Please see Rubric for directionS
TOPIC will be : SHORTAGE OF PRIMARY CARE PHYSICIANS (as I’m graduating from nurse Practitioner I would like this to be my topic and also give space to talk about the need of passing rules to include NP’s as providing primary care just like physicians).
Use ONLY SCHOLARS within 5 years.
Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project
In many of the courses in the DNP program, you have been asked to analyze research literature when exploring issues in health care. Reflect now on an issue in your practice area that has different outcomes from what is supported by the literature. For example, the literature evidence notes that nosocomial infections are reduced when procedures such as hand washing, glove use, and isolation strategies are implemented. In your clinical area, you have implemented these strategies and you are not seeing a reduction in nosocomial infections.
For Application 1, you select an issue that will serve as the launching point for your Evidence-Based Practice (EBP) Project.
Before you proceed with this assignment, you may wish to review the overview of the full EBP Project assignment. (see attached file)
To prepare for Application 1:
To complete: In a 2-page paper, in APA format and at least 3 references, address the following as numbered below:
1) Introduction ending with a purpose statement (e.g. the purpose of this paper is…)
2) Provide a summary of the selected practice issue in which the outcome is different from what would be expected according to the research literature. (Note: The issue you select must be suitable for completing the entire EBP Project.)
3) Conclusion
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
To students: In addition to the Learning Resources and facilitated discussions provided each week, you are expected to integrate articles from peer-reviewed journals to inform and support your positions and conclusions in the Application Assignments. Graduate-level scholarship provides the foundation for your work and requires a higher level of evidence than lay references, such as the dictionary, Wikipedia, general Internet sites, nursing newspapers, expert opinion, and the like.
Must include at least 1 reference from the list of provided Required Readings and at least 2 references from scholarly articles from peer-reviewed journals
This assignment is due on Wednesday 09/05/18
Overview: As a community of practice, your task for this week is to collaborate with professionals across the health care system. With your community of practice, in the Discussion, find a gap in care or social determinant that often results in poor health care outcomes. You will begin to take the lead in advocating for and collaborating with others to improve the health care outcomes for populations at risk.
Practicum Discussion: During this week, you will identify a population at risk in your community. This population will be the basis for your Practicum Discussions and your individual presentations over the next 6 weeks, as well as the focus of your final PowerPoint presentation in Week 6. To review, a population is a group of individuals who share a common environmental or personal characteristic, such as obese individuals who are at risk for diabetes or cardiovascular disease (populations at risk) or those individuals who are otherwise healthy and could stay healthy if they do not develop risky behaviors (populations of interest). An example of this is teenagers who don’t yet smoke but might consider it due to peer pressure (Stanhope & Lancaster, 2016). Some of the topics you might consider are vaccination compliance, obesity rates among children and adults, teenage pregnancy, or infectious diseases such as Norwalk virus, genital warts, or sexually transmitted diseases/infections. You might look also at emerging public health problems such as Chagas or the Zika virus. Some of the places you might consider looking for information to substantiate and support your ideas about populations at risk in your communities are your local health department, the CDC, and the many evidence-based websites that the CDC supports, such as the CDC Wonder (http://wonder.cdc.gov/). You may also review the work of other community groups that focus on improving health care outcomes for your community. You should begin to support your selection of population and ideas about their health care problems through the use of health data and scholarly literature.
Please address the following points in your Practicum Discussion:
Purpose
The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.
Directions
Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
· For this assignment, consider the concept of interprofessional teamwork and patient outcomes.
· Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
· Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)
· iCARE components are:
C ompassion
A dvocacy
R esilience
E vidence-Based Practice (EBP)
· How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?
· Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.
· Use APA format throughout, particularly in citations and on the References page.
· Please paraphrase throughout. One short quote is permitted.
· The prepared paper template is RECOMMENDED for this assignment.
·
Elements of iCARE paper
· Title page
· Below are the headings to be used for this assignment.
· Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.
Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
· Compassion
· Advocacy
· Resilience
· Evidence-Based Practice
· Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.
· References page: List any references used in APA format.
Textbook:
· American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.
I Need help with my nursing icare paper attached is the template that needs to be used as well as the directions.
The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.
This assignment enables the student to meet the following course outcomes:
CO1: Applies principles of nursing, theories, and the care philosophies to self, colleagues, individuals, families, aggregates and communities throughout the healthcare system. (PO#1)
CO6: Plans clinical practice activities that integrate professional nursing standards in accordance with the Nursing Code of Ethics and the American Nurses’ Association (ANA) standards of practice. (PO#6)
Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
C ompassion
A dvocacy
R esilience
E vidence-Based Practice (EBP)
Download the assignment template here: iCare Assignment Template (Links to an external site.)
A short tutorial with tips for completing this assignment may be viewed here: https://lms.courselearn.net/lms/video/player.html?video=1_2fwdpaeq
Elements of iCARE paper
Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Complete form using the research proposal
1.Question
What demographic variables were measured at the nominal level of measurement in the Oh et al.(2014)study?
Answer:The demographic variabless measured at the nominal level include non-smoker,non-drinker,history of fracture,regular exercise and are considered nominal because can be describe by precentages, and mode.
2.Question
What statistic were calculated to describe body mass index(MBI) in this study?Were these appropiate?
Answer:Mean and standard deviation were the statistic used to calculated BMI.Because BMI is an interval-ratio variable,mean and stadard deviation are appropiate.
3.Question
Were the distributions of scores for BMI similar for the intervention and control groups?
Answer:The distribution of scores for BMI was similar for intervention and control groups because the mean and standard deviation were very similar.
4.Question
Was there a significant difference in BMI between the intervention and control groups?
Answer:There was not a significant difference in BMI between the intervention group and the control group.
5.Question
Bssed on the sample size of N=41,what frequency and percentage of the sample smoked?What frequency and percentage of the sample were non-drinkers(alcohol)?Show your calculations and round to the nearest whole percent.
Answer:
Frequency of participants who smoked=0+0=0
Percentage of participants who smoked=0%
Frequency of participants who were non-drinkers=20+20=40
6.Question
What measurement method was used to measure the bone mineral density(BMD) for the study participants?Discuss the quality of this measurement method and document your response.
Answer:The bone mineral density (BMD) was measurement by ratio/interval level.The mean and standard deviation equal central location and dispersion gives us the shape of the graph.
7.Question
What statics was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs?Were the groups significantly different for BMDs?
Answer:The statistic used to to determined the difference between the intervention and control groups for the lumbar and femur neck BMDs was the mean.The value between lumbar and femur neck does not show us a significant difference.
8.Question
The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups(see Table 2).Are these groups heterogeneous or homogeneous at the beginning of the study?Why is this important in testing the effectiveness of the therapeutic lifestyle modification(TLM)program?
Answer: These groups are homogeneous,homogeneous scores are similar,and heterogeneous scores are diferent having a wide variation.This was a key factor because if the groups were heterogeneous the the data results would have been broader and more detailed.I feel as if if we compared the groups with similarities in the beggining, then this allows the results to be more profound when all is concluded.
9.Question
Oh ET AL.(2014,P.296)stared that adherence rate to the TLM program was 99.6%.Discuss the importance of intervention adherence,and document your response.
Answer:The adherence rate was almost at 100% during the 2 week time period.If the adherence rate would have ben less then the significance and importance of the results would have declined significantlly.I would not put in question the data results as they 99.6% for adherence and the group showed increase.I believe the TLM program is effective.
10.Question
Was the sample for this study adequately described?
Answer:Yes, the sample was adequate, the group showed that the program worked, the program consisted of a mix of individuals and even though it functioned well, I believe if the study was done with more individuals and done at longer intervals, then it would indicate and show more accurate results.
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Identify advocacy strategies that you can use to create change in your current workplace.
Identify advocacy strategies that you can use to create change in your current workplace.
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I need two responses per each discussion total 6 responses. Attached are the discussions please follow them. Posts will be a minimum of 100 words, APA format.
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