Evidence-Based Project, Part 1: Identifying Research Methodologies((( four page , fine references)))
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

 
A

Name: NURS_6052_Module02_Week03_Assignment_Rubric

My class;

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NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

For:

I live in Miami , Florida, working as psychiatric nurse for 12 years and doing on Walden University Nurse Partitional on Psych.’I want all my jobs are based in this information provided for me please’’.

SOURCES FROM SCHOOL;

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
• Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)

• Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x
• Note: You will access this article from the Walden Library databases.

Nursing homework help
nursing
1. Discussion Question: Sixty-nine–year-old John awoke from his sleep last night and complained of excruciating pain in his left “big toe.” He said that he could not even tolerate the bed clothes on top of his foot. Today in clinic, his first metatarsophalangeal joint of his left foot is reddened, is warm to touch, and has a decreased range of motion.
a. How will you describe to John what is occurring and why?
b. How will John’s lifestyle be altered as a result of this condition?
2. 3 paragraphs of 3 sentences each
3. APA style
4. 2 references
 

School of Business – Department of Marketing
Course Name: Social Innovation
Course Code: 20SMGB316
Instructor Name: Dr. Sam Toglaw
 
Assessment 2
Problem Report
(Project –Part-A)
 
 
INSTRUCTIONS
This is a PBL group assessment and it is worth 30% of the total grade of this unit. The students are required to work in groups and prepare a problem report. This assessment should be submitted by turnitin following the link created by LMS. This assessment covers SLO1, SLO2, and SLO3
 
DO NOT WRITE IN THE AREA BELOW:
Mark ________/100
Feedback: ________________________________________________________________
________________________________________________________________
Instructor’s signature: __________________________
Student’s Signature: __________________________
Project Description
Students are required to work in groups (3-4 members, depending on the class size). You are required to choose a local problem that affects a large community or the whole society and design a creative solution to it.
Social innovation starts with a problem and brings a novel solution to it that has a wide spread benefit for the society. In this assessment, you will describe the problem and define its causes and complete your audit requirements. Then, you will use the information and data collected in Assessment 2 to create and present your innovative solution in Assessment 3.
Your Problem Report should include and discuss the following elements:
1-Define and review the selected problem, its history and stakeholders that are directly and indirectly affected by it. You need to engage with your group members and think about problems that your community faces. This task requires personal observation, brain storming and critical thinking skills.
2-Analyze the problem and find out its potential causes. Use the 5Whys and 5Ws approach to understand the causes of the problem and describe possible factors affecting it, then present your finding in a process chart.
3-Explain why this problem could be wicked or not. What resources are available and what resources are needed to solve the problem.
4- What solutions were implemented in the past to solve this problem and why do you think they did not work?
5-What could happen if the problem was left unsolved? How would the problem grow and get more complicated?
Submission and other details
In addition to your teaching material and electronic resources, all reports must cite at least four (4) different published journal papers or relevant secondary sources (excluding web-based information). Use Harvard reference system.
This report assessment refers to ACK School of Business rubric for writing reports and essays. Group reports must be submitted by one member of the group to turnitin through the link sent to you by your instructor. Due date will be set by your instructor.
Assessment Rubric
This assessment covers SLO1, SLO2, SLO3
 
Student and Assessor sign here to acknowledge the assessment result and any further noted actions to be taken.
 
 

Pharmacotherapy for Cardiovascular
Wk 2 pharmacology
Assignment: Pharmacotherapy for Cardiovascular
Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:
Atenolol 12.5 mg daily
Doxazosin 8 mg daily
Hydralazine 10 mg qid
Sertraline 25 mg daily
Simvastatin 80 mg daily
All other factors were purposely omitted from the case study.  As you read through your course materials, please feel free to add those factors that you’d like to further discuss that may affect the decisions that you will make for this patient.  For example, if you’d like to discuss how the factor age will affect your choices, include in your paper that your patient is a 86 year old male.  Or if you’d like to provide details of how gender plays a role in what treatment the patient will receive, include that your patient is a female.
.heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…
—Murphy et al., 2018
Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.
As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.
Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm
To Prepare
Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
Review the case study assigned by your Instructor for this Assignment.
Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
Write a 2- to 3-page paper that addresses the following:
Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
Sample
Case Study
I chose the first case study patient AO has a history of obesity and has recently gained 9 pounds.  The patient has been diagnosed with hypertension and hyperlipidemia.  Drugs currently prescribed include the following:
Atenolol 12.5 mg daily
Doxazosin 8 mg daily
Hydralazine 10mg QID
Sertraline 25g daily
Simvastatin 80 mg daily
Hyperlipidemia and Hypertension
The American Heart Association (2018) discussed that high blood pressure (HBP) can lead to heart attack, stroke, heart failure, and other serious life threats.  Nearly half of U.S. adults have high BP and approximately 45% of people who have  HBP do not have it controlled.   Hypertension is diagnosed with repeated elevated blood pressure exceeding 140/99 mm Hg (Buzkurt et al., 2016).  Age, obesity, and lifestyle are huge factors regarding hypertension.  Hypertension increases with age and affects all ethnic groups.  Hypertension is classified as primary or essential, secondary or idiopathic  (Arcangelo et al., 2017).  The goal of treatment of hypertension is to reduce the cardiovascular and renal morbidity and mortality.
Hypertension and Hyperlipidemia go hand and hand because both conditions can be controlled by lifestyle changes and management with medication.  Hyperlipidemia is high levels of lipids in the blood and can lead to Coronary Artery Disease.  Modifying the patients diet, reducing stress, and encouraging the patient AO to help decrease her blood pressure and the decrease in the number of lipids in her blood. Hypertension and Hyperlipidemia can both be controlled by lifestyle changes including diet changes, stress relief, and daily exercise.  If these lifestyle changes are unsuccessful, medication management to reduce HPB and Hyperlipidemia are suggested.
Treatment
Acarangelo et al., (2017) discusses that the first line of treatment of stage 1 hypertention is a thiazide type diuretic.  If he desired outcome has not been met with this treatment, a beta blocker, Ace-inhibitor, angiotension receptor II blocker, or a calcium channel blocker.  Patient AO is on a beta blocker, Antenolol.  Arcangelo et al., (2017) suggests that stage II hypertension should be treated as the same as stage I with the addition of a vasodilator.  Patient AO is taking Doxazosin, which treats hypertension but has a bonus effect of relaxing smooth muscles which decreases BP and is associated with a decrease in LDL and cholesterol.  Patient AO has recently gained nine pounds, this could be a sign of fluid retention.  A diuretic such as Hydrocholorathiazide could be added to the regular regime to help rid the extra fluid.  The patient AO should see a reduction in excess fluid with will reduce her weight dramatically.  Patient AO is also taking an antidepressant, Sertraline, which will help with stress, which will also help to decrease HBP.
Conclusion
Patient AO is on the right track of medication management of her hypertension, hyperlipidemia, and stress to help reduce both conditions.  In my opinion, adding a diuretic will help decrease her sudden weight gain of nine pounds and she will be able to take in consideration lifestyle changes to prolong her life and decrease the chances of her hypertension and hyperlipidemia to cause cardiovascular disease, stroke, or any cause of morbidity related to being obese, hypertensive, and the high content of lipids in her bloodstream.
References
Arcangelo, V. P., Peterson, A M., Wilbur, V., & Reinhold, J. A. (Eds.) (2017)  Pharmacotherapeutics for advance practice:  A practicle choice (4th ed.)
Amber, PA: Lipincott Williams, & Wilkens,  Retrieved from Waldne Univeristy Library Database.
Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Bozkurt, B., Aguilar, D., Deswal, A., Dunbar, S. B., Francis, G. S., Horwich, T., … & Rosendorff, C. (2016). Contributory risk and management
of comorbidities of hypertension, obesity, diabetes mellitus, hyperlipidemia, and metabolic syndrome in chronic heart failure: a scientific statement
from the American Heart Association. Circulation, 134(23), e535-e578.
Fulton, B., Wagstaff, A. J., & Sorkin, E. M. (1995). Doxazosin. Drugs, 49(2), 295-320.
Wiysonge, C. S., Bradley, H. A. Volmink, Mayosi B.M& Opie L. H.  (207).  Beta-blockers were
hypertension (Cochraned databse of sysemtic reviews, (1.) Retrieved form Walden University.