POST- Linda

 

Respond to the post bellow, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from  the classroom or from your own review of the literature in the Walden  Library.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

 

                                             Initial Post

The  research study’s focus was on the interventions to improve medication  adherence in people with multiple chronic conditions.  The population of  the study consisted of people over 70 years of age and having 3-4  chronic conditions.  A well-defined PICOT question helps to identify the  best available evidence to influence treatment (Echevarria, 2014).  The  PICOT question (P) The research study addressed medication adherence of  individual over the age of 70, (I) research involving eight studies  related to medication nonadherence, (C) Identified effective  interventions to improve medication adherence, and (O) evidence-based  treatment that assists in medication adherence would delay disease  progression.  

Design

             The design was a systematic review model by Cochrane Collaboration to  search, retrieve and appraise the quality and synthesis of the finding  of the RCT’s.  Out of the 248 abstracts only 97 were selected to be used  in full test and after an independent review by two separate reviewers,  only eight were chosen.  According to Polit, The Consort Checklist was  used to obtain the highest scores that could be used to generalize  results to similar groups.  “Consolidated Standards of Reporting Trials)  for reporting information for a randomized controlled trial, including a  checklist and flowchart for tracking participants through the trial,  from recruitment through data analysis.” (p. 723). The researchers used  the Intervention Group, Control Group, and Randomized Control Trials to  come up with the results.  

Results

             The researchers came to their conclusion after conducting a quality  assessment of the randomized, control trials examining medication  adherence using the CONSORT Group.  The research study did identify  weaknesses in the study. Several RTC’s had methodological problems, did  not identify all medical conditions, explanation of interventions used  (William, 2008).  

Alternate Conclusion

             There was a wealth of data in this research study that could be used to  explore several different issues related to medication adherence.   Researchers could have drawn a conclusion based on the data they  identified, what chronic conditions are individual most like or less  likely to be compliant with their medications.  They did find that  further research is needed on this subject.

References

Echevarria, I. &. (2014, February). To make your case, start with a PICOT question.  Retrieved from OVID:  https://ovidsp-tx-ovid-com.ezp.waldenulibrary.org/sp-3.33.0b/ovidweb.cgi?WebLinkFrameset=1&S=NAAIFPMHKIDDHDBONCDKIAJCHHLHAA00&returnUrl=ovidweb.cgi%3f%26Titles%3dS.sh.22%257c1%257c10%26FORMAT%3dtitle%26FIELDS%3dTITLES%26S%3dNAAIFPMHKIDDHDBONCDKIAJCHHLHAA0

Polit, D. F. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Wolters Kluwer Health.

William, A. M. (2008, July 4). Intervention to improve medication adherence in people with multiple chronic conditions: a systematic review.  Retrieved from Wiley Library Online: Retrieved From:  https://onlinelibrary-wiley-com.ezp.waldenulibrary.org/doi/full/10.1111/j.1365-2648.2008.04656.x

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Discussion

 

Discussion Question:

Discuss what training programs are needed for the technology required for your final presentation topic. Consider what training to provide to new employees and what on-going training may be necessary.

Your initial posting should be at least 400 words in length

Health Care Cost is my final presentation topic

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Need response to below question

APA format 1/2 page long

 

Good observations  and I agree. Varied approaches can yield different types of data, all beneficial to evaluating the overall program/program aspects. In your opinion what is one specific method you would recommend to your group, out of those you mentioned?

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400 word- APA 2- references (APA ONLY!!!) SCHOLARLY

 Discuss your experiences/research with policies implemented to protect vulnerable populations. 

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400 word- APA 2- references (APA ONLY!!!) SCHOLARLY

 Describe ethics as it relates to you as a healthcare professional. Include values beliefs and laws in your discussions. 

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culture in nursing

1  Define transcultural nursing and how that can be applied in your daily nursing practice.

2.  Define anthropology and culture and how it is related to the practice of nursing care.

3.  Describe the contributions of Dr. Madeline Leninger in the development of cultural nursing.

4.  Mention and discuss some assumptions about transcultural nursing.

As stated in the syllabus present your assignment in an APA format word document Arial 12 font attached to the forum in the discussion board titled “Week 1 discussion questions”.  A minimum of 2 evidence-based references (except the textbook) is required.  You must post two replies to any of your peers sustained with the proper references.  A minimum of 1100 words is required. 

prove in turnitin

http://nursing-theory.org/nursing-theorists/Madeline-Leininger.php

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For Essays Guru –

Choose a medical condition from the cardiovascular system and lymphatic system and explain the pathophysiology changes that may occur. What patient education would need to be included related to this disorder? Please paraphrase using your own words as not to simply copy and paste the citations. 250 words

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Excecutive paper

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary of  (1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

  1. The purpose of the program or project.
  2. The target population or audience.
  3. The benefits of the program or project
  4. The cost or budget justification.
  5. The basis upon which the program or project will be evaluated.

Take a look at your written proposal with  other colleague in a formal leadership position within a health care organization. Write on both your feedback using the following questions as prompts:

  1. Do you believe the proposal would be approved if formally proposed?
  2. What are some strengths and weaknesses of the proposal?

Prepare this assignment according to the APA guidelines with 3 APA references.

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post -linda

 

Respond in a positive way(positive comment),  to the post bellow, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from  the classroom or from your own review of the literature in the Walden  Library.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

                                             

                                           Initial Post

The  research study’s focus was on the interventions to improve medication  adherence in people with multiple chronic conditions.  The population of  the study consisted of people over 70 years of age and having 3-4  chronic conditions.  A well-defined PICOT question helps to identify the  best available evidence to influence treatment (Echevarria, 2014).  The  PICOT question (P) The research study addressed medication adherence of  individual over the age of 70, (I) research involving eight studies  related to medication nonadherence, (C) Identified effective  interventions to improve medication adherence, and (O) evidence-based  treatment that assists in medication adherence would delay disease  progression.  

Design

             The design was a systematic review model by Cochrane Collaboration to  search, retrieve and appraise the quality and synthesis of the finding  of the RCT’s.  Out of the 248 abstracts only 97 were selected to be used  in full test and after an independent review by two separate reviewers,  only eight were chosen.  According to Polit, The Consort Checklist was  used to obtain the highest scores that could be used to generalize  results to similar groups.  “Consolidated Standards of Reporting Trials)  for reporting information for a randomized controlled trial, including a  checklist and flowchart for tracking participants through the trial,  from recruitment through data analysis.” (p. 723). The researchers used  the Intervention Group, Control Group, and Randomized Control Trials to  come up with the results.  

Results

             The researchers came to their conclusion after conducting a quality  assessment of the randomized, control trials examining medication  adherence using the CONSORT Group.  The research study did identify  weaknesses in the study. Several RTC’s had methodological problems, did  not identify all medical conditions, explanation of interventions used  (William, 2008).  

Alternate Conclusion

             There was a wealth of data in this research study that could be used to  explore several different issues related to medication adherence.   Researchers could have drawn a conclusion based on the data they  identified, what chronic conditions are individual most like or less  likely to be compliant with their medications.  They did find that  further research is needed on this subject.

References

Echevarria, I. &. (2014, February). To make your case, start with a PICOT question.  Retrieved from OVID:  https://ovidsp-tx-ovid-com.ezp.waldenulibrary.org/sp-3.33.0b/ovidweb.cgi?WebLinkFrameset=1&S=NAAIFPMHKIDDHDBONCDKIAJCHHLHAA00&returnUrl=ovidweb.cgi%3f%26Titles%3dS.sh.22%257c1%257c10%26FORMAT%3dtitle%26FIELDS%3dTITLES%26S%3dNAAIFPMHKIDDHDBONCDKIAJCHHLHAA0

Polit, D. F. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Wolters Kluwer Health.

William, A. M. (2008, July 4). Intervention to improve medication adherence in people with multiple chronic conditions: a systematic review.  Retrieved from Wiley Library Online: Retrieved From:  https://onlinelibrary-wiley-com.ezp.waldenulibrary.org/doi/full/10.1111/j.1365-2648.2008.04656.x

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Discussion week 1

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. How do you think we can improve this understanding of the nurse practitioner role?

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