Category: Health Care and Life Sciences : Nursing

New technology—and the application of existing technology—only appears in
healthcare settings after careful and significant research. The stakes are high, and new
clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As
these strategies are often based on technology trends, informaticists and others have
then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of
clinical systems. After reviewing, you will summarize your findings.
To Prepare:
 Review the Resources and reflect on the impact of clinical systems on
outcomes and efficiencies within the context of nursing practice and
healthcare delivery.
 Conduct a search for recent (within the last 5 years) research focused on the
application of clinical systems. The research should provide evidence to
support the use of one type of clinical system to improve outcomes and/or
efficiencies, such as “the use of personal health records or portals to support
patients newly diagnosed with diabetes.”
 Identify and select 4 peer-reviewed research articles from your research.
 For information about annotated bibliographies,
visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbi
bliographiesLinks to an external site.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format
your Assignment as an Annotated Bibliography. Be sure to address the following:
 Identify the 4 peer-reviewed research articles you reviewed, citing each in
APA format.
 Include an introduction explaining the purpose of the paper.
 Summarize each study, explaining the improvement to outcomes, efficiencies,
and lessons learned from the application of the clinical system each peer-
reviewed article described. Be specific and provide examples.
 In your conclusion, synthesize the findings from the 4 peer-reviewed research
articles.
 Use APA format and include a title page.
 Use the Safe Assign Drafts to check your match percentage before
submitting your work.
Resources
 McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the
foundation of knowledge (5th ed.). Jones & Bartlett Learning.
o Chapter 14, “The Electronic Health Record and Clinical Informatics”
(pp. 293–316)
o Chapter 15, “Informatics Tools to Promote Patient Safety, Quality
Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
o Chapter 16, “Patient Engagement and Connected Health” (pp.
357–378)
o Chapter 17, “Using Informatics to Promote Community/Population
Health” (pp. 383–397)
o Chapter 18, “Telenursing and Remote Access Telehealth” (pp.
403–432)
 Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband
internet access is a social determinant of health!Links to an external
site.. American Journal of Public Health, 110(8), 1123-1125.
https://doi.org/10.2105/AJPH.2020.305784 
 Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M.,
Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted
intervention to improve outcomes in intensive care: The Promoting Respect
and Ongoing Safety Through Patient Engagement Communication and
Technology Study Download Prospective evaluation of a multifaceted
intervention to improve outcomes in intensive care: The Promoting Respect
and Ongoing Safety Through Patient Engagement Communication and
Technology Study. Critical Care Medicine, 45(8), e806–e813.
doi:10.1097/CCM.0000000000002449
 HealthIT.gov. (2018c). What is an electronic health record (EHR)?Links to an
external site. Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr
 Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B.
(2018). Leveraging interactive patient care technology to Improve pain
management engagementLinks to an external site.. Pain Management
Nursing, 19(3), 212–221. 
 Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A.
(2021). Digital inclusion as a social determinant of healthLinks to an external
site.. NPJ Digital Medicine, 4(1), 52.  https://doi.org/10.1038/s41746-021-
00413-8 
 Skiba, D. (2017). Evaluation tools to appraise social media and mobile
applicationsLinks to an external site.. Informatics, 4(3), 32–40. 
 Sharma, P., & Patten, C. A. (2022). A need for digitally inclusive health care
service in the United States: Recommendations for clinicians and health care
systemsLinks to an external site.. Permanente Journal, 26(3).
https://doi.org/10.7812/TPP/21.156

***My PICOT Statement/EBP Proposal:  In women at risk for breast cancer (P), does a mammogram screening reminder alert in the EHR (I) compared to not using an alert (C) impact early detection of findings (O) over 1 year (T)?
Discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Include a draft of the form as an appendix at the end of your paper.
Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Include a draft of the budget and resource list as an appendix at the end of your paper.
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide rationale to support your selection.
Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
Explain the process for delivering the intervention and indicate if any training will be needed.
Discuss the stakeholders that are needed to implement the plan.
Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
Establish the feasibility of the implementation plan.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

You are an AGACNP for a local endocrine specialty group. You see patients each morning in the clinic and you round in the hospital doing new consults in the afternoons and evenings. Please choose one of the following endocrine disorders and indicate if it is chronic, complex acute, or critical. Summarize the risk factors, etiology, clinical manifestations, and common presentation of the endocrine disorder you have chosen. Write your management plan, including appropriate diagnostic tests and clinical interventions for both treatment and preventative care of your geriatric patient. Please try to avoid duplicating topics. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Diabetes Mellitus (DM) Types I or II
Diabetes Insipidus
Diabetic Ketoacidosis (DKA)
Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Multiple Endocrine Neoplasia Type 1
Myxedema Coma
Thyroid Crisis/Storm
Hypothyroidism
Subclinical Hypothyroidism
Hashimoto’s Thyroiditis
Adrenal Insufficiency (Addison’s)
Adrenal Crisis
Pheochromocytoma
Symptoms of Inappropriate Antidiuretic Hormone (SIADH)
Acromegaly
Panhypopituitarism
Hyperprolactinemia
Gigantism
Cushing’s Syndrome
Polycystic Ovarian Syndrome

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Discuss cultural and age-related considerations in the care of diabetes mellitus type 2 in the adult-geriatric population. What challenges exist with compliance, financial implications, and diabetic complications?
Identify one pharmacological and nonpharmacological preventative intervention within evidence-based practice and standards of care for diabetes mellitus patients to reduce cardiovascular, renal, neurovascular, and integumentary risks. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

You are an AGACNP practicing in a busy emergency department. Nearly every day you are presented with head (non-neuro), neck, eye, dental, throat, and ear emergencies, including traumatic and nontraumatic injuries.
Describe one emergent HEENT condition or disorder, including the presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan, tertiary prevention measures, appropriate referrals/consultations, preventative measures (if any), and additional information that would be important to the geriatric population. Choose from one of the following and try not to post duplicate posts on the same subject. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Headache/Migraines
Otitis Media
Vertigo Syndromes
Sinusitis
Epistaxis
Pharyngitis
Epiglottitis
Trigeminal Neuralgia
Peritonsillar Abscess
Tonsillitis
Deep Neck Infections
Giant Cell/Temporal Arteritis
Acute Angle Glaucoma
Conjunctivitis
Corneal Abrasion
Glaucoma
Retinal Detachment
Foreign Bodies in Eyes, Ears, and Nose
Ocular Globe Rupture

You are a 2-year graduate of an accredited AGACNP master’s program. You are now a certified AGACNP practicing on a very busy inpatient oncology unit.
Your patient is a 45-year-old male with head/neck cancer. This is a new diagnosis, but the patient has lost over 60 pounds in the past 4 months due to dysphagia, malnutrition, and intractable pain. He is currently NPO due to risk of aspiration.
Explore the types of head and neck carcinomas that you will encounter as an AGACNP on this oncology unit. Describe the following and support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Malignancy, cytology results, and type of cancer markers, if available.
How this is cancer diagnosed.
The key complications for which you must be watchful.
How you will manage this unique and very difficult patient with regard to pain management, airway, cosmetics, and psychological concerns.
Which nutritional interventions would be important for this patient?

Need help correcting my grammar.Add information if needed and make it more sense based on the questions

STUDY GUIDE FOR MEDICATION TREATMENT SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOSIS DISORDERS
Psychosis and schizophrenia greatly impact the brain’s normal processes, which interfere with the ability to think clearly. When symptoms of these disorders are uncontrolled, patients may struggle to function in daily life. However, patients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, you will develop a study guide for an assigned psychotropic agent for treating patients with Schizophrenia Spectrum and Other Psychotic Disorders. You will share your study guide with your colleagues. In sum, these study guides will be a powerful tool in preparing for your course and PMHNP certification exam.
THE ASSIGNMENT
Create a study guide for your assigned psychotropic medication agents. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the FDA-approved and Evidenced-Based, Clinical Practice Guidelines Research but also supported by at least three other scholarly resources.
Areas of importance you should address, but are not limited to, are:
* Title page
* Description of the Psychopharmacological medication agent including brand and generic names and appropriate FDA indication uses
* Any supporting, valid and reliable research for non-FDA uses
* Drug classification
* The medication mechanism of action
* The medication pharmacokinetics
* The medication pharmacodynamics
* Mechanism of Action
* Appropriate dosing, administration route, and any considerations for dosing alterations
* Considerations of use and dosing in specific specialty populations to consider children, adolescents, elderly, pregnancy, suicidal behaviors, etc.
* Definition of Half-life, why half-life is important, and the half-life for your assigned medication 
* Side effects/adverse reaction potentials
* Contraindications for use including significant drug to drug interactions
* Overdose Considerations
* Diagnostics and labs monitoring
* Comorbidities considerations
* Legal and ethical considerations
* Pertinent patient education considerations
* Reference Page
Create a study guide, in outline form with references, for your assigned medication. Incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. —- The response is in a well-organized and detailed outline form. Informative and well-designed visual elements are incorporated. … Followed directions correctly by uploading assignment to Gradebook and submitted to the discussion forum area.
Study guide completion elements addressed in Week 7 assignment area above —- The response thoroughly addresses all required content areas.
Support your guide with references and research providing at least five evidence-based, peer-reviewed journal articles or evidenced-based guidelines. Be sure they are current (no more than 5 years old
Antipsychotic Drug List:
  • First •
• •
• First •
• •
generation Antipsychotic Agents (Low Potency): Chlorpromazine – Prototype
Prochlorperizine (Compazine)
Thioridazine (Mellaril)
generation Antipsychotic Agents (High Potency): Fluphenazine (Prolixin)
Haloperidol (Haldol)
Thiothixene (Navane)
  • Miscellaneous
• Pimozide (Orap) only used for Tourette’s Syndrome
• Second Generation Antipsychotic Agents“Atypical”: • Clozapine ( Clozaril )
• Risperidone ( Resperdal ) • Olanzapine ( Zyprexa)
• Quetiapine (Seroquel)
• Ziprasidone (Geodone)
• Aripiprazole (Abilify) SLIDE 6:
Antipsychotic Drug Actions:
• All reduce “positive” symptoms hallucin
•    amisulpride
    •    aripiprazole
    •    asenapine
    •    brexpiprazole
    •    cariprazine
    •    chlorpromazine
    •    clozapine
    •    flupenthixol
    •    fluphenazine
    •    haloperidol
    •    iloperidone
    •    loxapine
    •    lumateperone    •    lurasidone
    •    olanzapine
    •    paliperidone
    •    perphenazine
    •    pimavanserin
    •    quetiapine
    •    risperidone
    •    sulpiride
    •    thioridazine
    •    thiothixene
    •    trifluoperazine
    •    ziprasidon