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 (1 slide)
  • An explanation about what you learned from completing the levels of evidence table (1 slide)
  • An explanation about what you learned from completing the outcomes synthesis table (1 slide)

 

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If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.  Global health issue I select is STDs ( Sexual Transmitted Disease)
• Select at least one additional country to compare to the U.S. for this Assignment. one additional country is Australia. 
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected. 
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader. 

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader. 

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader. 
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader. 
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

   

Rubric:

Levels of Achievement:Excellent 45 (45%) – 50 (50%) Response provides a clear and accurate explanation of the strengths and weaknesses of policies in the U.S. and another country.

Response provides a clear and accurate explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples are provided.

Response provides a clear and accurate explanation of how the governments of the two countries address cost, quality, and access related to the issue.

Response provides a clear and accurate explanation of how the policy in each of the two countries impacts the health of the global population. Detailed and accurate supporting examples are provided.

Response provides a clear and complete explanation of how the policies in each country impact the role of the nurse.

Response provides an accurate and detailed explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries.Good 40 (40%) – 44 (44%) Response provides an explanation of the strengths and weaknesses of policies in the U.S. and another country.

Response provides an explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples may be provided.

Response provides an explanation of how the governments of the two countries address cost, quality, and access related to the issue.

Response provides an explanation of how the policy in each of the two countries impacts the health of the global population. Supporting examples may be provided.

Response provides an explanation of how the policies in each country impact the role of the nurse.

Response provides an explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries.Fair 35 (35%) – 39 (39%) Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague or inaccurate.

Explanation of how the social determinants of health impact the issue in the U.S. and another country, and/or the examples, are vague or inaccurate.

Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague or inaccurate.

Explanation of how the policy in each of the two countries impacts the health of the global population, and/or supporting examples, is vague or inaccurate.

Explanation of how the policies in each country impact the role of the nurse is vague or incomplete.

Explanation of how global health issues impact local healthcare organizations and policies in each of the two countries is vague or inaccurate.Poor 0 (0%) – 34 (34%) Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague and inaccurate, or is missing.

Explanation of how the social determinants of health impact the issue in the U.S. and in another country, and the examples, are vague and inaccurate, or is missing.

Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague and inaccurate, or is missing.

Explanation of how the policy in each of the two countries impacts the global population, and supporting examples, is missing.

Explanation of how the policies in each country impact the role of the nurse is vague and inaccurate, or is missing.

Explanation of how global health issues impact local healthcare organizations and policies in both countries is missing.Feedback:

The Nurse’s Role in Global Healthcare

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) Response provides a clear and thorough explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader.

Response provides a clear and thorough explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader.

Response clearly and thoroughly explains in detail how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Accurate and detailed supporting examples are provided.Good 28 (28%) – 31 (31%) Response provides an explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader.

Response provides an explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader.

Response explains how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Some supporting examples are provided.Fair 25 (25%) – 27 (27%) Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague or incomplete.

Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague or incomplete.

Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples provided, are vague or incomplete.Poor 0 (0%) – 24 (24%) Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague and incomplete, or is missing.

Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague and incomplete, or is missing.

Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples, is missing.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.  A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.     

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.      

Purpose, introduction, and conclusion of the assignment is vague or off topic.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers,  parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) 

 

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Assignment: Lab Assignment: Assessing the Genitalia and Rectum.

Patients are frequently uncomfortable discussing with healthcare  professional’s issues that involve the genitalia and rectum; however,  gathering an adequate history and properly conducting a physical exam  are vital. Examining case studies of genital and rectal abnormalities  can help prepare advanced practice nurses to accurately assess patients  with problems in these areas.In this Lab Assignment, you will analyze an  Episodic note case study that describes abnormal findings in patients  seen in a clinical setting. You will consider what history should be  collected from the patients, as well as which physical exams and  diagnostic tests should be conducted. You will also formulate a  differential diagnosis with several possible conditions. 

                                           To Prepare

Review the Episodic note case study your instructor provides you for  this week’s Assignment. Please see the “Course Announcements” section of  the classroom for your Episodic note case study.Based on the Episodic  note case study:

Review this week’s Learning Resources, and consider the insights they  provide about the case study. Refer to Chapter 3 of the Sullivan  resource to guide you as you complete your Lab Assignment.

Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.

Consider what physical exams and diagnostic tests would be  appropriate to gather more information about the patient’s condition. 

How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

                                        The Lab Assignment

Using evidence-based resources from your search, answer the following  questions and support your answers using current evidence from the  literature.

Analyze the subjective portion of the note. 

List additional information that should be included in the documentation.Analyze the objective portion of the note. 

List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? 

Identify three possible conditions that may be considered as a differential diagnosis for this patient. 

Explain your reasoning using at least three different references from current evidence-based literature.

                                                   Case Study

Subjective:

•CC: “I have bumps on my bottom that I want to have checked out.”

•HPI: AB, a 21-year-old WF college student reports to your clinic  with external bumps on her genital area. She states the bumps are  painless and feel rough. She states she is sexually active and has had  more than one partner during the past year. Her initial sexual contact  occurred at age 18. She reports no abnormal vaginal discharge. She is  unsure how long the bumps have been there but noticed them about a week  ago. Her last Pap smear exam was 3 years ago, and no dysplasia was  found; the exam results were normal. She reports one sexually  transmitted infection (chlamydia) about 2 years ago. She completed the  treatment for chlamydia as prescribed.

•PMH: Asthma•Medications: Symbicort 160/4.5mcg 

•Allergies: NKDA

•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs

•Lungs: CTA, chest wall symmetrical

•Genital: Normal female hair pattern distribution; no masses or  swelling. Urethral meatus intact without erythema or discharge. Perineum  intact. Vaginal mucosa pink and moist with rugae present, pos for firm,  round, small, painless ulcer noted on external labia

•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

•Diagnostics: HSV specimen obtained

Assessment:•Chancre

Plan: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. 

NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOK:

https://www.sendspace.com/file/3dx3zx 

CHECK THE ASSIGNMENT FOR PLAGIARISM

 

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see uploaded file.

 

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 Assignment: Healthcare.gov Review

Visit the healthcare.gov website. (Links to an external site.)Links to an external site. For this assignment, you are to explore the site. Click on the “see topics” link and then scroll down to “See plans and prices” under Health Insurance Basics. Note: pick 3 health plan in my area, so my area code is 78249″

Please list at least three plans available in your area. Discuss the type of plan, the monthly premium charge, and plan deductible. Then comment on whether you think these plans are affordable.

You should submit your assignment via a Microsoft Word document with the title “Three Plans”

 

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