Archive for category: My Nursing Writer

GLOBAL HEALTH ALERT ASSIGNMENT
Community/Public Health Nursing is concerned with the needs of populations in global communities as well as local neighborhoods. Scanning the global environment to identify the health concerns of populations at risk is supported by the principles of Community/Public Health Nursing and is a critical component of Community/Public Health Nursing practice. This assignment is designed to do the following:
Identify a global health concern/issue/problem found in at least three countries
Develop an educational Alert about this concern/issue/problem using an epidemiological framework
Analyze the risk factors and health promotion aspects of the global health concern/issue/problem from a worldwide perspective
Use internet sites (WHO.org, UN.org, etc), international and global public health agencies, libraries, and other resources dealing with global health concerns/issues/problems.
Specifically the 3 to 4 page assignment using APA format requires the following:
1. Description of the public health global concern/issue/ problem using an epidemiological framework and bio-statistical data on populations affected, i.e. host-agent-environment framework and morbidity and mortality statistics for three countries.
2. Analysis and discussion of social, cultural, environmental, political, behavioral, economic (specific cost impact), health policies, and health care infrastructure factors in at least three countries where the health concern/issue/problem presents.
3. Discuss the health effects on the affected populations and the impact of these on international health. Use evidence-based data where relevant.
4. Discuss the efforts made by global organizations to improve the health and well-being of the affected populations which includes political action and policy development and levels of prevention in three countries.
5. Synthesize all relevant findings and cite three pertinent references (do not use online encyclopedias, only use global health sources like WHO, UN, CDC or UNICEF).

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CF is a sixty-year-old African American male who presents as a new patient for initial evaluation and follow-up.

He has been diagnosed with hypertension for the last twelve years and Type 2 diabetes for the same period of time. His current blood pressure is 162/90, with a pulse of 76. His body mass index (BMI) is 32. He is currently taking Maxzide 37.5/25 mg every morning. This is the only antihypertensive medication he has taken.as a healthcare provider, what would you send this patient home on?
CF is a sixty-year-old African American male who presents as a new patient for initial evaluation and follow-up. He has been diagnosed with hypertension for the last twelve years and Type 2 diabetes for the same period of time. His current blood pressure is 162/90, with a pulse of 76. His body mass index (BMI) is 32. He is currently taking Maxzide 37.5/25 mg every morning. This is the only antihypertensive medication he has taken.as a healthcare provider, what would you send this patient home on?

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You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1.

You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse please use a hypothetical clinical situation you experienced in nursing school or nursing education issue you identified in your nursing program.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO1: Applies the theories and principles of nursing and related disciplines to individuals families aggregates and communities from entry to the healthcare system through long-term planning. (PO #1)
CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion illness prevention health restoration and maintenance and rehabilitative activities. (PO #2)
DUE DATE
Milestone #2 consists of the proposal for your Design for Change Capstone Project. Submit this Milestone to the Dropbox by the end of Week 4.
POINTS
Milestone #2 is worth 225 points.
DIRECTIONS
1. Create a proposal for your Design for Change Capstone Project. Open the template in Doc Sharing. You will include the information from Milestone #1 your PICO question and evidence appraisal as you compose this proposal. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced.
2. The format for this proposal will be a paper following the Publication manual of APA 6th edition.
3. The paper is to be four- to six-pages excluding the Title page and Reference page.
4. As you organize your information and evidence include the following topics.
a. Introduction: Write an introduction but do not use Introduction as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010 p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
b. Change Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012)
i. Practice Question
ii. Evidence
iii. Translation
c. Summary
5. Citations and References must be included to support the information within each topic area. Refer to the APA manual Chapter 7 for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself How do I know this? and then cite the source. Scholarly sources are expected which means using peer-reviewed journals and credible websites.
6. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.
Here is the PICO question I used for Milestone#1-
For the hospitalized patient is it more beneficial to utilize a computerized systematic reminder based system versus traditional written protocols that lack follow-up assessment for indwelling urinary catheter removal to obtain lower incidences of catheter associated urinary tract infections (CAUTIs) measured over the length of stay? Here is the evidence appraisal info I used in Milestone #1- Evidence Appraisal Worksheet
PICO Question: For the hospitalized patient is it more beneficial to utilize a computerized systematic reminder based system versus traditional written protocols that lack follow-up assessment for indwelling urinary catheter removal to obtain lower incidences of catheter associated urinary tract infections (CAUTIs) measured over the length of stay?
APA Reference for Article
Give the APA-formatted reference for the article. Type of Source
*Research: Peer-reviewed article
*Non-research systematic review clinical practice guidelines organizational experience or expert opinion/case study/literature review Strength of Research
Discuss the strength of the sources.
Report if evidence is High Good or Low/Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality. Brief Description of Research
Address the questions.
*How does the information in the article apply to the project problem or proposed intervention?
*Summarize in your own words.
* Include results of the study and how these results are applicable to your project.
* What is the recommendation of the source for clinical practice?
1 Author Unknown. (Jan/Feb2015). American Nurse. Vol. 47 Issue 1 p11-11 This article is a peer reviewed article that offers clinical practice guidelines to prevent CAUTIs by first determining the need for a urinary catheter. This article shows evidence of high quality because it is sponsored The American Nurses Association.
(ANA) has spearheaded an initiative to reduce catheter-associated urinary tract infections (CAUTIs) one of
the most common and costly infections contracted by patients in hospitals through an assessment and decision-making tool RNs and other clinicians can use at the bedside to determine the best way to provide care. The CAUTI Tool designed to prevent harm and save lives incorporates best practices based on Centers for Disease Control and Prevention (CDC) guidelines. The CAUTI Tool is a one-page guidance to assist clinicians in determining whether a urinary catheter is appropriate to insert; recommending alternative treatments for urinary retention and incontinence; evaluating indicators for timely catheter removal to prevent harm; and following a checklist on catheter insertion and cues for essential maintenance and post-removal care.
2 Mori Candace. A-Voiding Catastrophe: Implementing a Nurse-Driven Protocol. MEDSURG Nursing. Jan/Feb2014 Vol. 23 Issue 1 p15-28 This is a peer reviewed article based on extensive literature case study research and expert opinion that was conducted to establish an awareness and severity of the problem of over use of indwelling catheters. From there a prevalence study was done to establish the need within the hospital. A surveillance study tool was developed to evaluate all patients with indwelling urinary catheters. This article is of high quality given the fact it is provides both the literature review and the survey data and provides the necessary evidence to implement a nurse-driven urinary catheter removal protocol to reduce the duration of catheter use. Because nurses spend substantial time with the patient the assumption was nurses would be the most instrumental in affecting catheter use.
Facilities implementing a combination of nurse-led interventions may assist in preventing and/or decreasing CAUTI rates
?Choice to continue or discontinue indwelling catheter is through collaborative discussion with physician. Based on these indications a nurse-driven protocol was developed to allow nurses to discontinue urinary catheters without a physicians order if the appropriate indications were not met.
3 Palmer Jennifer A.; Lee Grace M.; Maya Dutta-Linn M.; Wroe Peter; Hartmann Christine W. (Jan/Feb 2013). Including Catheter-Associated Urinary Tract Infections in the 2008 CMS Payment Policy: A Qualitative Analysis Urologic Nursing. Vol. 33 Issue 1 p15-23 This is a peer reviewed article based on clinical practice guidelines. The study presented in this article addresses the impact of the 2008 nonpayment policy of the Centers for Medicare and Medicaid Services (CMS) on catheter-associated urinary tract infections (CAUTIs) from the perspective of infection preventionists. With rich qualitative data it sheds light on the day-to-day impact of this recent health policy on CAUTI prevention. This article is of high quality given the subject of the hospital being responsible for footing the bill of any hospital acquired CAUTIs if the proper precautions of preventing CAUTIs are not implemented. Established clinical guidelines that exist for preventing CAUTIS.

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Identify and explain the aims and core business of Australian health institutions from the perspective of both the organisation and the nursing sector within the organisation.

Identify and explain Process data and Outcome data in the context of quality and safety in health care
Use one (1) example (Medication Safety) of a clinical care activity for which process and outcome data is collected to:
Discuss the clinical care activity in relation to quality and safety,
Critically analyse scholarly literature and relevant resources to discuss the process and outcome data collected about that activity,-Ensure that you use scholarly literature (digitised readings, research articles, relevant Government reports and text books) that has been published within the last 7 years.
-Please refer to the Assignment Writing and Referencing Guidelines on the course site for information, on formatting, (including line spacing, font, page number and title page information) as well as referencing

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Determine whether the samples are independent or dependent. The effectiveness of a headache medicine is tested by measuring the intensity of a headache in patients before and after drug treatment. The data consist of before and after intensities for each patient. Explain.
Module 4 Homework Assignment

1. Determine whether the samples are independent or dependent.

The effectiveness of a new headache medicine is tested by measuring the amount of time before the headache is cured for patients who use the medicine and another group of patients who use a placebo drug. Explain.

Solution:

Instructor Comments:

2. Determine whether the samples are independent or dependent.

The effectiveness of a headache medicine is tested by measuring the intensity of a headache in patients before and after drug treatment. The data consist of before and after intensities for each patient. Explain.

Solution:

Instructor Comments:

3. In a random sample of 500 people aged 20-24, 22% were smokers. In a random sample of 450 people aged 25-29, 14% were smokers. Test the claim that the proportion of smokers in the two age groups is the same. Use a significance level of 0.01. Show all steps of the hypothesis test and all calculations.

Solution:

Instructor Comments:

4. A researcher wishes to determine whether people with high blood pressure can reduce their blood pressure by following a particular diet. Use the sample data below to perform all steps for hypothesis testing or construct a 99% confidence interval for µ1 – µ2 where µ 1 and µ2 represent the mean for the treatment group and the control group respectively. Use the following t-distribution table – http://www.itl.nist.gov/div898/handbook/eda/section3/eda3672.htm

Treatment Group Control Group

n1 = 85 n2 = 75

189.1 = 203.7
s1 = 38.7 s2 = 39.2

Solution:

Instructor Comments:

For questions 5 – 9 below, use the traditional method of hypothesis testing to test the given claim about the means of two populations. Assume that two dependent samples have been randomly selected from normally distributed populations.

Five students took a math test before and after tutoring. Their scores were as follows.

Student

A

B

C

D

E

Before

71

66

67

77

75

After

75

75

65

80

87

Using a 0.01 level of significance, test the claim that the tutoring has an effect on the math scores.

5. State the null and alternative hypotheses.

Solution:

Instructor Comments:

6. Find d, , and sd,
Solution:

Instructor Comments:

7. Find the value of the test statistic, t.

Solution:

Instructor Comments:

8. Find the critical value(s) and state the decision about the null hypothesis.

Solution:

Instructor Comments:

9. State the conclusion in non-technical terms.

Solution:

Instructor Comments:

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