DISCUSSION REPLIES

Respond to the four colleagues in the attachment file by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination. Please include AT LEAST 2 REFERENCES EACH

SEARCHING DATABASES

SEARCHING DATABASES

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

 
To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

· Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

*Library tip

Walden Library recommends starting your search 
broadly with one concept or search word and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address 
all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles.

·
Nursing Research PageLinks to an external site. – databases and resources specifically for Nursing

· Evidence-Based Practice guide: 
Evidence TypesLinks to an external site.

·
Nursing and Health research videosLinks to an external site., including a 15-minute introduction

·
Get HelpLinks to an external site. page, including 
Ask a LibrarianLinks to an external site. service

Quick Answers:

·
How do I find an article that reports on research that uses a specific methodology?Links to an external site.

·
How do I find original or primary research that analyzes empirical data?Links to an external site.

·
What is the Find at Walden button?Links to an external site.

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

discusion 2

 

Modern psychopharmacology is largely the story of chemical neurotransmission. One must be fluent in the language and principles of chemical neurotransmission to:

  • Understand the actions of drugs on the brain.
  • Grasp the impact of diseases upon the central nervous system.
  • Interpret the behavioral consequences of psychiatric medicines.

After studying Module 2: Lecture Materials & Resources, discuss the following:

  • Choose an FDA-approved medication currently used in psychiatry.
  • Explain the concept of that drug’s half-life.  
  • How long would it take for that drug to reach a steady state?  
  • How frequently should the medication be dosed based on the half-life? 
  • Use Epocrates.com as a reference for this assignment.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

week 7 600 capstone poster

The purpose of this assignment is to create a poster that will present the visual and graphic presentation of the capstone project. Poster presentation should clearly articulate what you did, how you did it, why you did it, and what it contributes to your field and the larger field of human knowledge. This assignment is due in week seven and must be presented by the student.

Create your poster per guidance and approval from your capstone course faculty (template provided above). Follow the poster template as outlined and review the recommended resources in creating your poster.

What goals should you keep in mind to construct a poster?

  • Clarity of content. Decide on a small number of key points that you want your viewers to take away from your presentation, and articulate those ideas clearly and concisely.
  • Visual interest and accessibility. The viewers should notice and take interest in your poster so that they will pause to learn more about your project, and you will need the poster’s design to present your research in a way that is easy for those viewers to make easy sense of it.

From the capstone project, students will create an effective poster with the following information:

Title: ( the influence of nursing leadership on nurse retention ) 

Authors: Your name, faculty advisor’s name

Background/Significance

Purpose or Aims of the Study

Methods/Design

Expected Results/Outcomes

Anticipated Conclusions

Potential Implications to Practice

Acknowledgements

Contact person: include email address

Expectations

  • Length: One page
  • Format: Poster Presentation
  • Research: At least one peer reviewed reference within the last 5 years

Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling

Review the terms Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling from “The Visual Learner: Statistics,” located in the Topic 2 Resources.

For this question you are divided into groups based on your last name. Identify your given sampling method using the first letter of your last name.

  • A-F – Stratified Sampling
  • G-L – Cluster Sampling
  • M-R – Random Sampling
  • S-Z – Systematic Sampling

Use the assigned sampling method to answer the following question:

Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “HLT-362V Discussion Question Rubric” and “HLT-362V Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Neoplasia

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. Add questions to paper

Neoplasia Case Study

You have met a 67 y.o. female patient who presents with c/o dyspnea and a chronic cough for weeks. She is a smoker since she was a teenager. This is a fo9llow-up visit after testing has been completed. Testing completed included:

Pulmonary Function Testing which show a definite blockage in her airflow;

A Chest X-Ray which shows a lesion

Bronchoscopy washings which showed malignant cells.

Histology is a squamous cell carcinoma

Her diagnosis is bronchogenic lung cancer.

1. Why did this patient have a blockage in her airflow?

2. Did her lung cancer metastasize from cancer in another location in her body, or did it arise in her lungs?

3. Why did she develop dyspnea?

4. The lining of the bronchi are normally pseudostratified columnar epithelium, not squamous cell. Why did this patients cancer develop from squamous cells?

This patient is scheduled for surgery, followed by radiation therapy and chemotherapy. Surgery will remove the bulk of the tumor, and the radiotherapy is expected to shrink the remaining tumor cells. The chemotherapy is aimed at mnetastatic liver tumors that were discovered. The patient has stopped smoking.

5. Why did the APN order a liver scan when it was discovered that the patient had bronchogenic carcinoma?

6. Why did the cancer metastasize before she had enough signs and symptoms to see out her physician?

7. Have survival rates for patients with this type of cancer improved or not in recent years with treatment? If so what are the latest survival rates published?

8. What educational information should be shared with this patient?

week5 586

Discussion Prompt

Discuss the essential components of a financial projection for your start-up business for inclusion in your business plan. Speculate on potential financial resources to fund your proposed business start-up.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

use business plan and cost from assignment labeled business logo. 

Nursing Nutrition class assignment

Please see the attached document with the instructions for this assigment

Must be completed as requested

6 pages required exclude cover and reference page

all documentation APA 7th edition formal, check grammar for proper use

no more than 10% plague allowed will be submitted by turnin in

Due date September 28, 2023 no later

Case Soap Note

Please see attachment