EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

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To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) 
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

please provide at least 3 references! APA format

Research Article

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Week 6 Critical Appraisals of One (1) key study (2 to 3-pages) excluding first page and references and Appendices.

Article to write on

 ” Relevance of Depression among adolescents in the American society”

 Learning Objectives: 2, 5, 6To ensure students utilize quality studies and research, the implementation of a Rapid Critical Appraisal (RCA) can assist in evaluating key research information to determine its strength and reliability.Objectives: The purpose of this assignment is for students to select an RCA that best applies to current research, a study, or other evidence, to validate its content. Utilize one of the RCAs made available in Week 6, or an RCA of their own choosing. Readings – Beginning in Week 5, please read:

  1. Melnyk &      Fineout-Overholt (2014) Chapters 4-6
  2. Optional:      Explore other sites and tools for other RCAs

Preparation

  1. Choose a Rapid      Critical Appraisal from Melnyk & Fineout-Overholt. Alternatively, you      can choose an RCA from another source but you must share that source.
  2. Evaluate a      chosen article using the selected RCA.
  3. Prepare your      paper (2-3 pages).  For submission, title your file:  “Last      Name_RCA”
    1. Construct your       2-3 page paper based on rubric criteria.
    2. Attach your       RCA as an Appendix (APA format)
    3. Don’t forget       your APA format and references!

TEACHING TOPICS

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Teaching project oncardiovascular health and hyperlipidemia. The definition, what it mean, signs and symptoms, risk factors, how to prevent it, how to treat.

Discussion Post-

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Describe the role of each component of the ECG in the heart’s contraction: the P wave, the PR interval, the QRS complex, the ST segment, the T wave, and the QT interval. What is the difference between artifact and dysrhythmia? How can you reduce artifacts? What are some situations that can occur if artifact is not reduced or eliminated?

You are working in the Telemetry Unit. The nurse “watching” the monitors is reading a magazine. She constantly turns off an alarm that looks a lot like Ventricular Fibrillation. She tells you that it is not a dysrhythmia, it is just artifact. What do you think about her actions? What is the worst case scenario in this situation? What would you do?

Must be a minimum of 250 words.

nursing

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Assessment Description

Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.


PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).


Research Critiques

In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper.

 Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change
.


General Requirements

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

INSTRUCTORS REQUIREMENTS

As you start the final paper for this course, I wanted to point out a couple of items.

1. Review the rubric found in the syllabus and be sure to follow the requirements.

2. Review my comments in previous submission and make the revisions. I attached your paper in the gradebook feedback with extensive feedback. One of the grading criteria for the final paper is evidence of revisions based upon previous feedback.

3. The paper is to be 
1,500-1,750 words. Points will be deducted for exceeding the word count.

4. All references to articles in the be done by using the author's name. The title of the article is not to be in the text of the paper.

5. All references are to be in APA format. 
Retrieved from is not to be included.

6. Please message me with questions

7.
No late submissions will be accepted after the end of the class which Sunday, October 1, 1159PM.

Dr. Cook

week 6 587

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With the consolidation of hospitals, clinics, and healthcare providers across the United States, leadership is delivered in many forms.  The importance of understanding and mastering online leadership (often referred to as virtual or E-leadership) is imperative.

How would you establish relationships with your team on-ground and from a distance? How would you create presence in a virtual team? Provide examples.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: 150 – 250 Words

Peer Responses:

Conc of Pathophys week 6

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Week 6 Discussion: Neurological Alterations  (USLOs 1, 2, 3, 4)

You are caring for a 68-year-old Akio Kim in the emergency department for rule-out Cerebrovascular Accident (CVA). Mr. Kim's daughter reported that he woke up that morning with left-sided weakness and slurred speech.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of Cerebrovascular Accident (CVA), respond to the following prompts:

1. Thoroughly explain the pathophysiology of Cerebrovascular Accident (CVA). Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the emergency department.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

aging

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Diet/Nutrition

Robin Majeski, PhD, RN, Clinical Associate Professor, The Erickson School

Learning Objectives

Describe the Mediterranean diet

Evaluate the benefits of the Mediterranean diet, especially for older adults.

Required Reading/YouTube

Mayo Clinic (2018). Mediterranean diet: A heart healthy eating plan,
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/mediterranean-diet/art-20047801

YouTube, Mediterranean Diet by Dr. Oz,
https://www.youtube.com/watch?v=4oU0VWVV45w

Audio-embedded PPT for Module 6.

Video for Module 6

Mediterranean Diet: What Is It?*

*http://livetrainperform.com/tag/arvada/

4

Mediterranean Diet: What Is It?*

Eat mostly plant-based foods: fruits, veggies, whole grains, nuts, legumes. At least 5 servings of veggies daily.
Use healthy fats (eg. monounsaturated fat: olive oil, canola oil)
Use herbs and spices instead of salt
Eat fish (e.g salmon, trout, tuna, mackeral) and poultry at least twice weekly
Get plenty of physical activity and stay hydrated.

*https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/mediterranean-diet/art-20047801

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*Image, https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/mediterranean-diet/art-20047801

6

Mediterranean Diet: Benefits*

Reduces risk of heart disease, stroke and chronic disease

Associated with a lower level of “bad” (LDL) cholesterol

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please follow all directions

behavior project

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Purpose: The purpose of this assignment is to identify common patterns
of social behaviors within a specific social event or a social setting. Your
writing will illustrate your ability to interpret social interactions using
the content from units 1-4.

Activity: Conduct a participant observation procedure by observing a
group/social event. The event could be a trip to a theme park, enjoying a
play at a theater, or a dinner with family at a restaurant. It could also be
attending a religious gathering, hanging out with friends at a coffee
shop, attending a sports event like a baseball or a basketball game,
celebrating a cultural holiday, or attending a meeting at your workplace.
This is NOT a reflection of a past event. the observation of behaviors
must be conducted within 2 weeks of the deadline.

First, write a few sentences about the activity itself including what the
event was, how long it was, and why you chose it. Next, summarize your
observations and describe any behaviors that stand out. Discuss your
thoughts on the common social interaction patterns between the people.
Your writing should illustrate how the observation activity facilitated
your understanding of human behaviors. You should use 2-3 relevant
concepts from at least two different chapters from Units 1-4. The paper
should 2-3 completed pages, excluding the title and the references pages.

Use APA format throughout the paper including for the Title page, and
references and in-text citations

This criterion is linked to a Learning
OutcomeAPA guidelines

10 pts
No Descrip.on
Showcases effec:ve wri:ng and
correct grammar; Adheres to APA
forma>ng and stylis:c guidelines.
8 pts
No Descrip.on
Few/minor issues present with
wri:ng, grammar, and APA
forma>ng. 6 pts
No Descrip.on
Mul:ple issues present with
wri:ng, grammar, and APA
forma>ng. 4 pts
No Descrip.on
Significant issues present with
wri:ng, grammar, and APA
forma>ng. 0 pts
No Descrip.on
APA format is missing.

10 pts

This criterion is linked to a Learning
OutcomePaper length

10 pts
No Descrip.on
Has 2-3 completed pages of content
and contains all necessary
components. 5 pts
No Descrip.on
Has less than 2 completed pages of
content and all necessary
components. 0 pts
No Descrip.on
Has only a page of content.

10 pts

Total Points: 100