SHORT ANSWER

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Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
  2. List 4 predictors of late onset generalized anxiety disorder.
  3. List 4 potential neurobiology causes of psychotic major depression.
  4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
  5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific. 

Triage

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Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered?

  • 10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp
  • 22-year-old female with a close fracture of the left arm
  • 60-year-old male with a laceration in the leg complaining of shortness of breath
  • 15-year-old girl with glass embedded in the eyes
  • 52-year-old male with a pulse of 30 and a blood pressure of 70/30

nursing

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1-Write a case conceptualization (2-5 paragraphs) from a CBT perspective that includes a hypothesis. Do NOT include any multicultural factors.

2- Write another case conceptualization (2-5 paragraphs) from a multicultural perspective that includes a hypothesis. Focus on all multicultural and contextual factors associated with this case.

Both case conceptualizations (Word document, single-spaced, 12pt font,

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

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DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. 

To Prepare:

· Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

· This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

LEARNING RESOURCES

Required Readings

· Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)

· Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427)

· Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)

· Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. &  Stillwell, S.B. (2011). 
Evidence-based practice step-by-step:  Implementing an evidence-based practice changeLinks to an external site.. 
American Journal of Nursing, 111(3), 54-60.

· Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). 
Organizational change strategies for evidence-based practiceLinks to an external site. 
Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f

· Melnyk, B. M. (2012). 
Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.Links to an external site. 
Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

· Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). 
Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model.Links to an external site. 
American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

· Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). 
A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomesLinks to an external site.. 
Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

No plagiarism, 7th ed APA style

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EVIDENCE BASE IN DESIGN

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

·  Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

o  Chapter 5, “Public Policy Design” (pp. 87–95 only)

o  Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)

o  Chapter 9, “Interprofessional Practice” (pp. 152–160 only)

o  Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

·  American Nurses Association (ANA). (n.d.). AdvocacyLinks to an external site.. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

·  Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementationLinks to an external site.. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

·  Congress.govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

·  Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementationLinks to an external site.. Academy of Management Review, 21(4), 1055–1080.

·  Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

·  Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.. Public Management Review, 16(4), 527–547.

To Prepare:

·  Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.

·  Review the health policy you identified and reflect on the background and development of this health policy.

·  Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

Theoretical and Scientific Foundations of Nursing

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DISCUSSION

CLARIFYING CONNECTIONS: PRACTICE PROBLEM, EVIDENCE, CHANGING PRACTICE

help

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Critique a Aanp organization

Write a 2 page critique of this meeting using APA format for any cited resources and create a document that describes: 

  1. The Organization
  2. Mission, goals, and focus
  3. Membership

Program critique

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Please follow all directions 

Psychopharmacology

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1.Define psychopharmacology and pharmacodynamics and describe the neuron’s cellular structure. Include the definition of synapses as well as their significance to the nervous and psychological system. 

2.Research an article on neuron’s cellular structure works and explain what you found interesting about this topic.

Discussion should be 500 words minimum. Reply to classmates 250 words. References in APA not older than 5 years.

Post your original response by the end of Day 3. Then, by the end of Day 6, comment on at least two of your classmates’ posts.

If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.

Please Note

Assigment .Apa seven . All instructions attached.

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Writing Essay Assignment Week 1

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Weekly Essay/Writing Assignment Content

1.

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This week's writing assignment will consist of the following: Select a particular area of nursing that is of interest to you and write a 
short essay of at least 2 to 3 pages about the specifics of nursing research in relation to this area, what can be accomplished by it, and why you believe it to be valuable. Include an explanation of the following questions in your response. 

• What role does nursing research play in the development of applied medicine?

• What are the best methods for conducting such research? Include specific topics you will cover and how this relates to your literature review. You may need to use the Internet for help.

Please review the Assignment Rubric. All students are encouraged to visit the library as you must conduct research from EBP practice journals and research studies. 

 CRITERIA

 OUTSTANDING

 VERY GOOD

 GOOD

 UNACCEPTABLE

 Integration of Knowledge

 

 

25% of the total grade

 
100%

The paper demonstrates that the author understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas.

Page requirements are met.

 
80%

The paper demonstrates that the author, mostly, understands and has applied concepts learned in the course. Some conclusions, however, are not supported in the body of the paper.

The page requirement is one page below the required amount.

 
60%

The paper demonstrates that the author, to a certain extent, understands and has applied concepts learned in the course.

The page requirement is two pages below the required amount.

 
40%

The paper does not demonstrate that the author has understood, and applied concepts learned in the course.

The page requirement is more than two pages below the required amount.

  
Topic Focus

 

25% of the total Grade

 
100%

The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.

 

 
80%

The topic is focused but lacks direction. The paper is about a specific topic, but the writer has not established a position. The topic is somewhat well thought out, offers limited insight into the topic, but does not include cited evidence to support the topic.

 
60%

The topic is too broad for the scope of this assignment.

 
40%

The topic is unclear or unrelated to the discussion topic with little or no supporting evidence.

  
Depth of Discussion and Cohesiveness

25% of the total grade

 
100%

In-depth discussion and elaboration in all sections of the paper.

Ties together information from all sources. Paper flows from one issue to the next with no headings. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources Mostly, it ties together information from all sources.

 80%

In-depth discussion and elaboration in most sections of the paper.

Mostly, it ties together information from all sources. Paper flows with only some disjointedness. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources.

 60
%

The writer has omitted content. Quotations from others outweigh the writer’s own ideas excessively.

Sometimes ties together information from all sources. The paper does not flow. Disjointedness is apparent. The author’s writing does not demonstrate an understanding of the relationship between material obtained from all sources.

 
40%

Cursory discussion in all the sections of the paper or brief discussion in only a few sections

  It does not tie together information. Paper does not flow and appears to be created from disparate issues. Headings are necessary to link concepts. Writing does not demonstrate an understanding any relationship

  

  
Spelling and Grammar

12% of the total grade

 
100%

Fewer than 5 grammatical, spelling, capitalization, or punctuation errors

The required word count has been met.

 
80%

More than 5 but fewer than 10 grammatical, spelling, capitalization & punctuation errors

The required word count is 25 words below the minimum required count.

 
60%

More than 10 grammatical, spelling, capitalization & punctuation errors

The required word count is 50 words below the minimum required count.

 
40%

An unacceptable number of spelling and/or grammar mistakes.

The required word count is more than 50 words below the minimum required count.

  
Sources

7% of the total grade

 
100%

4 current sources, of which at least 3 are peer-reviewed journal articles or scholarly books. Sources include both general background sources and specialized sources. Special-interest sources and popular literature and acknowledged as such if they are cited. All websites utilized are authoritative.

 
80%

3 current sources, of which at least 2 are peer-review journal articles or scholarly books. All websites utilized are authoritative.

 
60%

Fewer than 3 current sources or fewer than 2 of 3 are peer-reviewed journal articles or scholarly books. All websites utilized are credible.

 
40%

Fewer than 3 current sources or fewer than 2 of 3 are peer-reviewed journal articles or scholarly books. Not all websites utilized are credible, and/or sources are not current.

  
Citations

6% of the total grade

 

 
100%

Fewer than 5 incomplete citations and/or quotations, and APA format errors

 
80%

More than 5 but fewer than 10 incomplete citations and/or quotations, and APA format errors.

 
60%

More than 10 incomplete citations and/or quotations, or APA format errors.

 
40%

The citation style is inconsistent or incorrect. It does not cite sources.

  

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