WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

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WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

PRESIDENTIAL AGENDAS

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Vanessa Musaga

Population health topics that rise to the presidential agenda level often highlight critical public health concerns. One such issue is mental health, a topic influenced significantly by social determinants (Smith, 2023). For the purpose of this discussion, we will focus on mental health and examine how two recent U.S. presidents, Barack Obama and Donald Trump, handled this issue.

Social Determinant Affecting Mental Health: One of the most influential social determinants impacting mental health is socioeconomic status. Poverty, income inequality, and lack of access to education and job opportunities can lead to increased stress, limited access to mental health services, and higher prevalence of mental health disorders.

Barack Obama's Approach: During his presidency, Barack Obama took several steps to address mental health issues. The Affordable Care Act (ACA), often referred to as Obamacare, expanded access to mental health services by mandating that insurance plans cover mental health treatment on par with physical health. This significantly reduced the financial barriers to mental health care, making it more accessible to a broader population. Additionally, Obama's administration increased funding for mental health research and initiatives, reducing the stigma associated with mental health problems and promoting mental health awareness (Johnson & Brown, 2016).

Donald Trump's Approach: Donald Trump's approach to mental health was less comprehensive than Obama's. His administration did not make significant strides in expanding mental health coverage or addressing socioeconomic factors influencing mental health. Although there were efforts to combat the opioid crisis, which has a strong connection to mental health, overall mental health policies were not a primary focus of his presidency (Smith & White, 2019).

What I Would Do Differently: To address the issue of mental health differently, I would propose a more holistic approach. This would involve:

1.
Addressing Social Determinants: Implement policies aimed at reducing income inequality, increasing access to quality education, and creating job opportunities. By improving socioeconomic conditions, we can reduce the stressors that contribute to mental health issues.

2.
Expanding Access to Mental Health Services: Continue the efforts initiated by the ACA to ensure that mental health services are easily accessible and affordable for all. This includes improving reimbursement rates for mental health providers to encourage more professionals to enter this field.

3.
Mental Health Education: Implement mental health education programs in schools and workplaces to reduce stigma and increase awareness. Encourage open conversations about mental health to foster a supportive environment.

4.
Investing in Research: Allocate resources to mental health research to better understand the causes of mental health disorders and develop more effective treatments and interventions (Brown & Johnson, 2022).

In conclusion, addressing mental health issues on the presidential agenda should involve a multi-pronged approach that considers social determinants, access to care, education, and awareness. This approach aims to create a healthier population with improved mental well-being.

References:

Brown, A. B., & Johnson, C. D. (2022). Advancing mental health policies in the United States. American Journal of Public Health, 112(3), 315-322.

Johnson, C. D., & Brown, A. B. (2016). The impact of the Affordable Care Act on mental health care access. Health Affairs, 35(6), 1029-1035.

Smith, J. K. (2023). Social determinants of mental health. Journal of Public Health, 45(2), 215-222.

Smith, J. K., & White, L. M. (2019). Mental health policy in the Trump era: Challenges and opportunities. Health Policy and Planning, 34(8), 598-605.

Human Nutrition

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Reading and understanding food labels can often feel like having to understand an entirely new language. However, it is important that consumers are able to read and interpret the nutrient content in the foods they consume.

For this assignment, you will need to compare the nutrition labels (provided) for two types of crackers, and then answer a series of questions. Use the Food Label Worksheet below.

File: 

Food Label Worksheet 

Role of the outcomes in evaluating Practice Change

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Please see the attachment for the  instructions

dimension

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For this writing assignment, complete the Information Technology Self-Assessment Tool.

When completed review and determine at least three new goals you would like to achieve. Submit your completed form with a brief description of your experience and comfort level with the use of technology not only in your Program but as a practicing nurse.

Describe your experience and comfort level with the use of technology.

Short Answer Pharm

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Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.

1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse ( use an SSRI Sertraline and an alcohol cessation medication naltrexone). 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. 

References x 3 to include:

Morgenthaler, T. I., Kapur, V. K., Brown, T. M., Swick, T. J., Alessi, C., Aurora, R. N., Boehlecke, B., Chesson, A. L., Friedman, L., Maganti, R., Owens, J., Pancer, J., & Zak, R. (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. 


SLEEPLinks to an external site.


, 30(12), 1705–1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf

Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline. 


Journal of Clinical Sleep MedicineLinks to an external site.


, 13(2), 307–349. https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.6470

Chronic mental illness

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Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.

Please include 400 words with two scholarly articles no later than 5 years old. 

No Plagiarism

wk5

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Week 5: The Theoretical/Conceptual Framework

The theoretical framework is a critical element of your work. A theoretical framework is

the general representation of relationships in your problem and is based on existing

theory. The conceptual framework is your idea on how the problem should be

explored, and it is generally based on a theory. The difference between the two is the

scope. Theory is broad; concept is narrow.

In most research studies, your framework can be either theoretical or conceptual in

nature. For the purposes of this project, you will most likely follow a conceptual

framework, which is your idea on how the research problem will be explored (although

you could have both).

For example:

• Theoretical framework: Stimulus is applied to elicit a response

• Conceptual framework: A new teaching method is applied to elicit improvement

in midterm test scores.

In this section of your change project paper, state the perspective through which the

problem and/or phenomenon may be explored, and include the following:

1. Select a minimum of two theories.

2. Identify the process and logic in selecting these theoretical frameworks or

conceptual frameworks for your study.

3. Discuss how each theory or model applies to the individual project.

4. Present the framework guiding your study.

•

• Describe the assumptions of the framework.

• Describe each key component of the framework.

5. Discuss how each element of the phenomenon applies to the framework.

•

• Apply each element of the theory to the elements of the phenomenon under

study.

• Develop the rationale for the sample selection criteria.

6. Discuss, analyze, and critique pertinent research that uses the framework.

Remember that research never proves theory. Your research project can only support

or refute the theoretical propositions you are using as your framework. But if you do not

use theory or conceptual frameworks in your research, you may not be able to put your

findings in a context that could strengthen the nursing education profession!

This section should be 3–4 pages in length, not including the cover or reference page.
You must reference a minimum of 3 scholarly articles.

Use current APA format to style your paper and to cite your sources. Review the rubric for more information on

how the assignment will be graded.

NURS_691A_DE – NURS 691-A Rubric Week 5: Theoretical Framework

NURS_691A_DE – NURS 691-A Rubric Week 5: Theoretical Framework

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome Content 60 to >49.2 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.

60 pts

This criterion is linked to a
Learning Outcome Organization

7.5 to >6.15 pts
Meets Expectations

Content is well written throughout. Information is

well organized and clearly communicated.

7.5 pts

This criterion is linked to a
Learning Outcome APA
Format/Mechanics

7.5 to >6.15 pts
Meets Expectations

Follows all the requirements related to format,

length, source citations, and layout. Assignment is

free of spelling and grammatical errors.

7.5 pts

Total Points: 75

  • Week 5: The Theoretical/Conceptual Framework

Capstone final draft

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Please see the attachment for the instructions

Decision Tree- Assessing and treating patients with anxiety disorder

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Case Study:

https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_05/index.html

Examine
 Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References:

· Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 8,  “Anxiety, Trauma, and Treatment” (pp. 359-378)

· American Psychiatric Association. (2010a). 

Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder
Links to an external site.
. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/acutestressdisorderptsd.pdf

· American Psychiatric Association. (2010c). 

Practice guideline for the treatment of patients with panic disorder
Links to an external site.
 (2nd ed.). https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/panicdisorder.pdf