NC

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Over the course of the next eight weeks, we will be examining concepts related to nursing research and the translation of evidence to practice. To help you better understand the process, you will be identifying a practice issue for nurse practitioners. You will develop a PICOT question associated with the issue, find evidence to support a change in practice, and present your recommendations for change to your peers. This week, we will work on helping you refine your area of interest so that you will be able to develop a concise question for next week’s assignment. You are encouraged to use the area of interest you chose for the project in previous class.

Select an issue in nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic. In 1-2 paragraphs, describe the scope and relevance of the issue and your recommended change. Provide reference support from at least two outside scholarly sources to support your ideas. Please pick something you can do as a NP in your practice that is patient focused. Your intervention needs to relate to a measurable patient health outcome. Please avoid anything that would require a policy or law change, such as full-practice authority. Burnout and satisfaction surveys also are not appropriate topics as they are not patient centered. 

LAST DISCUSSION

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Go back to the discussion topic in Week 1 and review your discussion posts.

Have any of your thoughts or concepts of trends in nursing have changed since week 1.  Please share specific examples.

THIS IS WHAT I POSTED IN WEEK 1:

In my opinion when I think of nursing issues and trends, I think of the nursing staff shortages, increase in patient ratios, nursing advocacy, growth of telehealth, and advances in technology in the field.  In this present time, things are changing rapidly and with that comes change in the field as well.  An example is telehealth, which allows patients to have consults via phone/video with a medical professional.  Nurses are also exploring IT nursing with all these new technical advances.  Which brings to nurses also leaving the clinical setting for a nonclinical nursing career which leads to shortages in the hospitals with this growth of nonclinical nursing careers.

PHARMACOTHERAPY FOR CARDIOVASCULAR DISORDERS

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..heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

module 5

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Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use.Which clinical information would be most critical for you to collect in the first visit?What are the greatest risk factors for substance use disorder for this patient?Which harm reduction strategies would you recommend?Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies? 

chapt 6

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1. Read the 

Article – Essentials of Advocacy in Case Management


 Download Article – Essentials of Advocacy in Case Management
, and then, answer the following questions:

a. Case Managers have four duties as described in the article. What are they?

b. What dilemma are Case Managers presented with everyday they practice?

c. What is the relationship between advocacy and provider-driven ?

d. Give four examples of case manager advocacy that are mentioned in the article.

e. Name four Four Basic Perspectives on Advocacy in Case Management Practice.

f. Case management advocacy consists of seven areas of focus. What are they?

2. Your paper should be:

3. One (1) page

. Typed according to 

APA Writing StyleLinks to an external site.
 for margins, formatting and spacing standards.

. Typed your paper in a Microsoft Word document, save the file, and then upload the file.

Nursing module 6 assignment

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  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.  
  •  Article #1Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002

Article #2 Porter, B., Oyanadel, C., Sáez-Delgado, F., Andaur, A., & Peñate, W. (2022). Systematic Review of Mindfulness-Based Interventions in Child-Adolescent Population: A Developmental Perspective. European Journal of Investigation in Health, Psychology and Education, 12(8), 1220–1243. https://doi.org/10.3390/ejihpe12080085

Article #3 Cohen, Z. P., Cosgrove, K. T., Akeman, E., Coffey, S., Teague, K., Hays-Grudo, J., Paulus, M. P., Aupperle, R. L., & Kirlic, N. (2021). The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study. BMC Complementary Medicine and Therapies, 21(1). https://doi.org/10.1186/s12906-021-03295-1

Article #4 Peter, A., Srivastava, R., Agarwal, A., & Singh, A. P. (2022). The Effect of Mindfulness-based Cognitive Therapy on Anxiety and Resilience of the School Going Early Adolescents with Anxiety. Journal of Indian Association for Child and Adolescent Mental Health, 18(2), 176–185. https://doi.org/10.1177/09731342221127959 

PICOT  question- The clinical issue of interest is the management of anxiety symptoms in adolescents aged 13-18 years. Adolescents often prevalent anxiety concern due to unique stressors and challenges. Addressing anxiety symptoms during this developmental stage can essential to promote healthy psychological development and improve short- and long-term quality of life.

  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

Part 4: Recommending an Evidence-Based Practice Change

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Measures to Prevent Cancere

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due 10-6-23 @10am

QUESTION

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see attached

Nursing

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Week 3 Module 3: Health Promotion, Risk Reduction, and Community Assessment

Module Overview

During week three, you will study risk reduction in population health and community assessment. You will complete course activities related to the process of completing a community assessment. A community assessment helps the nurse to:

· Identify the needs of a community,

· Clarify and prioritize problems, and

· Know what community strengths and resources are available to help solve those problems • Promote entry-level competencies in practicing public health nursing at the systems and community levels of nursing practice

Overall Topics

· Health Promotion

· Risk Reduction

· Community Assessment

Module Learning Objectives

By the end of this week, students will:

· Analyze the importance of risk reduction in population health.

· Examine the process and purpose of a community assessment.

· Identify the key components in a community assessment.

· During this course, complete and document a community assessment.

Learning Assignments

1. Read Nies and McEwen, Chapters 4 & 6 (including Table 6.2 – Community Assessment Parameters

2. Refer to Nies & McEwen PowerPoints in module

3. Read article: Caring in the Margins

4. Read 1939 Public Health article

5. Depending on your chosen community, you may do a walking or windshield survey that you will use as part of your data in your community assessment. There is a video example of a Windshield Survey. This is valuable data to include in your Community Assessment! Please note: Do not drive while completing the survey–have another driver when doing the windshield survey or you may also do it on foot, if able.

6. Review: Mustang Library NURS 400 Data Guide:

http://libguides.smsu.edu/nurs40


0

. The data guide is set up for NURS 400 at the Mustang Library. It has a menu at the top that includes databases for many of the items you need for your Community Assessment assignment! It also provides a nice overview of data resources available for assessing a community. Please take advantage of this excellent resource for your community assessment assignment.

7. Review: Community Assessment Windshield Survey:


https://www.youtube.com/watch?v=TGXMoQjXbUk

8. View: Sample video of a Windshield Survey:


https://www.youtube.com/watch?v=tG9YBqywhiE

9. See course module for all activities

Items Due

1. Synthesis and Application #2 initial posting due on 9/11/23 at 11:59 pm and
two replies to peers due on 9/17/23 by 11:59 pm (discussion is not self-graded) – Caring in the Margins

Discussion Topic

Task: Reply to this topic

Please read the article – Caring in the Margins by Enestvedt et al. (2018). The article discusses essential skills in transcultural nursing around issues of equity and social justice. Consider 'aha' takeaways while/after you read the article. The synthesis and application post focuses on getting you to think a bit deeper on this topic, specific to your own profession and public health nursing. There are three questions for you to answer:

1. Consider your own profession. What do you see as opportunities for adopting pieces of what you read in this article within your current professions and/in public health nursing?

2. Consider your own profession. Are there pieces of what you read in this article that you are struggling with and/or feel are not a fit regarding your profession and/or in public health nursing?

3. What is something you want to know more about, as it relates to this article?

image1.jpg

ANA

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The Code of Ethics for Nurses With Interpretative Statements was developed to guide nurses in ethical decision making and analysis.  

Nurses are expected to adhere to and embrace the standards of these provisions which include our values, morals, and ideals of the nursing profession (ANA, 2015).

This Code of Ethics outlines the very essence of what it means to be a nurse.

This module will introduce you to the nine provisions outlined in the Code of Ethics for Nurses. 

  

Reference

American Nurses Association (2015).  Code of ethics for nurses with interpretative statements.  Retrieved 8/20/23  from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/ 

Step 1:  Begin by reading the material in the following three links:

1. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/coe-view-only/

2. Click Code of Ethics 2015 Part 1.pdf for part I of an article discussing the Code of Ethics. I ATTACHED THIS BELOW

3. Click The New Code of Ethics for Nurses Practical Clinical Application Part II.pdf for part II of an article discussing the Code of Ethics. I ATTACHED THIS BELOW

Step Two:  The paper

  1. You will have one written assignment for this module using APA format student paper writing.

Guidelines:

  1. Include a title page.
  2. Include an introduction.
    1. An abstract is not       required. 
  3. Use each provision as a      Level 1 heading
    1. Each provision should have at least 2 well constructed paragraphs.
    2. A paragraph is comprised of at least 3 well constructed sentences.
    3. You may use first person and discuss what the provision means to you (or perhaps a personal experience relating to the provision).
  4. The body of the paper should be at least 8 pages and not exceed 9-10 pages
    1. This excludes the title page and the reference page.
    2. Include a summary or conclusion at the end of your paper.
  5. This assignment will be submitted to TurnitIn and be less than 26% similarity score.
  6. Spelling and grammar are important.
    1. Use the editor feature in Word to correct most issues. 
  7. This paper must be in APA format.