k

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For this assignment you will be asked to apply course concepts and learn to develop one Literature Review Table that includes 2 articles.

Please use the Literature Review Template provided within the course content and the evidence rating scale adapted from Melnyk found in course content. There is a video explaining how to complete the table in your course content.

Will I be adding this assignment to the final paper? Yes! The completed Literature Review Table from this week will be used again in the Appendix of your research paper (future assignment).

Will I need to create new literature review tables again for the final paper? No-this is the only assignment you’ll use the table format for. You will summarize 5 additional research articles in the Findings section of your Research Review, so please save those for the future.

Key Information for this assignment:

· You should not copy information from the research you obtain. All information from the research should be paraphrased in your own words (less than 6 words in one sentence should match). Plagiarism checkers should result in less than 10% for the literature review tables.

· All Searches for your Research Review must be completed through the Minnesota State University, Mankato library. Online searches will not be accepted with the exception of Google Scholar. Supply a pdf of your 2 full text articles in the drobox with your literature review table. Do not send links.

· A Data Search Table must be submitted with the Literature Review Assignment and is worth 5 points. Please provide a screen shot of one of your key term searches within the library databases.

Criteria

Possible Points

Points Earned

Clarification/Instructions

Article title, author, and date is listed in APA format and is current (not older than 5 years)

2

List the reference as a citation in the text would be cited. Include the reference in the reference section of the paper.

Purpose of article is clear and paraphrased from the article

2

Why was the research conducted? What was the goal /discovery that researcher was trying to achieve

Sample size of study article used is stated and numeric values are given (when applicable)

2

N=total number

n=subset

Study Design is clearly stated, and level of evidence is provided correctly (Evidence Rating Pyramid adapted from Melnyk in course content)

Strongest, stronger, strong, moderate, weak, weakest

5

Include design Quantitative, qualitative design, meta-analysis: retrospective chart review, surveys, etc.

Where does this fall Evidence pyramid Melnyk?

Variables/measurement included briefly; reliability of measurement data is included

4

Statistical test used for quantitative; qualitative may use pain score, survey, depression rating scale etc.

Results/findings are clear and statistical significance is included (for example p value)

5

Findings should have an associated statistical value if quantitative, if qualitative may have results of response to treatment 26 had pain relieved vs 13 did not….

Implications of research for nursing practice and how they apply to or support your research topic

Should include limitations

3

Did this article support your PICO? Did it lead you to search in a different direction? Does it demonstrate that there is not enough research to support a practice change

Correct APA format, free of spelling and grammatical errors

2

Follow APA for listing authors Page 286 7th ed.

Includes Data Search Table completed with search terms and screen shot of one search from table

5

Total

30

Health Promotion: Prevention of Disease

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case study 

wk7691B

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1

Week 7: Change Project Final Paper

Your final paper will encompass all assignments you have completed thus far. At this

point, you will have submitted each section individually and a comprehensive rough

draft. You have received extensive feedback. An attempt to incorporate all previous

assignment feedback should be evident. 


The paper should be between 20 and 30 pages in length, not including the cover page,

references, and any appendices. It must follow the current APA manual style and

format. Each section of the paper should be clearly identified using proper headings.

The final paper should be professionally written in a manner suitable for publication.

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based

Change Project Paper Rubic (Final))

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper

Rubic (Final))

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome
Introduction and
Background

15 to >12.3 pts

Meets Expectations

The change project topic is introduced. All

background information is included. Project

importance within the field or significance for

the designated facility is described.

15 pts

2

This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format

15 to >12.3 pts

Meets Expectations

Presents a thorough and insightful analysis of the

chosen topic/problem. Describes the problem

thoroughly, including the target population

description and history/background information

at the assigned clinic or hospital. The significance

and applicability to nursing is included and well

presented. Includes an appropriate topic

identification related to an advanced practice

nursing issue or practice problem of concern.

Population is fully defined and present in the

research question. Includes specific

interventions, identifies comparisons, and

presents appropriate outcomes in a timely

manner for the question. Overall, the question is

well-built using the PICOT format.

15 pts

This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review

18 to >14.76 pts

Meets Expectations

The minimum requirement of peer-reviewed

articles, books, or limited non-research literature

(tool kits or standardized procedures) are

present. Literature is supported by scientific

evidence that is credible and timely. Subtopics

are used to support the main topic. In-text

citations are present and correctly formatted.

Presents a thorough and insightful analysis of

significant findings related to the change project

topic. Ideas are synthesized and professionally

sound and creative. Insightful and

comprehensive conclusions and solutions are

present.

18 pts

3

This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes

18 to >14.76 pts

Meets Expectations

The project, aims, values, and desired outcomes

are well-developed. They are clear and thorough.

Aims include examples of projected features and

functions. Values include implementation

benefits for specific stakeholders. Desired

outcomes state the purpose, have a quality

focus, and describe the benefits that will occur

as a result of implementation.

18 pts

This criterion is linked to a
Learning Outcome
Theoretical Framework

18 to >14.76 pts

Meets Expectations

Identifies independent theories or conceptual

models that relate to the change project topic

and describes how they will be applied to the

change project. Thoroughly discusses how each

element of the phenomenon applies to the

framework. Clearly applies each element of the

theory to the elements of the phenomenon

under study. Develops the rationale for the

sample selection criteria, and expertly discusses,

analyzes, and critiques pertinent research that

uses the framework.

18 pts

4

This criterion is linked to a
Learning Outcome
Intervention

18 to >14.76 pts

Meets Expectations

Provides keen insight into obstacles and

proposes sound, creative solutions or

interventions based on the literature review

findings. Expertly compares other views on the

problem and solutions with detail. Uses

examples to thoroughly address the FNP role in

the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its

significance to the nursing profession and filling

gaps in knowledge. Accurately categorizes and

thoroughly explains specific methods of data

collection to be used. Explains in detail how data

will be analyzed and used. Provides a sound

justification for subject selection and sampling

procedure. Accurately and thoroughly describes

potential limitations to data collection and

control.

18 pts

This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion

18 to >14.76 pts

Meets Expectations

Provides an insightful and thorough summary of

the project, main points, and details the

significance of the project to the advanced

practice nursing profession. Provides detailed

and creative recommendations for future

research and implications for clinical practice.

Discusses limitations of the study in detail.

Suggests specific directions for future research.

Insightfully considers changes in theoretical

construct and provides reasonable and creative

suggestions for public policy and/or changes in

educational practice. Expertly ties the theoretical

framework to the overall product.

18 pts

5

This criterion is linked to a
Learning Outcome
Mechanics and APA

30 to >24.6 pts

Meets Expectations

Writing is clear, concise, formal, and organized.

Information is well organized and clearly

communicated. The assignment is free of spelling

and grammatical errors. All the requirements

related to format, length, source citations, and

layout are followed. A complete reference page is

included and formatted using correct APA format. If

applicable, appendices and tables are complete and

appropriate.

30 pts

Total Points: 150

  • Week 7: Change Project Final Paper

EVIDENCE BASE IN DESIGN

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Maria Hernandez

Main Post:

H.R. 977- Patient Access to Higher Quality Health Care Act of 2023.

 

Description: When a patient has health insurance, depending on which premium, they are made to use providers or hospitals that are “in-network” to avoid higher costs of services. This can often be an issue for patients because some providers are not in network with their health insurance, specifically Medicare recipients. The Patient Access to Higher Quality Health Care Act would “repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals” (Congress.gov, 2023).

Background: According to the American Hospital Association, “For decades, the Ethics in Patient Referrals Act (“Stark Law”) has protected the Medicare program from the inherent conflict of interest created when physicians self-refer their patients to facilities and services in which they have a financial stake” (AHA, n.d.). At one point, physicians were allowed to make referrals to hospitals with ownership within the entire facility; this gap was closed in 2010 when the Affordable Care Act was passed.  

Social Determinant: One social determinant is access to health care and quality care. Patients, regardless of their socioeconomic status, should receive high-quality care. The American Hospital Association states, “The Government Accountability Office (GAO), the Centers for Medicare & Medicaid Services and MedPAC all found that physician-owned hospitals’ patients tend to be healthier than patients with the same diagnoses at general hospitals” (AHA, n.d.). This would lead those with serious illnesses to rely on general hospitals for healthcare services.

Evidence: The growth of Physician-owned hospitals was prohibited in 2010 after the passing of the Affordable Care Act. According to Ehrenfeld, “a systematic review of 30 years of research demonstrating that physician-owned specialty hospitals or so-called “focused factories” offer higher-quality care at comparable or lower cost, while physician-owned community hospitals are no worse than their counterparts” (Ehrenfeld, 2023). If H.R. 977 is passed into law, it would allow physicians of physician-owned hospitals to extend their services to the community by opening new hospitals that would provide high-quality, efficient care and be affordable to patients. This would place competition against general hospitals at risk of losing market share, leading them to reform their services to stay in competition. This would benefit patients in being able to seek assistance in a variety of hospital or hospital-owned facilities. 

 

References:

American Hospital Association. (n.d.). Fact sheet: Physician self-referral to physician-owned hospitals. https://www.aha.org/fact-sheets/2023-02-27-fact-sheet-physician-self-referral-physician-owned-hospitals

Congress.gov. (n.d.). H.R.977 – 118th Congress (2023-2024): Patient Access to Higher Quality Health Care Act of 2023. https://www.congress.gov/bill/118th-congress/house-bill/977?q=%7B%22search%22%3A%5B%22HR+977%22%5D%7D&s=1&r=1

Ehrenfeld, J. M. (2023, August 10). End restrictions on physician-owned hospitals to expand Quality Care. American Medical Association. https://www.ama-assn.org/about/leadership/end-restrictions-physician-owned-hospitals-expand-quality-care

home wok Amy 3yres old patient

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Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.

 Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge.  

Attention………Remember that your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Different-Speak: Gender and Culture-2

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To discuss your communication plan, you want to hold the most productive meeting possible. You know that, in general, women look for equality among other team members when speaking. Men tend to interrupt and speak more frequently during meetings, taking up more time and space. There are many communication differences between men and women. Because your staff includes 6 men and 6 women, gender communication differences are important. With your colleagues, discuss ways to ensure that everyone at the meeting has the opportunity to fully communicate their ideas. Discuss the following:

  • 1 nonverbal difference between males and females
  • 1 verbal difference between males and females.
  • How and why you can use this knowledge to communicate to the female and male audiences in the organization that you selected

The materials found in the MUSE may help you with this assignment such as the presentation Gender Speak. 

MSN5300 WEEK 4

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 Identify 5 research articles and write a brief summary of the ethical approaches used in the research studies

Please include 400 words in your initial post and two scholarly references . Please refer to the discussion rubric. Also check for plagiarism and artificial intelligence(AI) .The work must be in your own words.Attached you can find the rubric to do the assigment

Case study preschool child

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Read the following case study and answer the reflective questions. Please provide evidence-based rationales  citation and references for your answers. APA, 7th ed. must be followed.

Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished. Reflective 

Questions

1. What additional assessment information would you collect? 

2. What questions would you ask, and how would you further explore this issue with the mother? 

3. In what ways does the distance of the extended family influence this family’s approach to health promotion? 

4. What factors would you consider to determine whether malnourishment is a factor in this family?

Different-Speak: Gender and Culture

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There are subtle—but distinct—differences between communicating with an individual and a group. Communication among group members can be seen as a microcosm of communication within the entire organization. Using the company that you selected in Week 1, complete the following analysis to show the differences between writing and communicating a message:

  • Select 2 communication channels to present 1 message to (a) an individual employee within the organization and (b) a group within the organization.
  • Describe a new product being released by your company by writing messages of 400–500 words to (a) the individual, and (b) the group.
    • For the individual employee message, consider how the new product affects the individual’s job or role within the organization. How would you customize the message?
    • What considerations are important in the message for a larger group? Are there specific differences? Answer these questions in the analysis.
    • Lastly, explain what communication channels are most effective when dealing with individual employees, a group, and the larger organization. Consider cross-communication platforms, too. How do they complement each other?

Provide 1–2 sources other than your textbook to support your answer. Use APA style for citations.

Bipolar

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2

· Review this week’s Learning Resources, including the Medication Resources indicated for this week.

· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring bipolar therapy.

THE ASSIGNMENT: 5 PAGES

For this assignment, you will write a 5–6-page paper on the topic of bipolar and bipolar and related disorders. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.

In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:

· Prevalence and Neurobiology of your chosen disorder

· Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria

· Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category:  legal considerations, ethical considerations, cultural considerations, social determinants of health

· Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder

· Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings.  What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring

· Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy.