Minimum of 250 words

Select a problem that you have experienced or identified within your workplace or in a health care setting. What steps would you take to address the problem?

 Discuss how your research inquiry relates to evidence-based practice. What practice improvement outcomes do you expect your inquiry to accomplish? How do you intend to evaluate your capstone project? 

1 postsRe: Topic 1 DQ 2

There are three components that nurses consider when assessing a community. It includes the people within, the boundaries of the location, and the general environment where the community exists. Researchers can narrow the focus by establishing parameters of the members of the community and environment. The geopolitical and phenomenological place guides the nurse’s population assessment. A community assessment seeks to understand the interactions among the population, environment, and resources (Green, 2018)

One way to evaluate the quantity and quality of life of a given population is to examine the geopolitical location. Community boundaries, transportation infrastructure, geographic features, climate, vegetation, animals, and human-made homes and facilities comprise the geopolitical place. The place or geographic boundaries may be defined by the nurse. There are many environmental factors that may affect the health of the community (Green, 2018). For example, in 2018, the eruption of Kilauea volcano changed the lives of many families and the community. From May to August, the lava destroyed over 700 homes and the fumes covered the Puna district (National Park Services, 2019).

Another way to evaluate a given population is to examine the phenomenological place of a community, which centers on the history, culture, economics, education, spiritual beliefs, values, common characteristics, or similar goals (Green, 2018). Nurses seek to understand how people experience a situation or phenomenon through these independent or interdependent relationships. For example, the conflict between the Thirty Meter Telescope (TMT) at Mauna Kea continues to remain as one of the top stories in Hawaii. Unlike geopolitical location, phenomenological place is a relational location such as a political activism group, church organization, or cultural group (Green, 2018).

A community assessment is much like conducting a health assessment and happens in an organized manner: to assess, diagnose, plan, implement, and evaluate. The assessment process includes gathering data and it can be achieved through primary or secondary sources. Analysis, diagnosis, and planning can be performed by using the SWOT analysis or strength, weakness, opportunities, and threats, which promotes a broader critical thinking about the population and environment (Green, 2018). This is followed by appropriate interventions and evaluation. For example, Hawaii experienced an outbreak of the Rat Lungworm disease recently, and in 2017, with an appropriation from the Hawaii State Legislature, the Department of Health launched a public information campaign to educate residents and visitors about the risk and prevention (State of Hawaii, Department of Health, 2019).

Comparative effective research is important in translating research.   Describe one study that used comparative effective research. What were   the findings and were they translated into practice? (250 word)(Use article below)

https://alliedhealth.ceconnection.com/files/ApplicationsofComparativeEffectivenessResearchtoCaseManagement-1372335272398.pdf

Please, write a one paragraph response to the discussion posted below by using one reference from peer-reviewed English Nursing Journal not older than 5 years. APA required, no cover page needed.

  Ms. Johnson was fortunate to have been offered such a great opportunity of becoming the new director of nursing at the long term care facility she is currently employed. Ms. Johnson obtained her associates degree about three years ago, which is fairly recent. Her current position is assistant director of nursing. Some realities that Ms. Johnson should consider is that most manger or supervisor nursing positions should obtain higher education classes and specialty certifications in order to gain knowledge of varies strategies and resources because this can influence the outcomes of residents in the facility (Trinkoff et al., 2015). Studies have shown that nursing homes or long term care facilities that have nurses with high credentials had lower rates of deficiencies than other facilities with less credentialed nurses. BSN prepared nurses are highly preferred in hospitals and facilities because they are linked to decreased mortality and morbidity (Saver, Cichra, & Kline, 2015). Granted, she has been there for only a few months in this long term care facility, it is still possible for her to be able to provide great leadership skills and possibly work towards her BSN degree. BSN degrees prepare the nurse by teaching evidence-based practices and leadership and management skills. As the DON, Ms. Johnson will be responsible to motivate the nursing staff to modify standards and apply best practices. Credentials distinguish the level of certifications in the nursing profession to other healthcare professionals and to the patients and their relatives (Tabloski, 2014). The benefits that she will encounter is a substantial salary increase, but risks may be that she is not fully capable of carrying so much responsibilities. DON responsibilities include developing, implementing, assessing, and improving quality of nursing care in the facility. A nurse with an associate’s degree has less educational courses and training that a nurse with a BSN degree, which means the facility may see a decline in patient health. For example, there may be increase in pressure ulcers, catheter uses, and increase in pain levels. Education is important among leaders in hospital and facilities because there is a relation with lower adverse outcomes (Trinkoff et al., 2015).