field instructor.
The Assignment (4-5 pages):
Describe whether you met or did not meet the goals/objectives in your agency learning agreement and include the results from your evaluation.
Compare your learning agreement and your evaluation to critically consider how the two are compatible and how you may approach completing the learning agreement differently next term.
Describe the social work practice skills you developed.
Describe potential areas where you might need improvement in relation to social work practice skills, ethics, or professionalism.
Explain how your next field education experience might address those areas.
Explain how participation in this course might inform your future field courses, what will you do the same, what will you do differently.
Be sure to submit the results of your evaluation to this assignment
attachment
evaluation.docx

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RESEARCH AND WRITE A SHORT EVALUATIVE SUMMARY OF FOUR ETHICAL OR LEGAL ISSUES RELATED TO HEALTH INFORMATION TECHNOLOGY

Health Information Technology Issues

Research and write a short evaluative summary of four ethical or legal issues related to health information technology (two examples include HIPAA and social networking). List the stakeholders, how each is affected, and what you recommend.

Discussion Participation Grading Rubric

Applies relevant course concepts, theories, or materials correctly.

Collaborates with fellow learners, relating the discussion to relevant course concepts.

Applies relevant professional, personal, or other real-world experiences.

Supports position with applicable knowledge.

Q2

Affordable Care Act

Presently, the United States government, in conjunction with both the public and private healthcare sectors, is working toward implementing the law.

For this week, please review the major provisions of the Affordable Care Act (ACA) on page 193 of your textbook and formulate an initial post with the following criteria:

  • Choose one provision that is most important and discuss why implementation will make congruent improvements to the current U.S. system.
  • Discuss which provisions you believe will be difficult to achieve or implement because of the inherent challenges in the current U.S. healthcare landscape; please name and describe those challenges.
  • Lastly, what has been left out of these major provisions? Had you been able to meet with congressional members, what would you have lobbied to include in the act?
  • Must be 150 Words or more
  • APA format
  • Cite references in paragraphs
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Sociology homework help

In this assignment, you will create your own supervisor professional disclosure statement.
Note that you can include lessons learned from this assignment in your Personal Supervision Philosophy Paper, which is due in Unit 9.
Most states require professional disclosure statements, and you may have already created one for your clinical licensure. This document will be a fluid, ongoing work-in-progress throughout your lifetime as a professional, and may change with each new job site or expectation. You will be completing internship soon, and this document may be used to notify your master’s level supervisees of your position as a doctoral intern.
As a part of your internship, you will co-supervise master’s learners who are working with real clients in their internships. Use this setting as a backdrop for your Supervisor Professional Disclosure Statement paper. Include information about yourself as you expect to be during your internship. In other words, if you are licensed, list a license or other credential that you expect to have obtained. Do not list any credentials that you don’t expect to have obtained by then. Note that you will have completed your coursework by that time, and you will have passed comps, but you will not yet have your PhD.
You may use the information found on pages 154 and 302–307 in the Bernard and Goodyear Fundamentals of Clinical Supervision text to guide you in developing your disclosure statement. If your state has specific requirements for disclosure statements, use these requirements and include a copy of the state regulation with your statement.
For the purposes of this assignment, your statement should be 4–6 pages of text, double-spaced, incorporating all APA elements.
Include the following in your statement:

  • Your professional qualifications, experience, education, training, license, and contact information.
  • Your model of supervision, supervisor’s role in supervision process, and goals of supervision.
  • An explanation of the evaluation process, limits and scope of confidentiality, and privileged communication in the supervisory relationship.
  • An explanation of the role of disclosure of supervisee’s actions and the supervisor’s supervisor in supervisory process.
  • Any fee schedules (if applicable) and emergency contact information should also be included in this statement of supervision.
  • A statement of ethics, referencing an appropriate credentialing body’s code of ethics.
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Implementation of the IOM Future of Nursing

Benchmark Assignment: Implementation of the IOM Future of Nursing Report
Due Date: Mar 09, 2014 23:59:59Max Points:150
Details:

In a formal paper of 1,000-1,250 words discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage: http://campaignforaction.org/states

Review yourstate’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

Summarize (2) initiatives spearheaded by yourstate’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

Implementation of the IOM Future of Nursing Report

1) In a paper of 1,000-1,250 words:

a) Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

b) Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

c) What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize (2) initiatives spearheaded by your state’s Action Coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment

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Interview an administrator whose responsibilities involve health care policy development. Your questions should include:

QUESTION

nursing

  1. Interview an administrator whose responsibilities involve health care policy development. Your questions should include:
    • How culturally diverse needs are met?
    • How does their role in the organization influence healthcare policy?
    • What oversight agencies do they report to?
  2. Add three (3) questions of your own.
  3. Be sure to let the interviewee know that his/her responses will be shared w/your classmates.
  4. Share your results.  Be sure to name the organization and the role of the individual.
  5. Comment on two of your classmates’ postings.
  6. View grading rubric.
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Environmental science homework help

Question: (3 PAGES Double Spaced)
Climate change is now regarded as an environmental health challenge both locally and globally. There is reason to believe that human activity has created several ways through which adverse effects of climate change are seen and affect the general public.
(a) Present an argument that supports the notion that using the term “climate change” is more acculturate than the term  “global warming”.
(b) By using the following terms, explain how they contribute to the climate change problems we see today:
i  – Sea level rise
ii – Food and malnutrition
iii – Extreme weather conditions
vi – Mental health issues/impact
You are free to use your textbook and other credible resource that supports your answers in line with the questions asked. When using alternative resources, please provide the required citations accordingly.
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Business

 

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Psychology homework help

Read the Heinz dilemma (http://www.simplypsychology.org/kohlberg.html), and consider what you would do if you were in his place. Write down your answer and the reasons behind it. How would your answer fit in Kohlberg’s stages? Are there other responses that Kohlberg would consider “more moral”? If so, how do you feel about this? Do you think Kohlberg’s “Heinz dilemma” is a good measure of one’s morality? Explain.
NOTE: Make sure you answer all parts of the discussion question.
SUBMISSION – be timely in order to allow your classmates to respond.
You will be graded on:

General Requirement(s):

  1. Preparation: Read the directions for the discussion board prior to participation.
  2. Write: Make sure you directly and completely address the discussion forum question(s)/topic. You must respond to at least one of your fellow classmates posting explaining the reason(s) for the agreement or disagreement with their initial posting. Make sure to use proper grammar, punctuation, and proper APA citation, when writing your initial post. When replying to your classmates don’t forget to comply with Netiquette Guidelines in the “Getting Started” area and include a salutation to your classmate(s).
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>Sociology homework help

 Unit 4.1 DB: Comparing Rate of Pay Options Menu: Forum
This discussion will give you a greater perspective on the differences in cost of living throughout the United States. Please share the following information with your classmates:

  • The state in which you currently live.
  • Your state’s minimum wage.
  • How does your state’s minimum wage compare to the current federal minimum wage?

Then consider and discuss the following scenario:
Mr. Velez is a single parent with an infant and a 4 year old.  Mr. Velez works 40 hours a week while his children are in a childcare center full-time.  Take a look at the average cost of care in your state.  Is Mr. Velez considered to be above or below the federal poverty line?  Can Mr. Velez afford this cost on minimum wage pay?  What antipoverty policy would you recommend to Mr. Velez to help him make ends meet?
Review your peers’ posts regarding their specific state and share your thoughts and reactions to the information they found.  Please be sure to respond to classmates that do not live in your state.

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