Theoretical and Scientific Foundations of Nursing

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EXPLORING EBP QUALITY IMPROVEMENT

WEEK 6 MSN 5550

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

2.Attached you can find the case study

3.Please check for plagiarism and artificial intelligence(AI)

Healthcare statistics dp3

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 There are many users, sources, and purposes for health care statistics. One of the significant sources of health care statistics is the Healthcare Cost and Utilization Project (HCUP, pronounced “H-Cup”). As the HCA, you mention this to your new CEO, but he says he is not familiar with it and asks you to put together a short description of it on how you and your colleagues make use of the data and information provided.

You will prepare a 400w description of HCUP for the CEO. Include the following in your description:

  • 1–2-sentence introduction to HCUP, including the agency that administers the project and its purpose
  • What types of data and reports are provided and who uses this resource.
  • An example of a report available to anyone on the site
    • Go to the Reports tab on the Home page. Click on the tab, and then select “HCUP Statistical Briefs – Chronological List.” 
    • From the list, choose a recent brief (the most recent are listed first in the list). 
    • Open and review the brief, and describe what it contains and the types of health care statistics and graphical presentations included in it (e.g., line graphs or pie charts).
  • Finish by including your thoughts about this Web resource and what you find valuable about it. 

Consumer Health

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Due October 18, 2023 @6PM

My stomach has been hurting for the past two days.

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Subjective:

CC: “My stomach has been hurting for the past two days.”

HPI: LZ, 65 y/o AA male, presents to the emergency department with a two days history of intermittent epigastric abdominal pain that radiates into his back. He went to the local Urgent Care where was given PPI’s with no relief. At this time, the patient reports that the pain has been increasing in severity over the past few hours; he vomited after lunch, which led his to go to the ED at this time. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain. 

Nursing

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Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

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 Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it. 

case

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Competency

Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.

Scenario

You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.

Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:

· (+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years

· (+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use

· Abusive partner with first pregnancy, states she has a new partner x 4 years

· Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write a three-page analysis of this scenario that answers the following questions:

1. What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?

2. Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.

3. What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?

4. What concerns should be discussed with Ms. Jones before she leaves her appointment?

Each answer to your question should include the following:

· A correct answer with thorough development of the topic

· Gives clinical examples

· Include evidence from scholarly sources

· Appropriate use of medical terminology

Format

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format

Assigment .Apa seven . All instructions attached.

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Learning Activity Content

1.

Top of Form

During this week's learning activity we will begin to develop your PICCO question.

Choose a topic that you would like to research in nursing. You may use a topic previously used in the assignments for this week. 
Develop a literature review abstract list (1 for each source) of 3 or more sources that support this topic. This means you will cite your article and write 1-2 paragraphs on how this research study/article supports your PICO question.

The PICO Question is Due this week and is a required assignment. Submit it with your Literature Review [with this assignment].

Here is a very useful link on how to write a literature review and complete a literature review.


How to write a Literature Review


How to write a PICO Question

Please review the rubric prior to submission.

  Criteria

  Excellent 100%

  Satisfactory 75%

  Unsatisfactory 50%

  Poor 25%

  Learning activity questions 

 

50 % 

  The learning activity questions are answered comprehensively. The word count if applicable has been met, and it is accurate, non-evaluative, coherent, readable, and concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author's conclusions are clear and concise are explained.

  The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, and it is accurate, has some non-cohesive thoughts, readable, and is concise. All the following elements are included: a. The problem or issue you are presented and clearly explained, and b. the author's conclusions are clear and concise are explained.

  The learning activity questions are not answered comprehensively. The word count is 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author's conclusions are not clear and concise are explained.

  The learning activity questions are not answered comprehensively. The word count is more than 50 words short of meeting the required count, but it is not clear and accurate, has some non-cohesive thoughts, and struggles to be coherent, readable, and concise. All the following elements are included: a. The problem or issue you is not presented and clearly explained, and b. the author's conclusions are not clear and concise are explained.

  Grammar, Spelling, APA 

25%

  Minimal spelling, APA, and/or grammar mistakes.

  Some spelling, APA, and or grammar mistakes.

  Noticeable spelling, APA, and/or grammar mistakes.

  An unacceptable number of spelling and/or grammar mistakes.

  Reference Page 25%

All sources 3 are current within 5 years and are cited following APA format.

At least 1 source is NOT current (within 5 years) but ALL are cited following APA format.

More than 2 sources are NOT current (within 5 years) and some are cited NOT following APA format.

All sources are NOT current (within 5 years) and some are cited NOT following APA format.