week 4 discussions

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Week 4 Discussion Forum

      

Complete your week 4 required discussion prompt.

 Links to an external site.  Consider where your research proposal most closely fits within or  aligns to the listed statements. Choose one or two and explain in detail  why you feel it aligns with the NLN’s vision.

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

pico

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  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.  
  •  Article #1 Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002

Article #2 Porter, B., Oyanadel, C., Sáez-Delgado, F., Andaur, A., & Peñate, W. (2022). Systematic Review of Mindfulness-Based Interventions in Child-Adolescent Population: A Developmental Perspective. European Journal of Investigation in Health, Psychology and Education, 12(8), 1220–1243. https://doi.org/10.3390/ejihpe12080085

Article #3 Cohen, Z. P., Cosgrove, K. T., Akeman, E., Coffey, S., Teague, K., Hays-Grudo, J., Paulus, M. P., Aupperle, R. L., & Kirlic, N. (2021). The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study. BMC Complementary Medicine and Therapies, 21(1). https://doi.org/10.1186/s12906-021-03295-1

Article #4 Peter, A., Srivastava, R., Agarwal, A., & Singh, A. P. (2022). The Effect of Mindfulness-based Cognitive Therapy on Anxiety and Resilience of the School Going Early Adolescents with Anxiety. Journal of Indian Association for Child and Adolescent Mental Health, 18(2), 176–185. https://doi.org/10.1177/09731342221127959

 PICOT  question- The clinical issue of interest is the management of anxiety symptoms in adolescents aged 13-18 years. Adolescents often prevalent anxiety concern due to unique stressors and challenges. Addressing anxiety symptoms during this developmental stage can essential to promote healthy psychological development and improve short- and long-term quality of life.

  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

Part 4: Recommending an Evidence-Based Practice Change

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

ARTICLE

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Check the file

pp

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Find and review ten (10) scholarly, peer-reviewed research articles, meta-analyses, or CPGs in support of the practice change intervention. Complete the appropriate section in the worksheet for each article.

1. State the PICOT question.

2. For each article, supply the information for each of the seven headings for the appropriate article type.

3. Find and review ten (10) scholarly, peer-reviewed research articles, meta-analyses, or CPGs in support of the practice change intervention. Complete the appropriate section in the worksheet for each article.

4. State the PICOT question.

5. For each article, supply the information for each of the seven headings for the appropriate article type.

Use complete sentences to document findings.

Select the correct table for each of the ten articles and complete the information that aligns with the type of research article selected. You may do any combination of articles.

Copy and paste the tables as needed to classify your ten articles correctly.

PICOT Statement

QUANTITATIVE STUDIES

Full reference for article (APA 7th Ed.Format)

DOI of article/

article link

Problem-related to PICOT

Methods

Sample and Participants

Major Findings/Conclusions

Relevance to Practice Issue or Proposed Intervention

QUALITATIVE STUDIES

Full reference for article (APA 7th Ed.Format)

DOI of article/

article link

Purpose and Type of Research

Sample

Data Collection Method

Study Findings

Key Findings/Themes

Relevance to Practice Issue or Proposed Intervention

Clinical Practice Guideline

Full reference for article (APA 7th Ed.Format)

DOI of article/

article link

Purpose and Type of Research

Systematic Review of Literature

Stakeholders and Peer Review

Study Findings related to PICOT

Strength of Recommendations

Relevance to Practice Issue or Proposed Intervention

META-ANALYSIS STUDIES

Full reference for article (APA 7th Ed.Format)

DOI of article/

article link

Purpose of Research Article

Search Selection Method

Meta-Analysis Model

Consistency/Variation of Studies

Summary of Findings

Assessment 3 Project Implementation Plan and Logic Model

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ORAL HEALTH SERVICE EXPANSION (OHSE)
SAMPLE IMPLEMENTATION PLAN

Outline the activities required to provide new and/or expanded oral health services, including hiring/contracting at least 1.0 FTE new, onsite
licensed dental provider within 120 days of the Notice of Award. The Implementation Plan WILL count against the page limit. Applicants may
choose the focus areas and goals stated below or provide different focus areas and goals based on actions steps necessary for implementation of
the proposed OH project.

Goal
On separate rows, identify the goals for
each focus area. Goals should describe

measureable results.

Key Action Steps
Identify the action steps that

must occur to accomplish each
goal.

Person/Area Responsible
Identify who will be

responsible and
accountable for carrying

out each action step.

Time Frame
Identify the expected

time frames for carrying
out each action step.

Comments
As desired, provide

supplementary
information.

Focus Area: Create Operational Oral Health Site within 120 Days

Goal A1: Convert unutilized storage
space into two dental operatories. 1. Gut storage space 1. Contractor (TBD) 1. 30 days of award

2. Install plumbing and
electrical outlets 2. Contractor (TBD) 2. 60 days of award

3. Finish room (drywall,
cabinets) 3. Contractor (TBD) 3. 90 days of award

Goal A2: Order dental equipment. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Focus Area: Onboard Dental Providers within 120 Days
Goal B1: Create dental provider
recruitment plan. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Goal B2: 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

  • ORAL HEALTH SERVICE EXPANSION (OHSE)
  • SAMPLE IMPLEMENTATION PLAN

reply

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Thank you for your post! I want to clarify the interval and ratio level of measurements.

Feedback and Question: In statistics, measurements having starting points are classified as ratio levels of measurement.

Do you know if blood pressure readings are measured starting from zero and cannot go below zero, with zero being the baseline? I recommend watching this YouTube video to learn about the types of data and levels of measurement. I'd love to hear your thoughts after watching it. Thank you.

https://www.youtube.com/watch?v=LPHYPXBK_ks

Abortion

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  1. Explain the difference between spontaneous and procured abortion. As well as their Ethical impact of each one.
  2. Why can the contraceptive pill, the IUD and the “morning after” pill also be considered abortifacients?
  3. Abortion methods, depending on the stage of pregnancy. Explain each one.
  4. Describe the Roe Vs. Wade case and provide a summary of Norma McCorvey’s life.
  5. Describe some better alternatives to abortion.
  6. Read and summarize ERD paragraphs # 45, 46, 47, 48, 49, 50, 51, 66.

 

  • e clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA style.

deductive

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Module 03 Content

1.

Top of Form

You are a Training Specialist hired by Universal Medical Supplies, Inc. This organization has been experiencing low productivity and errors in communication in the workplace. As part of an ongoing professional development series, the Vice President of the Human Resources department has tasked you with creating Critical Thinking training materials. The materials will be presented in many forms and by various means to help improve productivity and communication in the organization.

For a short training presentation during a regional meeting, you have been asked to create a 3- to 5-minute video presentation illustrating the differences between deductive and inductive argument.

Instructions

Use PowerPoint and a video recording program such as Screencast-O-Matic to create a training video that is 3-5 minutes in length and includes the following elements:

· Bullet points with brief text that outlines deductive reasoning.

· Bullet points with brief text that outlines inductive reasoning.

· Clip art or images to accompany your text. You may use characters, cartoons, drawing tools, or other technologies to be creative.

· Narration related to the bullet points to explain:

· The principles underlying both deductive and inductive reasoning.

· Clear examples of both deductive and inductive reasoning in a workplace setting.

· References to your sources at the end of the video.

Your PowerPoint

Slide 1) Title slide 

Slides 2-3) Deductive reasoning. You’ll want to provide an example or two. Talk about the value of deduction and why it’s useful. 

Slides 4-5) Inductive reasoning. Again, provide an example or two. Discuss the value of induction and how it is used. 

Slide 6) References. Yes, they count.

Bottom of Form

FOCUSED CASE STUDY 2

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 Marie, A 58-year-old woman with a complicated history which includes chronic low back pain, bipolar disorder, mixed anxiety, and depressive disorder presents to her PCP, a PA, complaining of constipation for several months