Explain how multidisciplinary collaboration can affect clinical decision making.

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No plagiarism will be checked with turnitin.

APA style, font 12, double spaced with headers.

Will need Title page, content 3 full double spaced  pages in length, plus Reference page. Total of 5 pages. Remember that discussion of each topic requires citations that are current

(less than 5 years old 2014-2018) and relevant.

This assignment is a formal paper. This includes: APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list.

The paper must demonstrate independent ideas and conclusions.  At a minimum, the following topics must be well articulated in the paper.

Please refer to the grading rubric for how your paper will be graded.

Please use headings while answering the questions below.  

  • 1. Explain how multidisciplinary collaboration can affect clinical decision making.
  • 2. Discuss how collaboration can lead to improved patients
  • 3 Discuss how lack of collaboration can lead to poor patient outcomes.
  • 4. Identify three barriers to professional collaboration among healthcare professionals
  • 5. What are the five best ways to promote professional collaboration in pediatric primary care?
  • 6. How can the nurse practitioner encourage and support collaboration among the patient, family, caregivers, and healthcare professionals?

 

How would you evaluate the outcomes?

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Evaluation of Outcomes

As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.

To prepare:

  • The course text, Translation of Evidence into      Nursing and Health Care Practice, provides a list of questions that should      be considered when planning for evaluation. See page 239 for this list of      questions.
  • Review the Learning Resources focusing on the      various evaluation frameworks presented. Select a framework and determine      how you would evaluate the outcomes you identified in the Week 9      Discussion (see week 9 discussion in the file area).
  • Based on the possible results of your      evaluation, envision new practice guidelines you would develop.
  • What new standards of care might this lead to?

By tomorrow Wednesday 10/30/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS (see attached files) below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion [see week 9 discussion in the file area]).

2) How would you evaluate the outcomes? Support your response with evidence from the literature.

3) What new practice guidelines would you create based on your evaluation of those outcomes?

4) Discuss any new standards of care that would be appropriate based on the new practice guidelines.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      17, “Data Management and Evaluation of Translation” (see attached file)

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Examine how participative leadership functions in today’s modern health care organization and compare it to other types of leadership styles

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Approved Topics:

  1. Examine how participative leadership functions in today’s modern health care organization and compare it to other types of leadership styles. Evaluate how each type of leadership style may impact organizational culture, employee performance, and how it may help or hinder the legitimacy of authority.

After identifying your topic, choose a health care organization in your area. This organization may be small or large and may provide single inpatient health service or multiple outpatient services; it is your choice. Consider your topic in light of the leadership of this organization and research the challenges and successes it has faced in managing operational effectiveness.  You are welcome to use as many research methods as possible to obtain information for your organization and its managers (e.g., web-based resources, electronic articles, or personal interviews). The more informed you are, the better prepared you will be to complete your project.

Finally, develop a management training program that includes relevant guidelines and information to combat the issues identified in the selected topic, as well as recommendations for managers to more effectively lead health care organizations. Your training program should be in the form of a 20 to 25 slide PowerPoint presentation (excluding title and reference slides) that includes comprehensive speaker’s notes (i.e., at least 150 words) for each slide. Utilize at least three to five scholarly sources from the Ashford University Library and two to three current, scholarly web sources (total of five to eight references required). All sources must be cited according to APA style.Your presentation must be engaging and relevant to your audience. Lines of text on a slide will not be sufficient for this project. It should contain at least five images, graphics, and/or multimedia that communicate your training clearly to your audience. For tips on creating an excellent presentation, read this overview

The Senior Project:

  1. Must be 20 to 25 PowerPoint slides (excluding title and reference slides) in length. There are 20 content criteria worth a total of 10 points.
  2. Must include a title slide that contains the following:
    1. Title of project
    2. Your name
    3. Course name and number
    4. Instructor’s name
    5. Date submitted
  3. Must include an introduction with a succinct thesis statement.
  4. Must address the topic of the project with critical thought in the areas of:
    1. Organization details
    2. Challenges and opportunities
    3. Training program outcomes
    4. Impact on at least three stakeholder groups involved delineated by cost, quality, and access to service
    5. Suggested actions
  5. Must include a conclusion that reaffirms your thesis.
  6. Must use at least five supporting graphics (images, graphics, and/ or multimedia) are included and relevant communicating the training content (two points).
  7. Must include speaker’s notes that have evidence of critical thinking and application (content analysis, synthesis, evaluation) related to the research methodology used to develop (six points):
    1. Project content
    2. Practical and relevant solutions to the organizational challenges/opportunities
    3. Appropriate evaluation of individual stakeholder groups involved
  8. Must use at least three to five scholarly sources from the Ashford University Library and two to three current, scholarly web sources.
  9. Must document all sources in APA style, as outlined in the Ashford Writing Center.
  10. Must include a separate reference slide, formatted according to APA style as outlined in the Ashford Writing Center.

Describe evaluation strategies.

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Application 4: Planning for Change, Implementing and Evaluating EBP Projects

Evaluating EBP Projects

Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week’s Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.

As you complete Application 4, revisit the evidence-based practice model or framework you selected for your EBP Project (Application 2 [see attached file]). How does the model or framework facilitate the evaluation of outcomes? Would another model or framework better meet the needs of your project?

To prepare for this week’s section of Application 4:

  • Continue      (from this week’s Discussion[ use the discussion you are currently working on for me]) to:
    • Identify       an appropriate method for evaluating your outcomes.
    • Develop       new practice guidelines based on the possible results of the evaluation.
    • Create,       if appropriate, new standards of care that would be based on the new practice guidelines.

This paper should be written in APA format with a minimum of 8 scholarly references. All level 1 & 2 headers must be as in the grading rubric (see attached file). The paper must also include an introduction ending with a purpose statement and a conclusion as per APA guidelines. Do not go over the required maximum of 8-page. The Paper must be cited often and throughout.

The full Application 4 is due by Wednesday 10/31/18 before midgnight of this week. Instructions for how to prepare for previous sections of this Application have been provided in Weeks 8 and 9 (see attached files on WK8 & WK9 discussions you previously did for me).

To complete: (See attached Grading Rubric)

Write a 4- to 8-page paper that addresses the following:

1) Planning for EBP Change (see attached file on WK8 Discussion)

a) Analyze the impact of implementing change in your practice environment, including the factors that need to be considered regarding stakeholders and end users.

b) Summarize the methods you would use to ensure that those are adequately addressed.

2) Implementing EBP Projects (see attached file on WK9 Discussion)

a) Identify the desired outcomes of your EBP Project.

b) Describe any macro or micro systems issues that may inhibit implementation and strategies for resolving those issues.

c) Explain how resolving your EBP Project issue will improve quality and patient safety.

3) Evaluating EBP Projects (See this week Discussion you are currently working on)

a) Describe evaluation strategies.

b) Formulate new practice guidelines based on the possible results of the evaluation of outcomes.

c) Describe, if appropriate, new standards of care relevant to the new practice guidelines

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      4, “Translation of Evidence to Improve Clinical Outcomes”
  • Chapter      5, “Translation of Evidence for Improving Safety and Quality”
  • Chapter      7, “Translation of Evidence for Health Policy”
  • Chapter      17, “Data Management and Evaluation of Translation”
  • Chapter      14, “Creating a Culture That Promotes Translation”
  • Chapter      15, “Best Practices in Translation: Challenges and Barriers in      Translation”

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Identify 2 arguments in favor and  2 opposed to using the genetic engineering concepts/methods depicted in the movie Gattaca

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Identify 2 arguments in favor and

2 opposed to using the genetic

engineering concepts/methods depicted

in the movie Gattaca. Summarize your

personal position and base your position

on one of the ethical theories we have

discussed in class.

Discuss the spectrum of acute coronary syndrome

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A 58-year-old man comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. He comes to the ED today because the pain is severe and no longer relieved by rest. His father died of a heart attack at age 62; he smokes one pack of cigarettes per day; and,he describes his lifestyle as sedentary.

  • Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20
  • Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2
  • Skin diaphoretic and clammy
  • Heart rhythm regular, no murmurs or extra heart sounds
  • Cardiac markers and Electrocardiogram (EKG)—pending

1. Discuss the spectrum of acute coronary syndrome. 2.What would you anticipate this patient’s cardiac markers and electrocardiogram could potentially reveal?

3.Describe the healing process that occurs in the infarcted myocardium, identifying vulnerable periods during the healing process.

4 pages and 6 references , 0 % plagarism

Identify three local organizations in your community that deliver healthcare services to vulnerable populations

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Topic 1: Vulnerable Populations

As you discovered in this week’s lectures and textbook readings, numerous vulnerable populations exist in the community. Identify three local organizations in your community that deliver healthcare services to vulnerable populations. Based on your research findings, answer the following:

  • Which population does each organization serve?
  • What services does it provide?
  • Where does it get its funding (local, state, or federal sources)?
  • Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.

-Explain at least two ways in which nurse’s use critical thinking.

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Discussion board about  The Nursing Process.Provide references in APA format and include in text  citations for quoted or paraphrased content in the post.

It’s important to point out that the  nursing process is flexible and not rigid. It is a tool to use in  nursing care, but one that should allow for creativity and thinking  outside of the box.

1-identify and describe the steps  of the nursing process.

2-discuss the importance of the nursing process as it relate to patient care.

3-Explain at least two ways in which nurse’s use critical thinking.

Please use attachment for in text  citations and references.

  • attachment

    Nursingprocess.pdf

Discuss four health risk factors

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For this assignment, you will compose a scholarly paper focused on health promotion for a population of your choosing. Your paper should be 6 to 7 pages in length and formatted in APA style.

Be sure to address the following:

  • Identify the population you choose and analyze relevant information (demographics, socioeconomics, environmental hazards, and access to healthcare) pertaining to your chosen population.
  • Analyze and discuss the mortality and morbidity risk factors for your selected population. Discuss four health risk factors.
  • Suggest a health promotion activity for each health issue identified from your analysis.
  • Use course lectures, textbook readings, and three scholarly journal articles to support your findings and recommendations in relation to your chosen population.