Evidense Base Practice

  

How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice?

APA style with intext citations. 1 full-page excluding cover and references page. Minimum of 2 references within the last five years.

Required Textbook Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning

 

Required Reading Assignments: Chapters 10 (pg. 257-287); 16 (pg. 447-476)

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final

USE MYTHS ATTACHED

This week you will submit your final project. You can also refer to Module 1 for full description and technical requirements.

Recap:

Write an argumentative research paper on a managed care-related topic, assumption or myth; thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today. You will gather evidence on present a well-reasoned argument or debatable issue. The goal of an argumentative paper is to show that your perspective is valid. You are to form reasons, draw conclusions and apply them to your findings. The purpose is not to completely prove your point, but to convince readers, with your evidence, that your argument or position has merit.

You will be evaluated according to your topic selection, thesis and outline, annotated bibliography, peer review, and final paper delivered in proper format as follows:

Final Paper

  • Follows all Project assignment details and technical requirements, presenting “a managed care-related topic, thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today.”
  • Presents an argumentative paper with reasoning and evidence of debatable issue.
  • Incorporates suggestions as needed from peer review.
  • Incorporates key elements of a quality research paper:
    • Strong thesis statement that states the main point of your project and suggests the path that your project will follow.
    • Attention-getting introduction moving into quick transition that leads into thesis. Captures readers’ attention.
    • Topic sentences relate back to thesis statement. All information is relevant to thesis.
    • Logical transitions between paragraphs and ideas provide unity and coherence to the whole. Clear organization.
    • Concluding paragraph sums up information and reiterates thesis.
  • Mechanics follow required standards. (Spelling, grammar, sentences written according to Standard English.)

Technical Requirements

An original research paper with a body of 6-8 pages. In general, your paper should consist of the following pages:

Title Page – captivating title, your name, title of the course, date

Body – 6-8 pages of introduction, background on your topic, research support, personal evaluation, strong conclusion. Body should be organized with a minimum of the following titles

  • Introduction
  • Thesis or Position
  • Reasons
  • Objections
  • Support of Responses
  • Conclusion

References Cited page – in APA format.

Research and Writing Requirements include:

  1. Proper mechanics: clear, concise, complete sentences and paragraphs, proper spelling, grammar and punctuation. (See style handbooks recommended by your college’s Online Library, which you can access through the Resources tab.)
  2. Five or six sources for the paper from your research. Your textbook is a good resource. Internet resources should be reliable as at a university or government website. Please use one or two sources as available from your college’s Online Library. Use statements and ideas that you have come up with on your own and blend these in with your research. Do not plagiarize. If you want to use actual words from a source, put them in quotation marks with the source.

Follow APA format for citing your sources. For APA guidelines, go to your college’s online library which you can access through the Resources tab.

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Epidemiology, the Basis for Public Health

  

Epidemiologic surveillance is used in public and global health. For this Assignment, 

begin by locating a recent article about an specific outbreak of an infectious or communicable disease. 

The article can come from a newspaper or other source but your paper must be supported with at least three additional scholarly sources of evidence in the literature which may include your text or course readings.(last 5 years)-

I attached resources from course you can use…please try to use one of them

Write a 3- to 4-page paper that includes the following double space- APA 7th edition:

-A summary of the article, including the title and author

-Identify the title of the article with in-text citation and corresponding reference in reference list

-The relationship among -causal agents,

                                        susceptible persons, and 

                                        environmental factors (epidemiological triangle)

-The role of the nurse in addressing the outbreak

-Possible health promotion/health protection strategies that could have been implemented by nurses to mitigate the outbreak 

For this Assignment, review the following:

-Walden paper template (no abstract or running head required)-attached

-The Week 3 Assignment Rubric-attached

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W#8 Patho

Week 8 Journal Entry: Food Addiction

Instructions

Food addiction is a somewhat controversial term. When considering that obesity is a significant issue in any field of practice, the Advanced Practice Nurse must be aware of current research and treatment discussions. Watch the video the following videos Week 8: Learning Materials from Dr. Mark Gold, who is a world-renowned expert on addiction-related diseases, and Ashley Gearhardt, PhD., a food addiction expert. 

Video link #1: What is the evidence that food addiction exists https://youtu.be/t1QoVpetAOY 

Video link #2: How did we get here and where are we going https://youtu.be/8M08uBjil9Q

Also, read the article (see attached pdf article) that discusses Food Addiction in general and then locate a second article that deals with your population specific program, i.e. family, pediatrics, women, psychiatric, geriatric, acute care, etc.

Note: MY SPECIFIC PROGRAM IS PSYCHIATRIC.

Note: Please, attach a pdf copy of the second article found.

– In your one-two page journal submission, discuss the concept of Food Addiction and possible scenarios or patients that you are likely to encounter in your practice as an APRN (Psychiatry Mental Health Nurse Practitioner)

– Finally, discuss your personal thoughts on food addiction – is this real or junk science? (Note: In my opinion is real) Why or why not? How do you intend to address obesity in your own practice?

The paper submission should be 500-750 words in length and in APA format.

– Please, this is a turnitin assignment (free of plagiarism)

– APA format

– Minimum 500 -750 words.

Note: My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work at a Psychiatric Hospital, where I also work with this vulnerable population.

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Culture in Nursing DQ # 7

 

Transcultural Perspectives in the Nursing Care of Adults

Read chapter 7 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions;

  1.  Discuss how culture influences adult development.
  2.  How culture influences the transition of adulthood?  For example, explain how a woman from a traditional culture such as those in the Middle East might experience adulthood differently.
  3. Discuss how gender might influence adult development in a White, middle-class family.
  4. Discuss how gender and specific religious beliefs and practices might influence an adult’s health and/or illness during situational crises or transitions.

APA.   A minimum of 2 evidence-based references (besides the class textbook) no older than five years must be used.    A minimum of 800 words are required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

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Culture in Nursing DQ # 7 Student reply Vanessa Camano

  The following post is another student post to wish i have to react adding some extra information related to the student post.  APA STYLE AND LESS THAN 20 % SIMILARITY. 

Transcultural Perspectives in Adult Nursing Care 

How Culture Influences Adult Development 

Non-Western cultures are sometimes characterized by speedier or earlier adulthood development where transitioning adults are required to adult more quickly and take up more adult roles. Among the Chinese, for example, joining college is an indication of adulthood development and college students are expected to start thinking and acting like adults (Nelson, Badger, & Wu, 2014). The same applies to East African communities where joining college is likened to being granted freedom to make decisions as an adult. Culture also influences adulthood by dictating the criteria to be used to determine whether or deemed necessary for an individual is an adult, the kind of behaviour that developing or emerging adults, as well as issues related to an emerging adult’s identity (Nelson, Badger, & Wu, 2014).

Adulthood Transition in Traditional Maasai Culture

The Maasai are an East African native community spread between Kenya and neighbouring Tanzania. This community is known for having preserved its traditional/cultural practices especially those signalling initiation into adulthood for both boys and girls, marriage, child bearing, child naming, becoming a community warrior etc. in terms of adulthood transition, practices are different for boys and girls. Boys are first taken through a pre-circumcision practice/ritual called Enkipaata. This involves young teenage boys (14-16 years) moving across their vast communities announcing and recruiting for their new age-set. Elders, and sometimes established warriors accompany and guide the boys through this ritual. Before they set out for this important practice, the boys are required to sleep in the forest and at dawn, they wake, dress in loose shukas and dance all day. At the end of the day, they are prime for circumcision (emuratare) which is the most important ritual. Both boys and girls in the Maasai community are required to undergo circumcision as it is the ultimate indication of transition into adulthood and the mark that one is “ripe” for marriage (Ginsberg, Kariuki, & Kimamo, 2014). However, in modern Kenya and Tanzania, this practice among girls has been outlawed as female genital mutilation. However, for boys, the practice is legal and signals not only adulthood but is a requirement to become a warrior. As a result, boys are required to prove that they are deserving of circumcision either by carrying a spear or by herding large herds of cattle for seven days. The eight day is the day of victory and of circumcision. The boy becomes an adult member of the community and can form or join a warrior camp (Maasai Association, n.d). 

Influence of Gender in Adult Development in a White Middle-Class Family

A study by (Marks, LC, & McHale,  2019) on family patterns in white middle class families indicate that a majority of them display egalitarian qualities in terms of gender roles. This can be two ways: either both parents and children are egalitarian or parents are traditional but children are egalitarian. As a result, both boys and girls transitioning in adulthood have no gender specific roles. Both can do the dishes, make dinner, vacuum the house or do laundry (Marks, LC, & McHale, 2019). This is unlike other demographics where such roles are more feminine. However, the basement and the garage are seen as more masculine dens left for the boys to take up as they transition to adulthood. The research also found that men retained their traditional values with regard to gender as compared to women and perpetuated these into their marriages. The authors attributed this concept to male privilege and dominance inherent the American society. However, “coupling up” or marrying tended to change these attitudes where a man marries a culturally diverse woman, that is, one who does not subscribe to traditional gender roles (Marks, LC, & McHale, 2019).

Influence of Gender and Religious Beliefs on Adult Health/Illness during Situational Crisis

For this part, attention is given to mid-life crisis which occurs in both men and women but is more prevalent and takes more evident forms in men (Lachman, 2015). Studies have shown that for women, in most cases, mid-life transitions where adults realise they are no longer on the receiving but on the giving end of responsibility, care and mentorship, involve more calamity for men than for women. In this case, men tend to go into depressive or maniac episodes as some women do as well, but majority of them tend to obsess over their children and parents and their caregiving roles. Men also tend to feel trapped and therefore demonstrate tendencies of people wanting to break free. As a result, they engage in activities that are more associated with the independence of young adults. During these often tumultuous period, mid-life adults tend to lean on religion for coping. Seeking help is a common concept during mid-life crisis where adults go to spiritual healers and other spiritual leaders for guidance and advice as well as for consolation and comfort. A study by on mid-life crisis among Malaysian women showed that spiritual and faith-based interventions was among the top interventions during midlife crisis (Wong, Jani, & Halimah, 2017). 

References

Ginsberg, P., Kariuki, P., & Kimamo, C. (2014). The Changing Concept of Adolescence in Kenya: Three Generations Speak. Psychological Thought, 7(1), 89-98. Retrieved May 30, 2020, from https://psyct.psychopen.eu/article/view/97/html

Lachman, M. (2015). Mind the Gap in the Middle: A Call to Study Midlife. Research in Human Development, 12(3-4), 327-334. Retrieved May 30, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734389/

Maasai Association. (n.d). Maasai Ceremonies and Rituals. Retrieved May 30, 2020, from A Maasai Association Website: http://www.maasai-association.org/ceremonies.html

Marks, J., LC, B., & McHale, S. (2019). Family Patterns of Gender Role Attitudes. Sex Roles, 61(3-4), 221–234. Retrieved May 31, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270818/

Nelson, L., Badger, S., & Wu, B. (2014). The influence of culture in emerging adulthood: Perspectives of Chinese college students. International Journal of Behavioral Development, 8(1), 26-36.

Wong, L., Jani, R., & Halimah, A. (2017). Midlife Crisis Perceptions, Experiences, Help-Seeking, and Needs Among Multi-Ethnic Malaysian Women. Women & Health, 52(8), 804-819.

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gerontology wk3 discussion

Wellness in the Elderly

  • 1. Develop a wellness program with a holistic approach for the older adult you identified, in your week 2 project.
  • 2. Use resources available in your community.
  • 3. Discuss how this approach will provide an optimum level of well-being.

please provide references. i have attached week’s two project.

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trends in healthcare wk3 project

Instructions

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

In a Microsoft Word document of 4-5 pages formatted in APA style, you will imagine you are going to make a visit to your representative in Congress. There are two parts to this assignment.

Address the following topics:

  • Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit.
    • This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred.
    • This “leave behind” should have 1 inch margins and utilize 14-point font throughout.
    • If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit.
    • Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  • Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

You may find it necessary to search for answers to the questions outside of the assigned reading.

On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

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Homeless Population, Disaster in the Community

 

Homeless Population

Disaster in the Community

Read chapter 22 and 28 of the class textbooks and review the attached PowerPoint presentations.  Once done, answer the following questions.

  1. Identify and discuss the major health problems among the various homeless aggregates in your community.
  2. Mention and discuss three factors that contribute to homelessness and how it affects your community
  3. Mention and discuss the stages of disaster management.
  4. Discuss the impact of disasters on a community.

Please click and watch the video below. Questions about these two videos may be added to the next test.  

https://www.youtube.com/watch?v=t3WY9XC_DOs

https://www.youtube.com/watch?v=M9GPzAafm5U 

As stated in the syllabus, present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 7 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than five years must be used.  You must post two replies on different dates to any of your peers sustained with the proper references no older than five years as well and make sure the references are quoted correctly in your assignment. The replies cannot be posted on the same day; I must see different dates in the replies.   A minimum of 800 words are required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Please check your assignment after the week is due or after it is graded because of I either made comments or ask for clarification in some replies or the assignment that required your response.   

Due dates:  Assignment – Wednesday, June 17, 2020, at 11:59 PM in the discussion tab of the blackboard, and the SafeAssign exercise in the assignment tab of the blackboard.

Replies and the test are due on Sunday, June 21, 2020, at 11:59 PM.

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W#7 Patho – Elderly

Assignment: Complications of Aging

Instructions:

Choose a question to answer. My question to answer is: “List and describe the physiological changes related to the digestive system of the elderly”. 

In addition to answering the question posed made sure that you provide an example of a patient in which you might check these labs, perform a test, given an injection etc. and how the results or your new knowledge would or could affect your plan of care? 

You may use the textbook as one reference (see attached pictures of chapter #24) as well as the learning materials posted within the course. However, you must also locate a scholarly article related to your aging discussion question. Your question should be answered based on pathophysiological principles and specifically those related to aging. Remember, you should focus on the pathophysiology of the content for your initial discussion, as well as applying your knowledge to Advanced Practice Nursing. 

Textbook: VanMeter, K. C., & Hubert, R. J. (2014). Gould’s pathophysiology for the health professions. St. Louis, MO: Elsevier Saunders. ISBN 13-978-1455754113 o Chapter 24; Complications of Aging.

Attached, you will find two pictures of the Chapter #24 related to the “Digestive system changes in the elderly”.

Note: For this assignment, please focus more on the pathophysiology of the aging process, is not only mentioning the diseases, but to focus on what happens inside the digestive system as the person gets older, for example: an older patient has a poor appetite, why? and as a result can develop a gastric ulcer because of the high concentration of gastric juices; or for example an older person develops polyps in the colon, why? the peristalsis slows down, why? among others. 

– This is a TURNITIN ASSIGNMENT, please NO Plagiariarism.

– APA style.

– See attachment.

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