How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement?

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How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement?

·       Must address the topic.

·       Rationale must be provided.

·       May list examples from your own nursing practice.

·       150-word minimum/250-word maximum without the references.

·       Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

Read the Case Study Charlene the Community Health Nurse and answer the following questions.

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Read the Case Study Charlene the Community Health Nurse and answer the following questions. 

Post your answers in APA Format, Minimum 250 words.

Charlene is a community health nurse who works for a private home health agency. Charlene cares for pediatric clients who have diagnoses of chronic illnesses such as cystic fibrosis, juvenile diabetes, and muscular dystrophy. Charlene travels to her clients’ homes each day to administer medications and treatments and to provide education to her clients and their families.

Aside from Charlene’s clinical and educational duties, she also refers her clients and their families to various community resources. Many times, Charlene consults with the home health agency’s social worker to help resolve issues that the clients and their families face. The information that Charlene provides to her clients helps reduce some of the financial burdens imposed by chronic illnesses.  Charlene works with an 8-year-old client with cystic fibrosis who is denied state financial assistance.

Which of the following actions do you think Charlene may take to help this client?  Expand on the following 3 actions and describe how they would help in this situation:

1.      Ascertaining the reason for denial of the claim

2.      Reviewing the client’s application for incomplete data

3.      Calling the agency to clarify the situation.

Module 2 Discussion Post 2

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Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.

Joe: What are ancillary services? 

Ancillary services are services provided to patients of certain populations that support the work of the primary care providers. There are a wide range of ancillary services that fall into three categories; diagnostic, therapeutic, and custodial. Examples of ancillary services are laboratory for lab studies for patients with high cholesterol, infection, or diabetes; physical therapy for orthopedic and stroke patients; and long term nursing facilities for patients that are unable to care for themselves due to their medical / health condition or do not have a caregiver. Approximately 30% of healthcare spending is used on ancillary services.

How do ancillary services offered in rural and urban areas differ?

Ancillary services in rural areas are a scarce resource compared to urban areas. There are not as many facilities that provide ancillary services and may require longer travel time in rural areas. The healthcare workforce in general are more densely concentrated in urban areas than rural areas. According to the Rural Health Information Hub(n.d.), 20% of the population lives in rural areas however only 11% of providers work in rural areas.

Regarding ancillary services, what are some disadvantages to consumers (patients) living in rural populated areas? 

Lack of access, long travel time and distance to facilities that provide ancillary services are some of the disadvantages of the rural population. There may also be inability to pay for services even with insurance coverage but according to Rural Information Hub(n.d.), 9% of those who live in rural areas do not have insurance.  According to Douthit, N., et al (2015), “Reluctance to seek health care in rural areas was based on cultural and financial constraints, often compounded by a scarcity of services, a lack of trained physicians, insufficient public transport, and poor availability of broadband internet services.” 

What recommendations would you provide as a health care leader to lessen these disadvantages? 

As a health care leader, I would increase resource availability and access in my facility by becoming affiliated with a large healthcare network to improve or add ancillary services. According to Oyeka, O., et al. (2018), “System affiliations may provide rural hospitals access to technology, staff recruitment and retention, expanded health care and operational services, group purchasing, and reduced cost of capital.” The larger network will introduce resources that are sufficient enough to provide ancillary services. The rural medical facility would then be able to provide face to face and telehealth services that might not have available in the past. By becoming affiliated with a large health care network, there will be changes in some of the control within the rural facility but that will also improve delivery, quality, and availability of services.  The affiliation will eliminate some of the barriers to receive needed ancillary services but not all. Some of these barriers such as transportation might be more challenging to overcome, there are resources available to set up some sort of transportation system through the healthcare network, such as a shuttle or car service.

References

Douthit N, Kiv S, Dwolatzky T, Biswas S. Exposing some important barriers to health care access in the rural USA. Public Health. 2015 Jun;129(6):611-20. Retrieved from: doi: 10.1016/j.puhe.2015.04.001

Cyr, M.E., Etchin, A.G., Guthrie, B.J. et al. Access to specialty healthcare in urban versus rural US populations: a systematic literature review. BMC Health Serv Res 19, 974 (2019). Retrieved from https://doi.org/10.1186/s12913-019-4815-5

Oyeka, O., Fred Ullrich, F., MacKinney, A., Lupica, J., & Mueller, K. (2018) The Rural Hospital and Health System Affiliation Landscape – A Brief Review. Retrieved from https://rupri.public-health.uiowa.edu/publications/policypapers/Rural%20Hospital%20and%20Health%20System%20Affiliation.pdf

Healthcare Access in Rural Communities. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access#services

Rural Health Disparities Retrieved from https://www.ruralhealthinfo.org/topics/rural-health-disparities

Check from

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Professional Development Assignments:

  • Public health efforts and those of private medicine complement each other and together serve the spectrum of health service needs of American society. Why, then, has their relationship been so contentious?
  • The Institute of Medicine report of 1999 cites two major studies that establish medical errors as one of the leading causes of death and disability in the United States. Should the federal government take the necessary steps to monitor the status of this high-risk situation, as it does with other epidemics, or should the government continue to trust the providers of health care to deal forthrightly with the problem?
  • Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two (2) scholarly sources, in addition to the textbook.

Assignment Expectations

Length: 1000-1500 words

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims. Reference must be within 5 years.

How does Environmental Health influence achievements of Healthy People 2020 and how does it influence Health of Global Community?

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How does Environmental Health influence achievements of Healthy People 2020 and how does it influence Health of Global Community?

 Must address the topic.

Rationale must be provided.

 Illustrate an interdisciplinary approach to improvement of the healthcare outcomes of the vulnerable populations.

150-word minimum/250-word maximum without the references.

Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

Topic Search Strategy: Patient and family engagement during a pandemic (Covid 19)

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 Purpose 

The Topic Search Strategy paper is the first of three related assignments. The purpose of this initial paper is to briefly  describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest. 

Course outcomes: This assignment enables the student to meet the following course outcomes. 

CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO 7) 

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8) 

  Paper should be 3-4 content pages in length. Title and reference pages are required but are excluded from 3-4  page length. 

2) The paper will include the following sections: a. Clinical Question (45 points/28%) 

• Describe the problem. What is the focus of your group’s work?

 • Explain the significance of the problem in terms of patient outcomes. What health outcomes result from  your problem? Or what statistics document this is a problem? You may find support on websites for  government or professional organizations. 

• PICOT question in support of the group topic. 

• State the purpose of your paper. What will your paper do or describe? This is similar to a problem  statement. “The purpose of this paper is to . . .” 

 Levels of Evidence (20 points/13%) 

• Identify the type of question being asked (therapy, prognosis, meaning, etc.). 

• What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)? c. Search Strategy (65 points/41%) 

• List search terms and results. 

• Databases used (start with the CU library). Link your search with the PICOT question described above. 

• Refinement decisions. As you did your search, what decisions did you make in refinement to get your  required articles down to a reasonable number for review? Were any limits used? If so, what? 

• Identification of two (2) most relevant articles (primary sources published within the last 5 years). d. Format (30 points/18%)

 • Correct grammar and spelling.

 • Include a title page. 

• Use of headings for each section.

 ▪ Clinical Question, Levels of Evidence, Search Strategy, and Conclusion 

• Adheres to current APA formatting and guidelines.

• 3-4 pages in length, excluding title and reference pages. For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library. Please note that your instructor may provide you with additional assessments in any form to determine that you fully  understand the concepts learned 

Discussion by 05/26/2021 at 6:00 pm 250 words

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 In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership). 

PHI WEEK3 responses 4,5,6

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 Topic 3 DQ 2   Due Date: Friday 21-May-2021 at 11:59:59 PM  Maximum Points: 5.0

  1. What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? 
  2. From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

Discussion- APN

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Compare the primary care NP role with other APN roles. What are the similarities among the roles, what are the differences, and how would you communicate the role to a healthcare provider and a consumer?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • All replies must be constructive and use literature where possible.

week 4 pharmacology answ

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Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

  • Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.
  • Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

3 posts are required (1 initial and 2 replies to two different students) using at least 2 evidenced-based, peer-reviewed references no older than 5 years.