Nursing Research

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Arranging Matrix table

  

· Week 8 Matrix of Significant Studies

The Matrix is a personal critical appraisal of key studies contributing to the body of evidence related to your clinical topic and proposed project. This matrix represents your synthesis of articles you find most relevant to your proposed evidence-based project.  This matrix is not only a class assignment but should be a tool you use throughout your journey towards the completion of your project. As your accumulation of evidence grows, so should your matrix so you are able to locate valuable information easily! 

For this assignment, you will appraise 10 articles related to your project, sharing all pertinent data you can in the matrix form. Please view the sample matrix as a visual guide as to what information should be gathered. Remember, this is evidence for change and should be relevant, reflect useful data, and be current.

Note

Clinical Topic ” The Prevalence of Depression among adolescents in the American Society”

In the attachment below, there example matrix table and blank matrix table, the blank one is for the work and the example is for you to see what is expected to be done. 

Secondly, you will use 10 articles from the assigned clinical project or are related to the clinical project.

Thirdly, the clinical project is uploaded you may use some of the References. 

Repply to 2 classmated posts

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 Reply to at least two classmates’ posts. Your response to your  classmate’s discussion should be around 50 words (each) and add to the  discussion (i.e. reflecting on their response, asking questions, etc.). 

repply to Jennifer and to a Juvenal

Psychopharmacology

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What challenges do you expect with the PMHNP role?

What is the role of the Nurse Practitioner in the use of psychotropic medications? What is so important the knowledge of these class of medications? 

If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.

Nursing Pathophysiology case study assignment

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Assignment #1: Musculoskeletal Conditions 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Mrs. L is a 63-year-old woman who reports constant back pain. Further inquiry into her medical history revealed that over the past 3 years, she has suffered fractures of her femur and wrist after minor falls. She experienced menopause at age 49. Mrs. L has a secretarial job, drives to work, and she “does not have time for exercise.” She reports that she consumes 8 to 10 cups of coffee a day and has been a smoker most of her adult life. She has not seen her physician recently nor had a recommended bone density test because of the time and cost involved.

Questions

. Relate Mrs. L’s history to the diagnosis of osteoporosis. What risk factors are present,

  and how does each predispose to decreased bone density?

. Explain the cause of pathological fractures in this patient.

. How could osteoporosis have been prevented in Mrs. L? 

. Discuss the treatments available to the patient.

Assignment  #2: Cardiovascular system 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study: 

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Questions

. Discuss the development of atherosclerosis, including the predisposing factors in this 

case and the pathophysiological changes. 

. Discuss the complications that might develop in this patient.

. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the atherosclerosis, maintaining circulation in the leg, and treating complications.

Assignment #3: The Central Nervous system 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Ms. J, a 19-year-old college student, has been living in a dormitory on campus. She began experiencing severe headaches, neck pain, and nuchal rigidity, along with irritability and nausea. She noticed that when lying with her hips flexed, she found it very hard to stretch out her legs. Within a day her condition deteriorated, she experienced a tonic-clonic seizure, and she was quickly admitted to the hospital. Tests revealed increased intracranial pressure, fever, and leukocytosis. Bacterial meningitis was suspected, and a lumbar puncture was scheduled.

Questions

. Describe the pathophysiologic changes associated with bacterial meningitis.

. Discuss the diagnostic tests available for identifying meningitis. What are the likely 

characteristics of the CSF to be found in this case?

. Which signs indicating elevated intracranial pressure are likely to be present?

. Discuss the treatments available to help this patient and possible long-term 

complications.

Assignment #4: Shock 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Ms. L, a 19-year-old woman with no previous medical history, was involved in a serious automobile accident in which her best friend died. Examination by EMT personnel first on the scene revealed she had only minor scrapes and bruises and no sign of head trauma. While in route by ambulance to the hospital, Ms. L complained of thirst and appeared restless. Further examination indicated a rapid pulse and respirations, with her blood pressure now at 100/60 mm Hg. She appeared less responsive to the paramedics. She was slipping into circulatory shock as they checked her again for internal injuries.

Questions

. Discuss the contributing factors to shock in this case and the pathophysiologic 

changes causing the changes in vital signs. 

. Discuss the signs and symptoms of shock, including the rationale for each, as seen in 

the early stage, and as compensation mechanisms respond.

. Discuss emergency and follow-up treatment for shock and for complications that may

 arise if not treated quickly.

. Compare the types of shock, giving a specific cause, classification, and any significant 

changes in onset or manifestations.

NUR 435 – Week 3 Discussion: Managing Change

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tep 1 Consider a change in practice that took place at your workplace.

Step 2 Answer the Prompts:

·         What was the involvement of team members in the change process? Did “rank and file” members of the team participate on the team planning for change?

·         What steps were taken to prepare for change?

·         How were the goals and outcomes communicated to team members? Was the communication clear or could it have been improved?

·         What was the outcome of the change?

·         In your opinion, what elements are required in order to have a culture that is open to change?

W6 D see attachment.

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Chamberlain


NR599-11532

Week 6

Medical Application Critical Appraisal Guidelines

Preparing the Assignment

>>>>>>. Red letters are notes added by me for work instructions.>>>>>>>

Preparation and Paper Outline:

1. 
PART 1: The medical application selection for this assignment is contingent upon the month of your birthday. Use the table below to identify the Medical App for this assignment.

Your Birth Month

Medical App for Assignment

 January, February

MDCalc

 March, April, May

Medscape (this is the one that corresponds to me)

March is My Birth Month

 June, July, August

The Chief Complaint

 September, October

Pocket Pharmacist(PocketRx)

November, December

SingleCare

· Use the 
Google Play Store for Android devices or the 
Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.

· In order to complete the following guided appraisal, 
download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.

·
Provide 
proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):

·
Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)

· Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folder

·
iPhone

· The method for taking a screenshot in iOS has been the same since version 2.0. Hold the 
Power (Sleep/Wake) and 
Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your 
Photos app under 
Camera Roll.

Use this Pic as a Proof of download 
in my device
A screenshot of a phone Description automatically generated

2. 
PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. 
Use the criteria headings on this outline as the headings on your properly APA- formatted paper.

·
NAME: What is the name of the app?

·
AUTHOR: Who created, developed, or maintains the app? Explain.

·
ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.

·
OPERATION: Which platform (mobile or web-based) is suitable for the app and why?

·
AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.

·
PURPOSE: What is the intended purpose or use of the app?

·
CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.

·
SAFETY: Is there potential for patient harm? Explain.

·
PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.

·
USER: For whom is the app intended (providers, patients, or others)? Explain.

·
DISTRIBUTION: Is it designed for local use or wider distribution? Explain.

·
CREDIBILITY: How credible are the sources of information? How do you know? Explain.

·
RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.

3. 
PART 3: Provide 
one example of an appropriate patient or clinical scenario for this app. The example should include the following details:

· Patient Age-population (Pediatric, Adult, Geriatric)

· Clinical Setting (Hospital, Private Practice, Extended Living Facility)

· History of Present Illness and Diagnosis or Condition

· Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. 
Provide one evidence-based scholarly article as a reference to support clinical decision-making.

4. This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).
5. The length of the paper is to be 
between 1,000 and 1,500 words, excluding title page and reference list.
6. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
7. APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.

* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are 
NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

image1.jpeg

PowerPoint Presentation- Research problem related to advanced nursing practice.

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Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

  1. Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.
  2. Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.
  3. Select a middle-range theory and identify the application of nursing theories to your research problem.
    Conduct a literature review.
  4. Based on your literature review answer the following questions:
    • If qualitative,
      • Identify the purpose of the study.
      • Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
      • Identify ethical issues related to the study and how they were/were not addressed.
      • Identify the sampling method and recruitment strategy that was used.
      • Discuss whether sampling and recruitment were appropriate to the aims of the research.
      • Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
      • Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
      • Identify four (4) criteria by which the rigor of a qualitative project can be judged.
      • Discuss the rigor of this study using the four criteria. 
      • Briefly, describe the findings of the study and identify any limitations.
      • Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.

  • If quantitative,
    • Identify the purpose and design of the study.
    • Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
    • Identify ethical issues related to the study and how they were/were not addressed.  
    • Explain the sampling method and the recruitment strategy was used.
    • Discuss how the sample size was determined – include in your discussion an explanation of terms used.
    • Briefly, outline how the data was collected and identify any data collection instrument(s).
    • Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
    • Outline how the data were analyzed.
    • Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
    • Briefly, outline the findings and identify any limitations of the study.
    • Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study. 

Submission Instructions:

  • The presentation is original work and logically organized.
  • Follow current APA format including citation of references.
  • The PowerPoint presentation should include 10-15 slides that are clear and easy to read.
  • Speaker notes expand upon and clarify content on the slides.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

patient safety

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Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case. 

https://www.cpr.org/2015/02/17/for-colorado-mom-story-of-daughters-hospital-death-is-key-to-others-safety/

discussion post 4

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suggesti an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. Use 2 references 

The Doctor of Nursing Practice (DNP) degree has only been available to nursing scholars since 2004.  It was deemed necessary by the American Association of Colleges of Nursing (AACN) because “changing demands of this nation’s complex healthcare environment require the highest level of scientific knowledge and practice expertise to assure quality patient outcomes” (American Association of Colleges of Nursing, 2023).  Because the degree is relatively new, the significance of the DNP is not yet widely understood.  A recent study determined that “DNP-prepared nurses typically function as APRNs in clinical care or as health care system leaders, while there is a low number of DNPs in clinical practice settings” (Beeber et al., 2019).  That being said, there is a great opportunity here for the DNP-prepared nurses of the future.  Tussing (2018) identified that there is “great potential for innovation around new care delivery models, interdisciplinary projects, and community involvement for a healthier society” if healthcare leaders consider the potential of redesigning or creating new roles for the DNP-prepared nurse.

Expectations of Doctor of Nursing Practice versus Doctor of Philosophy in Nursing

            The DNP degree is founded in nursing practice whereas a Ph.D. in nursing is rooted in research and teaching.  I chose to pursue the DNP because I believe it will allow me to effect social change on a larger scale and I enjoy the clinical side of nursing.  As a DNP-prepared nurse, I will “hold a broad foundation of knowledge from nursing, ethics, psychosocial and biophysical sciences, as well as from organizational and change theories” (Hartjes et al., 2019).  My professional goal is to serve as a Healthcare organization’s Chief Nursing Officer (CNO).  Nurses who hold a Ph.D. tend to pursue research opportunities or serve as professors at Universities.  Obtaining my DNP aligned with my professional goal of becoming a CNO.  Additionally, Walden University offers an executive nursing track which will set me up for success.

                                        Addressing a Gap in Practice

            As a nurse executive, it will be my role to identify and address gaps in practice.  At my current organization, one gap I will address is the workflow of admitting patients.  I work at an inpatient psychiatric hospital.  The current practice is that patients arrive to the hospital via ambulance and are rolled directly onto the unit.  There is minimal communication between the intake department, which accepts the patient, and the nurses who receive the patient on the floor.  I aim to create an admissions unit that will house the intake department.  This will help facilitate communication and create a better experience for the patient. 

                                                  References

American Association of Colleges of Nursing. (2023). Fact sheet: The Doctor of Nursing Practice (DNP). https://www.aacnnursing.org/Portals/0/PDFs/Fact-Sheets/DNP-Fact-Sheet.pdfLinks to an external site.

      Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006Links to an external site.

Hartjes, T. M., Lester, D., Arasi-Ruddock, L., McFadden Bradley, S., Munro, S., & Cowan, L. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners, 31(8), 439–442.               https://doi.org/10.1097/JXX.0000000000000273

Tussing, T., Brinkman, B., Francis, D., Hixon, B., Labardee, R., & Chipps, E. (2018). The impact of the Doctorate of Nursing practice nurse in a hospital setting. The Journal of Nursing Administration, 48(12), 600–602. https://doi.org/10.1097/NNA.0000000000000688

Nursing

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Can you help me with my homework.