There has been much discussion in the media and communities about chronic disease and influences of the environment. For this assignment, you are asked to review the article “Obesogenic Environments” ( Joreintie, D., & et.al. (2014) Obesogenic Environments: A Systematic Review of the Association Between the Physical Environment and Adult Weight Status, the SPOTLIGHT project. BMC Public Health. Retrieved from: doi: 10.1186/1471-2458-14-233). This article touches on the influence of environment to affect obesity most specifically. 

1. Discuss the premise of this article, along with an overview on the SPOTLIGHT project. 

2. What are some ways that the environment influences the increase of obesity? 

Document this assignment in 2 pages document. Include 2 peer reviewed articles.

 CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions

 1. How do you think this situation reflects Jacqueline’s sense of role performance? 

2. How do you think that Jacqueline may be contributing to her own health? 

 Required Instructional Resources and Materials 

Edelman, Kudza (2018). Health Promotion throughout the Life Span. (9 th Ed.). Elsevier ISBN: 978-0- 323-41673-3. 

Recommended Resources

 Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). Primary Care: Interprofesisonal Collaborative Practice, (6th ed.). Elsevier ISBN: 978-0-323-57015-2. 

Publication Manual of the American Psychological Association (6th Ed.). (2010). Washington, DC: American Psychological Association. 

Reinisch, C. (2016). Family Nurse Practitioner Review and Resource Manual Volume 1. 5 th Ed. SBN: 978-1-935-21390-1

 Reinisch, C. (2016). Family Nurse Practitioner Review and Resource Manual Volume 2. 5 th Ed. ISBN: 978-1-935-2194-9

 U.S. Department of Health and Human Services, Public Health Service. (2010) Healthy People 2020: National health promotion and disease prevention objectives. Washington, D.C.: http://www.healthypeople.gov/2020/default.aspx 

  

Evidence Translation and Change

Week 7

What are the common barriers to evidence translation in addressing this problem?

           There are many barriers when it comes to translating evidence into practice. In regards to obesity, the most common barrier to translate evidence-based changes locally, nationally, and globally are the stakeholders. According to Chamberlain College of Nursing, (2020, translating research into practice relies on the clinician knowing who the stakeholders are and getting them involved in the planning stage and in every aspect of the practice change. Some stakeholders may not be conducive to change. In order to adopt and launch a practice change, the change leader has to be able to sell the project to key stakeholders. For a project leader to get others to go along with a practice change, the leader has to be knowledgeable, motivated, and believe in the research he or she is presenting to the stakeholders.

           Additional barriers in translating research evidence into this practice problem would cost, available resources, and timing.  For instance, it is less likely for individuals living in a low socioeconomic community to prioritize a 30 minutes time slot five days a week for exercising activities. Barriers like work schedules, family commitment, and financial obligations may impede these practices. The lack of motivation may also be a factor. Most individuals may not have a membership to the local gym, and rain and cold weather may prevent walking in the local park. The lack of appropriate lighting in the parks may fend off participation in outdoor activities in the fall and winter months. According to Tucker, the individuals, the location, and the practice itself and have a huge role in influencing evidence-based practice (2017). For an evidence-based practice to be adapted effectively it must be realistic in all public health settings.

What strategies might you adopt to be aware of new evidence?

           I would create an interprofessional group to include clinical and research practitioners to discuss new and upcoming research evidence appropriate to the practice problem. Focus groups both locally and nationally as well as globally are great outlets to discover what is working in different areas of healthcare. Small focus group outlets in which to gather people with the same interest to discuss and present new research (Chamberlain College of Nursing 2020). I would sign up for alerts on new research, evidence-based practice interventions, and quality improvement publications on obesity throughout the country and globally. Tucker indicated that research experts are great resources to look into and introduce the latest pieces of evidence (2017). I also believe an expert Ph.D. colleague would be a great mentor to help guide me in this practice problem intervention. Dang and Dearholt indicated that a team approach between DNP and Ph.D. scholars influenced the best clinical outcome.  

How will you determine which evidence to implement?

           First, I would focus on finding evidence to support my practice intervention, base not only on research but evidence that supports the participants’ cultural values and beliefs. I would look at the available evidence and ask myself, whether this is appropriate for my particular demographic. There are many quality improvements in evidence-based research practice in healthcare that can be pilot to other practice problems.  I would look at the data for similarities and tailor it to this particular focus practice problem on a local level. The team would appraise the appropriate data and determine whether it is pertinent to obesity. Most importantly, I would communicate the evidence to all key stakeholders.

How will you ensure the continuation or sustainability of the change?

           To ensure continuity and sustainability of the practice change, I would look at the impact the change has had on individual participants, both locally and nationally. Since the intervention is patient-centered, I think it is appropriate to be familiar with the participant’s values and preferences. Without the support and commitment of the participants, the practice problem intervention will be ineffective. Taylor et al. wrote evidence-based practice is a combination of best evidence, patients choice, and the skillfulness of the practitioner (2016). I believed that persons who have had positive outcomes tend to continue to participate in activities more so than those who have had negative experiences. I would continue to involve participants and families in the planning and implementing phase of the intervention. I would also mandate ongoing training to all interprofessional team members. I would reinforce the ongoing review of the evidence to maintain current research. Clear and respectful communication and teamwork are also important in sustaining and continuing change. Evidence-based intervention is being carried out throughout the globe, I believe by working alongside interdisciplinary teams and familiarizing myself with the evidenced available will give me a global sustainability outlook.

Reference

Chamberlain College of Nursing. (2020). NR-701 Week 7: Translation of Evidence: Overcoming Barriers [Online lesson]. Downers Grove, IL: Adtalem.

Dang, D., & Dearholt, S. (2018) John Hopkins nursing evidence-based practice model and guidelines (3rded.). Sigma Tetu Tau Intentional.

Taylor M.V., Priefer, B.A. & Alt-White, A.C. (2016). Evidence-based practice: Embracing integration. Nursing Outlook 64(6) 575-582. doi.org/10.1016/j.outlook.2016.04.004

Tucker, S. (2017) People, practice, and places: Realities that influence evidence-based practice uptake. Worldviews on Evidence-based Nursing 14 (2) 87-89. Doi10.111/wvn.12216

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

  

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1) Track performance for all ATI Capstone assessments by logging NCLEX-RN Client Need Category performance on the Individual Student ATI Assessment Trends: Longitudinal Performance tool.

2) Based on individual performance on the ATI Capstone Assessments, prioritize the top two concepts (topics) of greatest opportunity.

3) Include the following criteria for each identified concept (topic): The NCSBN NCLEX-RN Test Plan will support this process (detailed criteria listed below and in the Grading Rubric must match exactly). 

a) Each Concept (Topic)- 10 points/20%

i) Learning Needs: 

(1) Required Criteria:

(a) Identify the concept (topic) of opportunity. 

(b) Provide a description of how this aligns with the NCLEX-RN Test Plan as indicated by performance in the Individual Student ATI Assessment Trends Table. 

ii) Learning Strategies:

(1) Required Criteria:

(a) Identify a minimum of two learning strategies that you plan to implement to address your learning need.

iii) Learning Resources:

(1) Required Criteria:

(a) Identify a minimum of two resources that you will integrate into your NCLEX-RN Readiness plan to assist you with improving the identified learning need.

2.   

(1) Required Criteria: 

(a) 250 word minimum 

(b) Give three specific examples on how the ATI Capstone assessments Review helped improve your self-identified top two priority concepts (topics) of greatest opportunity from above. 

(c) Describe three test taking strategies that resonated with you and explain how you will implement these strategies into your NCLEX-RN Success preparation. 

 

Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
• Use APA format and include a title page, in-text citations, and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

Resources Provided

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from
https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & Regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Required Media

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.