work 4

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Literature Review/Synthesis

Once you have thoroughly learned your studies (this is where the Table of Evidence you did previously will help you!), you need to communicate to your readers the level and quality of literature that was reviewed. The synthesis is a description of the entire body of literature that you have reviewed that supports your EBP project.  

 


Literature Synthesis = (100 points)

Purpose/Objective of this assignment is to:

1. Provide a 


synthesis and analysis

 of previously selected articles through a systematic review.

2. Evaluate the findings, identifying gaps in knowledge and implications for future research.

 

Assignment requirements: Students will utilize the articles selected to write a 

6 to 7 page
 review of the literature on the selected topic. Additional research articles may be included if necessary. (
Note that this is the first section of a two-section paper. (A 4 – 5-page paper discussing the clinical implications of the literature review findings on nursing practice will follow this literature review. See Assignment – Clinical Project: Clinical Implications Paper.) Include a background section.

1. Articles will be reviewed in an integrated manner. Summarize and provide a detailed synthesis of the information from all of your studies as it relates to the topic of interest.

2.

Must provide a synthesis and critical analysis of research designs, methodologies, sampling, independent and dependent variables, research findings, threats to reliability and validity. Discussion to include trends, areas of commonalities and differences in approaches.

3. Discuss outcomes and findings

4. All information must be cited and referenced appropriately.

5. Paper will utilize all appropriate APA 7th Ed guidelines for intro, conclusion, citations, references, document organization, formatting, academic language, and grammar. 
First person is not appropriate in this paper.

 

Topic: In mechanically ventilated patients in the ICU (P), does an oral care protocol using chlorhexidine mouthwash (I) compared to routine oral care (C) reduce the incidence of ventilator-associated pneumonia (O) over six months (T)?

informatics

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The table below gives some operational statistics for two hospitals located in the same community. Use the table to answer the following questions.

  1. Calculate the following measures for each hospital (wherever appropriate, calculate the measure for each pay type). Discuss the meaning and significance of each measure and point out the differences between the two hospitals.
    1. Hospital capacity
    2. ALOS
    3. Occupancy rate
  2. Operationally, which hospital is performing better? Why?
  3. Do you think the nonprofit hospital is meeting its community benefit obligations in exchange for its tax-exempt status? Explain.
  4. Do you think the hospitals have a problem with excess capacity? If so, what would you recommend? In your answer to this question, please consider how hospital governance may impact the ability of an administrator to make changes.

The Role of Supply and Demand in the Healthcare Economy

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 Nearly everyone in the United States—and the world as a whole—has now been impacted by the COVID-19 pandemic. Everything from schools, to hospitals, to workplaces have been affected. Among the greatest impact seen has been the impact to the various lines of supplies in the medical field. Please review this article.

  • Share how the pandemic has had an impact in both the demand for, and supply of healthcare goods and services.
  • Describe the impact the supply chain disruption had on healthcare organizations in your own community in terms of financial impact, patient access and treatment decisions, or shortages of personal protective equipment (PPE) for essential healthcare personnel.

Customer Service DP2

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  • How can verbal feedback affect customer encounters?
  • Be sure to provide support for your position by including examples.

DIscussion asignment

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Discussion nursing assigment 

Screening is the administration of measures or tests to distinguish individuals who may have a condition from those who probably do not have it.  Discuss the advantages and disadvantages of screening.  

  Word limit 500 words 

 provide citations and references (in APA, 7th ed. format) 

Nursing Nursing Homework 5

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Vaccination for Infants and Children Worksheet

Complete the following –using references provided in pediatric prep information. (5 points )

Age

Recommended Childhood Vaccines

Include route of administration

(oral, IM or Subcutaneous)

And indicate if a combination vaccine is indicated.

Special Considerations for Age and Vaccine

Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.

Within 12 hours of Birth

2 months

4 months

6 months

12 months

15-18 months

2 years

5 years

11-12 years

16 years

Infants 6 months to 18 years of age

2

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking… (points 2.5)

1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a. What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?

Nursing Research Assignment

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Research Assignment

see below

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see below

Nursing

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Module/Week 8: Community Assessment Project

Module Overview

During this week, you will focus on your community health assessment project.

Overall Topics

Community Health Assessment project

Module Learning Objectives

By the end of this week, students will be able to:

• Complete Community Health Assessment.

Learning Assignments

1. Focus on completing your community health assessment.

2. This is a PowerPoint submission.

Items Due
1. Community Health Assessment due on 10/15/23 at 11:59 pm

2. *Complete verification screenshot that you placed your Community Health Assessment

in your NURS 1100 portfolio due on 10/15/23 at 11:59 pm

Community Assessment Instructions and Grading Rubric

20 points

Community Assessment- Community health is a critical dimension in baccalaureate nursing.
This assignment allows you the opportunity to perform course objectives in “real life” by
assessing a community as client, arriving at a community diagnosis, proposing interventions, and
deciding how you would measure the outcomes. In this assignment, you will begin to evaluate
the health needs of a community. To meet the needs of the members of a community, public
health nurses must first identify barriers to health care and identify the priorities of the
community.

You will use the Nies & McEwen (2019) textbook Assessment Framework for a community
health assessment to explore a geographical community (Chapter 6). For help with writing the
questions to ask, see text Chapter 6, Box 6-2: Questions to Guide Community Observations
During a Windshield Survey. There are many different sources of data needed to complete a
comprehensive community assessment including the use of the NURS 400 LibGuide. Students
will explore these data sources to help the preparation of their community assessment. You will
explore these data sources to help with the preparation of your community assessment. The
Community Health Assessment PowerPoint (including all the grading criteria on the grading
rubric) is compiled, including multiple sources of data, following the completion of the
community assessment. Explain the value of collaborating with other professionals, the use of
data resources, and evidence-based practice to guide community health nursing. This is an
individual assignment. You may assess a city or county or neighborhood. Be aware that it is
sometimes difficult to find city or neighborhood health data, so it is fine to use county data in
this case. Please say in the assignment that you were not able to find city or neighborhood data,
so are using county data.

1. Start by selecting a community.
2. Next, complete a Walking or Windshield Survey of the community. View your chosen

community as your patient taking pictures (do not use stock photos from the internet)
and assessing what is healthy in the community and what is not or may lead to public
health concerns that could possibly be addressed in your nursing diagnosis. You must
include photos you took during your windshield/walking survey in your final
presentation.

3. Then, check the Week 8 module under course content and locate the NU400 resources in
the Mustang Library – NURS 400 LibGuide to do online searches for data about the
community. It might be helpful to check with your local Chambers of Commerce as a
great community resource!

4. You will need to include multiple/credible (at least 4 sources of data) sources of data in
your assessment.

5. The 4 sources of data must be:

• The walking or windshield tour

• Two sources of data must be included/used from the Mustang McFarland Library
NU400 Lib (Data) Guide: http://libguides.smsu.edu/nurs400

• The data guide set up for NU400 at the Mustang Library has a menu at the top that
includes databases for many of the items you need for the Community Assessment!

• An interview with a key informant (keep their identity confidential for this
assignment) that addresses public health in the community. Refer to your APA 7th
ed. Resources to properly cite personal communications. The course instructor
reserves the right to request key informant contact information for auditing and
plagiarism purposes.

• Keep in mind, a community key informant is a professional in the community but not
a nurse (interprofessional collaboration) (examples may include mayor, teacher,
physician, environmental scientist, public health professional, minister, city council
member, health educator, etc.) Interview the key informant using open-ended
questions that you develop from the examples in the textbook.

Questions to include in the key interview should include but not be limited to the
following:

a. How do you define health?
b. What helps you or your community be healthy?
c. What makes it difficult to be healthy in your community?
d. What are the health concerns for your community? Your culture?
e. What resources do you access to help you be healthy?

• Please incorporate photos from your Windshield/Walking Survey within your
PowerPoint to show the community! Avoid using pictures of children. Include photos in

your PowerPoint to showcase the community (paint a picture) but remember this is
not an advertisement for the community but rather an assessment of its health.

• Please include major headings in your PowerPoint for the required elements including
adhering to 7th ed. APA formatting

Formulating the Community Health Diagnosis:

1. For this assignment, you will identify a priority health need and write a community health
diagnosis. You will write a community health diagnosis using the following format from
the Nies and McEwen (2019) text on page 103 in Chapter 6 (Fig. 6.3): Community
Assessment.

2. Start by using the community assessment that you have just completed in this assignment.
Next, using the format, write a diagnosis that is used to address the measure of concern
and add this to your PowerPoint.

3. The format for community health diagnosis is, “Increased risk of
______________(disability or disease) among ____________________(community or
population) related to ______________________(etiological statement) as demonstrated
in/as evidenced by ___________________ (health indicators).”

**Please include major headings in your PowerPoint for the required rubric elements

Community Assessment

Rubric

Excellent Satisfactory Unsatisfactory

1. Describe and define your

chosen

community/community

vitality (e.g.,

location/geography, what

does your community look

like).

*must include vital

statistics such as births,

deaths, including

population density,

population at last census,

any unique fluctuations,

age, race, income, gender,

etc., from NURS 400

LibGuide

Clearly describes

community. The

observation is

thorough, and all

issues are

addressed.

Includes census

data is provided.

(15-20 points)

Minimally describes

community and

lacks details

regarding census

data.

(9-14 points)

Does not describe

the community

and/or provides

little to no census

data.

(0 –8 points)

2. Community Assessment

– Walking or Windshield

Survey (refer to Nies &

McEwen Box 6. 2

Questions to Guide

Community Observations

During a Windshield

Survey). Describes and

evaluates main findings

from windshield survey

and the descriptions as a

guide as you drive or walk

through the defined

community.

• Provide a clear

overview of the

community

• Helps to identify

needs, clarifying

problems, and

identifying

strengths and

Clearly describes

and evaluates a

thorough

Windshield

Survey of the

community.

(15-20 points)

Minimally

describes/evaluates

most aspects of the

community using a

Windshield Survey.

(9-14 points)

Does not adequately

describe the

community using a

Windshield Survey.

The information is

incomplete, with

many/all assessment

aspects missing.

(0 –8 points)

resources within

the/your identified

community.

• Included your own

pictures (not stock

photos) with

comments/

information from

Windshield survey

3. Vital Statistics/Data

Collection

Describe indicators of the

following social/economic

needs in your community

assessment:

• Describe people

(who is part of the

community)

• Population data

such as age, gender,

race/ethnicity,

marital

status/family

• Religion, education

levels, income,

employment,

unemployment,

closed businesses,

housing

Clearly describes

social/economic

characteristics of

the community

including vital

statistics listed in

bulleted points.

(8-10 points)

Minimally describes

social/economic

characteristics of the

community and

includes part of the

vital statistics listed

in bulleted points.

(5-7 points)

Does not describe

social/economic

characteristics

and/or does not

include vital

statistics listed in

bulleted points.

(0-4 points)

4. Describe community

environmental/physical

conditions and

characteristics related to

health (e.g., climate, air

quality, pollution, disaster

history, housing, sanitation,

etc.).

Clearly describes

environmental

conditions related

to community

assessment

findings.

(4-5points)

Minimally describes

environmental

conditions related to

community

assessment findings.

(2-3 points)

Does not describe

environmental

conditions related to

community

assessment findings.

(0 points)

5.Describe health resources

within your community

assessment (e.g., health

personnel/offices, doctors,

dentists, hospitals, health

department, treatment

centers, homeless shelters,

etc.) AND describe the

community attitude toward

health/health care.

Clearly describes

health resources

within

community.

(6-8 points)

Minimally describes

health resources

within community.

(3-5 points)

Does not describe

health resources

within community.

(0 points)

6.Describe social

functioning (e.g., the level

of social and emotional

support community

members receives from

friends and/or family, etc.)

Clearly describes

social functioning

within

community.

(4-5 points)

Minimally describes

social functioning

within community

(2-3 points)

Does not describe

social functioning

within community.

(0 points)

7. Key Informant

Interview: Include one key

informant interview that is

a non-nurse professional

(interprofessional

collaboration) from the

community– interviewed

with data included in the

assessment (can be a

selected community

member, which includes,

informal leaders, church

deacons, school nurses,

social workers, or other

community members that

represent or work with

your community of

interest) See your Nies &

McEwen textbook for help

with questions for your

interview. Note the

purpose of this interview is

to address public health

issues in the community.

See the assignment

description found in the

Accurately

includes one key

informant

interview

providing

sufficient data

from community

assessment.

(4-5 points)

Does not accurately

include key

informant interview

and contains

adequate data from

community

assessment.

(2-3 points)

No key informant

identified and/or

major aspects of the

key informant

interview/data are

missing or

inadequate.

(0 points)

syllabus for questions that

must be asked of the

informant.

8. Analyze community data

and describe the

community problem:

Problem Statement

• Description of

problem with

problem statement

• Rationale for

problem chosen

• What are the

strengths and

problems for this

community?

• What are the risk

factors?

• What factors

contribute to the

problems?

Clearly analyzes

and describes

community data

and problem(s)

within the

community.

(8-10 points)

Minimally

analyzes/describes

community data and

problem(s) within

the community.

(5-7 points)

Does not adequately

analyze or describe

community data and

problem(s) within

the community.

(0-4 points)

9. Describe two other
credible sources of health
data about the community
(from sources at the
NU400 Library Guides)

**Explain the value of
applying population data to
identify priority concerns
and health outcomes

** Explain the value of
EBP as integral to
determining the best
clinical practice in
community health nursing

At least two other
sources of health
data included

The value of
population data
and EBP clearly
explained

(3.25 to 2.25
points)

One source of health

data included from

the NURS 400

Library Guides

(1.25-2.0 points)

No source from the

NURS 400 Library

Guide was used

(0-1.0 points)

10. Formulate a

Community Health

Nursing Diagnosis

(justifying identified

Clearly identifies

and formulates

community health

diagnosis based

on assessment

Minimally

identifies/formulates

community health

diagnosis based on

assessment findings.

Does not identify

and/or formulate a

community health

diagnosis based on

assessment findings.

priority primary need—the

most important need).

The format for community

health diagnosis is (4-part

statement), “Increased risk

of

______________(disability

or disease) among

____________________(c

ommunity or population

focus) related to

______________________

(etiological statement) as

demonstrated in/as

evidenced by

_________________(healt

h indicators).”

findings. Linkages

between

assessment

findings and

identified risks

and health

indicators are

clear.

(5-7 points)

(4-6 points) (0-3 points)

11. Identify limitations or

barriers to data collection

that you experienced

At least three

limitations or

barriers were

clearly described

(3.25 to 2.25
points)

Partial limitations or

barriers to data

collection were

included

(1.25-2.0 points)

Limitations or

barriers to data

collection were not

included

(0-1.0 points)

12. Writing Mechanics

(e.g., grammar and

spelling) through

PowerPoint.

Compile information into

PowerPoint formatting per

7th ed APA manual.

**Please include major

headings in your

PowerPoint for the

required rubric elements.

Correctly uses

APA format

including section

headers, citations,

and reference

page. Spelling,

grammar,

sentence structure

is essentially error

free.

(2 points)

Frequent errors (4-5

errors) occur with

spelling, grammar,

sentence structure

throughout

PowerPoint.

(1 points)

Numerous errors

(>6 errors) occur

with APA

format/writing

mechanics

consistently

throughout

PowerPoint.

(0 points)

13. The project must

include at least four

different (credible)/current

evidence-based sources of

data that are presented

within the last 5-7 years,

Includes a

minimum of four

current references

within the last 5-

10 years.

(1.5 points)

Includes a minimum

of two current

references within the

last 5-10 years and

(.75 points)

Not all references

are appropriate and

not from scholarly

sources. Fewer than

four references

used.

applicable to your

community/ aggregate

population.

(0 points)

FINAL SCORE (100

points total): points are

weighted in the

gradebook

*Complete the Verification Screenshot of the Community Assessment Assignment placed in

the NURS1100 portfolio by the due date to receive grade credit.

evidence based

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NUR640 Week 1 Assignment 1.2 Page 1

`


Assignment Title: Population, Intervention, Comparison, Outcome (PICO)

Step 1 for your Evidence-Based Practice Mini-Project (Research Proposal)


Assignment Overview:

For your Evidence-Based Practice Mini-Project Step 1, you will submit your PICO question, identify 5 research articles from Levels of Evidence I-V, and write the following for your Mini-Research Proposal: Your introduction, Problem Statement, Purpose Statement, Significance of your Mini-Research Proposal, your Research Question, and which theory supports your Mini-Research Proposal.

Deliverables:

The final copy of your Step1 Mini-Research Proposal assignment is due on or before Sunday at 11:59pm just before Week 2 begins, at the latest. Be sure to use the file naming protocol: NUR640_EBP Step 1_last name_mmddyyyy.

Assignment Details:

For this assignment, you will write part of Section 1 of your Mini-Research Proposal. Use the discernment gained from your Week 1 Discussion of identifying a problem or area of interest and writing a PICO question as a basis for beginning your Section 1. Review Chapter 2 (Manuscript Structure and Content) and Chapter 3 (Writing Clearly and Concisely) from the Publication Manual of the American Psychological Association (6th ed.).

Note, you will submit a 2-3 page paper plus your Title Page and Reference Page that clearly identifies the following areas:

1) PICO Question;

2) 5 Research articles with Levels of Evidence of I-IV;

3) Your introduction, problem statement, purpose statement, and significance of your Mini-Research Proposal, along with the theory undergirding your PICO and Problem statement.

PICO Question: Describe the Problem/Population (P); Your Intervention (I); your Comparison (C), and Outcomes (O).

Research Articles (5) between I-IV Levels of Evidence with APA reference citation. Identify the level of evidence of each article after the reference citation that goes at the end of this Assignment submission.

Introduction, Problem Statement, Purpose Statement, and Significance of your Mini-Research Proposal. Your
problem statement provides an overview of your Mini-Research Proposal topic and a clear statement of the need for this Mini-Research Proposal topic. The 5 articles that you have selected should provide rationale for the need for this Mini-Research Proposal. Your
purpose statement justifies the need for your Mini-Research Proposal and is supported in the literature. The
significance of your Mini-Research Proposal is clearly stated and supported by the literature. The
research question is clearly presented. Your selected
theory may be based on pathophysiology, a nurse theory, or from any health-related discipline.

Note: Your Step 1 of the Mini-Research Proposal should have an introduction and summary of what you have written.

Grading: Each part of your Mini-Research Proposal has a grading rubric. All submissions should have a title page and reference page. Each Section of the Mini-Research Proposal will then be added together the Week 5 assignment, which will be graded again with a new rubric that includes your best revision based on detailed weekly instructor feedback. Points will be lost if suggestions are not incorporated into the final Week 5 Submission of your Mini-Research Proposal. (See Week 5 Assignment rubric).

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