Evidenced Based Reply 2 Week 1

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“Nursing research is a systemic process of inquiry that uses rigorous guidelines to produce unbiased, trustworthy answers to questions about nursing practice” ( Houser, 2018, pg. 5). Nurses can improve quality of life for patients by finding solutions to problems by implementing Evidence based practice and nursing research. Nursing practices that are based on research uses a common format called the PICOT method. According to Riva, Malik, Burnie, Endicott, and Busse, ( 2012), ” Clinicians interested in research pursuits, related to patient care, should consider the use of a literature research and the PICOT format when engaging clinical researchers.” This method allows those researching the direction needed to answer questions of most importance. Upon reading case studies from our reading by Kumar, ( 2015), I chose the middle aged active woman with type 2 diabetes.

PICOT Question:

Can the use of Degludec insulin and dietary modification control blood sugar and reduce hypoglycemic episodes better than the use of another type of insulin with dietary modification in middle aged active females with type 2 Diabetes?

P:  Active middle aged women with type 2 Diabetes

I:   Use of Degludec insulin and dietary modification

C:  Use of insulin pump and dietary modification

O:  Better glycemic control and decreased hypoglycemic episodes

T:   2 months

The focus point of this question would be treatment related. This case study proved that through the use of Degludec insulin therapy, and lifestyle changes, the desired outcome were proved in this 2 month trial, thus allowing this patient to maintain as normal a lifestyle as possible with this treatment. Though the insulin pump worked well for her, it did not mesh well with her current activities.

 

Rose Velez

Burnie, S.J., Busse, J.W., Riva, J.J., Endicott, A.R., & Malik, K.M.( 2012). What is your Research Question?: An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 167-171.

Houser, J.P. ( 2018). Nursing Research Reading, Using, and Creating Evidence. Burlington: Jones and Barlett Learning, LLC.

Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 76-77.

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Applied Nursing research quiz

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I need someone who we can do an online quiz together via google chat and i will pay him after am done with the quiz

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The Case of Mrs. G.: Client Centered Communication and Collaboration

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The Case of Mrs. G.
Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.”

In 3 – 4 pages answer the following questions:

  1. How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
  2. Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
  3. In what way do you believe her culture might be influencing her decision?
  4. If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
  5. Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?

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Assignment 7b Dollars & Dentists

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Now that you have read, reflected and analyzed various ethical and moral issues in healt, I want you to respond to this issues presented in the video Dollars & Dentists..

This is a Frontline edition of a program titled Dollars and Dentists aired on June 26, 2012.

(http://www.pbs.org/wgbh/frontline/film/dollars-and-dentists/ )

The program was a documentary developed by the Center for Public Integrity and hosted by the Public Broadcasting System (PBS).  The program presents an overview about the poor condition of oral health in this country and some of the issues associated with a broken health care system.  Specifically the program discusses the high cost of dental care, the lack of insurance to cover oral health issues, and how these costs leave many people unable to afford dental care services.  It also calls into question the way corporate America has responded  to fill this need.  Several business models have emerged with big corporate backing.

While viewing the video you should be able to recognize a number of ethical and moral issues that arise related to access to health care, quality of care, and financial exploitation of disparate populations.

(http://www.pbs.org/wgbh/frontline/film/dollars-and-dentists/ )

After watching the video, respond to the following:

For this assignment there are five perspectives to be considered.  Each of the members of your group will contribute to the final paper which will be submitted on the due date. All 5 perspectives must be included in your final paper. However, each person in your group MUST write about ONE of the the perspectives mentioned below. In addition to clearly articulating the issue in question I will also be looking for an explaination of the ethical considerations for each of the perspectives.

(Corporate Interests)

• From the perspective of corporate interests:

• Like most successful business ventures, they’ve identified a need and are attempting to meet that need. They’re in business to make money and they’re generally quite successful.

• So what are they doing wrong, If anything?

• Should these companies be regulated by the ADA? If not by whom then?

From the perspective of…

Corporate interests

• Like most successful business ventures, they’ve identified a need and are attempting to meet that need. They’re in business to make money and they’re generally quite successful. So what are they doing wrong, If anything?

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dq1

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 THE QUESTION IS RELATED TO PRACTICUM AS A NURSE IN A HEALTH CENTER

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

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Reflective Practice

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Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

  • How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
  • Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
  • Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

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Nursing homework help

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The visual learner statistics includes five types of sampling which are as follows: Cluster sampling, Simple random sampling, Stratified sampling, Systematic sampling and Convenience sampling.

 

Cluster Sampling: It is used by dividing out the samples into groups. For example sort out in a city the actual number of kids, elderly and newborns.

 

Simple Sampling: this alllows for a greater chance of everyone to have the same chance of being selected. Fo example drawing balls from a pumpkin.

 

Stratified Sampling: methodical method used to choose or place samples. its like beeing in a meeting and choose members to divide in groups.

 

Systemic sampling: gives more of a pattern of how the sampling will be excecuted. For  example  every second cousin of a family should get an invitation.

 

Convenience sampling:subjects are selected off convenience. Like the kids are allowed to choose which movie to watch instaed of the whole family choosing.

Anyone performing the study should find all the sampling interesting

 

 

I need you to comment from this post, no more than 150 words needed and a reference please

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Nursing homework help

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The focus of this week’s assignment is identifying research components. You will be responsible for reviewing two articles (listed below) and completing the following tasks for each one in 3 pages for each:

  • Summarize each article utilizing the Week 2 research template.
  • Identify and describe the problem, purpose, and hypothesis or research questions of each study.
  • Analyze and discuss the significance of the research to nursing practice.
  • Identify two details to support the research as qualitative or quantitative.
  • NOTE: If a component is absent, student receives a zero for that component.

Cite all sources in APA format

Students with the last name beginning with A-L ( my last name starts with G)

Bortz, A., Ashkenazi, T., & Melnikov, S. (2015). Spirituality as a predictive factor for signing an organ donor card. Journal of Nursing Scholarship, 47(1), 25-33. doi: 10.1111/jnu.12107

Dinkel, S., & Schmidt, K. (2015). Health education needs of incarcerated women. Journal of Nursing Scholarship, 46(4), 229-234. doi: 10.1111/jnu.12079

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Nursing homework help

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The United States health care system is lacking in many areas when it is compared to other countries. There are many areas that we can improve where health care is concerned. Even though our health system is not the best our cost for health care continues to rise. Where is our money going? A survey from the Harvard School of Public Health revealed that 55% of American adults barely gave the US health care a passing grade, more than 11% gave the quality of care a fair rating, and 47% felt that the hospital care failed to provide the care that they deserved. Reading this was awful to say the least. How can we fall behind in quality of care in the hospital setting when our goal is to have the best outcome for our patients? Many studies show how there are multiple errors due to lack of communication and misuse of equipment that leads to accidents and even death of the patient. Health care providers need to talk to each other and respect one another and always remember that the patient should be their priority. The way we can achieve this is by holding everyone accountable for the care that’s being provided. Reporting poor quality of care will also help open the eyes of those who choose to work blindly.

In regards to the high price of health care The Affordable Care Act was established to help. It gives people that cannot afford insurance or are not offered insurance at their jobs a discounted rate. 20 million Americans have received coverage under this act that was initiated May 1, 2014, (The commonwealth fund, 2016)). Many individuals work hard to earn enough money to support their families and provide food and clothes for them. They don’t have enough money to spare on health insurance just in case. Health care insurance is not cheap to buy even purchasing a HMO costs an average family $700-$900 a month, that’s just the monthly fee and does not take into consideration the copays and cost of medication that goes along with treatments. We have the biggest and best that the world has to offer when it comes to science and medicine we should be able to provide care to all not just a select few that can afford it.

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Research Proposal

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Research Proposal

Overview/Description: 
The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the required template and not to exceed 15 pages (excluding title page/references/appendices).

Criteria:
Introduction

  • Background and Significance of Problem
  • Statement of the Problem and Purpose of the Study

Literature Review

  • Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

  • Overview and Guiding Propositions(s) Described in Theory
  • Application of Theory to Your Study’s/Project’s Focus

Methodology

  • Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
  • Sampling Strategy
  • Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.
  • Extraneous Variables (and plan for how controlled).
  • Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
  • Description of the Intervention
  • Data Collection Procedures
  • Data Analysis Plans
    • Describe plan for data analysis for demographic variables (descriptive statistical tests).
    • Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

  • Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study
Implications for Practice
References
Appendices

  • Informed Consent Letter
    • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

 

CRITERIA
WEIGHT
Introduction
Background and Significance of Problem
10
Statement of the Problem and Purpose of the Study
10
Literature Review
40
Research Question, Hypothesis, and Variables with Operational Definitions
Research Question, Hypothesis
10
Variables with Operational Definitions
5
Theoretical Framework
Overview and Guiding Propositions(s) Described in Theory
15
Application of Theory to Your Study’s/Project’s Focus
15
Methodology
Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
15
Sampling Strategy
15
Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.
10
Extraneous Variables (and plan for how controlled).
5
Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
20
Description of the Intervention
20
Data Collection Procedures
20
Data Analysis Plans

  • Describe plan for data analysis for demographic variables (descriptive statistical tests).
  • Describe plan for data analysis of study variables (descriptive and inferential statistical tests).
20
Ethical Issues
Describe ethical considerations and your plan to protect human rights.
10
Limitations and Implications
10
Scholarly Research
References and Appendices
10
Informed Consent Letter Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).
10
Academic Writing
Free of grammatical, spelling, or punctuation errors. Citations and references written in the correct APA Style.
30
TOTAL
300

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