Dq 2 Week 2

 Research children’s health issues, focusing on environmental factors and links to poverty.  The assessment of environmental processes includes agents and factors that predispose communities and populations to injury, illness, and death. What correlations did your research show between environmental and health issues in the school-aged child? Make sure to include references to the article(s) you consulted. 

 
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Dq 2 Week 2 18853593

  

Today’s workforce is diverse and has multiple conflicting priorities. As a nurse leader, you would like to see your hospital implement an outreach program that will benefit needy members of the community. What are some methodologies of communication you would use to develop a shared vision with your stakeholders? How would you apply strategic management to make your visions for the outreach program become reality?

 
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Dq 2 Week 2 18719561

 Explain each sampling technique discussed in the “Visual Learner: Statistics” in your own words, and give examples of when each technique would be appropriate. 

 
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Dq Module 4 Bhs 220

See attached DQ to be answered. Attached are previous weeks discussed.

Due 16 Feb

250 word min.

 
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Dq Response 19345947

Kimberly Morris    3 posts   Re: Topic 7 DQ 2  One of the keys to making a successful change and to assess its effectiveness is to collaborate with your partners to see what is most meaningful to you and the stakeholders (Prosci, n.d.)The evidence-based practice project I chose was to see if early education would an effect on the neuro and behavioral development of children. This seems to be a rather lengthy project which may actually take years to see if there is any relevant change. One thing I can do is to see the number of families who are willing to receive the information regarding lead and its negative effects. By knowing how many families within a higher risk area are being given the necessary information to make educated choices regarding lead, this will allow me to know at least how many families I am working with. This would give me a base number and then I could further study the children within the first five years of their life to know if they have been tested for lead, have tested above the suggested limit, and if they are having any neuro or behavioral problems. This would then allow me to get a percentage to see if there have been any significant changes within the high-risk community. Unless when discussing it with the other stakeholders involved, they have other ideas to measure the outcome, I would propose this.  Reference  Prosci. (n.d.). Metrics for measuring change management. Retrieved from  https://www.prosci.com/resources/articles/measuring-change-management-effectiveness-with-  metrics

Reference must include doi or retrieval URL 

 
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Dq In Two Hours

Answer both of the following discussion questions for your discussion response. 

  1. Discuss the epidemiology of thalassemia and share evidence-based practice guidelines necessary for chronic management.
  2. Sickle-cell anemia has treatment parameters in the chronic state and acute exacerbation. The acute phase requires aggressive hydration and pain medication. What is the physiologic pattern for this problem?

at least 250 words. with reference no older than 5 years and intext citation.

 
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Dq Response 19345257

Nimmy James     Re: Topic 7 DQ 1  response 

The main objective of dissemination is to rise and encourage to spread the knowledge regarding evidence- based interventions. The main goal of enhancing better applications and patient outcome. There are various internal and external methods of disseminating evidence- based project. However, the method applied should be effective. The effectiveness characterized by positive engagement of the targeted audience, which enhances awareness, understanding and motivation to implement in the workplace. One of the hardest aspects of evidence-based practice (EBP) is making sure that the change we wanted to occur actually happens. So, evaluation of the results is a major component of evidence-based practice. It shows the progress that you have made throughout the process, it shows the failures and it also shows the success. As Ginex p states “Share the outcomes but also the process of your project: what worked, what didn’t, what you learned, and what you would do (or not do!) again” (Ginex, 2018).  “Dissemination can occur in many forms within your organization and beyond, and it should be part of the planning process for the full project” (Ginex, 2018). One internal method of dissemination of the project can be the hospital board, nurses and physicians and other professionals involved in patient care. These people have the most power to make the most change necessary to make the EBP successful. An internal method of disseminating of my EBP is through my unit counsel group and policy committee. These groups to ensure my EBP project will be implemented according to unit needs. One external method of dissemination can be the patients and families. External dissemination doesn’t even have to be through people it can be used through posters or even through on-line media. The internal and external groups are very important to facilitate sharing knowledge and data in the nursing field. Moreover, when reporting the finding to the groups would facilitate constructive criticism of the result, it will provide the opportunity to improve before implementation.     References:   Ginex, P. K. (2018). Use these methods to evaluate EBP outcomes and disseminate results. Oncology Nursing Society Voice.           

   Retrieved from https://voice.ons.org/news-and-views/use-these-methods-to-evaluate-ebp-outcomes-and-disseminate-results

Reference must include doi or retrieval URL 

 
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Dq Auestion

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.

the capstone topic is handwashing in health care system

 
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Dq Response 19337913

Carrie 

In this discussion board, I will briefly describe my proposed solution to address the suggestion/educational need and how it has changed since I first envisioned it. (P), would providing teaching about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention date (T)? Provide tobacco cessation techniques through the help of community services to decrease potential health problems secondary to tobacco dependency. The solution to this PICOT statement is to provide all patients who are admitted into the hospital with tobacco addiction, education prior to discharge. The education we provide patients at our facility is a sheet of paper that includes: What is my main problem, what is smoking cessation, what do I need to do, and Why is it important for me to do this? Making the patient aware of the risk they are posing to their health is important. When the patient has this information, they are able to make an informed decision on the next step to receive help with tobacco cessation. The fact that education is needed in order for the patient to begin tobacco cessation has not changed. The way that education is provided has changed. Education can be provided in various ways. In our facility, patients are handed a piece of paper that is reviewed with them with the nurse at bedside. In other facilities, education is performed on the television. Patients must complete the education by discharge. “With tools and smoking cessation resources from the Tips From Former Smokers® (Tips®) campaign, you can ensure your patients have the right resources to begin their quit journeys” (Centers for Disease Control and Prevention, 2019, para. 1). There are many resources and paths a patient can take to quit tobacco products. It is the nurse’s job to provide the patient with a variety of resources so that the patient can decide which method will help them individually be successful with tobacco cessation. Providing the patient options with tobacco cessation has changed my perspective. Not everyone learns the same way. Some people may be visual, tactile, etc. types of learners. Knowing the patients learning style is essential before providing any education. When the patient learns in a way that they better understand, they will be more successful in their cessation journey.  

Resource  Centers for Disease Control and Prevention. (2019). Healthcare Providers: Tools and Resources  | Health Care Providers | Partners | Tips From Former Smokers | CDC. Retrieved from   https://www.cdc.gov/tobacco/campaign/tips/partners/health/index.html

 
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Dq 8

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

  1. A 78-year-old female presents with fevers, altered mental status, and an elevated white blood count. She has nuchal rigidity. From what possible conditions might she be suffering? Explain your reasoning.
  2. A 10-year-old boy comes to the ER severely dehydrated and listless. His mother states that he has been drinking 3 gallons of water a day along with urinating hourly and wetting the bed for the past week. What is your working diagnosis followed with treatment plans and laboratory considerations?
  3. A 55-year-old male has had uncontrolled diabetes for 15 years. He is a truck driver and requires insulin. His greatest concern is his neuropathy. What is the pathophysiology associated with neuropathy and uncontrolled diabetes? What are the evidence-based practice guidelines?

at least 250 words with reference no older than 5 years and intext citations.

 
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