Evidence based practice

 

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital acquired pressure injury (HAPI), (4 % increase in the last 6 months) .

You have investigated contributing factors to the declining outcomes and participated with a team approach to developing an evidence-based practice project. After reading this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment”, PICO: In a healthcare setting, what is the effect of nursing staffing in reducing patient outcomes in HAPI cases? Was developed.

In this assignment, you will complete this evidence-based practice (EBP) proposal using the categories below

  • Conceptual and theoretical frameworks (an example of a conceptual model for an EBP project would be the Iowa Model). An example of a theoretical framework (this will support the phenomenon of interest) and if caring was an integral part of the project then Watson’s Model of caring might be a consideration). If a theoretical framework is selected, be sure that the purpose of the framework is discussed in detail, and explain specifically how the framework supports the evidence-based practice project. Do not select a theoretical framework just for the sake of selecting one.
  • Methodology
  • Evaluation and Analysis.
  • Significance and/or implications for practice
  • References
  • Appendices

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Evidence based practice

 

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital acquired pressure injury (HAPI), (4 % increase in the last 6 months) .

You have investigated contributing factors to the declining outcomes and participated with a team approach to developing an evidence-based practice project. After reading this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment”, PICO: In a healthcare setting, what is the effect of nursing staffing in reducing patient outcomes in HAPI cases? Was developed.

In this assignment, you will complete this evidence-based practice (EBP) proposal using the categories below

  • Conceptual and theoretical frameworks (an example of a conceptual model for an EBP project would be the Iowa Model). An example of a theoretical framework (this will support the phenomenon of interest) and if caring was an integral part of the project then Watson’s Model of caring might be a consideration). If a theoretical framework is selected, be sure that the purpose of the framework is discussed in detail, and explain specifically how the framework supports the evidence-based practice project. Do not select a theoretical framework just for the sake of selecting one.
  • Methodology
  • Evaluation and Analysis.
  • Significance and/or implications for practice
  • References
  • Appendices

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PowerPoint for nursing research

I need a PowerPoint poster done to represent this.
she says it’s just ONE slide consisting of many images and points 

I will upload an example.

the following is the paper that the poster is to represent:

The Efficacy of Conventional Bed Alarms in Preventing Falls in Hospitalized Patients: State of the Science and Strategies Moving Forward

Abstract

Background

Inpatient falls are a seemingly intractable problem in hospitals amongst a vulnerable and increasingly aging population.  They result in emotional, physical, and financial harm to all involved, and nurses are often held responsible for these outcomes.  Recent efforts have moved away from earlier mechanical and physical restraints in an effort to find effective, safe, and less restrictive means to protect patients.  Bed alarms are frequently utilized to this end, but the evidence is unclear.

Clinical Question

Are conventional bed alarms effective in preventing falls in hospitalized patients?

Purpose

The aim of this project was to evaluate the effectiveness and practicality of bed alarms, both through literature review and independent action.

Methods

A search was conducted for peer-reviewed literature from the last 10 years.  Sources published in English and containing combinations of the keywords “bed alarm,” “fall,” “hospital,” “nursing,” “history,” and “restraint” were used.  Miami Dade College Library and Google Scholar proved most useful.

Synthesis of Evidence

The available research was either unreliable or suggested that bed alarms are ineffective.  It further expressed concern over negative characteristics of the devices.

Change

The literature review made clear the need for dissemination of the results, thereby correcting misconceptions, as bed alarms are in use without supporting evidence.  Further apparent was the need for a collection of suggestions in the hope of further fruitful innovation.

Implementation Strategies

A proposal was put forth to create an accredited continuing education course for nurses that, by means of pre- and post-tests and a survey, will be measurable, will educate on the state of affairs, and will solicit enlightenment toward better nursing interventions.

Implications

Research illustrated that the use of bed alarms is highly questionable.  They are widely used, nonetheless, perhaps because it is felt that doing anything is better than doing nothing.  It is dangerous, however, to rely on such a device for patient safety.  It is imperative that today’s nurses be educated on the reality of bed alarms and be drafted to help create something better.

Keywords: bed alarm, fall, hospital, nursing

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Nursing Leadership Debate

 Debate topic: Nursing curriculum needs an overhaul: Redesigning a nursing curriculum VS. Nursing education is providing the ultimate educational experience for nursing students and no adjustment is required

Given that you will be graduating very shortly, reflect back on your academic journey. Consider the courses that you took for your general education requirements and your nursing courses. Please answer the following questions:

  1. What courses did you enjoy and why?
  2. What courses did you not enjoy and why? Did the course meet the QSEN requirements?
  3. What would you change regarding the nursing curriculum? What courses would you remove and/or add? Remember all courses added must adhere to the QSEN competencies and meet approval of the WSBON.
  4. Has Covid impacted nursing education for the better in any way or has it provided a significant barrier to learning?

Come to class prepared to discuss these questions. Be prepared to discuss your rationales for any changes you would implement.

Please upload your answers to the above questions into Canvas.

Here is the link for the QSEN Institute to reveiw the QSEN competencies for pre-liscensure nursing education

https://qsen.org/competencies/pre-licensure-ksas/ (Links to an external site.)

Here is a link for the WBON self evaluation for approval of nursing curriculum. If you have suggestions for curriculum changes, use this tool to review if a suggestioned revision would meet the approval of the WSBON

https://dsps.wi.gov/Documents/fm3028.pdf

Here are a few articles that may be helpful on this topic

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796347/ (Links to an external site.)

https://www.ncbi.nlm.nih.gov/books/NBK209885/ (Links to an external site.)

https://www.researchgate.net/post/How-Will-COVID-19-Reshape-Nursing-Education-Globally

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Case Study on Biomedical Ethics in the Christian Narrative

 This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, non maleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected. 

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Discussion 11: Reflection

HA3300D – Healthcare Policy and Ethics

Discussion 11: Reflection

Share the list you made in Learning Activity 1 with your classmates.

.Directly connect each principle to the chapter or assignment where you first encountered it. Use citations from the book and your other learning materials to help explain this principle.

.Explain why each ethical principle is personally meaningful to you. Why have you chosen this as one of your guiding ethical principles?

At the end of your post, write an ethical mission statement you can easily remember, and which you will use in the future. This mission statement should be a brief (2 – 3 sentence) expression of the values that guide your life.

Your initial post should be 8 – 10 sentences in length and include an APA-style references list.

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Capstone Change Project Resources

 

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

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

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.

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Capstone Change Project Resources

 

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

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

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.

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Reply 1,2,3 150 words each one by 12/13/2020 at 6:00 pm ,please add references and citations

Reply 1

According to Schmidt (2018), validity and reliability are crucial components to a well-developed research study. Validity refers to how much a concept relates to real life, whereas reliability is how much an experiment yields the same results when repeated. Qualitative and quantitative studies, though different in approach, still draw validity and reliability. Quantitative research is structured and objective, relying on data and measurements. Qualitative research is less structured and more subjective, relying on text, in depth information, and can include focus groups or interviews (UTA, 2020). Benefits to utilizing both qualitative and quantitative research in point towards each method filling in the gaps of where the other seems to lack. “Quantitative data can give baseline information to aid researchers in selections of patients to interview, while qualitative data can provide researchers understanding of barriers and factors to patient recruitment and retention” (Doorenbos, 2014). However, if a study is utilizing both methods of research, there might be a mix of data collection leading to inconsistencies in objective collection and issues with validity (McNiff and Petrick, 2018).

Doorenbos A. Z. (2014). Mixed Methods in Nursing Research : An Overview and Practical Examples. Kango kenkyu. The Japanese journal of nursing research, 47(3), 207–217.

McNiff, P. and Petrick, M. (2018). Quantitative research: ethics, theory, and research. In Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

Schmidt, M. (2018). Measurement, statistics and appraisal. In Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

University of Texas Arlington. (2020). Qualitative vs quantitative research. https://libguides.uta.edu/nursingresearch

Reply 2

 

Nursing research is conducted by using different types of methods such as qualitative, quantitative, experimental, quasi-experimental, correlation, and descriptive method. Qualitative research is considered as exploratory research for the deep understanding of the research problem and provides a way for quantitative research. In some studies, both qualitative and quantitative methods used in the studies are called Mixed methods of study.

Advantages of Mixed Method:

  • Using both qualitative and quantitative method minimizes the weakness of the study. It increases the exploration and statistical analysis of the study.
  • Mixed method increases the availability of research tools that helps to collect more comprehensive data.
  • The results are validated more accurately and show additional evidence for supporting.
  • Mixed methods combine thinking as well as reasoning.
  • The findings are illustrated in both words as well as number.
  • Mixed method reduces personal biases.

Disadvantages of Mixed method:

  • Using both qualitative and quantitative method is time-consuming.
  • Researchers need to be well-versed in both the data.
  • More resources to be used for collecting both types of data.
  • The result findings should be illustrated clearly for the better understanding of the audience.

References:

Rahman, M. S. (2020). The advantages and disadvantages of using qualitative and quantitative approaches and methods in language “testing and assessment” research: A literature review.

Queirós, A., Faria, D., & Almeida, F. (2017). Strengths and limitations of qualitative and quantitative research methods. European Journal of Education Studies.

Driscoll, D. L., Appiah-Yeboah, A., Salib, P., & Rupert, D. J. (2007). Merging qualitative and quantitative data in mixed methods research: How to and why not

Reply 3

 

To start, when both qualitative and quantitative research methods are used together, they make up what is referred to as mixed methods (Helbig, 2018). “This type of research study is common in health care because emotions and feelings may play a part in the study being performed: love, anger, or pain cannot easily be quantified” (Helbig, 2018, para 54).

A major benefit of using the mixed method in combination of the qualitative and quantitative method is that when using all three, or triangulation design, is its efficiency because you kill two birds with one stone, collecting both sets of data simultaneously, which can also be a disadvantage (Doorenbos, 2014). Afterwards, when the data has been collected, a team of researchers including those with expertise in qualitative and quantitative data can have access to the data and interpret it in a more efficient manner (Doorenbos, 2014).

Disadvantages of using mixed methods for research include the great amount of effort needed as well as the expertise of the researcher to collect both qualitative and quantitative data simultaneously (Doorenbos, 2014). At the same time of the data collection, the difficulty of giving each kind of data an equal amount of importance when collecting it provides another disadvantage or difficulty for the researcher.

References

Doorenbos, A. Z. (2014). Mixed Methods in Nursing Research : An Overview and Practical Examples. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287271/.

Helbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In Grand Canyon University (Ed.)., Nursing research: Understanding methods for best practice.. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

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What Really Happened in the Boston Massacre? The Trial of Captain Thomas Preston

Discussion Section Week 5:

Discovering the American Past, Chapter 4

What Really Happened in the Boston Massacre? The Trial of Captain Thomas Preston

 

1-Page response paper due at the beginning of discussion section. Double-Spaced, use one-inch margins, and 12 point Times New Roman font. Write on the following prompt:

 

The British Empire had just finished fighting the costly Seven Years’ War with the French, racking up massive debts. To pay off these debts the British imposed a series of taxes on the Colonists. While the British viewed this as fair for defending the Americans from French attacks in Canada, the Americans viewed this as too heavy a burden. In order to enforce these taxes the British continued to send more troops and overseers into New England, which enraged many Americans, who were accustomed to nearly autonomous governing. This tension would cause the deaths of five Bostonians in a scuffle with a British garrison.

 

 

Your assignment is to argue what you think actually happened. Were Captain Preston and his men just defending themselves? Or did they fire into an unarmed or at least mostly harmless crowd? To do this, identify two witnesses’ testimonies which you believe are accurate, and two witnesses who you believe are inaccurate. Pay attention to how close the witnesses are to the actual scene. Pay attention to multiple accounts of the same incident. The closer they are and the more witnesses back up the same story the more reliable it is. Using their testimony, tell us what really happened at ‘The Boston Massacre.’

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