• Identify   scientific evidence to help inform the treatment decision or   intervention to be implemented

Each student will choose a PICO question on a clinical nursing topic of interest and develop a critical appraisal of the literature for application to nursing practice. The PICO question will first be approved by the professor; then 5-8 references will be submitted for review (a minimum of 5 must be peer reviewed research articles from professional nursing journals); followed by individual summaries and critiques of the references; then, submission of the final paper with Professor’s feedback incorporated into the final version. Each student will post a brief summary power point presentation of their findings on the assigned day and respond to classmate remarks. Detailed grading criteria will be provided for the presentation.

This 5-6 page paper must be completed in APA format (1” margins, double spaced, 12 font) including a cover page and reference page with a minimum of 5-8 references (not included in page number). No abstract is required.

 

Criteria

Possible   Points

 

I.  Identified Clinical   Question (PICO)

8

 

Clinical question was clearly   identified by:

 

a. Problem

2

 

b. Intervention

2

 

c. Comparison

2

 

d. Outcome

2

 

II.  Review of Evidence

30

 

• Identify   scientific evidence to help inform the treatment decision or   intervention to be implemented

15

 

• Synthesis   of the 5-8 research articles  (minimum of 5 from nursing)

15

 

III.  Implication for   Nursing Practice

30

 

Detail discussion of how these   findings can or should be implemented in your clinical practice or   established as a standard of care:

 

a. Evidence provided to   support decision

5

 

b. Discuss   or describe the nursing role

5

 

c. Discuss   patient teaching related to the intervention

5

 

d. Discuss   how current care would be changed or improved

5

 

e. Discuss   or explain why this would be good to implement if supported by   evidence. (i.e. decrease hospital stay, decrease use of pain meds)

or  Discuss   or explain why this would not be good to implement if supported   by evidence. (i.e. too costly, not safe)

5

 

f. The   need or justification for future research if indicated

5

 

VI.  Quality of Writing

12

 

1. Organization   & Flow (use of headings)

5

 

2. Grammar   & spelling

2

 

3. Proper   sentence structure

2

 

4. Succinct   & concise (Adhered to page limit; not to exceed 6 pages)

3

 

V. APA formatting

20

 

1. Cover   page: Running head; Title, name, & affiliation is centered

1

 

2. First   page: Title; Page numbering

1

 

3. Proper   use of APA within text

5

 

4. Citations   within the body of the paper (references, quotes, author, year)

5

 

5. Citations   in body of paper match reference list, reference list matches   citations in text

1

 

6. Reference   page: (title centered, hanging indent & spacing)

2

 

7. Formatting   of references (alphabetical order, author, year, lowercase, italicized, right   type, doi)

Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1 which is (Cognitive Behavioral Theory & Rational Emotive Behavioral Theory)

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal.

: Explain whether your therapeutic theory has changed as a result of your

practicum experiences. Recall the theories you selected in Week 1 which is

(Cognitive Behavioral Theory & Rational Emotive Behavioral Theory)

: Explain how you integrated the therapeutic approaches from this course in your

clinical practice. Include how this helped you achieve the goals and objectives

you developed in Week 1 ( For this assignment, just make up any goals)

: Explain how you might impact social change through your work with clients who

have mental health issues.

: Support your approach with evidence-based literature.

NOTE: PLEASE SEE AND PAY ATTENTION TO THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING AND INCLUDE REFERENCES

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Chapter 17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?

  1.    Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  Name one (1) other dimension of quality care and why is it important?
  2.            What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?
  3.            Since an ever-increasing amount of research is funded by commercial companies, what is your opinion on a requirement for authors of scientific studies who receive income from these companies to disclose funding sources in their scientific publications?

Future of Health Care Questions:

  1.            Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?
  2.            In 1999, the Institute of medicine report, To Err is Human,generated a brief flurry of concerns about avoidable hospital deaths.  While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals.  Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner?  What form can or should these demands take?

Describe the health care beliefs of the Russian, Polish and Thai heritage and how they are related to the delivery of health care.

Describe the health care beliefs of the Russian, Polish and Thai heritage and how they are related to the delivery of health care.

2. Is there any similarity between these 3 cultures. If yes or no, please explain.

3. Give your opinion on how the beliefs of these 3 cultures influence the delivery of health care.

– APA format.

– A minimum of 500 words.

– A minimum of 2 evidence based references no older than years 5 years.

  What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?

Due at 12PM CST, Monday, November 6, 2017

HCA 340 500

Discussion Board Assignment #10

Chapters12—Research:  How Health Care Advances and 13–Future of Health Care

Answer the following questions on Research: How Health Care Advances:

  1.            Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.”  Name one (1) other dimension of quality care and why is it important?
  2.            What is the primary method of continuous quality improvement (CQI) in health care, and what is its underlying premise?
  3.            Since an ever-increasing amount of research is funded by commercial companies, what is your opinion on a requirement for authors of scientific studies who receive income from these companies to disclose funding sources in their scientific publications?

Future of Health Care Questions:

  1.            Today’s not-for-profit hospitals and health systems are commonly multi-billion dollar tax-exempt organizations. What is your position on the new federal scrutiny upon, and reporting requirements for justifying the charitable missions of not-for-profit hospitals and health systems?
  2.            In 1999, the Institute of medicine report, To Err is Human,generated a brief flurry of concerns about avoidable hospital deaths.  While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals.  Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner?  What form can or should these demands take?

Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO 5)

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a guide that will serve as a handout to assist a specific patient that you identify. Your guide or handout should help this patient find and evaluate a reliable mobile health, or mHealth application (app) that is already developed. This may be related to the patient’s disease process or diagnosis, or may be an app that can help a patient maintain or improve good health, and prevent illness.

 

You will develop the guide using Microsoft PowerPoint. PowerPoint is a versatile application that lets you design slideshows and handouts. For this assignment, you will be using PowerPoint to create a guide or handout that you may print and give to patients and families. You will be submitting this PowerPoint file for grading.

 

Course Outcomes

 

This assignment enables the student to meet the following Course Outcomes.

 

CO 1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO 1)

 

CO 5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO 5)

 

Points

 

This assignment is worth a total of 175 points.

 

Due Date

 

The Patient Education Technology Guide to a Mobile Health Application PowerPoint assignment is due in Week 2. Submit your completed assignment. You may consult the Policies section in the Introduction & Resources module for details regarding late assignments. Late assignments will result in loss of points. Post questions about this assignment in the Course Q & A Forum.

 

Directions

 

Use Microsoft PowerPoint to create slides, which will be the basis of the guide or handout. You are required to cite your source(s) as it relates to your application slide. Other citations are permitted, but this is not a requirement for the assignment.

 

Title slide (first slide): Include a title slide with your name and the title of the presentation.

Scenario Slide (one slide): This slide should include a brief scenario, then identify a patient who is experiencing a specific disease process or diagnosis who would benefit from an already developed and reliable mHealth app. Or it could identify a person who is currently healthy and would like to maintain or improve health and prevent illness. Be sure to include the nurse’s assessment of the patient’s learning needs and readiness to learn. Be specific.

Example:

 

Scenario for Ms. Ellis

 

Jane Doe (your name here)

 

Jennifer Ellis, a 62-year-old African American woman, has been recently diagnosed with chronic kidney disease (CKD). She has been prescribed several medications she must take every day.

The nephrologist has stressed the importance of leading a healthy lifestyle to slow or stop the progression of CKD.

She is interested in ways in which she can better track her health and make healthier choices.

She is a high school graduate and iPhone user, mostly to send text messages to family and friends.

She is eager to learn how to use an app that can help her manage her CKD.

Prepare the following slides as if you are presenting them to the patient.

 

mHealth application slide (one to three slides): Identify a developed and reliable mHealth app that could benefit the patient. Describe the app, including the following.

Name

Purpose

Intended audience

Mobile device(s) upon which it will operate

Where to download or obtain it (include a working link if it is to be downloaded from a website)

Any other information you believe would be pertinent to this situation

Be sure to cite all sources you use.

Teaching slides (one to three slides): Prepare slides that contain important points about the app that you want to teach to the patient, such as how to use the app safely and effectively (including how to interpret and act on the information that is provided).

Evaluation slide (one to three slides): Describe how you would determine the success of the patient’s use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.

References (last slide): List any references for sources that were used or cited in the presentation.

Writing and design: There should be no spelling or grammatical errors. Writing is concise and clear. Avoid words that the patient may not understand. Slides are visually appealing, incorporating graphics, photographs, colors, and themes.

 

Review the section on Academic Integrity Policy found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.

 

Best Practices in Preparing PowerPoint Slideshows

 

Be creative but realistic.

Incorporate graphics, color, themes, or photographs to increase interest.

Make it easy to read with short bullet points and large font.

Review directions thoroughly.

Cite all sources within the slides with (author, year), as well as on the reference slide.

Proofread prior to final submission.

Check for spelling and grammar errors prior to final submission.

Abide by the Chamberlain academic integrity policy.

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSPRNBSN may be found in your student portal.

**Academic Integrity Reminder**

 

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

 

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

 

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Rubric

NR361 Patient Guide

NR361 Patient Guide

Criteria​Ratings​Pts

This criterion is linked to a Learning OutcomeScenario Slide

view longer description

40.0 pts

Scenario is a clear and concise description of patient with a specific disease or diagnosis, or someone who is healthy and wants to prevent illness and maintain good health. Makes clear that the person is seeking information, including a detailed assessment of learning needs and readiness to learn.

35.0 pts

Scenario is clear but not concise as it exceeds more than one slide. It includes a description of the patient with specific disease or diagnosis, or desire to maintain good health. Scenario generally describes the nurse’s assessment of learning needs and readiness to learn.

32.0 pts

Scenario includes a description of the patient with specific disease or diagnosis, or desire to maintain good health. Scenario lacks the nurse’s assessment of learning needs OR readiness to learn.

15.0 pts

Scenario is missing the description of disease process OR diagnosis OR desire to maintain good health Scenario lacks both the nurse’s assessment of learning needs AND readiness to learn.

0.0 pts

Scenario fails to describe the patient’s situation The nurse’s assessment of learning needs and readiness to learn are lacking.

40.0 pts

This criterion is linked to a Learning OutcomemHealth Application Slide

view longer description

50.0 pts

Describes the mHealth application in detail including its: Name, Purpose, Intended Audience, Mobile device upon which it operates, Download or where to obtain, Other pertinent information, and Sources that are used are cited.

44.0 pts

Describes the mHealth application but is lacking one of the elements in the first column.

40.0 pts

Describes the mHealth application but is lacking two of the elements in column.

19.0 pts

Describes the mHealth application but is lacking three of the elements in the first column.

0.0 pts

Provides a poor or confusing description of the mHealth application that lacks most of the elements in the first column.

50.0 pts

This criterion is linked to a Learning OutcomeTeaching Slide

view longer description

40.0 pts

Prepares slides that teach all pertinent details about how to use the app safely and effectively including how to interpret and act on the information that is provided.

35.0 pts

Prepares slides that teach most information about how to use the app safely and effectively including how to interpret the information that is provided.

32.0 pts

Prepares minimal information that the patient needs to know to use the device, for example, lacking safety guidelines that may need to be followed.

15.0 pts

Prepares slides that are confusing and does not convey useful information that the patient needs to know.

0.0 pts

Teaching slides are not included in the presentation

40.0 pts

This criterion is linked to a Learning OutcomeEvaluation Slide

view longer description

20.0 pts

Describes in detail ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.

18.0 pts

Describes general or universal ways to evaluate the effectiveness of the teaching plan that considers the nature of the app.

16.0 pts

Describes limited ways to evaluate the effectiveness of the teaching plan, which does not reflect the nature of the app.

8.0 pts

Describes an evaluation plan but it is unlikely to determine if the patient has learned what is necessary.

0.0 pts

Does not include an evaluation plan.

20.0 pts

This criterion is linked to a Learning OutcomeWriting and Design

view longer description

25.0 pts

Slides have the following elements: Name of student appears on the Title Slide; Themes of slides are clearly identified; Bullets are used instead of long sentences or paragraphs; Reading level appropriate for patient; Slides are visually appealing incorporating graphics, photographs, colors and themes; Grammar, punctuation, and spelling are correct; Citation present for application.

22.0 pts

Good mechanics considering the elements listed in the first column.

20.0 pts

Fair mechanics considering the elements listed in the first column.

10.0 pts

Poor mechanics considering the elements listed in the first column.

0.0 pts

Very poor mechanics such that assignment is difficult to read.

25.0 pts

Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?

Discussion: Unionization and the Nursing Profession

Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.

To Prepare

  • Review the information in the Learning Resources. Conduct additional research on unionization in health care.
  • Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation?
  • Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience.
  • Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?
By Day 3

Post your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another.

Explain the difference betweeen the two types of diabetes

Explain the difference betweeen the two types of diabetes

How can bacteria survive in your mouth when you are eating, drinking, and producing saliva throughout the day and these actions would ‘wash’ the bacteria away?

Your mouth contains thousands of bacteria. How can bacteria survive in your mouth when you are eating, drinking, and producing saliva throughout the day and these actions would ‘wash’ the bacteria away?