Question Description

Topic 9 DQ1

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

Topic 9 DQ2

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

 

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Question Description

Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

***PICOT Statement

Revise the PICOT statement you wrote in the Topic 1 assignment.

***Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

You will combine the qualitative and quantitative study critiques you have done on the topic you wrote your PICOT on. You will use the guidelines, the rubric, as well as the feedback I have given you through these weeks. You will also need to condense the first two assignments i.e. topic 2 and 3 and be succinct.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

***Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

NRS-433V-RS-Research-Critique-Guidelines.docx

 

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Question Description

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

1. What went well?
2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA Style Guide, . An abstract is not required.

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

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

 

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Question Description

CASE STUDY: POSTPARTUM A 24-year-old primipara gave birth 4 hours ago. She had a vaginal delivery with a midline episiotomy. She received an epidural anesthetic.

• Identify the immediate postpartum assessment within the first hour.
• Her pad is soaked with blood within 30 minutes. Is this normal?
• Fundus is to the right. What does this indicate?
• What instruction needs to be given before palpating her bladder

5. How do you document fundal height?

6. Describe the 3 stages of lochia and the time period for each.

7. Discuss the 9 areas of postpartum physical assessment (Bubble He).

8. Describe the components of the breast exam postpartally with rationale.

9. She got up a short time ago and noticed a sudden gush of lochia. Her fundus is firm on exam. How would you explain this occurrence?

10. Explain REEDA scale. She has 2 cm of edema and ecchymosis around her incision. What therapy is appropriate at this stage?

11. She had received an epidural. What assessment is important in the next 6-8 hours?

12. What is Homan’s sign and what does a positive Homan indicate?

13. What discharge teaching instruction would be given for self-care and newborn care?

14. When she is discharged in 48 hours, what should her fundal height, lochia, perineum, breast, and voiding status be?

15. She is talking about her experience during the labor process. She looks tired but states she is waiting to eat and then will take a nap. What psychological phase is she going through?

16. After 24 hours, she wants to know how to diaper her infant and wants instruction on breastfeeding. She states that she feels so clumsy and is afraid of hurting the infant. What phase is this?

17. When she goes home, she may be overwhelmed and in the next 3-5 days may go through the __________________________ phase. 1

8. Give three nursing diagnoses with goals/expected outcomes for a postpartal woman.

 

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