The purpose of this assignment is for the student to learn to assimilate, analyze, critique, and summarize original research articles. In other words, select a report of a single, original study. Course Outcomes Through this assignment, the student will demonstrate the ability to: (CO 2) Formulate and analyze nursing/clinical problems related to nursing and other disciplines. (PO 1, 2, 4, 6, 7, 8, 9, 10) (CO 3) Synthesize for dissemination the research findings from nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11) Due Date: Sunday 11:59 p.m. MT at the end of Week 3 Total Points Possible: 165 Points Requirements Through this assignment, the student will 1. Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 2); 2. Construct a summary table of four peer-reviewed quantitative single original studies, indicating the purpose, sample, design/level of evidence, findings, and limitations of each (CO 3), within table bullet points are required to present the information; and 3. Summarize the findings of the four studies as a whole using the usual text format (not a table) (CO 3). Preparing the Table Conduct a PICO(T) search on the nursing problem related to your practice setting. Select the four most recent peer-reviewed studies that describe original research in a single study (do not select a meta-analysis, systematic review of research, or integrative literature review). Refer to the Types of Articles Found in the Nursing and Healthcare document in the Course Resource section to make sure that you are using the correct document. Construct a table summarizing the four most credible and recent studies, using the Research Summary template on the next page (also found in Course Resource Section). Analyze each article and provide the following information in brief format: purpose of the study; type of sample and number of participants; design of the study, along with the level of evidence; findings of the study; and limitations of the study. The use of bullets to present the information in the table (rather than cutting and pasting information from the reference) is required. Cutting and pasting information from the article may result in an evaluated TurnItIn score. Preparing the Summary Briefly (4-6 pages; not including cover page and reference page(s)) summarize the results of the four studies as a whole. Follow this outline: I. In a short paragraph, restate your research question and describe your search strategy. (10 points) II. Analysis of the designs used in the studies presented in your research summary table. (10 points) III. Where do these studies fall on the Levels of Evidence table? What is the significance of this information? (10 points) IV. Based on these studies, what are the findings? What is the answer to the research question? How well do the studies answer or fail to answer the question? Provide rationale to support your answer. (10 points) V. How was each sample selected and how many participants in the studies? Is this number adequate? Why or why not? (10 points) VI. Overall, what are the limitations of the study, and how can these limitations be overcome in subsequent studies? (10 points) VII. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice or an idea for practice? Why or why not? Please provide a rationale for your answer. (10 points) Provide your references, formatted in APA style, after the summary. Include the doi number for each article. Submit a permalink of each article you have chosen for this assignment (directions on how to obtain a permalink are located in the Course Resource section). Instructions for setting up your paper in APA 6th edition format. Look at the example document for this assignment. Start your paper as you would for any scholarly assignment and use of APA 6th edition format is required. Copy and paste the table into your APA paper. This should allow your paper to remain in a vertical format. The vertical (i.e. portrait format) is required. Your paper should be ONE document. Research Summary Table (template provided in a separate document located in Course Resources) Student Name: ___________________ PLEASE NOTE: The information in this table should be presented using bullet points rather than copying and pasting information from the reference. Copying and pasting directly from the article may result in an elevated TurnItIn score. Author (year) Purpose Sample/Number of Participants (provide descriptive statistics) Design Level of Evidence Findings (provide any inferential statistics) Limitations Study 1 Study 2 Study 3 Study 4 Category Points % Description Selection of Articles 10 6.06 Selects appropriate, single studies from professional, peer-reviewed literature. Describes the Purposes of Studies 10 6.06 Description of the purpose of the studies is clear. Describes the Study Samples 10 6.06 Description of the samples used in the studies is clear. Describes the Research Designs 10 6.06 Description of the research designs used in the studies is clear. Describes the Level of Evidence 10 6.06 Describes the level of evidence for each study clearly. Description of Findings 10 6.06 Describes the findings of the studies clearly. Description of Limitations 10 6.06 Describes the limitations of the studies clearly. Summary of the Studies 10 6.06 Restatement of research question and search strategy 10 6.06 Analysis of the study designs presented in the summary table 10 6.06 Analysis of levels of evidence and its significance 10 6.06 Analysis of the findings 10 6.06 Analysis of the samples used 10 6.06 Analysis of the limitations of the studies information 10 6.06 Provides recommendation for change or not Grammar, Punctuation, and Spelling 10 6.06 Grammar, spelling, word usage, and punctuation are consistent with rules for formal written work. APA Formatting 10 6.06 APA formatting is correct Submits permalink of each study chosen 5 3.03 Submits a permalink of each study chosen for this assignment. Place the permalink of each study under the respective reference on the reference page. Total 165 100 A quality paper will meet or exceed all of the above requirements.
Heritage Assessment Tool
1 Interview an older member of your family
2 Use the Heritage Assessment Tool found in Appendix E, page 376 of your textbook as a starting point for your interview.
3 Summarize what practices your family member used to maintain, protect and restore health. (Include one example)
4 Your paper should be:
• One (1) page
• Typed according to APA style for margins, formating and spacing standards
▪ See NUR3045 – Library (located on left-side on menu) for tutorial Using APA Style
Typed into a Microsoft Word document, save the file, and then upload the file
Heritage Assessment Tool
5 Post the summary of the Interview you conducted for M2: Assignment – Heritage Assessment Tool.
Review the summary interviews from your colleagues and respond to one post.
ESaay paper and ecxel file. Essay should be around 2 pages
Learning Outcome: Construct information architectural models
Additional Reading: Data Mapping and Its Impact on Data Integrity. AHIMA. 2013 http://bok.ahima.org/PdfView?oid=107154
Your outside reading for this week discusses the similarities and differences between the LHR (legal health record) and the DRS (designated record set). For this assignment, you will access an excel file that contains some of the documents or files that are to be reviewed. See above link for template. This is not an exhaustive list. For each element, you will indicate the primary source of the document. For example, if your institution has an electronic capture of consent forms, then the source would be the EHR documentation system. But if consent forms are still done via a paper form, then you would indicate that the source is paper. Examples of the primary sources are given below. This is not a complete list, so if your institution has a different source for the information, you are free to use that.
Examples of Primary Sources
Nursing documentation system
EHR documentation system
PACS (Picture Archiving and Communication System)
Admitting documentation system
You will also indicate if the document/file is part of the Designated Record Set or the Legal Health Record. Part of the assignment includes formatting the file in a way that is user friendly to the reader. This may include regrouping some of the items, using shading or borders to help the end user find information, or you may need to add additional columns to capture the information you feel is important (although additional columns are not required). If your entries do not fit into the template column width, please format so that the entry is wrapped in the cell.
The comment section can be utilized for any clarification you may wish to make.
In addition, you will research the retention requirements for these documents. In some areas, there are no specific guidelines. It is up to the institution to determine the retention period. If you cannot find a specific time period, either check with your institution, or use your best judgement and indicate your reasoning in the comment section.
State Medical Record Laws. Table A-7. HealthIT. https://www.healthit.gov/sites/default/files/appa7-1.pdf
Retention and Destruction of Health Information. AHIMA. 2013. (http://library.ahima.org/PB/RetentionDestruction#.V9LcAzW8JsU
Write a two -three paragraph reflection on how this exercise (identifying the source and type of document) will help when mapping the components and structuring an EHR.
This week you will turn in your final project. As a part of this assignment you will write/create a PowerPoint presentation or a memo for the financial manager of University Clinic Associates with conclusions and recommendations. Remember to refer to the information in Module 02 for the scenario.
Post and Compare and contrast the organizational chart you identified to the shared governance model on Marquis and Huston (2015, p. 277). Consider major components of organizational structure and communication such as centrality and decentralization. Describe at least five of the “forces of magnetism” and compare how the magnet and non–magnet organizations meet them or need improvement in these areas (Marquis & Huston, 2015, p. 279, Display 12.5).
Patient education technology (CO5, CO8)
Can you complete a new paper by this by Friday, July 29, 2017?
I chose Patient Education Technology.
It must comply with the rubric and guidelines within the attached file.
Hello i need a Good and Positive Comment related with this argument .A paragraph with no more 100 words.
Re:Topic 5 DQ 1
Because healthcare reimbursement is becoming tighter and patients are expecting more from their providers, hospitals and other health systems are seeking ways to change processes and become more efficient while improving patient outcomes and reducing costs. The Nurse manager plays a vital role in this reengineering process. Mounting evidence of quality and safety shortfalls, growing demands for accountability and public reporting, and declining profits are among the factors pressuring health care organizations to change (Hostetter, 2008). With change comes conflict so the Nurse Manager must be able to manage and control the conflicts that come with change. In a way the manager is the middle person between the organization and the staff. For the organization, the manager is the driver for such things as higher quality, superior service, and help accomplish these in a cost effective manner (Wood, 2012). For the staff, leveraging the conflicts while leading and meeting the needs of the team. The knowledge and skill of effective communication is the key to survival for all parties
Need a response to this discussion 3 pages long APA format 3 references 1 from Walden University Library. Willing to pay 15 dollars
In the healthcare profession, it is very important that decision making is evidence based. For a decision to be evidence based the question must be clearly articulated, you must search for relevant evidence and you much choose the evidence of highest quality (Robeson, Dobbins, DeCorby, Tirilis, 2010. Pg.1). “A crucial first step in EBP involves converting information needs into well-worded clinical questions that can be answered with research evidence (Polit & Beck, 2017. Pg. 31).”
The PICOT guidelines are questions that help clinicians discover the answers to their research (Walden Student Center for Success, 2012). With these guidelines in mind I formulated the question “Is the daily use of CHG for all pediatric inpatients who have no allergy to CHG associated with a lower incidence of bacterial infection in these same patients?” The P in the acronym stands for population or patients, in the case the characteristics of the population would be all patients who are staying in the hospital, especially for an extended period or those who have risk factors such as central lines. The I stands for the intervention, which would be the daily chlorahexadine baths. This intervention would help reduce the risk of hospital acquired infections such as MRSA or c diff. Comparison is the next step and is what the C stands for. In this case the comparison of the effectiveness of daily CHG baths would be compared to not doing CHG baths. The O stands for outcomes that we would hope to see, which would be a decrease in hospital acquired infections. The T is the last and final letter and stands for time. In my hospital, the study was conducted over a three-month period to see if we saw a decrease in our hospital acquired infections. Using evidence based research I will find the conclusion to this question.
Evidence Based Research
When conducting research, it is very important to have filtered information and unfiltered information. “Filtered information is information that has been appraised for quality and clinical relevance (Hierarchy of Evidence Pyramid).” Filtered information includes systematic review, critically appraised topics and critically appraised individual articles (Hierarchy of Evidence Pyramid). “Unfiltered information is evidence that has not necessarily been appraised for quality. This information tends to come from primary sources (Hierarchy of Evidence Pyramid).” Unfiltered information includes randomized controlled trials, cohort studies, case-controlled studies and expert opinion (Hierarchy of Evidence Pyramid).
When searching the Walden Database for articles on my PICOT question, I used the search terms “CHG Bath,” “CHG Bath in Pediatric Patients,” and “Reducing infection using CHG Bath.” The first article I found multiple studies done on multiple patients with bone marrow transplants. The purpose of the study was to see if bathing them daily with CHG would decrease the acquired infections, which it did. This article would be considered a systemic review because it had multiple resources and multiple studies. When searching for critically appraised topics it was very difficult to find one that had a cohort study that had to do with CHG baths, there were some articles about other ways to reduce infection, but none that involved CHG.
The next article I found falls under the topic of expert opinion, in the case the expert opinion came from the nurses. In this study done in 2017, they interviewed nurses, nurse’s aides and nurse managers. They found that all interviewed did find a decrease in infection when CHG baths were used, however many times the nurses did not have time to administer the baths.
I think that when conducting a search for evidence base practice it is important to stay open minded and patient. Staying open minded will help you think of different search terms that may yield different search results. It is also important to be patient while searching so that you can stay focused and weed out the unwanted results.
Laureate Education (Producer). 2012g). Hierarchy of evidence pyramid. Baltimore, MD:Author
Musuuza, J. S., Roberts, T. J., Carayon, P., & Safdar, N. (2017). Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences. BMC Infectious Diseases, 17(1)
Polit, D.F., & Beck C.T. (2017). Nursing research: Generating and assessing evidence for
nursing practice (10Th ed.). Philadelphia, PA: Wolters Kluwer
Robeson, P., Dobbins, M., DeCorby,K., &Tirillis, D. (2010). Facilitating access to pre-processed research evidence in public health. BMC Public Health,10,95.
Rosselet, R., Termuhlen, A., Skeens, M., Garee, A., Laudick, M., & Ryan-Wenger, N. (2009). CH
For this discussion, review the Debbieâs Dilemma case study and complete the interactive module in Section 12.4 of your course text. Then, thoroughly address Option 1, 2, or 3, which will be assigned by your Instructor at the beginning of Week Four. NOTE: All students must answer Option 4:
Option 1 – Use Herzbergâs two factor theory to explain Debbieâs level of motivation.
Option 2 – Use Adamsâ equity theory to explain Debbieâs decision to look for work elsewhere.
Option 3 – Use Vroomâs expectancy theory to explain this situation.
If you were advising the three physicians in the organization, what would you tell them they should have done when confronted by the two LPNs? Defend your advice.
Your discussion must be 150-250 words. Utilize your course textbook and at least one additional scholarly source to support your conclusions and responses to the questions. Your discussion and all sources must be formatted according to APA style as outlined in the Ashford Writing Center
Create a 5- to 6-slide voice-over presentation or video using your script from Week Five.
- Incorporate feedback from faculty and any additional new learnings from the course.
- Presentation should be 3 to 4 minutes with a clear and professional voice-over presentation of information.
Cite at least 5 peer-reviewed, scholarly, or similar references.
Format your citations according to APA guidelines.
Please note that all kinds of custom written papers ordered from Nursinghelpcenter.com academic writing service, including, but not limited to, essays, research papers, dissertations, book reviews, should be used as reference material only. Therefore, when citing a paper you get from us in your own work, it should be properly referenced.