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

Health Promotion: Prevention of Disease

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MSN 5550 Health Promotion: Prevention of Disease
Case Study Module 10

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

Deadline: Due by Saturday at 23:59 p.m.

CASE STUDY: Preschool Child: Ricky

Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father,
who both work full-time, and his infant sister. Their extended family lives in a different state
more than 100 miles away. Both parents are of average height and in good health. Ricky’s
mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict
over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him.
Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed.
Ricky’s mother is quite frustrated and concerned that he will become malnourished.

Reflective Questions

1. What additional assessment information would you collect?

2. What questions would you ask, and how would you further explore this issue with the
mother?

3. In what ways does the distance of the extended family influence this family’s approach

to health promotion?

4. What factors would you consider to determine whether malnourishment is a factor in
this family?

see below

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see below

EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

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EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

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

· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

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 2, “Asking Compelling Clinical Questions” (pp. 37–60)

· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)

· Davies, K. S. (2011). 
Formulating the evidence based practice question: A review of the frameworksLinks to an external site. for LIS professionals. 
Evidence Based Library and Information Practice, 6(2), 75–80.

· Library of Congress. (n.d.). 

Search/browse help – Boolean operators and nestingLinks to an external site.

. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

· Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). 
Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.Links to an external site. 
American Journal of Nursing, 110(3), 58–61.

· Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).
Evidence-based practice: Step by step: Igniting a spirit of inquiryLinks to an external site.
.Links to an external site. 
American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

· Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). 
Evidence-based practice step-by-step: Searching for evidence.Links to an external site. 
American Journal of Nursing, 110(5), 41-47.

· Walden University Library. (n.d.-a).
 

Databases A-Z: NursingLinks to an external site.

. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

· Walden University Library. (n.d.-c).
Evidence-based practice research: CINAHL search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

· Walden University Library. (n.d.-d). 

Evidence-based practice research: Joanna Briggs Institute search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

· Walden University Library. (n.d.-e). 

Evidence-based practice research: MEDLINE search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

· Walden University Library. (n.d.-f). Keyword searching: 
Finding articles on your topic: Boolean termsLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

· Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: 
Introduction to keyword searchingLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

· Walden University Library. (n.d.-h). 

Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?Links to an external site.
 Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

· Walden University Library. (n.d.-i). 

Systematic review.Links to an external site.
 Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654