Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion.

I am in a funk. I have three other classes to complete. I just need someone to actually do this paper for me. Answering all the questions below. Someone who is familiar with Western Governors University papers. APA Format

A. Evaluate a primary quantitative research peer-reviewed journal article (suggested length of 3–5 pages) that has healthcare implications by doing the following:

1. Identify how the researcher addresses the five following areas of the selected journal article, using the attached “Evidence Table”:background or introductionreview of the literaturediscussion of methodologydata analysisresearcher’s conclusion

2. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion.

3. Explain the protection of human subjects and cultural considerations of the journal article.

4. Identify strengths and limitations of the study.

5. Describe how the evidence informs nursing practice.

B. Evaluate a primary qualitative research peer-reviewed journal article (suggested length of 3–5 pages) that has healthcare implications by doing the following:

1. Identify how the researcher addresses the five following areas of the selected journal article, using the attached “Evidence Table”:background or introductionreview of the literaturediscussion of methodologydata analysisresearcher’s conclusion

2. Critique whether the evidence presented in each section of the journal article supports the researcher’s conclusion.

3. Explain the protection of human subjects and cultural considerations of the journal article.

4. Identify strengths and limitations of the study.

5. Describe how the evidence informs nursing practice.

 

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Describe: Assume you are the leader of the KM effort. Where would you start to improve the user experience?

Select two of the following case studies and address the questions: The studies are chose are the ones below.

Chapter 21

  • Describe: Assume you are the leader of the KM effort. Where would you start to improve the user experience?
  • Examine: Pharmacists supporting the ICUs are asking for your help to improve their situation (their user experience) because they are forced to use nonintegrated systems. What methods would you use to examine the issue?
  • Compile: The institution is in the process of purchasing new physiologic monitors for their step-down unit. Describe how usability should be incorporated as part of the purchasing process. Design a brief usability test to support the purchasing process

Chapter 25

  • Describe: How can nurses’ best leverage their clinical background when providing testimony as expert witnesses?
  • Examine: When preparing testimony, should a nurse expert witness focus primarily on developing nursing-specific content or should his or her nursing background be used more as a context for the discussion?
  • Compile: What are the advantages and disadvantages of each approach?

For each case study, your paper should be two to three pages in length, excluding the title and reference pages, and formatted according to APA guidelines as outlined in the Ashford Writing Center. In addition to the textbook, utilize a minimum of two scholarly sources per study to support your points. Cite and reference your sources in APA format as outlined in the Ashford Writing Center.

 

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Conclude your discussion by explaining whether you thought the research findings supported the conclusions and the best practice.

For this written assignment, select one recent (within the last two years) evidence-based article from a peer reviewed nursing journal that describes a “best practice” in an area of nursing you are interested in. For example, if you would like to be a pediatric nurse, select an article that discusses a best practice in pediatric care.

Cite the article and provide a brief overview of how the results or findings were obtained. Then describe the “best practice.” Conclude your discussion by explaining whether you thought the research findings supported the conclusions and the best practice.

This assignment must be no more than 3 pages long. It should include all of the required elements. Use APA Editorial format and attach a copy of the article.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ‘.docx’ extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

 

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Cultural preservation entails a situation where the nurse supports the use of scientifically sound cultural practices of care by their patients

Please write a Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

To adequately meet the needs of patients with diverse backgrounds, nurses much use methods that are culturally competent. In 1991, Madeleine Leininger published the The Transcultural Nursing Theory, establishing approaches such as cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering (Andrews & Boyle, 2008, p. 62).

Cultural preservation entails a situation where the nurse supports the use of scientifically sound cultural practices of care by their patients (Stanhope & Lancaster, 2014, p. 78). An example would include agreeing to the use of acupuncture by a Chinese patient as an adjunct to pain management using conventional medicines such as opioid analgesics (Huber, 2009).
Cultural accommodation entails a situation where the nurse supports the use of cultural practices that have been shown as not harmful (Stanhope & Lancaster, 2014, p. 78). For example, placing a table knife under the bed of a laboring woman to symbolically cut the pain (Smith, 2013). For African Americans in the Delta, alcohol or Vaseline rubs to the chest are utilized for comfort measures (Gunn & Davis, 2011). Within cultural accommodation, these acts would be supported if not contraindicated in the patient’s care.
Cultural repatterning entails a nurse working in collaboration with a patient towards helping them change cultural practices that are considered harmful (Stanhope & Lancaster, 2014, p. 78).
In case, when a pregnant Muslim patient intends to fast during the month of Ramadan, but is unaware of the negative impact that it would have upon her and her pregnancy (Wintz & Cooper, 2009, p. 28).

Cultural brokering utilizes negotiating between the patient’s culture and biomedical healthcare to ensure that the care is used together as culturally competent (Stanhope & Lancaster, 2014, p. 79).
Community health nurses need to utilize various cultural competence strategies in ensuring that they effectively deliver health care services that are able to meet the individual needs of their patients. Such strategies help community nursing in improving the health outcomes and quality of care provided by the nurse (Betancourt, et.al, 2016). Theses methods also help in the elimination of racial and ethnic health disparities and boundaries that may hinder effective delivery of care. Consequently, the nurse is able to develop and cultivate patient trust, understanding and respect that help significantly in ensuring the realization of the best health outcomes. In achieving the above, community nurses can use a number of approaches such as cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. Possible barriers in the utilization of the above strategies would be attributed to conflicts arising from different cultures, languages, and beliefs. For example, in the instance of persuading a patient to stop taking a herb that has been used for many years by their native community would be seen as insensitive and rude by the patient.

Andrews, M. M., & Boyle, J. S. (2008). Transcultural concepts in nursing care (5th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins Health.

 

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Describe the role of the nurse in end-of-life decision making with patients and their families.

Assessment Instructions

Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions

PREPARATION

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

DIRECTIONS

Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:

  • Describe the role of the nurse in end-of-life decision making with patients and their families.
  • Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
  • Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
  • Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
  • Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.

ADDITIONAL REQUIREMENTS

Your article should meet the following requirements:

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.
Suggested Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

  • Norlander, L. (2014). To comfort always: A nurse’s guide to end-of-life care (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
  • Hebert, K., Moore, H., & Rooney, J. (2011). The nurse advocate in end-of-life care. The Ochsner Journal, 11(4), 325–329.
  • Lewis, K. (2013). How nurses can help ease patient transitions to end of life care. Nursing Older People, 25(8), 22–26.
  • Lund, S., Richardson, A., & May, C. (2015). Barriers to advance care planning at the end of life: An explanatory systematic review of implementation studies. PLoS One, 10(2).
  • Aoun, S., O’Connor, M., Skett, K., Deas, K., & Smith, J. (2012). Do models of care designed for terminally ill ‘home alone’ people improve their end-of-life experience? A patient perspective. Health & Social Care in the Community, 20(6), 599–606.
  • Nakano, K., Sato, K., Katayama, H., & Miyashita, M. (2013). Living with pleasure in daily life at the end of life: Recommended care strategy for cancer patients from the perspective of physicians and nurses. Palliative & Supportive Care, 11(5), 405–413.
  • Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.
Course Library Guide

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4006 – Policy, Law, Ethics, and Regulations Library Guide to help direct your research.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

  • American Nurses Association. (2016). Position statement: Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life. Retrieved from https://www.nursingworld.org/~4adf1c/globalassets/…
 

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provide a brief written description of the combined budget. Be sure to include the rationale for additional expenses and/or reduction in expenses

Develop the annual budgets (i.e. personnel, operational, and capital) for the newly created UHS HIM department. Utilizing the information in HIT 266 FINAL PROJECT INTRODUCTION document (bottom of Module 2 page), provide a brief written description of the combined budget. Be sure to include the rationale for additional expenses and/or reduction in expenses. Budgeting assumptions include:

o Fringe benefits are to be calculated at 30% of annual salary

o A 2% merit raise should be budgeted that will go into effect on July 1, 20XX.

o UHS has a “no overtime” policy. Therefore, overtime should not be budgeted.

o The additional space allotted to the UHS HIM Department on the University Hospital campus requires renovation at a cost of $27,000. Due to other priorities, the renovation will not be able to take place until after December 31, 20XX. Therefore, the cost of the renovation will need to be included in the capital budget.

o A completed capital expenditure approval form must be submitted for the renovation discussed above

 

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Planned Change in a Department or Unit

Assignment: Application: Planned Change
in a Department or Unit

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

  • Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.
  • Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.
  • Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
  • Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.
  • Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

BY DAY 7

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

  • Identify a problem, inefficiency, or issue within a specific department/unit.
  • Describe a specific, realistic change that could be made to address the issue.
  • Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.
  • Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.
  • Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.
  • Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

REQUIRED READINGS

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

  • Review Chapter 7, “Strategic and Operational Planning”
  • Chapter 8, “Planned Change”This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d
An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK20(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013
Retrieved from the Walden Library databases.

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration43(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9
Retrieved from the Walden Library databases.

 

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DNP and Advanced Practice Registered Nurses

Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings, ask questions of each other, etc

The passage of the 2010 Patient Protection and Affordable Care Act (ACA) initiated the transformation of the United States health care system. The ACA fosters a preventive health care model that emphasizes primary care, funds community health initiatives, and promotes quality care. These changes increase the need for well-prepared health care professionals” (Lathrop, B., & Hodnicki, D., 2014).

“ACA provisions offer a promising future for primary care and prevention services but will yield little tangible success without adequate funding, knowledgeable implementation of the provisions, and an increased number of primary care providers to meet the expanding numbers of persons seeking primary care and prevention services. The Doctor of Nursing Practice (DNP) nurse has the educational preparation to play an essential role in supporting and leading this transformation of health care to improve health care outcomes” (Lathrop, B., & Hodnicki, D., 2014).

“With the implementation of the ACA, the health care system will experience an influx of patients with complex medical needs, thus increasing the demand for clinicians who can meet these needs. DNP and Advanced Practice Registered Nurses (APRNs) are increasingly available and prepared to address these needs as expert health care providers. Most newly insured patients will access care through primary care clinics that are already experiencing a shortage of providers. Only 30% of U.S. physicians practice in primary care and only about 25% of current medical school graduates plan careers in primary care. The Agency for Health Care Research and Quality has estimated that among nurse practitioners (NPs), 52% of all NPs were providing primary care in 2010” (Lathrop, B., & Hodnicki, D., 2014).

“ACA also authorizes grants for community-based, prevention programs (Community Transformation Grants), work-based wellness programs, and school-based health centers. DNP nurses have the advanced education necessary to design, implement, and evaluate such programs. They can combine their high level clinical expertise and increased leadership competencies to create new, community health initiatives. New ACA funding for work-based wellness programs and school-based health centers provides nursing entrepreneurs new opportunities for clinical practice” (Lathrop, B., & Hodnicki, D., 2014).

“Now is the time for nurses to address legal restrictions and other professional barriers that limit their ability to perform within the full scope of practice for which they are prepared. The ACA offers vast opportunities for DNP nurse leadership in health care restructuring, improving direct patient care, creating innovative programmatic development, and providing political advocacy. However, barriers threaten to prevent the full realization of DNP leadership potential in health care reform” (Lathrop, B., & Hodnicki, D., 2014).

This will not effect my practice in any way, but I am very excited to expand my education to participate in the future of the nursing practice.

 

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A Systematic Review of the Literature Examining How the Use of Electronic Devices Enhance Communication Between Patient and Provider.

Paper title:

A Systematic Review of the Literature Examining How the Use of Electronic Devices Enhance Communication Between Patient and Provider.

I need you to read what i have of the capstone, ensure that all elements are present and add throughtout the project that the site is the Outpatient Office of Dr. Gary Millien. This project is a systematic review of literature and it has implementation must haves. Please carefully read and make sure the project flows. I am handing you the entire project with everything I have done so far, you need to put in one document and add anything that I might have missing. No additional references needed, but ensure the paper has all the intext citations.

The paper must have all of the following:

  • Introduction and Background: You will begin to explain what your change project topic is. Include background information you have obtained. Make sure to discuss the importance of your topic and why there is a need for it to be researched and implemented in your assigned facility or in advanced practice nursing in general.
  • Problem Identification and Description Using PICOT Format: Identify and describe the problem in clear and concise language. Describe the significance of the evidence-based project that can be implemented in the selected setting to the nursing profession. Give a clear and explicit statement of the problem and target population as well background of the specific problem relative to the clinic or hospital setting.
  • Critical Appraisal/Integrative Literature Review: Write a literature review using peer-reviewed articles and books, as well as non-research literature such as evidence-based guidelines, toolkits, and standardized procedures. Provide reference(s) to recent literature related to your specific unit. Identify and cite all sources of data according to APA guidelines. The goal is to review and analyze the most current research to support your project. Summarize the key findings, and provide a transition to the methods, intervention, or clinical protocol section of the paper. Describe any gaps in knowledge that you found and the effects this may have on nursing practice as it relates to your change project topic. The discussion of the literature review should be a synthesis of how each article relates to your project.
  • Project Aims, Values, and Desired Outcomes:
  • Theoretical Framework: Identify at least two independent theories or conceptual models that relate directly to the planned project in addition to the Plan Do Study Act (PDSA) cycle. Including a discussion of how each theory or model applies to the individual project is essential.
  • Proposed Evidence-Based Project Plan: Develop the project plan based on your theoretical framework and the literature review, and include an environmental assessment of the readiness for change. o Develop the strategy or strategies for meeting the desired outcomes that includes a work breakdown structure (timeline/task list/Gantt Chart)—a hierarchical definition of the tasks and activities of a project that normally begins with the highest-level activities and works downward into the individual tasks. o Include a project budget (table or spreadsheet) for the project that addresses the needed personnel, equipment, and/or supplies that may have associated costs. o Plan the design and methodology used. o Evaluation methodologies
  • Actual Outcomes/Evaluation: Measureable evaluation methods
  • Summary and Conclusions: Includes the following but is not limited to a summary of the project, a summary of main points and findings, the significance of project to the nursing profession, and any recommendations for future research.
  • References
  • Appendices

o Describe the project aim: The project aim should include examples of features and functions that will occur as a result of implementing your change project. o Describe the project value: The value should describe the benefits of the change project implementation to the stakeholders, the organization, and the nursing profession. o Describe the desired outcomes: Specifically, state the purpose, quality focus, and viewpoint of the project as well as its expected accomplishments. A project goal should reference the project’s business benefits in terms of cost, time, and/or quality that address individual and family healthcare needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions. Goals and objectives should be measurable, shared, and agreed on by all key stakeholders. They are directly linked to the concept of project success factors.

(indicators/metrics) are cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, risk reduction, etc.

 

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