Evidence-Based Practice Change Process

  1. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
  2. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
  3. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
  4. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
  5. Work on a portion of the process each week, as the illustration unfolds.

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Health services organizations place and price decisions

 Your third assignment will be an analysis of the place and price decisions of a health services organization. You might have to seek out some information on the organization by visiting its website, or if it is an employer interviewing someone who has knowledge of the pricing and distribution decisions.  After you have completed your research, answer each of the following questions in turn following all the general guidelines or written assignments posted in the syllabus.  

  1. Brief overview of the organizations service/products and a description of their target market.  This is important to ensure that your analysis considers the needs of the target market in evaluating their pricing and channel decisions.
  2. How do you think the organization arrives at its price?  Refer to the Week 6 Overview for a framework of some of the pricing considerations and discuss those that appear relevant to your organization. 
  3. Do you think the pricing strategy is appropriate?  Can it be improved to better meet its customer’s needs?
  4. Is the organization hindered or helped in their pricing decisions by government or payer restrictions.  If so, how do these restrictions impact their pricing strategy?
  5. What kind of value delivery network does the organization employ, e.g. horizontal or vertical, and what is their distribution strategy, e.g. exclusive, intensive or intensive? What factors influence the distribution strategies of this organization?  Are they customer-focused?   If possible, outline all of the channel members and what function they perform to serve the customer?
  6. Can you recommend any changes to the value delivery network that would serve customer needs better?  

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Community Paper Covid Paper

Written assignment

 – Covid19 Pandemic Topics to include: 

-History of outbreak s/s of illness

 -Transmission of infection 

-Prevention 

-Testing Effects on your community

 -Effects globally

– Compare to another pandemic such as the 1918 H1N1 Pandemic (Spanish Flu) 

-how it was treated, interventions to stop it, etc

 Summary Please use APA format. Include AT LEAST three sources. Websites must only be .gov, .org, or .edu. 

 Separate the topics by paragraph with headings. Paragraphs must be at least 5 sentences and no more than ¾ a page each.

ATTACHED IS THE RUBRIC AND SAMPLE TEMPLATE OF THIS ASSIGNMENT

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Evidence Translation and Change

  

Reflect upon the selected practice problem in Weeks 1 and 2 and consider the following. (Obesity was my practice problem in the week 1 and 2)

1-What are the common barriers to evidence translation in addressing this problem?

2-What strategies might you adopt to be aware of new evidence?

3-How will you determine which evidence to implement?

4-How will you ensure continuation or sustainability of the change?

Please answer each question separated and use 3 sources at least no later than 5 years.

You can use this sources:

-Chamberlain NR701 Week 7 Lesson: Translation of Evidence: Overcoming Barriers

-Dang and Dearholt (2018) Chapter 9: Creating a Supportive EBP Environment

-White, Dudley-Brown, and Terhaar (2016) Chapter 15: Best Practices in Translation: Challenges and Barriers in Translation.

-Chamberlain College of Nursing. (2019). NR-701 Week 7: Translation of Evidence: Overcoming Barriers [Online lesson]. Downers Grove, IL: Adtalem.

-Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Indianapolis, IN: Sigma Theta Tau International.

-White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

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Practice Change Simulation

Practice Change Simulation

Assignment Description:

Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations?

The presentation should be a simulation of what you would present to your unit staff in an effort to gain buy-in as you initiate the practice change in your area of practice. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a PowerPoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.)

If PowerPoint is used for the presentation, include the reference slide; if PowerPoint is not used in the presentation, please submit a list of the references in a Word document utilized to develop the presentation in APA format to the dropbox in a separate submission (be sure to orally cite your sources if no PowerPoint is used to identify the sources)

Assignment Expectations:

Length: 7-9 minute presentation (with or without PowerPoint slides); if no PowerPoint used submit APA Reference list separately
Structure: If PowerPoint is used: Include a title slide, objective slide, content slides, reference slide in APA format. There is no specific slide number required. 
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of six (6) scholarly journal articles are required for this assignment. 

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Literature Evaluation Table. by12/6

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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 not required to submit this assignment to LopesWrite.

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COMMUNITY/PUBLIC HEALTH NURSING

1.Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. B.Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.

2.Discuss how geopolitical and phenomenological places influence the context of a population or community assessment and intervention.B. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population.

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Reply 1 and 2 ,150 words each one by 12/5/020 at 6:00 pm ,please add references

Reply 1

 

 The variable an experiment measures is called the dependent variable. The variable is dependent on the independent variable which is being controlled by the researcher. Experiments try to identify the effects the independent variable causes on the dependent variable (Flannelly et al., 2014). On the other hand, extraneous variables refer to all variables in an experiment that could have effects on the experiment but are not independent variables. In an experiment, only the independent variable should have effects on the dependent variable. Therefore, researchers try to control the extraneous variables.

Two ways that researcher control extraneous variables are through random sampling and Experimental designs. In random sampling, they do not take away the variables but make sure they are equal in all groups. In experimental design, researchers reduce or completely remove the extraneous variables (Kaya, 2015).

References

Kaya, C. (2015, January 23). Internal validity: A must in research designs. https://doi.org/10.5897/ERR2014.1835

Flannelly, L., Flannelly, K. & Jankowski, K. (2014, September 25). Independent, dependent, and other variables in Healthcare and Chaplaincy Research. https://doi.org/10.1080/08854726.2014.959374

Reply 2

Variables in research are defined as an attribute of an object that is being studied. There are six types of variables in research which are dependent, independent, moderator, intervening, extraneous and controlled variables. The purpose of this paper is to explore independent, dependent, and extraneous variables and to explain how to control the extraneous variable.

Independent Variables are the variable that a researchercontrols or changes during a study. It has a direct effect on the dependent variable. An example of an independent variable is gender or level of education. On the other hand, the dependent variable is the variable that the researcher is measuring or testing during a study. The dependent variable depends on the independent variable. An example of a dependent variable is nutrition status, which depends on the independent variable level of education (Kaur, 2013). There is also the extraneousvariables, which are variables that the researcher is not intentionally studying in the experiment, but they negativelyinfluence the results of the study. There are various types of extraneous variables. The first type is participant variables, where the participants have prior knowledge or health status that could influence the study’s outcome. The second type is the situational variable, which includes lighting, temperature, or other environmental factors that may influence the study’s outcome. Thirdly is investigator effects, where the researcher unintentionally affects the study results by giving clues to the study participants on how they should act during the study.

Extraneous variables can be controlled by random sampling. Although random sampling does not eliminate extraneous variables, it ensures that they are equally distributed in both study groups. Secondly, situational variables, which areamong extraneous variables, become controlled by ensuring that the researcher controls the environment where the study takes place by keeping the noise and temperature levels and other environmental conditions constant. 

References

Kaur, S. P. (2013). Variables in research. Indian Journal of Research and Reports in Medical Sciences, 3(4), 36-38.http://www.hu.usp.br/wpontent/uploads/sites/598/2019/09/complemento-aula-1.pdf

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Ethical role in nursing

The case study demonstrates a role related and ethical conundrum when the nurse is taking care of an end stage aggressive lung cancer patient, Mr. Wilson, who expressed suicidal intentions to the nurse and asked to keep the secret from his family and the hospital staff.

If the nurse knows of Mr. Wilsons’ plan for rational suicide, would the nurse be obligated to intervene? If so, what actions could the nurse take at this point? Does a nurse have the right to try to stop a person from committing rational suicide (to act in the best interest of the patient)? Is a nurse supposed to support the person’s autonomous decision to commit rational suicide? even when that decision is morally and religiously incompatible with the nurse’s perspective? What is the nurse role?

The case study must be typed in APA format with a minimum of 750 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. 

In text-citations and reference are required

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Exercise Advice 2

 

Directions: Musculoskeletal
• A 72, year old man lived a fairly sedentary lifestyle as an accountant. Now that he is retired, he recognizes the need to be active to maintain his health as long as possible. He is concerned, however, that it is too late for him to start exercising because he has never engaged in such activities.

Part 1:
300+ words in length
• What encouragement, if any can you give him?
• What suggestions can you make for an exercise program?

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