Reasearch 19207679

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conduct online research on the latest healthcare trends in the 21st century including the evolution of the affordable care act, list the healthcare trends and discuss their impact on nursing.

   

 
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Reasoning In A Specialty Area

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Reasoning in a Specialty Area

Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?

Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?

In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.

To prepare:

  • Consider the definition of clinical      reasoning and how it is distinguished from other terms in the      Simmons article. (see attached file)
  • Bring to mind key characteristics of your      specialty area. Is the concept of clinical reasoning relevant and      sufficient to describe the process you utilize as you      make decisions and solve problems in your area of specialization? Why or      why not? If not, what terminology would be more useful for defining or      characterizing this process?
  • Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s). (see PIICOT Question below      at the end of the page)
  • Reflect on your EBP Project      question(s) (see PIICOT Question below at the end of the page).      Reexamine your project question(s) through this lens of clinical, or      alternately termed, reasoning.

By Day tomorrow 09/04/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 references from the list of required resources below. Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.

2) How can you apply reasoning strategies to the refinement of your EBP Project question(s)? (see PIICOT Question below at the end of the page)

Required Readings

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter      1, “The Importance of Research in the Doctor of Nursing Practice Degree”
         Read pages 12-18 beginning with “The DNP Graduate with an Aggregate Focus”      (see attached File)

         In this section of Chapter 1, the author explains relationship between the      DNP clinician, the research process, and developing an effective      evidence-based practice. The author also discusses facilitating change in      practice based on critically appraised and validated evidence. In      addition, Carper’s four essential patterns of “knowing” in nursing and      Rosswurm and Larrabee’s six-phase model for reviewing research are      highlighted.

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Harkanen, M., Voutilainen, A., Turunen, E., & Verhvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses, Nurse Education Today, 41, 36-43. 

Lee, J., Lee, Y., Bae, J., & Seo, M. (2016). Registered nurses clinical skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80.

Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

 
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Reasons Why School Is Important For Me

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Write a 5 paragraph essay on the reasons why nursing school is important for me. 

1st paragraph: Introduction. Include a thesis statement.

– School is important for me because it sets the foundation for my career, allows me to help other people, and lets me be a role-model for my family.

2nd paragraph: Reason 1 (Sets the foundation for my career). Provide 3 examples to support this argument. Examples: prepares me for the NCLEX, I will get a better job and I will have a better salary.

3rd paragraph: Reason 2 (allows me to help other people) Provide 3 examples of this, like at the hospital, a clinic or a nursing home. 

4th paragraph: Reason 3 (Being a role model for my family). Provide examples.

5th paragraph: Conclusion

APA STYLE

 
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Rebt And Cbt

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In a 1- to 2-page paper, address the following in APA format, 3 reference within 5 years.

  • Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
  • Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
  • Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.
 
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Recognize Postivenegative Reinforcements And Punishments

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Recognize: Postive/Negative Reinforcements and Punishments

Evaluation Title: Operant Conditioning

The table below provides the four kinds of operant conditioning as they apply to dog training.  

After reviewing these examples, create two examples from each category but apply them to human behavior. 

  • You will provide 2 examples of positive reinforcement;
  • 2 examples of negative reinforcement;
  • 2 examples of positive punishment and
  • 2 examples of negative punishment.

Remember, Reinforcement = increasing behavior and Punishment = decreasing behavior. Positive = applying something to increase or decrease behavior and Negative = removing something to increase or decrease behavior.

Positive and negative reinforcements

Estimated time to complete: 3 hours

Rubric

PS101 Unit 3 Assessment – Operant ConditioningPS101 Unit 3 Assessment – Operant ConditioningCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeContentPS101-CO136.0 ptsLevel 5Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner.32.0 ptsLevel 4Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner with minor weaknesses in one or more of the areas.29.0 ptsLevel 3Partially expresses content knowledge with the assignment purpose. Expresses ideas in a complete, organized, clear, professional, and culturally respectful manner with weaknesses these area.25.0 ptsLevel 2Partially expresses content knowledge with the assignment purpose. Ideas are partially expressed in an organized, professional, and culturally respectful manner with major weaknesses in these areas.22.0 ptsLevel 1Expresses limited content knowledge with the assignment purpose. Ideas are not expressed in a complete, organized, clear, professional, and/or culturally respectful manner.0.0 ptsLevel 0The assignment was not completed or there are no constructed concepts that demonstrate analytically skills and no evidences to support the content does not align to the assignment instructions36.0 pts
This criterion is linked to a Learning OutcomeTechnology16.0 ptsLevel 5Manipulates multiple technological resources to effectively implement all assignment requirements.14.0 ptsLevel 4Manipulates multiple technological resources to effectively implement most assignment requirements.13.0 ptsLevel 3Manipulates multiple technological resources to effectively implement some assignment requirements.11.0 ptsLevel 2Manipulates multiple technological resources for some assignment requirements.10.0 ptsLevel 1Manipulates technological resources to minimally meet some assignment requirements.0.0 ptsLevel 0The assignment was not completed or difficulties with technological manipulation were evident. The assignment submitted does not meet requriements.16.0 pts
This criterion is linked to a Learning OutcomeWriting8.0 ptsLevel 5The assignment exhibits a excellent command of written English language conventions. The assignment has no errors in mechanics, grammar, or spelling.6.0 ptsLevel 4The assignment exhibits a good command of written English language conventions. The assignment has no errors in mechanics, or spelling  with minor grammatical errors that impair the flow of communication.5.0 ptsLevel 3The assignment exhibits a basic command of written English language conventions. The assignment has minor errors in mechanics, grammar, or spelling that impact the flow of communication3.0 ptsLevel 2The assignment exhibits a  limited command of written English language conventions. The assignment has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.2.0 ptsLevel 1The assignment exhibits a little command of written English language conventions. The assignment has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.0.0 ptsLevel 0The assignment does not demonstrate command of written English language conventions. The assignment has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.8.0 pts

 
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Recommend Evidence Based Decision Making Strategies Nurses Can Use During Triage Recommend Evidence Based Decision Making Strategies Nurses Can Use During Triage

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I did my paper but my Instructor needs me to address this issue. 

This is her feedback:

Recommend evidence-based decision-making strategies nurses can use during triage.

Non-Performance

Does not recommend evidence-based decision-making strategies nurses can use during triage.

Faculty Comments:“I did not see this area of the scoring guide addressed in the paper. Can you recommend evidence-based decision-making strategies nurses can use during triage?  Also, you could discuss how the recommendations will result in positive patient outcomes. This is needed for a higher performance score. If you decide to revise and add new content, please remember to highlight in yellow the added information. Thanks!”

This is the original instructions from her:

Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.       

  • Explain the health care policies that can affect emergency care.
  • Recommend evidence-based decision-making strategies nurses can use during triage.

 
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Recommend Evidence Based Ways To Expand The Scope Of Interventions To Target A Critical Health Care Issue

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This job was done; overall it was a great job. However, the instructor wanted me to provide some information I missed. I just need to add some info, nothing is wrong with the piece.

Competence:

Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.

This is the instructor feedback:

Criterion: Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue.

Non-Performance

Does not recommend ways to expand the scope of interventions to target a critical health issue.

Faculty Comments:“

Your paper does not recommend ways to expand the scope of interventions to target a critical health issue. To earn a distinguished grade, you need to recommend evidence-based ways to expand the scope of interventions to target a critical health issue in terms of cost, efficiency and access, and effectiveness. You also need to classify the interventions as conventional or unconventional interventions.

For this part, refer back to current interventions, and then determine what else needs to be done in Hawaii to expand on these current practices in order to address obesity. Please reach out to the course tutor is you have any questions. 

 
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Recommendation Letter 19233775

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Need a sample of a glorious recommendation for a PA Program ( Physician Assistant)  of an individual who shadowed and scribed a Nurse Practitioner  .

 
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Recommending An Evidence Based Practice Change 19490127

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The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. 

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4. 
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change. 

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • 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. 
  • 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)
 
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Recommending An Evidence Based Practice Change

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To create an 8- to 9-slide PowerPoint presentation:

  

· Briefly describe your healthcare organization, including its culture and readiness for change. 

· 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 evidence-based practice 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. 

· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. 

 
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