Building a Health History

Home>Homework Answsers>Nursing homework helpDiscussion: Building a Health HistoryEffective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.To prepare:With the information presented in Chapter 1 of Ball et al. in mind, consider the following:· By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion.Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.· How would your communication and interview techniques for building a health history differ with each patient?· How might you target your questions for building a health history based on the patient’s social determinants of health?· What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.· Selectoneof the risk assessment instruments presented in Chapter 1 or Chapter 5 of theSeidel’s Guide to Physical Examinationtext, or another tool with which you are familiar, related to your selected patient.· Developat least fivetargeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.Assignment:My Case study: 14-year-old biracial male living with his grandmother in a high-density public housing complexPosta summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.Learning ResourcesBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Chapter 1, “The History and Interviewing Process”This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.Chapter 5, “Recording Information”This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12.Wu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508–513.Lushniak, B. D. (2015). Surgeon general’s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3.Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1–7.6 years ago27.11.201915Report issueAnswer(1)ProCastrol014.8(1k+)4.8(208)ChatPurchase the answer to view itNOT RATEDHealthHistory.edited.docx0643c.pdf6 years agoplagiarism checkPurchase $15Bids(56)Great-WritersreliablewriterQuality AssignmentsDr AngelenaAmanda SmithQuickly answerRanju LewisHomework ProWriting WondersProCastrol01factorised_factsjim claireEmily BluntDoctor Okumubrilliant answersCatherine Owenskim woodsRESPECT WRITERWendy LewisBrooklyn Milanother Questions(10)Prof Tutor Only PLEASEBUS 211 Week 2 Evolution of Business PresentationNeed someone to do a two page critical analysis (Due this Sunday before Midnight)BUSSINESS MEMO PAPERcomparetive essaySTRAYER CIS 333 TOOLWIRE LAB NEEDS TO BE DONE ASAP !Allocation of Income TaxesBest Self Paper[decision makers examine the values of their choices. These values are based on what they think will happen.](https://www.google.com/search?rls=com.microsoft:en-US:IE-Address&q=decision+makers+examine+the+values+of+their+choices.+These+values+are+based+oAssignment 2.2: Policemen of the World Final Paper

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Assignment: Windshield Survey/Community Assessment

Home>Homework Answsers>Nursing homework helpSATURDAYDue SaturdayConduct a “Windshield Survey” in a section of  your community. Instructions for the survey can be found in Stanhope and  Lancaster (2016) on page 416, Table 18-6. As you notice, conducting a  Windshield Survey requires that you either walk around or drive around a  particular section of the community and take notes about what you  observe. A Windshield Survey cannot be conducted by reviewing websites  or Google Earth only. It requires actually taking a look at the selected  area of the community. This survey should be focused on the problem and  population you have selected for your practicum project. If you choose,  for example, obesity among Hispanic schoolchildren, you might want to  locate a section of the community where many Hispanic children live, or  you might want to conduct the Windshield Survey around where Hispanic  children attend school. If Hispanic children are not found in a specific  section of your community (e.g., Chinatown in San Francisco or Harlem  in New York), then you may select the section of the community where you  live or work but pay particular attention to your practicum population  and practicum problem as you conduct a survey of the community as viewed  through the eyes of the public health nurse.By Day 7 of Week 3Submit a 3- to 4-page paper including:Introduction to the community, including the name of the community  and any interesting or historical facts you would like to add about  where you livePhotographs of the selected area of the community that serve as evidence of your observations and hypothesesWindshield Survey findings, including a description of the section of your community that you chose to surveyDescription of the Vulnerable Population and Available ResourcesDemographics of the vulnerable populationWhat social determinants create their vulnerable status?What community strengths exist to assist this population?Conclusions based on Nursing Assessment of the CommunityBased on what you have found, what conclusions can you draw about  your community and your selected population for your practicum?Select at least 5 scholarly resources to support your assessment.  Websites may be included but the paper must include scholarly resources  in its development.WK3Assgn.Pribe.M.-5CORRECTION.docWK3Assgn.Pribe.M.-5CORRECTION.doc5 years ago25.01.202080Report issueAnswer(2)Quality Assignments4.9(2k+)4.9(258)ChatPurchase the answer to view itCommunityAssessment1.docx5 years agoplagiarism checkPurchase $80Bestclasstutor(Not rated)(Not rated)ChatPurchase the answer to view itNOT RATED5 years agoplagiarism checkPurchase $100Bids(82)Prof Double RDiscount AssignQuality AssignmentsPapersGuruwriter respectAmanda SmithMiss Ella WastonTeacher TrumahnMath GuruuProCastrol01runge-kutta acerwizard kimKelly JacobsPROF. ANNProf. EsmeraldaKATHERINE BECKSElprofessoriProf Sapolskybrilliant answersSasha Spencerother Questions(10)DQ 7Basic statAssignment 2: Use CasesFundamental Financial Accounting concepts 9edition chapter 2 problems sets beginning on page 110Security and Privacy Implications of the HITECH ActAssignmentDiscussionFinal power point presentationfor njosh onlyi want Someone to answer this questions for the presentations

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Care Setting Environmental Analysis

Home>Homework Answsers>Nursing homework helpnursingMSNLeadershipWrite a 4–7-page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting.Note:Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.SHOW LESSIdentifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations.Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an appreciative inquiry (AI) and a strengths, weaknesses, opportunities, and threats (SWOT) approach.Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.Conduct a SWOT analysis of a care setting, with respect to quality and safety goals.Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making.Propose positive, attainable quality and safety improvement goals for a care setting.Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.Suggested ResourcesThe resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. TheMSN-FP6210: Leadership and Management for Nurse Executives Library Guidecan help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.Appreciative Inquiry and SWOTMacCoy, D. J. (2014).Appreciative inquiry and evaluation – Getting to what works.The Canadian Journal of Program Evaluation,29(2), 104–127.Nursing Leadership: Present and Future Needs|Transcript.Appreciative Inquiry: Core Concepts|Transcript.Review the section on the dream stage of appreciative inquiry.Vila Health: Comparing AI and SWOT|Transcript.This media simulation walks you through a scenario within the Vila Health system that will enable you to analyze a situation in a care setting through both AI and SWOT lenses.Vila Health: Appreciative Inquiry or SWOT?|Transcript.This media piece presents various brief scenarios in which either appreciative inquiry or SWOT is the more appropriate approach.TOWS Analysis in Action: Going Beyond the SWOT Analysis|Transcript.This media piece will help you to gain a better understanding of the considerations, categorizations, and applications of SWOT analyses.SHOW LESSStrategic PlanningDeisher, M. (2013).A systems change: Leading the way to meeting health needs.Journal of Hand Therapy,26(3), 282–285, 286.This article illustrates how strategic planning has been used to implement a new program in a clinic.Leadership Characteristics and SkillsAny of the following resources are useful in analyzing leadership characteristics and skills:Grossman, S. C., & Valiga, T. M. (2012).The new leadership challenge: Creating the future of nursing.Philadelphia, PA: F. A. Davis Company.Chapter 2, “The World and New Leadership: Changing our Thinking About Leadership.”This chapter may help you with an analysis of the leadership characteristics and skills most desired in a person leading potential performance improvement projects.American College of Healthcare Executives. (2016).ACHE healthcare executive 2016 competencies assessment tool [PDF]. Retrieved from http://www.ache.org/pdf/nonsecure/careers/competencies_booklet.pdfCompetency areas A–C (including all sub-points as laid out in the ACHE self-assessment) in the Communication and Relationship Management theme.Competency areas A–D (all sub-points as laid out in the ACHE self-assessment) in the Leadership theme.American Organization of Nurse Executives. (2015).Nurse executive competencies [PDF]. Retrieved from http://www.aone.org/resources/nec.pdfCompetency areas A–G in section 1, the Communication and Relationship Building theme.Competency areas A–E in section 3, the Leadership theme.Assessment InstructionsNote:You will use the results of this analysis to develop a strategic plan in Assessment 2.PreparationYou have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis:Complete the discovery and dream phases of an appreciative inquiry (AI) project.Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.To help ensure that your analysis is well-received, the requester has suggested that you:Present your analysis results in four parts:Part 1: Appreciative Inquiry Discovery and Dream.Part 2: SWOT Analysis.Part 3: Comparison of Approaches.Part 4: Analysis of Relevant Leadership Characteristics and Skills.Your analysis should be 4–7 pages in length.Note:Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.Analysis RequirementsNote:The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.Writing, Supporting Evidence, and APA StyleCommunicate professionally when conducting interviews and collecting data.Write clearly, with professionalism and respect for stakeholders and colleagues.Integrate relevant sources of evidence to support your assertions.Cite at least 3–5 sources of scholarly or professional evidence.Include relevant interview information.Format your document using APA style. The APA Style Paper Template and associated tutorial, linked in the Resources, are provided for your use. Be sure to include:A title page and reference page. An abstract is not required.A running head on all pages.Appropriate section headings.Properly formatted citations and references.Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.Part 1: Appreciative Inquiry Discovery and DreamSynthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own.Explain how your stories are related to quality and safety goals.Describe the evidence you have that substantiates your stories.Identify the positive themes reflected in your stories.Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core.Propose positive, yet attainable, quality and safety improvement goals for your care setting.Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety.Explain how your proposed goals align with your care setting’s mission, vision, and values.Part 2: SWOT AnalysisConduct a SWOT analysis of your care setting, with respect to quality and safety goals.Provide a narrative description of your analysis.Identify the assessment tool you used as the basis of your analysis.Describe your key findings and their relationships to quality and safety goals.Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements.Explain how this area of concern relates to your care setting’s mission, vision, and values.Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern.Part 3: Comparison of ApproachesCompare the AI and SWOT approaches to analysis and reflect on the results.Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective.Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach.Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.Part 4: Analysis of Relevant Leadership Characteristics and SkillsAnalyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach.Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project.Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.5 years ago01.04.202020Report issueAnswer(1)Discount Assign4.8(433)4.8(40)ChatPurchase the answer to view itNOT RATEDappreciativeinquiry.docxappreciativeinquiry2.docx5 years agoplagiarism checkPurchase $2000Bids(119)Discount AnsDr. AmeerahMEERAB NAEEMDiscount AssignQuality AssignmentsTeacher TrumahnGreat-WritersMUSYOKIONES A+Miss Ella WastonAmanda SmithDr_inaayaMath GuruuDr. Michelle_PhDBrainy BrianGabriella MalkAgher EditorQuickly answerSheena A+Eastonhassan0906ProfRubbsother Questions(10)What is the function of vesicles in the synthesis of proteins and the release of those proteins outside the cellMarketing Management & Managerial Finance questionForensic Accounting at Practice1500 Words Paper on Agriculture No plagiarism- HARVARD STYLEFinal Argumentative Paper (((ORIGINAL))) paperWrite a function rule for the area of a rectangle whose length is 6ft. more than it’s width?

 

Then find the…ACC 561 Wiley Week 6 20-3 22-1 23-3 23-4 23-6Tech IIwrite an essay that consider different ways which includes rhetoric strateges and criticle vocabulary to make an ideal city with…Can you do my paper in Bus 325?

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Disaster management discussion board

Home>Homework Answsers>Nursing homework helpHelpThere needs to be minimum one paragraph for each discussion board and proper APA formatting.DisastermanagementdiscussionBoardQuestions.docx5 years ago06.04.202030Report issueAnswer(2)Seattle Writers5.0(1)5.0(1)ChatPurchase the answer to view itNOT RATEDOrder101653.docx5 years agoplagiarism checkPurchase $20Miss Professor4.3(3k+)4.3(121)ChatPurchase the answer to view itNOT RATEDam1.zip5 years agoplagiarism checkPurchase $30Bids(95)YourStudyGuruGuru OliviaGreat-WritersMEERAB NAEEMAmanda SmithDr_inaayaAmerican TutorDr. Elahiwizard kimBrainy BrianLouisa95hassan0906Quickly answerBridget YoungHomework ProEmily ClareElprofessoriTutor RisperPROF. ANNbrilliant answersother Questions(10)final paper legal environmentassignmentJournal3 pages with reference2 Page AssignmentETHICS: 1 PGS DUE TODAYResearch Methods in Applied PsychologyConstructing Truth TablesREPLY TO CLASSMATE’S DISCUSSIONSociocultural Differences

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PICO Question Nursing

Home>Homework Answsers>Nursing homework helpurgentBSNAPAformatWrite a PICO question, instructions and journal to use are attached.Individual Practice Improvement Project paper (PICO)1-Page written summary of an articleusing APA format.Question: Does environmental changes in the ICU patient decrease the incidence of ICU induced dementia?Delirium_and_Dementia_in_the_Intensive_Care_Unit_.4.pdfPICOIntrusctions.pdf5 years ago12.04.202010Report issueAnswer(1)runge-kutta acer4.8(4k+)4.7(262)ChatPurchase the answer to view itNOT RATEDPICOQuestionNursing.docxPICOQuestionNursingPlag.pdf5 years agoplagiarism checkPurchase $10Bids(109)Teacher A+ WorkQuality AssignmentsMUSYOKIONES A+Guru OliviaBethuel BestGreat-WritersAmanda SmithSplendid TutorAmerican TutorWriting Wondershassan0906EARNESTWRITERGabriella MalkProfRubbswizard kimBrainy BrianDr. ElahiAgher EditorQuickly answerRosie Septemberother Questions(10)LITR WK6What is the probability of selecting a female non-drinker drink alcohol from the entire patient load?SpanishI need this by 10 am tomorrow eastern standard time plagiarism free.Questions sheet for Marwa96 onlyDo any one know the answer to Glo Bus quiz 2 2016Assignment 1: Examining Intimate ViolenceWhat is the most important factor that distinguishes the tort of invasion of privacy from the tort of defamation?Global EncounterAssignment

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Healthcare article that uses quantitative research

Home>Homework Answsers>Nursing homework helpSearch the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articlesfor assistance.AttachmentsHLT-362V-RS5-ArticleAnalysisEthicalEval-Template.docx5 years ago17.04.20207Report issueAnswer(1)Prof. Script4.8(343)4.8(132)ChatPurchase the answer to view itNOT RATEDSearchtheGCULibraryandfindonenewhealthcarearticlethatusesquantitativeresearch..docx5 years agoplagiarism checkPurchase $13Bids(79)Teacher A+ WorkMUSYOKIONES A+Bethuel BestMiss Ella WastonAmanda Smithhassan0906EARNESTWRITERBrainy BrianKelly JacobsAgher EditorDr. BeneveRosie SeptemberProCastrol01DexterMastersRanchoddas Chanchad PhDElprofessoriPROF. ANNbrilliant answersUrgent TutorBrooklyn Milanother Questions(10)English PaperHomework Linear ProgrammingASAP/ Media’s influence on Body image (2 assignments)Emerging Technologies – Research PaperProgramming implementation -Grammar’smktgMovieneed by sunday nighta reaserch paper, for master business courseChicano

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PICOT Question and Literature Search

Home>Homework Answsers>Nursing homework helpPICOTResearchThe first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.Use the “Literature Evaluation Table” to complete this assignment.Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.StressandBurnoutSyndrome.pdfYogapreventburnout.pdfcompassionfatigueandburnout.pdfTheConnectionbetweenADpatientsandnurseburnout.pdfSelfcarestrategiestoavoidnurseburnout.pdfPredictorsofBurnout.pdfElementsofHealthyworkenvirontment.pdfRelationshipAmongNurseRoleOverload.pdfNRS-433V-RS1-LiteratureEvaluationTable1.docx5 years ago14.09.202015Report issueAnswer(2)kim woods4.6(27k+)4.7(2k+)ChatPurchase the answer to view itNOT RATEDorder_145102_386742.docx5 years agoplagiarism checkPurchase $15kim woods4.6(27k+)4.7(2k+)ChatPurchase the answer to view itNOT RATEDorder_145102_386807.docx5 years agoplagiarism checkPurchase $8Bids(72)MARTHA92_PHDIsabella HarvardTutor FaithProf James KelvinDr. Michelle_KMMath GuruuMiss_AqsaOriginal GradeNightingaleTutor Cyrus Kenbrilliant answersWIZARD_KIMprof bradleyDexterMastersMberiahYourstarTutor_SupremoElprofessoriEva GreenBrainy Brianother Questions(10)Give examples and elaborate on something recognized as a fundamental right and something not recognized as fundamental.FIN 380 Week 2 Individal Assignment Ethics ScenarioFIN 370 Week 5 chapter 20 problem 1are wealthy people happier ?quizzesSee DescriptionBUS 475 Final Exam # 100 Questions with ANSWERS # 5th4 HELP40-SIMPLE MULTIPLE QUESTIONS ON BUSINESS COMMUNICATION….YOU MUST GET 80%BIO 330 MODULE 3 HOMEWORK

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WEEK4 RESPONSE 6052

Home>Homework Answsers>Nursing homework helpurgentnowJuliet AnyanwuRE: Discussion – Week 4COLLAPSEHealthcare professionals use PICOT questions to clear clinical issues in a way that assists to efficiently and quickly find the right information to answer the clinical question (Melnyk & Fineout-Overholt, 2018).  The purpose of the PICOT question is to direct the systematic search of healthcare databases to find the best available evidence to answer the question (Melnyk & Fine-out-Overholt, 2018). Understanding how to appropriately formulate a clinical question in PICOT format and using it systematically in your search is vital to efficiently begin the EBP process (Melnyk & Fine-out-Overholt, 2018). Systematically formulating a clinical question makes it possible to find an answer faster and proficiently, leading to enhanced methods and patient outcomes (Stillwell et al., 2010).Question- In geriatric inpatients, does hand hygiene using soap and water compared to the use of hand sanitizers help in lessening the occurrences of Hospital Acquired Infection within three months?PICOT QuestionIn geriatric inpatients (P), does hand hygiene using soap and water (I) compared to the use of hand sanitizers(C), help in lessening of Hospital Acquired Infection (HAIs) incidences (O) within three months (T)?Search Terms usedThe search terms used were: Hand Hygiene, hand washing, Hospital-acquired infections, inpatient geriatrics, and hand sanitizers.Database usedThe two databases used were CINAHL Plus with Full Text and MEDLINE with Full Text.Search ResultsCINAHL Plus with Full Text produced 120 results, while MEDLINE with Full Text, which had 80 (Walden University Library, n.d. – a). These presented both original research articles and systematic reviews. The search was restricted to articles within five years. Also, to conduct the search, the article towards the research question was used. It was all related to hand hygiene, hand washing, hand sanitizers, and hospital-acquired infections management. Two articles were from original research.Addition of Boolean OperatorAdding the search terms using the Boolean operators changed my search significantly. The amounts of records returned were remarkably decreased and increased on the articles available based on their significance to my study. It expedited the accomplishment of more detailed results and helped save time as the results became more suitable for my desires. It also gets rid of unsuitable articles. Boolean operators and nesting help one search for combinations of words or phrases processed in a particular order (Library of Congress, n.d.).Strategies to increase the rigor and effectiveness of a database search and exampleThe strategies I will make to increase the rigor and effectiveness of a database search for my PICOT question include: Using Boolean operators. The use of Boolean operators helps facilitates, confines the search to the most relevant results, and is more focused. I will also limit the search to a particular year range. Limiting the year range, this helps in returning current searches and also uses more than one database for my search, because everyone may have more articles. I will seek the help of a Librarian to assist me in the preliminary inquiry. Another strategy is using parentheses. The use of Parentheses will help me get the search I want.ReferencesLibrary of Congress. (n.d.).Search/browse help-Boolean Operator and nesting. Retrieved September 22, 2020, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.htmlMelnyk, B. M., & Fineout-Overholt, E. (2018).Evidence-based practice in nursing & healthcare(4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: asking the clinical question: a key step in evidence-based practice.AJN The American Journal of Nursing,110(3), 58-61.Walden University Library (n.d.-a). Databases A-Z. Retrieved September 22, 2020, from    https://academicguides.waldenu.edu/az.php?s=19981Angel Brockington-HallRE: Discussion – Week 4: Main PostCOLLAPSEAfter reviewing the five types of foreground questions, it was determined that a meaning question would be the most suitable approach for posing a question using PICOT. According to Melnyk and Fineout-Overholt (2018), meaning questions explore the relationship between an experience and an outcome, the extent or range of a rare occurrence, or “the influence of culture on healthcare” (p. 39).PICOT ComponentDescriptionPatient populationSexual assault survivorsIntervention/issue of interestOngoing treatment and support/cultivating community support cultureComparison intervention/issue of interestChallenging traditional beliefs and attitudes with awareness and educationOutcomeIncreased rates of reporting and support networksTimePost-assault through three monthsPICOT QuestionWhat is the quality of life (O) for sexual assault survivors (P) who report the incident and receive treatment and ongoing community support (I) within the first three months (T), compared to their counterparts who choose not to report (C) their lived experience?Search Terms Used and Databases Used for PICOT QuestionThe search terms used included sexual assault victims or sexual assault survivors, rape and quality of life, community support, and treatment, contributing factors, reporting sexual assault, sexual assault, coping behavior, and trauma.  Boolean operators and nesting were applied to “search for combinations of words or phrases processed in a specified order” (Library of Congress, n.d.), and expanders such as “apply related words” and “search with the full text of the articles” were applied to refine results.CINAHL Plus with Full Text, MEDLINE with Full Text, APA PsycINFO, and APA PsycArticles were databases used to research the PICOT question.  The American Psychological Association (APA) publishes articles available in the APA PsycArticles and APA PsycINFO databases.  According to Walden University Library (n.d.), both databases are “a definitive source of full text, peer-reviewed scholarly and scientific articles in psychology” (para. 1). CINHAL Plus, with full text, offers “a robust collection of full-text nursing and allied health journals” (Walden University Library, n.d., para. 1).  It provides and permits access to nearly 800 journals indexed in the original CINAHL database. According to Walden University Library (n.d.), “CINAHL Plus with Full Text is the core research tool for all areas of nursing and allied health literature” (para. 1).Similarly, Medline with Full text presents “the authoritative medical information” on various health professions, including nursing. Nearly 1,500 journals are indexed in MEDLINE, which offers full text (Walden University Library, n.d., para. 1).Search Results and Changes Noted with Boolean OperatorsWalden University’s Library “Database search skills: Set up your search” option encourages the use of one term when searching databases to return the best and broadest results.  Entering a single word can be used to determine whether the precise term aligns with “scholarly works” (Walden University Library, Database search skills: Set up your search, n.d.-b.). Applying this recommendation produced over 20,000 articles.  Limiters such as peer-reviewed scholarly journals and a publication date no older than 2015 were used, resulting in the following results:MEDLINE with Full Text (151)CINAHL Plus with Full Text (120)APA PsycArticles (35)APA PsycInfo (6)Without the Boolean search operators and, or, and not, a search for sexual assault survivors returned a total of 1,039 results. The number of original research articles returned within the APA PsycINFO database was five out of six, proving a high probability of finding trustworthy, scholarly, current, and original research applied to the PICOT question.  When the Boolean search operator AND was used to include reporting sexual assault, collectively, all four databases were reduced to five total search results.  Search results increased exponentially, when an additional field of the Boolean operator OR was employed.  In the second field of the database search, the terms beliefs or perceptions or views or attitudes were added. Including the Boolean connector OR, produced greater than 400,125 results.  However, the articles resulting from adding OR produced fewer articles germane to the PICOT question.Strategies to Increase Rigor and Effectiveness of Database Search for PICOTSome strategies could be applied to databases that make searching a PICOT question more efficient and rigorous. These strategies include:Ensuring databases are reliable and produce trustworthy content rooted in scholarly work.Apply best practices in the methodological review of data.Utilize a combination of sources to establish evidenceOrganize citations and search strategies (Hartzell & Fineout-Overholt, 2018, p. 57).Solicit help from the librarian when needed.Select articles most germane to the PICOT question (Hartzell & Fineout-Overholt, 2018, p. 57).According to Hartzell and Fineout-Overholt (2018), the above represent “basic and advanced behaviors that clinicians would use to competently search bibliographic databases such as the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE” (p. 56).  Searching databases that have relevancy to a PICOT question facilitates the evidence searching and gleaning process.  Boolean operators serve as “connectors” which can be used to expand (using OR) or narrow (using AND) searches.Overall, there are standard competencies expected of advanced practice clinicians, and there are various resources available to facilitate and promote honing these critical skills.ReferencesHartzell, T. A. & Fineout-Overholt, E. (2018).  Chapter 3: Finding relevant evidence to answer clinical questions. In B. M. Melnyk, B. M., & E. Fineout-Overholt (Eds.),Evidence-based practice in nursing & healthcare: A guide to best practice(pp. 607-653). Philadelphia, PA: Wolters Kluwer.Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting.https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.htmlMelnyk, B. M., & Fineout-Overholt, E. (2018).Evidence-based practice innursing & healthcare: A guide to best practice(4th ed.). Philadelphia, PA:Wolters Kluwer.Walden University Library. (n.d.-a).Databases A-Z: Nursing.https://academicguides.waldenu.edu/az.php?s=19981Walden University Library. 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