Protection of Human Subject Participants in Nursing Research

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In Melnyk & Fineout-Overholt (2019) textbook Box 23.1 on page 682, select one of the Fifteen Ethical Principles of the Universal Declaration on Bioethics and Human Rights.

State the principle and describe the importance of the selected principle to ethical research. In addition, describe how a researcher would ensure that this principle would be protected for human subjects in a research study.

  • Length: A minimum of 300 words, not including references
  • Citations: At least one high-level scholarly reference in APA format from within the last 5 years

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Pediatric – Week 4 Discussion

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Week 4 Discussion

For this assignment, you will review the latest evidence-based guidelines in the links provided below. Please make sure you are using scholarly references and they should not be older than 5 years. The posts/references must be in APA format.

Apply the information from the Aquifer case study to answer the following questions:

1- Do you recommend a limited or an involved use of antibiotics in treatment of these disease(s) and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for asthma symptoms.

2- Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.

3- Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case, in particular and pediatric population, in general?

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week 5 discussion

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 Initial Post Instructions
For the initial post, pick two (2) of the following categories representing minority groups during 1880-1914:

  • Women’s rights activists
  • African Americans
  • Immigrants from southern and eastern Europe
  • Child workers
  • Great Plain Indians

Then, address the following for your selections:

  • Explain the socio-economic status and challenges of your minority groups at the turn of the century.
  • How did the Industrial Revolution affect your chosen minority groups?
  • Analyze how the Progressives brought reform to your selected minority groups. Do you find that the Progressives were successful in making government responsive and improve the conditions of your chosen minority group?

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Discussion- Communication and Therapeutic Relationship

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J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques.

Many of his clients have altered sensory perception such as blindness and deafness. Because of these conditions, He has to be extremely patient with his clients. J.J. also finds that the use of respect and humor help him bond more readily with his clients. For better results with his clients, J.J must secure trust with his patients. Discuss strategies that promote trust between patients and health care providers.

  1. Moral distress is a frequent situation where health care providers should face. Please define and discuss a personal experience where you have faced Moral distress in your practice.
  2. Discuss how health promotion relates to morality.
  3. Discuss your insights about your own communication strengths and weaknesses. Identify situations in which it may be difficult for you to establish or terminate a therapeutic relationship.

Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

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Discussion

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Instructions:

Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

·      Minimum of two (2) references, not older than 2015.

Nursing Research:

QD1.

Discuss the topic you are planning to use for the clinical practice experience. Create a PICOT research question that will guide the practice experience.

*See the attachment for a PICOT selection guidelines

QD2. Discuss the purpose of the literature review and which topics are you going to search for your topic? Discuss also what are the challenges that nurses are facing today when they have to do a literature review?

Pathophysiology:

QD1. Fifty-four–year-old Fred is complaining of a headache that started about 2 weeks ago. For the past 2 days, the headache has increased in severity, and he is photophobic and has uncial rigidity and projectile vomiting. CT scan results show an arteriovenous malformation in the basal artery and a small hemorrhagic bleed in the middle meningeal artery

1.How is the concept “disorders of brain function” related to Fred’s presenting symptoms?

2.What aspects of cerebral circulation would come into play in Fred’s case?

 

QD2. A 32-year-old mother is driving her 10-year-old daughter home from the store when their van is stuck by a drunk driver, causing their vehicle to careen over a bridge into the water below. The daughter’s arm is caught underneath a crumpled seat. Acting quickly, the mother is able to move the entire 400-lb seat to free her daughter’s arm and take her to safety. They are taken to a local emergency room and treated for minor injuries.

  1. When the mother arrives to the ER, she is perplexed at how she was able to move the seat. She tells you she can barely lift 50 lb at home. She asks you how it was possible for her to move such a tremendous amount. How would you respond?
  2. The woman asks you how to further explain to her “how all levels of the brain work together to perform such a complex movement”?

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Community Health

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Overview

The discussion board is aligned with the module objective “Discuss educational and community-based programs in Healthy People 2030.” For this discussion you will review the learning theories discussed in your textbook beginning on page 125. Choose 1 theory that you believe would best fit the target population who are experiencing or at risk for a health problem you identified in module one.

As part of the discussion you will:

· Review learning theories, principles and health education models (p.125), select one theory and apply to your diagnosis.

· Define the learning theory and describe its major components.

· Discuss how you might apply it when addressing one of the health problem for a target population in your community.  Narrow your population to a focused group, such as a classroom, church group or another reasonably sized group.

· List 2 – 3 teaching strategies you could use for your aggregate.

For example, if you have chosen childhood obesity as your identified health problem in week one, describe the learning theory that would work best with children ages 8 – 10, and explain why you believe that learning theory would work best with it.

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

 

Points: 30

Due Dates:

· Initial Post: Fri, Sep 10 by 11:59 p.m. Eastern Standard Time (EST) of the US.

· Response Post: Sun, Sep 12 by 11:59 p.m. Eastern Standard Time (EST) of the US – (the response posts cannot be done on the same day as the initial post).

References:

· Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

· Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

· Initial Post: Minimum 200 words excluding references (approximately one (1) page)

· Response posts: Minimum 100 words excluding references.

 

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Worldview Analysis and Personal Inventory

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Based on the required topic study materials, write a reflection about worldview and respond to following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.

2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.

3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:

1. What is ultimate reality?

2. What is the nature of the universe?

3. What is a human being?

4. What is knowledge?

5. What is your basis of ethics?

6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

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

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Case Study 4

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  1. Detached Retina

Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. Soon after he was released, he noticed what he described as a “gray spot” in his field of vision. At first he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. He didn’t report any pain with the problem. On calling his physician, he was advised to go to the nearest hospital immediately. A detached retina was diagnosed.

After treatment, he regained most of his normal sight back. Five years later, he began having problems again. The central area of his visual field was becoming blurred, and he was losing his depth perception. An initial eye examination revealed neovascularization in both eyes.

  • Question 1:  Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition.
  • Question 2: Discuss the treatments available for the patient.
  • Question 3: Relate the symptoms and signs to those of macular degeneration.
  • Question 4: Discuss the treatment available and the prognosis for recovering his normal vision.

Resources to assist you:

https://www.youtube.com/watch?v=3m__6QS8U_8

https://www.youtube.com/watch?v=hZe7VxtuQB0

https://www.youtube.com/watch?v=ozZQIZ_52YY

  1. Cardiovascular Accident

Mr. Quinn, age 64 years, developed a severe headache several hours ago that has not responded to acetaminophen. Now his speech is slurred, and his right arm and the right side of his face feel numb. He is very anxious and is transported to the hospital. Mr. Quinn has a history of smoking and arteriosclerosis, and there is family history of CVA and diabetes. Assessment at the hospital indicated weakness on the right side, including facial asymmetry and a blood pressure of 220/110 Hg mm. A CT scan showed damaged tissue on the left side of the brain, and an angiogram indicated narrowing of the carotid arteries and middle cerebral arteries, with occlusion of the left middle cerebral artery.

  • Question 1:  Discuss the pathophysiology related to CVA due to thrombus vs. embolus. Describe the stages in the development of an atheroma.
  • Question 2: Explain the predisposing factors in this case, and relate Mr. Quinn’s initial signs to the pathological changes.
  • Question 3: Discuss the treatments available after first aid for stroke patients and the patient’s prognosis.

Resources to help you:

https://www.youtube.com/watch?v=QIAI6KOwKII&t=16s

https://www.youtube.com/watch?v=U8s427-tv58

https://www.youtube.com/watch?v=qCvV11R2lgg&t=7s

  1. Parkinson Disease

Mr. Nimmo, age 66, has noticed excessive fatigue, muscle aches, and weakness in his legs for some time. His hands were shaking slightly, although his wife reported that the shaking appeared to stop when he fell asleep. Some unintentional head movements were also apparent. He remembers that his grandfather died in his mid-60s after suffering for years from a condition with similar symptoms. After several tests and the elimination of some other neuromuscular conditions, a diagnosis of Parkinson’s disease was made for Mr. Nimmo.

  • Question 1: Discuss the pathophysiology of Parkinson’s disease and how it differs from other neuromuscular conditions affecting older adults.
  • Question 2: Discuss the usual progression of the disease as the pathophysiology develops further. Indicate additional manifestations that will be noticeable.
  • Question 3: Describe the complications that frequently develop, including the rationale for each and the early indications of each problem.
  • Question 4: Discuss the treatments available to this patient.

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nursing theories and worldview

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  1. Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.
  2. Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
  3. Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue.
  4. Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.

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Personal Leadership Philosophies

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Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.
  • Reflect on your results of the Clifton Strengths Assessment, and consider how the results relate to your leadership traits.

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