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What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system and what are the implications for our nursing practice related to documentation?

From your practice standpoint, what have you read this week in your text or in the lesson that offered a new view or appreciation for standardized terminology? Be specific.

Modify the database by adding an additional column (“Deleted_Date”) to those tables that represent entities that could contain data which can be deleted and justify your rationale in a short paragraph. In addition, explain what the tradeoffs are in using a marker-column for deletion, as opposed to actually deleting a row from a table?

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Based on the feedback received on your Topic 2 assignment Database Schema, provide SQL statements to create the (revised) database and populate it with sample data (at least four rows per table).

2) Modify the database by adding an additional column (“Deleted_Date”) to those tables that represent entities that could contain data which can be deleted and justify your rationale in a short paragraph. In addition, explain what the tradeoffs are in using a marker-column for deletion, as opposed to actually deleting a row from a table?

3) APA format is not required, but solid academic writing is expected.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Modify the database by adding an additional column ("Deleted_Date") to those tables that represent entities that could contain data which can be deleted and justify your rationale in a short paragraph. In addition, explain what the tradeoffs are in using a marker-column for deletion, as opposed to actually deleting a row from a table?

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Based on the feedback received on your Topic 2 assignment Database Schema, provide SQL statements to create the (revised) database and populate it with sample data (at least four rows per table). 2) Modify the database by adding an additional column (“Deleted_Date”) to those tables that represent entities that could contain data which can be deleted and justify your rationale in a short paragraph. In addition, explain what the tradeoffs are in using a marker-column for deletion, as opposed to actually deleting a row from a table? 3) APA format is not required, but solid academic writing is expected. 4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

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Today is week 1 day 2. I need discussion question by Weds. The picot question in this discussion question will be the question for the paper. So I need discussion question complete and the 3 part paper.

Discussion: Nursing Research and Evidence-Based Practice

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

To prepare:

Consider a recent clinical experience in which you were providing care for a patient.
Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
What questions have you thought about in a particular area of care such as a procedure or policy?
Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

By Day 3

Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

Course Project: Part 1—Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare:

Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
Review the section beginning on page 75 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
The 5 questions you have generated and a description of how you analyzed them for feasibility
Your preliminary PICOT question and a description of each PICOT variable relevant to your question
At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

By Day 7

Submit your Project. It will also be a component of your Portfolio Assignment for this course, which is due by Day 7 of Week 10.

Reference:

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144

2^nd part

Course Project: Part 2—Literature Review

This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.
Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.
Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.
Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.

To complete:

Write a 3- to 4-page literature review that includes the following:

A synthesis of what the studies reveal about the current state of knowledge on the question that you developed
- Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
Your literature review summary table with all references formatted in correct APA style

Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.

By Day 7 of Week 5

This part of the Course Project is due. It will also be a component in your Portfolio Assignment in this course, which is due by Day 7 of Week 10.

3^rd part

Course Project: Part 3—Translating Evidence Into Practice

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

To prepare:

Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

Restate your PICOT question and its significance to nursing practice.
Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

By Day 7 of Week 10

This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

Note: In addition, include a 1-page summary of your project.

For this final iteration, you will need to:

Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.

Explain how this database and the data is used for nursing practice and patient care. 3) Evaluate the benefits and challenges of using the database system and the data.

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Although we live in a world completely revolutionized by information, it is important to remember that it is knowledge we are seeking, not information.

—Margaret Wheatley

Every day, nurses and other health care practitioners are challenged with managing large quantities of data and information. Unless this data and information can be translated into knowledge, it will have little meaningful value. Databases and data management techniques, if designed effectively, present health care organizations with the means to quickly and effectively transform data into useful knowledge. The ability to rapidly and accurately transform data into useable knowledge allows health care practitioners to make informed decisions on patient care.

In this Discussion, you consider the types of data stored in a database system. You also examine how this information is used in nursing practice, and reflect on the benefits and challenges of using health care database systems and data.

To prepare:

Select a database system that you encounter at work or with which you are familiar. What data points are captured and used by nurses?
Consider the kind of data collected and the different elements of that data.
Ask yourself: How is information in this database used for nursing practice and patient care? What benefits does the database system provide? What are the challenges of using the system?

Post: A minimum of 550 words with 3 references in APA format

1) A description of the system you selected and the types of data that are stored in the system.

2) Explain how this database and the data is used for nursing practice and patient care.

3) Evaluate the benefits and challenges of using the database system and the data.

Required Resources

Readings

Coronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning.

Chapter 1, “Database Systems” (pp. 4–32)

This chapter defines data and database systems. It also introduces various terminologies and descriptions regarding database functions.

Chapter 9, Sections 9.1–9.3, “Database Design” (pp. 412–431)

This section of Chapter 9 focuses on the importance of thoughtful database design. Regardless of the quality of the data, if it is not easily accessed, it is of little value.

Schraml, T. (2011). Success is an attitude. Database Trends & Applications, 25(3), 28.
Retrieved from the Walden Library databases.

This article highlights the importance of consistency and standardization when developing a database design. It also identifies circumstances where deviations from certain guiding principles may be necessary.

Microsoft. Virtual Academy (2013). Database fundamentals. Retrieved from http://www.microsoftvirtualacademy.com/training-courses/database-fundamentals#?fbid=2MPiQPolSfc

This website contains a series of lessons on database fundamentals. Topics covered include database design, database management, and database security.

Identify a nursing informatics role that is of particular interest to you. Conduct further research to find out how this specific role might contribute to patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records.

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Just as the Internet and other technological innovations have radically changed the world, the constant evolution of informatics continues to transform nursing and health care. The nurse is at the forefront of this transformation, serving as a knowledgeable leader in system development, implementation, and management. As new technologies become integrated into health care settings, the role of the nurse informaticist will continue to become more critical.

For this Discussion, you examine the informatics roles that have evolved to facilitate this transformation. You consider different functional roles and responsibilities that nurse informaticists may fulfill and how they contribute to technological progress throughout the health care field.

Note: There are many different terms used to refer to “nurse informaticist,” including informatics nurse, nurse informatician, and informatics specialist. In this specialization, the term “nurse informaticist” is applied, adhering to the American Association of Colleges of Nursing (AACN) terminology.

To prepare:

Review this week’s media presentation, The Role of Nurse Informaticists, reflecting on the impact that informaticists have on health care settings.
Using the web resource “Working Group – Nursing Informatics: Roles” in this week’s Learning Resources, investigate the job descriptions of and responsibilities aligned with various nursing informatics roles. Consider how these roles might have grown in breadth and importance since the original postings.
Identify a nursing informatics role that is of particular interest to you. Conduct further research to find out how this specific role might contribute to patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records.

Post A minimum of 550 words with 4 references in APA format

1) A description of a nursing informatics role that that is of interest to you and why.

2) In your posting, explain how the nurse informaticist in this role impacts one or more of the following: patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records.

3) Justify your reasoning by citing authentic examples and references to the research literature.

Required Resources

Readings

American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Spring, MD: Author.
Read the following Chapter:
- “Functional Areas for Nursing Informatics”
  This section details nine distinct functional areas that nurse informaticists often fulfill in their various job titles and specific positions. These functional areas include administration, analysis, integrity management, consultation, and others.
Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
- Chapter 48, “Information Literacy and Computerized Information Resources”
  In this chapter, the authors focus on electronic sources that are easily accessible to nurses and how vital they are to professional credibility and growth. They elaborate on three main points: staying up-to-date with the published literature, developing and maintaining a list of resources, and collaborating and networking with your colleagues.
Ericksen, A. B. (2009). Informatics: The future of nursing. RN, 72(7), 34–37.
Retrieved from the Walden Library databases.

This article explores the use of technology in the nursing field and how the informatics specialty came into existence. The article also discusses the role of informatics in patient safety, its use in today’s technological sphere, and the future role it may play in health care.
Huryk, L.A. (2011). Interview with an informaticist. Nursing Management, 42(11), 44–48.
Retrieved from the Walden Library databases.

The author of this article interviews an experienced informatics nurse specialist (INS) to acquire a nurse’s perspective on electronic health records. The interviewee highlights common topics that future informatics nurses need to consider such as improved patient safety, evidence-based practices, legal/ethical implications, and health care reform.
Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.
Retrieved from the Walden Library databases.

The author of this article details roles within the nursing informatics workforce. The article also examines the chief nursing informatics officer position.
Rimmerman, C., Heidenreich, D., & Appel, D. (2009). The role of a clinical operations analyst in implementing a successful electronic medical record. Physician Executive, 35(6), 34–39.
Retrieved from the Walden Library databases.

This article describes electronic medical record (EMR) implementations and their associated benefits. The authors list goals and challenges of EMRs and also discuss how clinical operations analysts can help to increase the probability of a successful implementation.
American Medical Informatics Association. (n.d.f). Working group: Nursing informatics. Retrieved October 17, 2012 from http://www.amia.org/programs/working-groups/nursing-informatics
This web page lists a variety of job descriptions that are applicable to the nursing informatics specialty. You should review how the American Medical Informatics Association (AMIA) defines nursing informatics. Scroll down the page and use the left navigation bar to browse the hyperlinks under the “Informatics Core” and “Informatics Areas” for more information on this. You will also need to explore the hyperlinks under the “Related Working Groups” and “Cross-cutting Working Groups” headings on the right-hand side of the page for more information, as well. (Note: You will use this resource for this week’s discussion, so make sure to explore these links thoroughly.)
HIMSS Nursing Informatics Awareness Task Force. (2007). An emerging giant: Nursing informatics. Nursing Management. Retrieved from http://s3.amazonaws.com/rdcms-himss/files/production/public/HIMSSorg/handouts/An%20Emerging%20Giant%20Nursing%20Informatics.pdf
This foundational piece created by the Healthcare Information and Management Systems Society (HIMSS)Task Force examines the ever-growing need for nurse informaticists. The authors also specify the roles that are associated with nursing informatics, as well as relevant education programs and certification processes.

Media

Laureate Education, Inc. (Executive Producer). (2012g). The role of nurse informaticists. Baltimore: Author.
Note: The approximate length of this media piece is 15 minutes.

In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson share their professional experiences in the informatics field, as well as their perceptions about the evolution of nursing informatics. Each also outlines the varied roles that informatics professionals can play within health care settings.

When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.

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Your topic is good but your PICOT is not in correct format. Please redo your question using the template I provided in the week 1 CAT and resubmit for a grade. Please send me a note in the IF so I can reset your assignment.

P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)

I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor)

C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor, Prognostic factor B )

O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)

T: Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed).

Note: Not every question will have an intervention (as in a meaning question) or time (when it is implied in another part of the question) component.

For an intervention/therapy:

In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?

For etiology:

Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?

Diagnosis or diagnostic test:

Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?

Prevention:

For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

Prognosis/Predictions

Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?

Meaning

How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?

Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins.

Examples of Evidence-Based PICOT Questions

1. Population: Bariatric adolescents considering or undergoing gastric bypass surgery.

Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.

Comparison: The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient.

Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.

Time: perioperative including the 6 weeks post recovery.

PICOT Question: Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care and has no specialized training?

2. Intervention PICOT Question: An Intervention example: In adult patients with total hip replacements (Patient population) how effective is PCA pain medication (Intervention of interest) compared to prn IM pain medication (Comparison intervention) in controlling post operative pain (Outcome) during the perioperative and recovery time? Note: The IM pain medication would be called the control group. It would be unethical to have a control group that received NO pain medication. Many times the control group means they get “business as usual!” or the current standard of care.

3. Therapy PICOT Question: A non-intervention example: What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)?

4. Etiology PICOT Question: Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)?

5. Diagnostic PICOT Question: Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Time is implied in two weeks and 24 hours old.

6. Prevention PICOT Question: In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)?

7. Prognosis/Prediction PICOT question: Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)?

8. Meaning PICOT Question: How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)?

What are your goals pertaining to your chosen degree(OBGYN)?

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What degree do you seek(OBGYN) and why did you choose this field of study? What are your goals pertaining to your chosen degree(OBGYN)? What measures are you currently taking to accomplish these goals?

**Must Be A Minimal Of 300 Words)

Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity.

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Choose one topic and respond:

Discuss three ways of creating an environment that provides psychological comfort for both patient and practitioner when conducting an examination and assessment of the Genitourinary system.
Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity.
Discuss circumcision and the arguments for and against it. Discuss its associated religious connections.
APA FORMAT
REFERENCE Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.

What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system and what are the implications for our nursing practice related to documentation?

Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

Explain how this database and the data is used for nursing practice and patient care. 3) Evaluate the benefits and challenges of using the database system and the data.

Identify a nursing informatics role that is of particular interest to you. Conduct further research to find out how this specific role might contribute to patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records.

When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.

What are your goals pertaining to your chosen degree(OBGYN)?

Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity.

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