Category: Nursing

a nurse decides that the evidence is strong enough to support a change in practice, there must be a process in place to disseminate this evidence throughout the institution, facilitate discussion about the evidence, and initiate a change in policy.
This assignment challenges you to assess the resources and processes already in place at your place of work, determine who would need to be involved in discussions about the evidence and subsequent policy changes, and the steps you would take to establish processes or initiate change.

Assignment Objectives

The students will
1. Identify the processes and barriers to policy change

2. Demonstrate critical thinking skills in determining the feasibility and the steps required to facilitate change in policy in nursing practice

3. Demonstrate critical thinking skills in determining a plan to establish a culture of evidence-based nursing practice

Assignment Guidelines

Write a 4 TO 5 page paper using the following outline:

1. Introduction of the policy (either the policy you investigated for the Review of Literature or another policy that you have determined needs changing)

2. Sources, resources, and processes already in place to assist in facilitating evidence-based policy changes.

3. Challenges or barriers you would find in making these changes.

4. Steps you would take to initiate a change in policy.

5. Steps you would take to establish a culture of evidence-based practice.

6. Conclusion

7. References
Guide to writing the paper
Find out where the problem is. What are you going to do about it? What are planning to change? Why? Are you going to establish new polices? Why do you want to change the current practices? This is a hypothetical change. What can you make better?
Do you have resources to do that? Do you have a special committee?
What are the barriers?
What steps are you going to initiate to make this change?
You need to establish evidence-based practice. What are the steps to change the practices? What are you going to do?
Design a protocol and plan it.
Make sure to write conclusion, summary.
5 articles
4-5 pages
The goal is to improve quality of care.
Look at systematic review on the topic. Plan implementation. What factors will make your plan successful, what factors will make it less successful. Stay away from weak evidence. Change has to be feasible and applicable to your population. What will facilitate the change? Work environment, right setting, and right mindset of the coworkers. You need to have a good plan. Involve all stake holders (PTs, nutritionists, etc.)
Do you have resources in place?

I will upload the 5 articles needed asap. Keep in mind that this paper is a continuation of the previous one you wrote on CAM in pediatric sickle cell. I did revise the conclusion part a little so i will also upload the revised paper for you as well

Topic:
Imzagine that you are the lead researcher at a pharmaceuticals laboratory. You have just discovered a new pill that has the potential to cure Type 1 diabetes in human beings. A five-year randomized controlled study using chimpanzees found that diabetes was cured in the animals who took a daily dose of 500mg of your new drug, DIA123. Specifically, the research found that:
•After two years of taking 500mg of DIA123, diabetes was no longer an issue among 78% of the chimps, and they no longer needed insulin injections.
•The dosage was decreased to 250mg for year three, and the diabetes never returned.
•DIA123 was eliminated in years four and five, and the diabetes never returned.
•No additional exercise or dietary restrictions aided in the study. Therefore, the analysis strongly supported the hypothesis that DIA123 was the primary cause of the elimination of diabetes.

While the diabetes issue was eliminated, the research discovered a few side effects:
•2% of the chimps suffered from moderate to severe diarrhea, which started within a month of taking the pills. This led to the possibility of dehydration, so careful monitoring of liquids was necessary.
•15% of the chimps suffered from excessive heart palpitations during the three years taking DIA123. Due to the length of the study, the long-term impacts of these heart palpitations are unknown.
•18% of the chimps suffered from a loss of libido, which did not dissipate after discontinuing DIA123 in years four and five.
•25% of the chimps suffered from mild depression while taking DIA123 during years one through three. The depression dissipated for approximately half of the chimps after discontinuing DIA123 in years four and five, but continued for the other half.

Because of the public health implications of such a drug, the Centers for Disease Control and Food and Drug Administration approved a new five-year study with the use of male and female human subjects ages 18 to 55. An experiment will be done with humans that is identical to the one conducted with the chimpanzees. The participants will not receive any remuneration for their participation, which is fully voluntary.

Your job is to create the informed consent form for this study. Use one of the sample templates in the resource materials to help guide you. Make sure you address all of the necessary questions that are outlined in the Ethics and Informed Consent (University of Connecticut, n.d.) document.

The Informed Consent Form
•Must be one to two pages in length, formatted appropriately as an informed consent form.
•Must include a separate title page with the following:
◦Title of paper
◦Student’s name
◦Course name and number
◦Instructor’s na

Guidelines

The purpose of this assignment is for you to develop a project that advances the knowledge base of clients and/or staff, or the clinical practice base of those working ion the cardiac unit. This assignment consists of two parts 1) the actual presentation of information to the target audience and 2) a summary scholarly paper addressing all aspects of the project. This project is to be germane to the clinical setting and based on current scholarly evidence.

The knowledge advancement project has four critical components: a knowledge needs assessment; a plan based on the needs assessment findings; implementation of the plan; and an evaluation of the plan’s effectiveness.

Begin by brainstorming about needs for increased knowledge in your clinical practice area, including clients and/or staff or the clinical practice base of those working in the area. (RECOGNIZING DELIRIUM IN OUR CARDIAC PATIENTS)
Conduct a formal needs assessment on your chosen knowledge deficit topic. This needs assessment can take the form of a literature review, a survey of the key players (clients, staff, and/or professional specialty association), or a review of current resources on the topic.

The outcome of the needs assessment must be clearly articulated and supported with your assessment research and scholarly references.

Plan a strategy to address the knowledge deficit for the target audience. Include your overall goals, specific learning objectives, content, and method of content delivery in your plan. Document your goals, objectives and content outline. Choose a delivery method that best fits the needs, goals, objectives and content you identified. Provide rationale for the chosen delivery method in your plan based on scholarly references.

Implement your plan. Deliver your content to the target audience. This includes setting the date, time, and place for your implementation, as well as preparing all of the resources you will need to deliver the content.

Evaluate the effectiveness of your plan implementation. Choose an evaluation strategy that matches your chosen implementation method. Support your choice of evaluation strategy with scholarly references.
Marking Criteria

All of the required content elements are clearly addressed in the project.
The project needs assessment, plan and evaluation are all submitted to your preceptor in a format negotiated with him/her.
The preceptor is included in the audience for the project implementation.
The project rationale is clearly supported with scholarly references.
The project is delivered in a scholarly format, whether it is written, verbal, multimedia, or a combination of these methods.
The project advances the knowledge base of the target audience.

Please take into consideration I upload a example of how the paper should look like (CIWA).

Remember the topic is on Delirium.
I spoke with the 2 clinical educators on the unit to conduct the formal assessment. I also witnessed not being able to reconized the delirium in patients but focusing on the cardiac diagnosis.
__________
I also need a chart that I can put on the unit to show how to recognize these symptoms in patients that is present on the unit and being able to treat it asap as it’s life threatening. The chart should have reference on it. You can see an example of a past project one of the student did on the unit. I will upload. Please if you have any questions please call me. Thanks

In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Identify the pathophysiology of the alteration that you associated with the cough.
•Select two of the following factors: genetics, gender, ethnicity, or behavior. Reflect on how the factors you selected might impact the disorder.

Post on or before Day 3 a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.

 

The purpose of this assignment is for you to develop a project that advances the knowledge base of clients and/or staff, or the clinical practice base of those working ion the cardiac unit. This assignment consists of two parts 1) the actual presentation of information to the target audience and 2) a summary scholarly paper addressing all aspects of the project. This project is to be germane to the clinical setting and based on current scholarly evidence.

The knowledge advancement project has four critical components: a knowledge needs assessment; a plan based on the needs assessment findings; implementation of the plan; and an evaluation of the plan’s effectiveness.

Begin by brainstorming about needs for increased knowledge in your clinical practice area, including clients and/or staff or the clinical practice base of those working in the area. (RECOGNIZING DELIRIUM IN OUR CARDIAC PATIENTS)
Conduct a formal needs assessment on your chosen knowledge deficit topic. This needs assessment can take the form of a literature review, a survey of the key players (clients, staff, and/or professional specialty association), or a review of current resources on the topic.

The outcome of the needs assessment must be clearly articulated and supported with your assessment research and scholarly references.

Plan a strategy to address the knowledge deficit for the target audience. Include your overall goals, specific learning objectives, content, and method of content delivery in your plan. Document your goals, objectives and content outline. Choose a delivery method that best fits the needs, goals, objectives and content you identified. Provide rationale for the chosen delivery method in your plan based on scholarly references.

Implement your plan. Deliver your content to the target audience. This includes setting the date, time, and place for your implementation, as well as preparing all of the resources you will need to deliver the content.

Evaluate the effectiveness of your plan implementation. Choose an evaluation strategy that matches your chosen implementation method. Support your choice of evaluation strategy with scholarly references.
Marking Criteria

All of the required content elements are clearly addressed in the project.
The project needs assessment, plan and evaluation are all submitted to your preceptor in a format negotiated with him/her.
The preceptor is included in the audience for the project implementation.
The project rationale is clearly supported with scholarly references.
The project is delivered in a scholarly format, whether it is written, verbal, multimedia, or a combination of these methods.
The project advances the knowledge base of the target audience.

There is no real healthcare reform of Nurse Practitioners with limited prescriptive privileges
, you will begin to develop Part 5 of your project proposal: Analyzing change. In your discussion, include the following points:

State your clinical question.

Briefly state the intervention you will implement. While these two items are not typically included in Part 5, doing so will help orient faculty so appropriate feedback can be provided.

What outcomes will be analyzed and how they will be analyzed?
Describe the statistical analysis you will do relating this to the data collection tools you plan to use.
Indicate the types of demographic data you plan to report on your participants as well.
Briefly discuss the outcomes expected should this project be implemented.

 

part 1 ( talking about stress

Answer the following questions:

1. Identify two positive attributes of stress.

2. How can you apply this as a nurse on the floor with fellow nurses?

3. How can you apply this with patients?

4. What was Kelly’s confession?

5. What were the results of the study with 1000 people?

6. What is the hormone discussed and what does it do?

7. How will this information help you in nursing school and in clinical practice?
Part 2( talks about studying habits)

Evaluate yourself on each of the 10 Pyramid Points. Describe your current habits and what you need to change.

pyramid point( PP) 1: Plan daily specific times for studying
PP 2 : Try not to do too much studying at one time
PP 3 : Set goals for your study time
PP 4 : Avoid procrastination
PP 5 : Study the most difficult material when you are most alert
PP 6 : Find a special study place that is free of external distractions
PP 7 : Seek help when you do not understand the material
PP 8 : Plan study Breaks
PP 9 : Eat a healthy Diet , and exercise regularly
PP 10 : Get an adequate amount of sleep every night
Please use these pyramid points to do the part 2 of the assignment..
each of the part should be a 1 page.

Begin with a brief description of your project that includes your clinical question, your planned intervention, the type of study you will conduct and how you plan to evaluate the outcomes.
What type of statistical analysis will be done?
What is a reasonable timeline for your project?
What expenses should be considered? Include both obvious expenses, such as materials, as well as those that are hidden, such as time, which equates to part of your salary.
Will you need to consider a funding source for your project?
Currently 1 writers are viewing this order

Write a paper about Medical treatment for the elderly analyze the ethical issues from each end of the ethical spectrum (ultraconservative to ultraliberal).
� Identify at least 3 laws (federal or state) that influence provider or administrator behavior related to the issue that you identified.
� Analyze the laws in the context of the following options related to decision making:
o Legal and ethical
o Legal but unethical
o Illegal but ethical
o Illegal and unethical
� Identify and assess the impact of each of the decision options as it relates to patients, providers, and administrators.
� Describe the implementation process that an administrator could use to support a policy change for the selected issue from one that is technically legal but unethical to one that is, although controversial, legal and ethical.
� Include an explanation of the strategy that would be used to communicate the policy changes to em�ployees of the organisation. The body of the resultant paper should be 10 pages, PLUS Abstract and References. It should include at least 7 relevant peer-reviewed academic or professional references that were published within the past 5 years.

 

Write about the two bullet points presented here while paying emphasizing the bolded and considering and incorporating the six questions in the table. First: Please make your introduction is short maybe two paragraphs but spend the majority of the 4 pages identifying, discussing, researching and documenting about my prospective about the basic four Metaparadigms in nursing which are (patient, nurse, health, and environment). I provided you with a book reference which I want you to cite from, I have also given you couple of other URLs so for you to get an idea about the metaparadigms but I really want you to research credible nursing articles about the four metaparadigms and cite them.

Second: do not forget the second bullet point which asks you to provide a numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Concept Synthesis Paper on Personal Nursing Philosophy

Overview

You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.
This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.

Your paper should follow a format that includes:

� The Four Metaparadigms Concepts in nursing: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

� List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

Consider the following questions as you complete your various tasks related to this assignment.
1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2. What are the major concepts I employ that are unique to my professional practice?
3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5. What research supports these theories and concepts?
6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?
The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains.

Four Basic Metaparadigm Concepts in Nursing

A metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. For a nursing discipline, these theories consist of four basic concepts that address the patient as a whole, the patient�s health and well-being, the patient�s environment and the nursing responsibilities. While there are several different nursing theories, these four basic nursing metaparadigms point to a holistic view of care where a person�s well-being and medical health is connected to four interactive components.
Person Component
The person component of the metaparadigm focuses on the receiver of care. However, the person connection also includes family members and other groups important to the patient. The care structure considers the person�s spiritual and social needs as well as health care needs. The resulting health outcome is attributed to how the person interacts with these physical and social connections. The premise is that the person is empowered to manage his health and well-being with dignity and self-preservation with positive personal connections.
Environment Component
The environment aspect of the nursing metaparadigms focuses on the surroundings that affect the patient. The environment consists of internal and external influences, and contends that how a person continuously interacts with her surroundings has a bearing on health and wellness. Interactions with family, friends and other people are part of the environment, as are physical and social factors such as economic conditions, geographic locations, culture, social connections and technology. This metaparadigm component theorizes that a person can modify her environmental factors to improve her health status.
Health Component
The health component of the four metaparadigms refers to the extent of wellness and health care access that a patient has. This health component is characterized as one with multiple dimensions in a constant state of motion. Health and wellness covers a person�s lifespan and genetic makeup, and how the physical, emotional, intellectual, social and spiritual well-being is integrated in health care for maximum health benefits. The theory is that these factors influence the patient�s state of well-being.
The nursing component of the metaparadigm involves the delivery of optimal health outcomes for the patient through a mutual relationship in a safe and caring environment. The nursing component applies principles of knowledge, skills, technology, collaborations, professional judgement and communication to carry out duties and responsibilities for achieving the best possible scenario in patient health outcome. This nursing component values a high degree of service, and integrates with other metaparadigm components for patient well-being