In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.  I x page only no title page and include 2 to 3 References.

  1. List two dissemination strategies you would be most inclined to use and explain why. 

2.Explain which dissemination strategies you would be least inclined to use and explain why. 

3. Identify at least two barriers you might encounter when using the dissemination strategies, you are most inclined to use. Be specific and provide examples. 

4.Explain how you might overcome the barriers you identified. 

• 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

Please see the attachment for instructions

PAY ATTENTION:  You should  have a specific setting for the population (USE EDERLY PATIENTS) and your intervention should last 8 weeks. Why is there ‘inadequate heart failure management” for patients.

What does the “heart failure management entail? 

Limit the outcomes for your PICOT.

PICOT QUESTION IS ATTACHED

1. Title Page

2. Introduction to your proposed problem: 

– Significance of the Practice Problem: Discuss the identified Practice Problem.

-Introduce the topic of the paper. 

-Describe the health problem. Don’t type “Introduction.”

-Using data and statistics, support your claim that your selected issue is a problem.

– Include your purpose statement and what specifically you will address in your proposed program. 

-Be sure your proposed outcome is realistic and measurable.

3. PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).

The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe

4. Describe the vulnerable population 

-Discuss the impact of social determinants on health for your selected population.

-What are the risk factors that make this a vulnerable population? 

-Use evidence to support the risk factors you have identified. 

5. Research should be from scholarly journals of evidence-based interventions that address the problem.

-Peer-reviewed research articles not older than five years (all articles must be used in your paper)

6. Proposal 

-Propose addressing the selected health problem using an evidence-based intervention in your literature search to address the problem in the selected population/setting. 

-Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role.

-Be sure to include a timeline for the intervention proposed. 

7. Theoretical Framework/Nursing Theory- This section should include the theoretical framework which supports your project. Describe a theory or model to serve as the foundation for your project.

– Overall, you should be able to introduce the problem and why this is significant to the healthcare system. For example: What impact does it have on the patient, community, cost of care, quality of life, readmissions and so forth

-Use appropriate APA 7th Ed. format along with Syllabus outline

-Scholarly, peer-reviewed, and research articles cited should be within the last five years. 

-This section should be 3 pages long (not including the title and reference page).

 -Use proper in-text citations with a properly formatted reference list. 

 -All papers must be written in the 3rd person.

NO MORE THAN 10% PLAGIARISM

USE 3-4 REFERENCES NO OLDER THAN 5 YEARS

THIS COUNT 25 % OF CLASS GO STEP BY STEP CAREFULLY

DUE DATE SEPTEMBER 7, 2023

2

Generalized Anxiety Disorder
Middle-Aged White Male With Anxiety

 

BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

RESOURCES

§ Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

Decision Point One

Select what you should do:

Begin Paxil 10 mg po daily

Begin Imipramine 25 mg po BID

Begin Buspirone 10 mg po BID

Healthcare resources are scarce, and policy makers and health planners make choices between alternative uses of resources. Economic evaluation is important when allocating scarce resources. Cost–benefit analysis, cost effectiveness analysis, and cost utility analysis are decision-making tools that help policy makers and planners examine healthcare costs and the consequences of alternative health programs, services, and interventions.Prepare at least a 5-page overview of cost effectiveness analysis and cost–benefit analysis as decision making tools in the allocation of health resources.