Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.

Develop a 2-4-page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings.

It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
Competency 3: Apply an evidence-based practice model to address a practice issue.
Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
Competency 4: Plan care based on the best available evidence.
Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

Scenario
For this assessment, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis for researching and completing this assessment:

******The specific diagnosis you identified in your previous assessment.*******
The simulation Vila Health: Determining the Credibility of Evidence.
A personal practice experience in which a sentinel event occurred.
Instructions
The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience.

For this assessment:

Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
Your identification and determination of credibility should be done within the context of your chosen scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis you identified in the first assessment, you may want to begin your literature and evidence search from the databases that identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.

This is where you are selecting the specific resources to help address the issue in your chosen scenario.
Explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Submission Requirements
Your assessment should meet the following requirements:

Length of submission: 2–4-page scholarly paper, this does not include the APA-formatted title page and reference list.
Number of references: Cite 3–5 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than five years old.
APA formatting: References and citations are formatted according to current APA style.

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Is the nursing home insurance company correct in saying that this is a professional judgment issue?

rofessional Development Exercises :

Read the case study presented at the end of Chapter 9 (Guido, p. 185-186).
Did the lack of documentation in the admitting nurse’s assessment and notes affect the ultimate outcome of this case?
Was there negligence on the part of the nursing staff in the care of this patient?
What could the nurse have done differently to facilitate a different outcome in this case?
How would you decide this case?
Using the sample professional liability insurance policy (Guido, p. 193-194), locate the various provisions:
Limits of liability
Declarations
Deductibles
Exclusions
Reservation of rights
Covered injuries
Defense costs
Coverage conditions and supplementary payments
Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing for your own liability coverage? Why or why not?
Read the case study presented at the end of Chapter 10 (Guido, p. 198)
What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be?
Is the nursing home insurance company correct in saying that this is a professional judgment issue?
Which insurance company (the nursing home’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment?
How would you decide the case?
Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

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Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

DISCUSSION QUESTION: HEALTHCARE AND NURSING INFORMATICS

As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

· Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

· Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions

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Identify actual or potential health risks among group members

Hi there,

I need assistance in nursing class I am taking creating an APA format, 15-20 power point presentation (excluding title and reference slides). The culture chosen is African American. The instructions for the assignment are as follows:

Power point must include:
1) Title/Include Names of Students
2) Ethnic/racial Identity
3) History and Value Orientation
4) Language-communication Process
5) Health Beliefs and Healing Practices
6) Religious Beliefs and Spirituality
In addition, these topics must include:

Ethnic/racial identity: How does the group identify itself in terms ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both?
History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values?
Language-communication process: What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in the U.S. speak the language of their grandparents?
Health Belief and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used?
Religious Belief and Spirituality: Religious articles & practices, how spirituality is defined. Remember that Religious Beliefs and Spirituality are different concepts.
Life-cycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death?
Nutritional Behavior/Diet: Are there restrictions? Are there common practices?
Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group? (Note: This is a big topic which will be studied in more depth later, but since the interface with health care has had a strong impact on cultural expectations and practices, it will be helpful to begin to examine this aspect of culture in this cultural assessment).
Identify actual or potential health risks among group members.

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Explain how this implementation plan relates to your Clifton Strengths Signature Theme Report, including how this leadership situation aligns with or differs from your leadership profile.

You recently accepted the nurse manager position of a busy emergency department (ED) in a new organization that had 100,000 ED visits last year. These visits represent a 10% increase over the previous year. To meet the needs for staffing required for this sudden growth, the prior nurse manager hired 10 new nursing graduates and 10 nurse travelers that arrived on the unit a few weeks before you came. The breakdown in level of tenure and experience in your staff is: 25% highly tenured in this ED and experienced in this specialty; 25% tenured within the organization and proficient in this specialty; and 30% less than 2 years in the ED/organization and competent in this specialty. The remaining 20% of your staff are the experienced ED nurse travelers and inexperienced new nurses, both groups that are new to the organization.
One of your first new responsibilities as the ED nurse manager is to provide unit-based leadership for the implementation of a new patient tracking system that offers more functionality than the previous tracking system used by this ED for the past 7 years. During the hiring process, you learned that the organization was going to implement this new patient tracking system, and you shared that you had experience in implementing the same system in your previous job.

To prepare:

Assignment (5 pages-not including title page and reference page)
Write a paper in which you demonstrate how you, as the leader in the case example provided, would address the following:

Explain how you would provide leadership for the implementation of the new system. Include a description of the leadership behaviors that would be most effective to position your staff for success based on their experience and needs.
Explain how this implementation plan relates to your Clifton Strengths Signature Theme Report, including how this leadership situation aligns with or differs from your leadership profile.
Explain your rationale for your choices and appropriately reference literature that supports your thinking.
Explain how being able to successfully implement situational leadership better positions you to advocate for social change within your new organization on behalf of the patient population served.

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Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.

Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

The Assignment

Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support
ZERO PLAGIARISM

FOUR REFERENCES

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Describe Cluster Headache and its epidemiology.

Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion.

Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.

Please complete the following questions:

Describe Cluster Headache and its epidemiology.
What would be your goals for therapy for Richard? Give rationale with evidence from articles.
using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years.

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The early years of the 20th century were host to a number of unethical research studies. Research involving the way that a young child reacts to and generalizes fear responses, medical experiments conducted in concentration camps, and observing the way people respond to authority were just a few of the most famous experiments whose byproduct was placing clients in physical pain and/or mental anguish. Since then, it has been recognized that research subjects need to be protected from the flagrant disregard of researchers. This week, you consider the guidelines in Walden University’s Institutional Review Board (IRB) document, “Research Ethics FAQs for Doctoral Students in the Clinical/Intervention Fields: Practical Tips for Avoiding Delays and Problems in the Research Approval Process.” By Day 5 Post a description of two ways the guidelines in Walden University’s IRB document may impact the selection of a research population, research setting, and/or research design. Please use the resources to support your answer. By Day 7 Respond to a colleague’s post in one of the following ways: Expand upon your colleague’s post regarding ways that the IRB’s ethical guidelines may impact his or her study. Explain an insight you gained from this week’s Resources that addresses a topic in your colleague’s post. Please use the resources to support your post.

The early years of the 20th century were host to a number of unethical research studies. Research involving the way that a young child reacts to and generalizes fear responses, medical experiments conducted in concentration camps, and observing the way people respond to authority were just a few of the most famous experiments whose byproduct was placing clients in physical pain and/or mental anguish. Since then, it has been recognized that research subjects need to be protected from the flagrant disregard of researchers. This week, you consider the guidelines in Walden University’s Institutional Review Board (IRB) document, “Research Ethics FAQs for Doctoral Students in the Clinical/Intervention Fields: Practical Tips for Avoiding Delays and Problems in the Research Approval Process.”

By Day 5
Post a description of two ways the guidelines in Walden University’s IRB document may impact the selection of a research population, research setting, and/or research design. Please use the resources to support your answer.

By Day 7
Respond to a colleague’s post in one of the following ways:

Expand upon your colleague’s post regarding ways that the IRB’s ethical guidelines may impact his or her study.

The early years of the 20th century were host to a number of unethical research studies. Research involving the way that a young child reacts to and generalizes fear responses, medical experiments conducted in concentration camps, and observing the way people respond to authority were just a few of the most famous experiments whose byproduct was placing clients in physical pain and/or mental anguish. Since then, it has been recognized that research subjects need to be protected from the flagrant disregard of researchers. This week, you consider the guidelines in Walden University’s Institutional Review Board (IRB) document, “Research Ethics FAQs for Doctoral Students in the Clinical/Intervention Fields: Practical Tips for Avoiding Delays and Problems in the Research Approval Process.”

By Day 5
Post a description of two ways the guidelines in Walden University’s IRB document may impact the selection of a research population, research setting, and/or research design. Please use the resources to support your answer.

By Day 7
Respond to a colleague’s post in one of the following ways:

Expand upon your colleague’s post regarding ways that the IRB’s ethical guidelines may impact his or her study.
Explain an insight you gained from this week’s Resources that addresses a topic in your colleague’s post.
Please use the resources to support your post.
Please use the resources to support your post.

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Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Critical Appraisal Worksheet.

Part 1: Critical Appraisal of Research
Identify a clinical issue of interest that can form the basis of a clinical inquiry.
Develop a PICOT question to address this clinical issue of interest.
Using the keywords from the PICOT question, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level.
Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Critical Appraisal Worksheet.
Part 2: Evidence-Based Best Practices
Based on your appraisal, recommend a best practice that emerges from the research you reviewed. In a 1- to 2-page narrative, address the following:

Explain the best practice that emerged, justifying your proposal with APA citations for the evidenced-based research that you reviewed.

•Martos-Cabrera, M. B., Mota-Romero, E., Martos-García, R., Gómez-Urquiza, J. L., Suleiman-Martos, N., & Albendín-García, L. (2019). Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review. International Journal of Environmental Research and public health, 16(17), 3039.

•Price, L., MacDonald, J., Gozdzielewska, L., Howe, T., Flowers, P., Shepherd, L., … & Reilly, J. (2018). Interventions to improve healthcare workers’ hand hygiene compliance: a systematic review of systematic reviews. Infection Control & Hospital Epidemiology, 39(12), 1449-1456.

•Seo, H. J., Sohng, K. Y., Chang, S. O., Chaung, S. K., Won, J., & Choi, M. J. (2019). Interventions to improve hand hygiene compliance in emergency departments: a systematic review. Journal of Hospital Infection.

•Schweizer, M. L., Reisinger, H. S., Ohl, M., Formanek, M. B., Blevins, A., Ward, M. A., & Perencevich, E. N. (2014). Searching for an optimal hand hygiene bundle: a meta-analysis. Clinical infectious diseases, 58(2), 248-259.

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Discuss a global implication of the disease.

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Chickenpox
Tuberculosis
Influenza
Mononucleosis
Hepatitis B
HIV
Ebola
Measles
Polio
Influenza
Epidemiology Paper Requirements

Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
Describe the social determinants of health and explain how those factors contribute to the development of this disease.
Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.
A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-428VN-RS2-CommunicableDiseaseChain.doc

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