Develop your manuscript on an area of special interest that explores the advanced role specialty of the graduate-prepared research nurse as a member of a multidisciplinary research team.

Clinical Trials and the Nurse’s Role with Safety Reporting
Order Description
Develop your manuscript on an area of special interest that explores the advanced role specialty of the graduate-prepared research nurse as a member of a multidisciplinary research team.

This paper will include a full, extensive Review of Literature, and authoritative, primary evidence from: Use Headings for Each Topic

? Good clinical practice (GCP) source(s), e.g., regulations, guidance documents.
? One ANA course reference?Code of Ethics or Scope and Standards of Practice.
? One evidence-based (EB) research nursing course reference?Clinical Research Nurse Domain of Practice or Oncology Clinical Trials Nurse Competencies.
o Strong thesis statement
o Background of study
o Define the area of special interest
o Review of Literature
o Nursing Practice and the Safety of the Patient
o Medication Management and the Safety of the Patient
o Patient Security in the Hospital
o Challenges Facing the adoption of the Patient Safety
o ANA ? American Nurses Association) Code ? Pick one ANA
o Good Clinical Practice Resource (References) ? Pick Two
o Discussion
o Conclusion
o Recommendations
o Comprehensive Evidence
A clear, prominent, early thesis statement is essential for this ongoing assignment
The manuscript is prepared using the American Psychological Association (APA) style manual. At this point in your MSN studies, you are expected to be proficient with APA style.
NURS 582 Fall 2015
Instructions for Review of the Literature (ROL) Paper

Dear Students,

Using the topic approved by the professors, you will begin to develop your publishable manuscript by writing a review of the literature (ROL) paper. Oermann& Hays (2016) discuss reviewing & writing a literature review in chapter 4.

The objective is to identify & discuss what is available (and maybe missing) in the published nursing literature on your topic.

Requirements
• Review 5 articles, each authored by at least one RN& published since 2005 in a peer-reviewed, indexed journal.
o Articles published within 5 years are typically seen as more current.
• Paper length:6-16 pages (1,500-2,000 words), not including title, abstract, search history table(s), and reference pages.
• Use APA for setting-up, formatting, and organizing your paper (American Psychological Association, 2010).

• Your paper should have these sections:
o Title page
o Abstract page with keywords
o Introduction (not labeled as such)
? Include a clear, prominent, thesis statement in your introduction.
? Your thesis is ONE sentence.
? Bold or highlight your thesis statement.
o Literature Review
o Methodology
o Results (or Findings)
o Discussion
o Conclusion (or Limitations, or Next Steps)
o Search History table(s)
o References

• Catania (2012) and Broach (2015) are not ROL papers, but have examples of search history tables. Course Reserves.

• Submit as a Turnitin assignment (see upload link below.)
o For information and help on Turnitin go to the Drexel Resourceslink on the left menu.
o Upload your paper before the due date to check your similarity.

Publishable, scholarly writing is a learned skill that takes practice & patience. You will continue to develop your publishable manuscript through your practicum course (NURS 585).

Carefully read the grading rubric for this assignment below. You must receive a minimum grade of 82 on this paper to pass each course regardless of your weighted grade.
________________________________________
American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Broach, D. (2015).Integration of clinical research documentation in electronic health records.CIN: Computers, Informatics, Nursing, 33(4), 142-149.

Catania, C. (2012). Clinical trial nurse’s role in safety reporting.Nursing Forum, 47(1), 18-26.
Huang, X., O’Connor, M., Ke, L-S.,& Lee, S. (2014). Ethical and methodological issues in qualitative health research involving children: A systematic review. Nursing Ethics, 1-88. Advance online publication. doi:10.1177/0969733014564102

Oermann, M. H., & Hays, J. C. (2016). Writing for publication in nursing (3rd ed.). New York, NY:Springer Publishing Co.

Watson, R. (2006). Writing an abstract. Nurse Author & Editor, 16(4). Retrieved from http://www.nurseauthoreditor.com/article.asp?id=60

 

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arefully review Chapter 7 of your textbook and research Stark Law. Given this scenario, analyze whether the actions of Dr. S. and Dr. V. violated Stark Law. Provide solid evidence supporting your decision by utilizing information from the Ashford University Library as well as the law itself.

Stark Law
Order Description
Stark Law

Case Study: Review this scenario:

Two physicians, Dr. S. and Dr. V., leased a nuclear camera so they would no longer have to refer their patients to the local hospital for nuclear imaging. Faced with the prospect of losing over a third of its $2,274,094 in annual gross nuclear medicine revenues, the hospital responded by threatening to revoke the doctors’ admitting privileges. Lengthy negotiations ensued, at the end of which the hospital agreed to sublease the camera from the two physicians; the camera remained at the physicians’ offices but other physicians with privileges at the hospital could use it. Four other local physicians who provided the same or similar services to patients as Dr. S. and Dr. V. brought a qui tam action alleging that the sublease violated the Anti-Kickback and Stark Acts and that the defendants falsely certified compliance with those laws in connection with claims submitted to Medicare in violation of the False Claims Act.
*******************************************************************************************************************
(Please note: This is an actual court case and an Internet search may uncover the actual case details. You are prohibited from utilizing any source materials associated with this case. Use of any related materials will result in a reduction of points on this assignment. This assignment is being graded on your ability to critically think—on your own recognizance—based on your comprehension of the knowledge provided in this week’s learning materials.)
**********************************************************
Instructions: Carefully review Chapter 7 of your textbook and research Stark Law. Given this scenario, analyze whether the actions of Dr. S. and Dr. V. violated Stark Law. Provide solid evidence supporting your decision by utilizing information from the Ashford University Library as well as the law itself.

Your paper must be two to three pages in length, excluding the title and reference pages; include at least two scholarly sources, in addition to the textbook; and be written in APA format.

Resources:
Text

Read from the course text, Health care ethics and medical law:
•Chapter 7: Expenditures, Cost Containment, and Quality of Care
•Chapter 8: Ethical Resource Allocation
Articles

Rosoff, P. M. (2012). Unpredictable drug shortages: An ethical framework for short-term rationing in hospitals. American Journal of Bioethics, 12(1), 1-9. Retrieved from the EBSCOhost database.
Schneiderman, L. J. (2011). Rationing just medical care. The American Journal of Bioethics, 11(7), 7-14. Retrieved from the EBSCOhost database.
Wood, J. P. (2010). Stark and anti-kickback laws limit lab-marketing methods. MLO: Medical Laboratory Observer, 42(5), 72. Retrieved from the EBSCOhost database.
Recommended Resources
Articles

Cooke, M. and Hurley, C. (2008). A case study exploring the ethical and policy dimensions of allocating acute care resources to a dying patient. Journal of Clinical Nursing, 17(10), 1371-1379. Retrieved from the EBSCOhost database.
Hirskyj, P. (2007). QALY: An ethical issue that dare not speak its name. Nursing Ethics, 14, 72-82. Retrieved from the SAGE Journals Online database.
Phillips, C. J. (2009). The cost and burden of chronic pain. Reviews in Pain, 3(1), 2-6. Retrieved from the SAGE Journals Online database.
Rowe, J. (2013). Understanding the context of moral dilemmas in health care organizations: Perspectives for employee training and continuing education. Home Health Care Management Practice, 25(4), 141-147. Retrieved from the SAGE Journals online database.

make sure that you use resources that are no older than 5 years

 

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Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Due Date: Jan 10, 2016 23:59:59 Max Points: 40

Details: Details: Please Use References/Citations within 5 years ( from 2010)

Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.
Variables:
1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).
Refer to Checklist below

Topic 4: Checklist
Developing an Evaluation Plan and Disseminating Evidence
Instructions:

This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback, and grading for modules 1-4 will be documented using this checklist.

Topic

Task Completed Comments Feedback Points
Developing an Evaluation Plan
• Described methods used to evaluate effectiveness of proposed solution.
• Described variables to be assessed when evaluating project outcomes.
• Developed tools necessary to educate project participants.
• Developed assessment tool(s) necessary to evaluate project outcomes.
Written Format & Length Requirements for Developing an Evaluation Plan • Assignment formatted according to APA.
• Word Count: 800-1,000

Disseminating Evidence • Discussed strategy for disseminating results of project to key stakeholders.

• Discussed strategy for disseminating significance of project outcomes to greater nursing community.

NOTE: That assignment is based on the last paper you wrote Order # 81565124

 

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What are critical common components to all religions/beliefs in regards to healing, such as prayer, meditation, belief, etc.? Explain.

Nursing

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.

The purpose of this paper is to complete a comparative analysis of two faith philosophies towards providing health care, one being the Christian perspective. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from: Sikh, Baha’i, Buddhism, Shintoism, etc.

provide a comparative analysis of the different belief systems, reinforcing major themes with insights gained from your research.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to chapter 2 of the Called to Care for the list of questions. Be sure to address the implications of these beliefs for health care.

In addition answer the following questions that address the practical and healthcare implications based on the research:

What are critical common components to all religions/beliefs in regards to healing, such as prayer, meditation, belief, etc.? Explain.

What is important to patients of the faiths when cared for by health care providers whose spiritual beliefs differ from their own?
In your conclusion, describe your own spiritual perspective on healing, what you have learned from the research and how this learning can be applied to a health care provider.

Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate, scholarly manner.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

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1) How does each article describe the nature of the problem, issue, or deficit you have identified? 2) Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?

NRS 441V

PICOT QUESTION (Please make my Paper #1 and Paper #2 related to this PICO question)
Among adult acute care on Surgical-Ortho Unit, does hourly rounding as compared to only setting the bed alarm, significantly reduce patient falls in 4 days?
Population: Adult acute care on Surgical-Ortho Unit
Intervention: Hourly rounding
Comparison: Only setting the bed alarm
Outcomes: Significantly reduce patient falls
Time: 4 days

Paper #1 (IDENTIFYING A PROBLEM) (Must be related to my PICO Question)
Consider a clinical environment in which you are currently working or have recently worked. Identify a problem, issue, or educational deficit upon which to build a proposal for change.
In a paper of no more than 500 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:
1. The setting and/or context in which the problem, issue, or educational deficit can be observed.
2. Detailed description of the problem, issue, or educational deficit.
3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
4. Gravity of the problem, issue, or educational deficit and its significance to nursing.
5. Proposed solution to address the problem, issue, or educational deficit.
*** Identifying your Problem Paper have to be related to the PICO question.
Prepare this assignment according to the APA guidelines. An abstract is not required. TURNITON score <15%
Paper #2 (SELECTING SOURCES OF LITERATURE) (Must be related to my PICO Question)
Articles must be within 5 years (2011-2015)
Locate a minimum of 15 peer-reviewed articles that describe the problem or issue and which support the proposed solution. Eight of the 15 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal).
Hint: Begin your search for literature by utilizing the databases located in the Library. Contact your faculty member, the librarian, or library staff for additional researching tips and key word suggestions.
Preview each of the 15 articles chosen by reading the article abstracts and summaries.
Hint: Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings.
Hint: Refer to “Checklist.”
Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):
1. How does each article describe the nature of the problem, issue, or deficit you have identified?
2. Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
3. What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population?
4. Does each article support your proposed change?
Prepare this assignment according to the APA guidelines. An abstract is not required. TURITIN <15%.
Topic 1: Checklist
Identifying a Problem, Developing a Question, and Selecting Sources of Literature
Instructions:
This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback and grading for modules 1-4 will be documented using this checklist.
Topic Task Completed Comments/Feedback Points
Identifying a
Problem
• Explains setting and/or context in which nursing problem is observed. _____ / 10
• Detailed description of problem, issue, or educational deficit provided. _____ / 10
• Impact of problem on work environment and patient outcomes described.
_____ / 5
• Significance to nursing profession discussed. _____ / 5
• Solution to the problem identified. _____ / 10
Total _____ / 40
Developing a Question • Identified components of PICOT:
P – Population of Focus
I – Intervention
C – Comparison
O – Outcome
T-Time _____ / 30
• Developed PICO question/statement.
_____ / 10
• Total _____ / 40
Selecting Sources of Literature • Rapid Appraisal Performed (see below) on a minimum of 15 peer-reviewed articles. _____ / 100
• Total _____ / 100

Rapid Appraisal
Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):
1) How does each article describe the nature of the problem, issue, or deficit you have identified?
2) Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
3) Example(s): morbidity, mortality, rate of incidence or rate of occurrence in the general population.
4) Does each article support your proposed change?

 

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How might information systems be used to support Debbie’s efforts?

Using the Epidemiologic Triangle

Paper details:

Using the Epidemiologic Triangle

The assigned readings this week outlined the basic concepts of epidemiology and discussed the concept of the Epidemiologic Triangle. Dr. Jacobs, in this week’s media presentation, also discussed how epidemiology helps a community to know itself. Dr. Guerra shared an example of how his community was able to effectively eliminate Hepatitis A infections through primary prevention strategies and the use of epidemiological assessment techniques.

To prepare for this Discussion, review Chapter 12 in the course textbook and the media program. Then, read the following case study:

This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

• As a BSN-prepared community health nurse, what steps should Debbie take next?

• How might information systems be used to support Debbie’s efforts?

Support your response with references from the professional nursing literature.

Discussion 1 – Week 2
COLLAPSE
Using the Epidemiologic Triangle

The assigned readings this week outlined the basic concepts of epidemiology and discussed the concept of the Epidemiologic Triangle. Dr. Jacobs, in this week’s media presentation, also discussed how epidemiology helps a community to know itself. Dr. Guerra shared an example of how his community was able to effectively eliminate Hepatitis A infections through primary prevention strategies and the use of epidemiological assessment techniques.

To prepare for this Discussion, review Chapter 12 in the course textbook and the media program. Then, read the following case study:
This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

• As a BSN-prepared community health nurse, what steps should Debbie take next?

• How might information systems be used to support Debbie’s efforts?
Support your response with references from the professional nursing literature.

 

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The task is to take one of the key concepts from the beginning of the course and relate it to the interests of social policy and research. First, choose one of the three readings below and the concept that goes with it. You will need to explain what the concept is and how the reading develops it. You then need to link this concept to a current policy or social research concern.

Category: Uncategorized

Division of labour
Order Description
This exercise is designed to familiarise you with some of the key economic concepts in the course. The task is to take one of the key concepts from the beginning of the course and relate it to the interests of social policy and research. First, choose one of the three readings below and the concept that goes with it. You will need to explain what the concept is and how the reading develops it. You then need to link this concept to a current policy or social research concern. For example, you might discuss how the division of labour relates to the paid care workforce, or to hospital reforms, or you might discuss how commodification applies to the delivery of social services, where the distinction between producer and consumer is less stark than for physical commodities. You are not expected to go into depth. Rather the exercise is designed to demonstrate your understanding and ability to apply concepts. Briefly explaining the key aspects of the concept and one potential implication is all that is required.

Remember too, this is a short exercise. It is not designed as a research assignment, although you may wish to refer to a few additional references. Instead the focus is on demonstrating that you understand the argument and can relate the concept to social analysis.

Topics:

Division of labour. Smith, A 1952, An Inquiry into the Nature and Causes of the Wealth of Nations, London, Encyclopaedia Britannica, Chapters 1-3: 3-10.
Yes, the guidelines state that you will pick one concept from the several concepts covered at the beginning of the unit. In the example of division of labour, it may relate to social policy on paid care workforce through the specialisations developed in nursing, such that there are now nursing assistants to free up some of the work previously done by nurses. This is just an example; you can find other concepts in the unit and relate them to social research or policy.

 

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Write a summary of 850 words that includes the following criteria: An introduction that explains the focus of the article. A summary of key points of the article. A list of the steps taken by nursing to develop and implement an EBP.

Topic: public health/ Evidenced-Based Practice (EBP)

Order Description
Select an article from a peer-reviewed nursing journal regarding an EBP process or implementation.

Write a summary of 850 words that includes the following criteria:

An introduction that explains the focus of the article.
A summary of key points of the article.
A list of the steps taken by nursing to develop and implement an EBP.
Application of the learned information to a practice setting where the student either identifies an EBP that has been applied to your setting or a practice problem that would benefit from the implementation of an EBP.
A clear and concise conclusion.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide,
70.0 %Content
15%Introduction gives a clear and complete description of the evidence-based practice project presented in the article.

Summary is comprehensive and completely addresses most of the key points of the article. 20%
List of steps is complete and well-organized, but lacks clear details.
10 %
EBP is applied to an appropriate example. Support and justification for effectiveness is explained.25 %
20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose
10.0 %Format

5.0 %Paper Format (Use of appropriate style for the major and assignment)
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

 

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1) How much of a taxable capital gain would Teri have to report if she sold the house tomorrow for fair market value? 2) If the house is transferred to the Medicaid trust, what should the trust do to ensure the best capital gains tax treatment of the house?

Case law

Teri is a single widow, age 78, living in the hypothetical American state of New Worcester. Teri purchased a a house in New Worcester in 1967 for $28,000. The current fair market value of the house is $385,000. Teri has four children: Alan, Beth, Cathy and Don. All four are adults and all four have children of their own. However, Don has been having marital troubles and is contemplating divorce. Beth is estranged from one of her adult children, Bertha.

Teri is a relatively good health, but suffers from hypertension and mild heart disease. She is on medication and is being treated for both. Mentally, she is sharp and astute.

Aside from the house, Teri has about $200,000 in cash and securities in savings and a 401(k) account with a current balance of $225,000. She is taking annual minimum required distributions from that account. In addition, she receives $1,800 per month in social security benefits.

She is primarily concerned with Medicaid planning as she doesn’t want to lose her assets if forced to go to a nursing home eventually. Your supervising attorney decides to recommend that Teri set up an irrevocable Medicaid planning trust and to transfer some or all of her assets to that trust.

During the course of the meeting and subsequent discussions, the following questions come up:

1) How much of a taxable capital gain would Teri have to report if she sold the house tomorrow for fair market value?

2) If the house is transferred to the Medicaid trust, what should the trust do to ensure the best capital gains tax treatment of the house?

3) What should the trust do to ensure that Bertha and Don’s soon-to-be-ex spouse do not have access to the trust funds?

4) Should the 401(k) assets be transferred to the trust? Explain.

5) What kind of rights or powers can or should the trust safely give to Teri?

6) The state of New Worcester has an income limit of $1,000/month to be eligible for Medicaid. Is there anything that can be done to protect the excess social security payments from being subject to spend down requirements?

Please answer each question in 1-2 paragraphs. There is no need to IRAC each question. Please make sure to explain your answers and please cite applicable authority for all assertions of law that you make.

 

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