informatics

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As you learned from the chapter, reading, and video lectures, the cost of health care is a major concern in the US. As we discussed, value-based models promise to bend the cost curve in the right direction. The article you read by Erickson et al (2020) is mostly from the point of view of physicians so it is always a good idea to think critically about articles like this. Do you think that the authors present solid arguments in favor of what they propose? Do you think their point of view is similar to what you read and think about ways to decrease costs while increasing quality? Do you think that their point of view considers other health care-related professions?

Research Critique on Impact of Nursing diversity

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write a critique of a research article. (example will be provided) 

research article will be provided in pdf format. 

  research topic is “The Impact of Nursing Diversity in Patient Care on the Medical-Surgical Floor”

Please review previous work done and follow the rubric carefully and write each answer in different paragraphs with titles; 

Rubric;

1.      Is the research study relevant to the study of nursing, (be specific   and include examples from the article)? 

2.  Is the method/design appropriate in terms of the research question/hypothesis? What was the research question/hypothesis? Was it clearly stated? Refer back to Polit & Beck (2021) (The Method Section). Key elements are discussed, and identification of items should be included. Provide a description of each of these key elements.  

3.   What is the theoretical context? See chapter 7 in Polit & Beck. The terms theoretical and conceptual frameworks are used interchangeably. Theories are used to describe, predict, explain, and to control phenomena.   (Theoria is a Greek Word that means beholding or speculation). 

“Theoretical frameworks provide the organization for the study. It guides the researcher in the interpretations of the results. the importance of the theory is dependent on the degree of research based evidence and level of its theory development. There are four levels of theory development 1) factor isolating (describe phenomena) 2) Factor relating (explain phenomena), 3) Situation relating (predict 

the relationships between/among phenomena), 4) Situation producing (control phenomena and relationships

**If your article does not have a theoretical framework what do you suggest based on Polit & Beck Chapter 7?  

4.  Describe the results of the study (identify if they are believable or not)  

5.  Are the results significant? In what way-explain use examples?  

6.   Are the results transferable? How? Transferability refers to the readers of the research to make connections but invites readers of research to make connections between elements of a study and their own experience. Transferability does not involve broad claims. How does this research apply to YOUR specific practice as a Registered Nurse?  

According to Brown (2005), Transferability can be enhanced by providing what is often referred to as thick description (i.e., giving enough detail so the readers can decide for themselves if the results

are transferable to their own contexts).   

7.  Implications for nursing practice, be specific how would this study impact nursing practice (use specific examples from the article)?  

8.  Implications for future research, be specific and use examples from the article.  

9.  The paper shall reflect a scholarly effort; proper grammar, coherence, spelling, and accurately use APA format. Have someone proof read your paper. Read your paper out loud to yourself.  

Also check all the attachments. 

Module 10 Case study- mREEN

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

FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION,

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Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Nursing

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Experiential Nursing Learning Planning Proposal
Assignment

 20 points 


Overview and Instructions:
 Demonstrating the student’s ability to effectively collaborate with nursing leaders and community health nurses for the upcoming public/community health clinical experience, while using leadership skills as a means to prepare for the upcoming NURS 450 experiential nursing learning experiences, the student will submit an experiential learning planning proposal paper by 6-25-23.

During this course (410), you will plan your experiences that will take place during the NURS 450 course. Prior to due date, you will be responsible for contacting a BSN (or higher) preceptor for 24 hours in a public/community health clinical site for your upcoming NURS 450 course. The clinical site must offer community/population-based services, with the primary preceptor being a BSN (or higher) prepared nurse working in a clinical setting providing community or population-based care, while using nurse leadership skills. You will also arrange for 11 additional volunteer hours in a different public/community health setting. Within this module, you will find a list of potential experiential learning (clinical) sites that have been used by previous nursing students. This is not an all-inclusive list but does give the student an idea of previously used sites. Your precepted and/or volunteer experiential nursing learning (clinical) site does not need to be included in this list, as other public/community health sites can be arranged as well.

Experiential Nursing Learning Planning Proposal Grading Rubric

Criterion

Excellent

Satisfactory

Unsatisfactory

Determine the experiential nursing learning (clinical) precepted site

(5 pts.)

a. Description of the clinical site is clear and relevant, including location and demographics of location (include either community/county/city demographic data such as age, race, ethnicity, gender, income, education, etc.) and population served (2.5 pts.)

b. Describes appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (2.5 points)

a. Minimally describes the clinical site (1.25 pts)

b. Minimally describes the appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (1.25 pts.)

a. Description of the clinical site is unclear and/or irrelevant (0.625 – 0 pts.)

b. Does not describe the appropriateness of the clinical site to a community/population health focus as well as application to nursing practice (0.625 – 0 pts.)

*May receive (0) if description of clinical site and/or appropriateness is missing

Describe the role of the BSN preceptor

(5 pts.)

a. Describes the role of the proposed BSN preceptor as a community/ population-based BSN prepared nurse and nurse leader (2.5 pts.)

b. Describes the value of the nursing student having an experience with a BSN prepared nurse preceptor in general, and specifically with the proposed preceptor, integrating nursing standards of practice and how this relates to their role in adhering to the Standards of Practice while completing the nursing process during this public/community health clinical experience.

c. (2.5 pts.)

a. Minimally describes the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (1.25 pts.)

b. Minimally describes the value of the nursing student having an experience with a BSN preceptor, does not integrate public health nursing standards of practice (1.25 pts.)

a. Does not describe the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (0.625 – 0 pts.)

b. Does not describe the value of the nursing student having an experience with a BSN preceptor (0.625 – 0 pts.)

*May receive (0) if description of the role of the BSN prepared preceptor and/or public health nursing standards of practice are missing

Explain the community service and volunteer public/community health setting

(2.5 points)

a. Explains the appropriateness of the community service/volunteer setting to a community/population health focus (2.5 points)

a. Minimally explains the appropriateness of the community service/volunteer setting to a community/population health focus (1.25 pts)

a. Does not explain the appropriateness of the community service/volunteer setting (0.625 – 0 pts.)

Included
at least one professional/research nursing journal article to support rationale (2.5 pts.)

a. Includes at least one professional research
nursing journal article (hint- use CINAHL) (2.5 pts.)

a. Includes article that lacked professional credibility (1.25 pts.)

a. Fails to include professional journal article (0.625 – 0 pts.)

Experiential Learning (clinical)agency/contact information for preceptor (2.5 pts.)

a. Includes agency/contact information for BSN preceptor, including preceptor name, clinical site name, phone contact, address, and email contact (2.5 pts.)

a. Includes partial agency/contact information for BSN preceptor (1.25pts.)

a. Does not provide any agency/contact information for BSN preceptor (0.625 – 0 pts.)

Writing Mechanics and APA formatting (2.5 pts.)

*Must include American Nurses Association (2013).
Public health nursing: Scope and standards of practice (2nd ed.) reference

a. Demonstrates information literacy and proper writing mechanics through formatting, citing, and documenting a reference list for resources while displaying a proficient understanding of how to appropriately organize his/her work using headings per 7th ed. APA formatting. Must include

· Title Page

· Body of paper

· Reference list

(2.5 pts)(No page length requirements. Suggested page length of paper for the body of the paper is one to two pages in length.)

a. Demonstrates information literacy through formatting, citing, and documenting relevant material but does not organize work using headings per 7th ed. APA formatting. Includes partial paper requirements. (1.25 pts.)

a. Incorrect use of information literacy in formatting, citation, and documentation. Multiple errors in APA formatting. (0.625 – 0 pts.)

Total Points

20 points

D8

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please follow all directions

sc0t 3

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Strengths, Challenges, Opportunities and Threats (SCOT) is a simple yet comprehensive way of assessing the positive and negative forces within and outside your organization so you can be better prepared to act effectively. It reminds the project leader to build on strengths, minimize challenges, seize opportunities, and counteract threats.

Assignment Prompt

Each student will perform a SCOT (formerly SWOT) analysis in their practice that identifies strengths, challenges, opportunities and threats to assist in making strategic plans and decisions in the implementation of the EBP.

Submit a 1-2 slide PowerPoint presentation of a SCOT analysis as it relates to your project.

Expectations

  • easily found US sources and ( use nurse retention for critical care) 
  • Length: 1-2 slides
  • Format: Power Point with diagram
  • Research: At least one peer reviewed reference within the last 5 years

informed consent elements

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Discuss the elements of informed consent. Provide a clinical example about what can happen when some elements are not adhered to.

Week 2 Lab Report

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BIOS242, Week 2-OL

Name:

Lab 2: Bacterial Isolation

Learning Objectives

· Explain the importance of bacterial growth for the investigation of pathological microorganisms

· Use aseptic techniques

· Explain the concept of a single colony

· Perform plate-streaking techniques

· Use selective media for isolation purposes

Techniques in Lab

· Colony screening

· Sterile technique

· Plate streaking

Introduction: Bacterial Isolation Virtual Simulation Lab
In the Bacterial Isolation simulation, you will investigate the cause of a contamination of poultry meat by a dangerous bacteria strain that is resistant to common antibiotics. After taking samples from the chicken farm, you will work in the virtual laboratory to isolate single colonies of the deadly bacteria among a variety of different species. To do so, you will learn how to work under sterile conditions, and you will be able to practice and perfect your plate streaking technique.

Identifying ampicillin resistant bacteria
The premise of the Bacterial Isolation lab is a report of ampicillin resistant bacteria in poultry meat. You will visit the place of origination, a chicken farm, in hopes of identifying the bacteria strain. The first task is to take a sample, which will contain a variety of bacterial strains, and from that, you must identify which strains are resistant to ampicillin by isolating single colonies.

Aseptic technique
In the Bacterial Isolation lab, you will learn how to use aseptic techniques—for example, remembering to turn on the Bunsen burner and sterile their loop in between streaks.

Plate streaking technique
In order to identify the specific bacteria strain, you will have to perform bacterial isolation using the plate streaking technique. There is an unlimited supply of agar plates, giving you the opportunity to practice this technique as many times as you like. Results are given immediately, as opposed to waiting a full 24 hours for incubation, as when performed in real life as opposed to in a virtual simulation. You will also streak a special Salmonella Shigella agar. The Salmonella Shigella agar contains a certain medium that only promotes growth of Gram-negative strains. Each of the different strains will exhibit a certain phenotype when grown on the Salmonella Shigella agar. By using this information you can identify the specific strain that is resistant to ampicillin. The sample will then be sent for further analysis to fully confirm the identity.

Will you be able to complete the task with your knowledge on bacterial isolation and successfully isolate the dangerous bacterial strain?

Questions:

1. Purpose: Please describe in complete sentences and in your own words, the purpose of this experiment.

2. Why is proper aseptic technique important in microbiology?

3. What is the importance of flaming the inoculating loop or needle before
and after each inoculation?

4. If you do not wait 10 – 20 seconds after flame sterilizing the inoculating instruments before obtaining the sample, what might be the consequences?

5. Why is it important to flame neck of the tubes immediately after uncapping and before recapping the tubes?

6. Reflection: Write 5 sentences on what you learned from this simulation, what did you like and what was something that you would not prefer to be in the simulation.

Grading Rubric:

Activity

Deliverable

Points

Document Submission

Complete lab report and answer questions

· Purpose (2 point)

· Questions (8 points)

· Reflection (5 points)

15

Total

Complete all lab

15

4

c

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Criteria

Possible Points

Points Earned

Comments

Title Page:
no running header used,

Title accurately reflects purpose of research, follows APA format, includes your name, course name and number and Dr. Shantelle Smith in the instructor spot

2


Introduction: Identifies
nature & scope of the problem &
significance of conducting the integrated research review
to generate knowledge for nursing practice.

10


Background: Provides
background information,
explains & defines problem, explains
significance &
importance of problem,
defines terms if necessary.

10


Research Problem Statement: Indicates the
gap in knowledge needed for nursing practice &
provides a basis for the study purpose.

10


Research Purpose: Clear concise statement of the specific aim or goal of the study, one sentence.

5


Research Question: Clear, concise interrogative statement, written in present tense, using PICOT format with a nursing focus

5


Research Utilization Model:
Explains the JHNEBP model and how it fits with and can be used for your proposed EBP change.

8


Search Criteria and Results: Includes Data Research Table correctly cited in APA and search terms and results. Includes Literature Review Tables correctly attached and labeled as an Appendix and referenced in this section. General description of types of articles and level of evidence based on the Melnyk rating pyramid.

5


References: Formatted and cited correctly, obtained from Mav Library, includes DOI# or website if no DOI available

10

APA Format

free of spelling and grammatical errors

10

Total Points Earned____________ (out of 75)

This is the first assignment to introduce your PICO(T), scope and nature of the problem, background information of the problem, details regarding your research review, and the Johns Hopkins EBP approach you have taken for your research. This is a “building assignment” as part 1, then next week, part 2 will add to the Final Research Paper Assignment. You do not need to worry about self-plagiarism when continuing to part 2 and so on. If you have taken this course prior to this semester, you may not use any of your previous work from that time.

Assignment Part 1 – 75 possible points. See Assignment Part 1 Rubric and Example paper.

Instructions: Follow APA 7th ed. format and follow Assignment Part 1 Rubric (refer to example paper part 1, which also includes some part 2 components, so please pay attention to the rubric)

1. Use APA 7th ed. Manual or recommend APA template sites listed in content section to set up paper (Chapter 2, APA manual 7th ed.)

2. Write in 12pt font Times New Roman

3. This is formal writing assignment: DO NOT write in first person this means do not use: I statements. Instead, say “the writer or the author” or avoid those altogether by just referring to the components of the paper without the use of these.

4. Include a Title page (Do not use Assignment 1… as your title) The title should not be your entire PICOT but should allow the reader to understand what your Research is about *see example papers in the course You do not need to use a running head for your paper but include page # appropriately placed per APA (refer to Chapter 2 and Section 2.3, 2.4. Figure 2.2).

Example title: Comparison of Pressure Reduction Boots Versus Repositioning to Reduce Pressure Ulcers in the Elderly

5. Write about your topic in paragraph format using headings and subheadings. Use the rubric headings for the headings in each section of your assignment except “Introduction” the heading for the introduction. In 7th ed. APA this is the restatement of your paper title (see APA 7th ed. Section 2.7). I should see bold headings for the following: Background, Research Problem Statement, Research Purpose, Research Question, Research Utilization Model, Search Criteria and Results, and References

6. Here are the categories for your paper as listed on the rubric:

a. Introduction: Identifies nature & scope of the problem & significance of conducting the integrated research review to generate knowledge for nursing practice. I like to write this after I’ve completed the rest of the paper. It’s a synthesis of what you’ve written and what the reader will learn from the paper.

b. Background: Provides background information, explains & defines problem, explains significance & importance of problem, defines terms if necessary. This is the history of the PICOT. What happened prior to 2018 in relation to your PICOT? This is where you can cite “old and non-current” evidence. Go back as far as you need to. You should have literature support in this section.

c. Research Problem Statement: Indicates the gap in knowledge needed for nursing practice & provides a basis for the study purpose. This is the current state of the problem. Why did you choose this PICOT? Don’t use personal or work experiences unless you can support them in the literature. An example would be that there is a need for your PICOT based on the literature that states further research is needed in this area. Back up with literature support in this section.

d. Research Purpose: Clear concise statement of the specific aim or goal of the study, one sentence. This is only one sentence. What do you hope to accomplish in your research of your PICOT question? Typically, we don’t have one sentence paragraphs/section, but it is approved in this instance.

e. Research Question: Clear, concise interrogative statement, written in present tense, using PICOT format with a nursing focus. All you need to do is include your finalized PICOT question. Again, this is a one sentence section, but it is all I’m requiring.

f. Research Utilization Model: Explains the JHNEBP model and application to your PICOT for your proposed EBP change. Include your week 3 assignment in paragraph format. Make sure it flows with your paper. (This section is from your week 3 assignment. Please utilize feedback from me or if you achieved 100%, only revise to flow with the rest of your paper. Make sure to add the references to your Research Review Part 1 reference page.

g. Search Criteria and Results: You should have a paragraph that describes your data search including a general description of types of articles and levels of evidence based on Melnyk’s pyramid, insert the week 4 completed data search table in APA format (how you insert a table into a paper, APA 7th edition manual has instructions in Chapter 7, table 7.1), and you will also reference your week 4 literature review table in this section. The literature review table should be correctly inserted at the end of the paper, per APA formatting, labeled as an Appendix and referenced in this “search criteria and results” section in the paper as a way to guide the reader to look at the appendix. So, the data search table is inserted directly into the Search Criteria and Results section, but the Literature Review Table is inserted as an Appendix at the end of the paper. I will be grading and returning feedback by Tuesday end of day so you have ample time to revise if necessary.

h. References: formatted and cited correctly, all with the exception of 1-2 should be obtained from Mav Library or other reliable source (no .coms, blogs, etc. should be used), includes DOI# or website if no DOI available. To format an APA reference page, please see APA 7th edition manual, chapters 9-10.