Comment1

My personal preference for scholarly databases, of those listed by GCU, is the CINAHL Complete. It is described as “the definitive research tool for nursing and allied health professionals with access to the top nursing and allied health journals” (Grand Canyon University, n.d., para 1). I have found that using the CINAHL database has provided me with the most comprehensive articles and information throughout the duration of my career as a nurse. I also tend to utilize the Joanna Briggs Institute EBP alongside the CINAHL database. The Briggs database “is a recognized global leader in evidence-based healthcare resources…[including] evidence summaries, evidence based recommended practices, best practice information sheets, etc…” (Grand Canyon University, n.d., para 3).

These databases, and those listed in the GCU Library are far superior to using Google Scholar or a general internet search. The databases listed above are first and foremost, medical specific. The information obtained in a search on either database will reveal only articles and information related in a medical aspect. Secondly, the use of traditional search engines, like Google Scholar, does not allow for the user to apply as detailed specificity to the search as could be in a database search. This in turn results in a “grab bag” of results that make it difficult to determine what is accurate information and what is not (LibGuides, 2018, para 5). Lastly, the use of databases remains consistent; meaning that standard web searches and results found on those websites can change without notice. This leaves room for error and for a loss of content to occur; you may not see the same information twice with a Google Scholar search (LibGuides, 2018, para 6)

comment2

The first one that I found helpful in aiding my research is the CINAHL database.  There are more than 4 dozen nursing specialties that are covered in the journals on their engine.  It provided you with the most current practices, continuing education and evidence base best practices (Grand Canyon University, n.d).  Secondly, the Joanna Briggs Institute will also help me in finding scholar information to support my EBP proposal.  It offers the best evidence base practices and systematic reviews.  These two databases are better than google scholar articles because it has been researched by specialist and proven before publication.  Articles that are found on google scholar or internet may not reliable because they can be written from opinions.  Since being a student at GCU, I have also found the databases to be valid, the peer review articles have reliable sources and have been thoroughly researched.  By also filtering it to what you are looking for, you can also find the most current practices.

 

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

Clinical significance refers to the practical value of a study, the judgement the evaluator must make when deciding if the results are significant enough to make a clinical difference (University of Western States, 2011). Statistical significance tells us the likelihood of the results being replicated. This is expressed as p value and states the probability of the results being due to luck or chance. In health care studies the p value is usually set at 0.5, indicating there is a 5% probability the results were due to chance (University of Ottowa, n.d.). Clinical significance can support the outcomes in my project by highlighting improved patient outcomes. My EBP project focuses on a reduction in length of hospital stay due to early mobility. While there are many factors that influence how long a patient remains in the hospital, such as comorbidities, any reduction in length of stay benefits the patient. In many of the studies I have read, the researchers comment on the fact that they cannot control all factors of the study, which may have an effect on the measurable outcomes. If I were to collect data, such as hospital length of stay, on patients before the implementation of an early mobility protocol and again 4 weeks after implementation the patient population at the time may be drastically different. That is where clinical significance would support the positive outcome of any reduction in hospital length of stay.

References

University of Ottowa. (n.d.). Statistical Significance and Clinical Importance. Retrieved from University of Ottowa:

http://www.med.uottawa.ca/sim/data/Statistical_significance_importance_e.htm

University of Western States. (2011). P Values, statistical significance & clinical significance. Retrieved from University of Western States:

https://www.uws.edu/wp-content/uploads/2013/10/P_Values_Statistical_Sig_Clinical_Sig.pdf

 

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comment on those 2 student 

In your response posts:

Evaluate 2 other students’ initial posts.

•Do you agree with their assessment of the potential effects and proposed response to the homeowners/renters?

•Why or why not?

•Ask questions and challenge each other

 1-Angelo Delieto    

Mod 6 Discussion 2 

According to www.zillow.com, the median home value in Hamden, CT is $195,200. The median list price per square foot in Hamden, CT is $131, which is lower than the average of $154 in New haven, CT. The median price of homes, as of 11/25/17, in Hamden is $199,900 while the median price of homes that sold is $179,355. The median rent price in Hamden is $1,750, which is higher than the New Haven Metro median of $1,500 (Zillow, 2017).

According to the US Census 2010, the median income for a household in the town was $66,695, and the median income for a family was $88,613. The per capita income for the town was $34,596. About 3.8% of families and 6.8% of the population were below the poverty line, including 6.3% of those under age 18 and 5.4% of those age 65 or over (Zillow, 2017).  Individuals and families live in a variety of housing options throughout town from apartments to condominiums to multifamily homes to single family homes to luxury homes.  There are several assisted senior living centers as well as 55 and over communities.

Initially both homeowners and renters will be affected similarly with the loss of their residence.  All displaced residents should be provided with access to temporary sheltering if they do not have the ability to rely on family or friends for assistance.  In Hamden, CT the high school can be used for temporary sheltering where food, water, showers, and sanitation services can be provided by the American Red Cross. 

In Hamden, officials have access to three local universities for temporary sheltering needs, if school is not in session.  Additionally, there is large areas of open space that is centrally located which may be used to set up temporary housing for the displaced. 

Homeowners within the affected area may choose to set up temporary housing on their affected property in the form of a travel trailer.  This may give the homeowner and their family a sense of normalcy being on their own property.  Renters who transition from temporary sheltering may be able to locate permanent housing quicker than homeowners by finding another place to rent.  The drawback to this is the high probability of relocation to either another town/city or different part of town.  Homeowners will find the process of transitioning from temporary sheltering to permanent housing more time consuming and a longer process than initially expected.  Senior citizens who rely on assisted living may find the transition to permanent housing to be the most difficult.  This could be due to relocating to another facility further away from an area they are familiar with, further from family, and possibly a new staff to get used to.

The first step that should be taken to make the experience of finding housing more positive for the affected community members is to set up a community group similar to a “locally led Long Term Recovery Group/Committee (LTRC)” (Phillips, 2016).  A forum such as this would aid those affected by giving them a place to go for assistance.  Displaced residents can get up to date information on recovery efforts, available programs, funding and grants, and provide them with a forum to air their grievances and concerns if necessary.  This type of constructive criticism and input can help emergency managers, local officials and recovery crews better assist community members throughout the recovery process from housing issues to mitigation measures to landscape repair. 

Additionally, I would hold town hall type meetings at least twice a week to meet and speak with members of the affected community.  Having this type of frequent interaction with community members will ensure that officials are keeping up with and meeting their needs as they transition to permanent housing. 

2-

Richard Lennon    

curently I live in North Branford Connecticut, which is about 10 miles east of New Haven, CT.  North Branford is primarily considered a bedroom community due to the limited amount of commercial and industrial properties in town.  As of the last US census there are currently 14,407-year-round residents living in town.  There are currently 5,629 housing units in town, with a median value of $239,800, and an average rental price of $1,736 per month.

 

Losing 1,000 housing units in my town would be catastrophic to our community.  There are no large complexes or institutions in our town where some of the displaced could be housed, therefore the only solution for anyone living in these 1,000 housing units would be for them to be relocated somewhere outside of the community.  With an average of 2.66 people per household according to the US Census, that would be equivalent to losing just over 18 percent of the town’s population.  Local businesses could be negatively affected because of the smaller pool of available customers.  In addition to the economy, the over all town budget would also be affected.  An event like this could mean that the town would now be short just over 7.6 million dollars in tax revenue, which is 15% of the town’s 50-million-dollar budget.  I do however think that the residents who were not affected by the disaster may see an increase in their own property value.  North Branford is land locked by Southern CT Regional Water Authority and Tilcon Quarry, therefore there is a very limited amount of vacant land available for people to purchase to build homes.  If someone wanted to move to North Branford, their only option is to purchase an existing property.  Since there will be less properties to chose from because of the disaster, I believe there would be an increase to the property values of the remaining homes because of the supply shortage caused by the disaster.

 

Today I would have temporary housing plans in place that would last at least three weeks, which would then give those people affected, and town officials the time to find suitable long-term housing for those affected.  Options after this three-week period would be to help those affected relocate either to other communities, or bring in temporary housing to a town owned property through FEMA.  Unfortunately, there are limited local options for a town of my size.

 

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#1:

 

After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.

#2: 

Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

 

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Comment1

The ENA Connection is a publication that is shared monthly by the Emergency Nurses Association.  This would be an excellent place to share my evidence-based project idea on reducing violence and enhancing safety in healthcare facilities and addressing the issue of bullying within the nursing profession.  The publication covers many issues in emergency nursing including, education on grant funding, medical issues, shared governence, quality control, effective management, current trends in nursing, and using evidence-based solutions in our practice.

The Emergency Nurses Association holds conferences both regionally and nationally.  I recently attended an ENA regional confernce in Milwaukee, Wisconsin.  I think that a regional conference would be the perfect place to present my EBP project ideas.  As emergency workers, I feel they understand the need for increased security measures in our healthcare facilities, as well as the need to address the issue of lateral violence in the form of burse to nurse bullying.  It is truely a problem in our profession that is drastically affecting the ability of healthcare organizations to recruit and most importantly-retain good nurses.

Commenr2

If I were to choose a professional journal to present my EBP project, I would choose the Journal of Autism and Developmental Disorders.  This journal is published monthly and focuses on all aspects of autism spectrum disorders and developmental disabilities that are related to autism.  I feel that presenting the information that I have gathered about the importance of improving communication among adults with ASD would be beneficial to those who would read this journal.  I feel that my topic would fall under the category of a review article that they state are solicited in target areas of interest (Journal of autism and developmental disorders, 2019). 

If I were to present my EBP project at a conference, I believe that the Navigating Autism Today conference sponsored by Autism Alliance of Michigan would be a good place to do this.  This is a conference for families as well as professionals.  Families get to attend for free so I feel there would be a better turnout due to that.  Presenting to a mixture of family and professionals I feel would be important because if those with ASD are taught from an early age how to use augmented alternative forms of communication like the AAC board then when they reach adulthood it would already be a part of their normal communication.  If they were to enter into a group home or attend a medical appointment as an adult and had already been using these alternative forms of communication since childhood, that would make life much easier on them and those taking care of them to know what their wants and needs were to reduce stress, anxiety, and behaviors.

 

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