This is an individual assignment. Using your group’s assigned case study, create a PICO question using the PICO template.*  Using the PICO format leads to effective searches and best available evidence pertaining to interventions’ effectiveness. Conduct a literature search for best available evidence supporting best practices. The Joanna Briggs Institute (JBI) Library of Systematic Reviews is one of several databases you may search. Refer to Search Resources: Weblinks to Resources for Search and Appraisal* for search assistance and instruction. The documentExample of a Search Table* shows one way to organize your search process. Appraise the evidence using a critical appraisal tool (e.g., AGREE II,* CASP,* JBI*).

These are components that must completed as part of your final QI Report of Project. Together, these EBP tasks directly relate to course objective “integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.”  

*item found in QI Project Resources

You should include the following:

• What is your PICO question? Post completed PICO template and question
• Summarize your search strategy
• Indicate the tool you selected to use for critical appraisal and rationale for selection (Note: You will likely identify and appraise several items to determine the “best available evidence” to include in final report. In this discussion post, you are required to post only one appraised item)
• Post completed appraisal/checklist; this should include appraisal criteria and how you applied the appraisal process to your selected resource
• Include any questions you have and/or challenges encountered

 

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What factors should be considered to ensure hospitals meet the six Aims of the IOM?

400 WORDS, APA FORMAT, 3 REFERENCES

 

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Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?

all discussion posts must be minimum 300 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo 

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries  

3. Summary of the American Health Care Act.pdf 

 

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Submit Part One Portfolio due 02/02/19

3 .Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.

Practice 

1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families. 

2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others. 

3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death. 

4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified. 

Education 

1. Those who practice in secondary or tertiary palliative care will have specialist education and certification. 

2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula. 

3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available. 

4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families. 

Research 

1. Increase the integration of evidence-based care across the dimensions of end-of-life care. 

2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal. 

3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life. 

4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments. 

5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices. 

Administration 

1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families. 

2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care. 

3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury. 

4. Support the development and integration of palliative care services for all in- and outpatients and their families. 

Discussion Board Question 2: End of Life Care.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.

 

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WEEK  3

Discussion #2 Week 3

Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?

 

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo 

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries  

3. Summary of the American Health Care Act.pdf 

 

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