Category: Nursing

What is the diagnosis?
What is your immediate management plan?
What is your subsequent management plan?
Should an ultrasound be ordered?

Write an evidence-based paper in APA- Style formatting answering the part C and D prompts. See attached for further details.

For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
Title slide.
Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.

Identify the benchmarks and quality measures used to compare to the office data for your proposal (Excel spreadsheet). Assess the compatibility of the proposed data and examine potential issues related to information quality (1–3 pages).
Expand All
Step One: Preparation
Locate data related to quality measures relevant to your topic from one or more of these websites:
Agency for Healthcare Research and Quality. (n.d.). https://www.ahrq.gov/
Centers for Disease Control and Prevention. (n.d.). https://www.cdc.gov/
The Joint Commission. (n.d.). https://www.jointcommission.org/
NCQA. (n.d.). https://www.ncqa.org/
Occupational Safety and Health Administration. (n.d.). https://www.osha.gov/index.html
Any other site that contains national or state health care quality measures.
Step Two: Data Collection
Using the Data Collection Spreadsheet Guide [XLSX] Download Data Collection Spreadsheet Guide [XLSX]as an example, ;create a spreadsheet containing three tabs: Dashboard Tracking, Data Collection, and Trending.
On the first tab, Dashboard Tracking, draw from the information you gathered in Step One as part of your preparation for this assessment:
Identify the specific benchmark data you will compare with your office data. Remember it is up to you to establish your benchmarks.
Organize or create a spreadsheet to display the totals, percentages, averages, and so on of your office data and of the national or state data you will be using for comparison. Note: Your Office Data column will be blank because you are not collecting any office data. This is only a proposal to do an information review of the quality of care provided by the physician group. Data does, however, need to appear in the Benchmark (national/state) data column.
Include at least one comparison graph of your choice on this tab.
On the second tab, Data Collection, draw from the information you gathered in Step One as part of your preparation for this assessment:
Create a form you will use to collect specific data from the patients’ records.
Include a row for each patient.
Provide a column for each data collection point (quality measure) you will be comparing.
Note: The information on this page is totaled, averaged, et cetera, with the results linked to the first tab.
To create your third tab, Trends, you will need to do some additional research. Identify national benchmarks for the condition you have chosen that could be compared to your office data. For example, if the trend in your office is that you are seeing more patients with asthma, but the national trend is decreasing, you have discovered a discrepancy that needs to be investigated.
To perform your analysis:
Visit one or more of the following websites containing national data:
Agency for Healthcare Research and Quality. (n.d.). Healthcare cost and utilization project. https://hcupnet.ahrq.gov/#setup
Centers for Disease Control and Prevention. (n.d.). CDC WONDER. https://wonder.cdc.gov/WelcomeT.html
Any other site that contains national or state health care data.
Locate and analyze statistical data relevant to the selected condition.
Examine trends:
What other meaningful trends exist? For example, consider the number of new cases, increases or decreases of cases within a specific age range or location, et cetera.
How do the national and state trends compare?
Is the national trend increasing or decreasing?
What is the percentage of cases who expire from the disease?
Identify the trending of one statistical result relating to the condition you selected over the last 5–10 years.
Create a line graph on the third tab of your spreadsheet, Trends, that illustrates the national and/or state trending of the disease you selected over the past 5–10 years.
Note: Remember you have not collected your office data yet for comparison purposes. You could add that data at a later time.
Step 3: Data Compatibility
Write a short section to add to the proposal you will complete in Assessment 3. Be sure this section of your proposal includes all of the following headings and your narrative addresses each of the bullet points.
Introduction
Provide a brief 1–2 sentence, high-level summary explaining data compatibility.
Data Compatibility
Assess the compatibility of the data:
How can you ensure data from multiple sources is compatible?
How do you know the data you are using for comparison is compatible with your office data?
What challenges are associated with data standardization? We do not want to compare apples with oranges. You want to be sure data from multiple sources:
Represents the same condition.
Uses similar statistical analysis.
And so on.
Effects of Health Information Quality on the HIE
Explain the difference between an HIE and a national database.
Explain what problems can develop if facilities submit incomplete or inaccurate information to an HIE.
Explain what problems can develop if facilities submit incomplete or inaccurate information to a national database.
Explain how incomplete or inaccurate data may affect your proposal.
Conclusion
Briefly reinforce your paper’s main points.

This is a proposed service improvement project on the oral care of older patients in a palliative care setting in a local hospital.It is a comprehensive written project plan on the re design of an element of service provision that enhances the experiences and outcomes of those involved in the service.You are going to design a service improvement project and use evidence based to provide the background and rationale for the project which will include QI tools, including the PDSA Cycle, appendices and Extractio table. References must include nursing books and journals, NMC, nursing literature and researches all references withing 10 years.This essay must be written in a level 6 and in third person and there should be no mention of any particular names of patient or a named hospital. Please follow strictly the module outcomes and the marking criteria attached and word count must be strictly 3000 or the paper will fail.The aim of the project is to improve the management of oral care of older patients in palliative care by 50 % in a local hospital by March 2025.Note: I will like to request a 500 word draft within 3 days, which I need to submit to check I am on track before final submission. Thanks.

Please answer the following PICO question (75-100 words). Cited per APA (7th ed) and comment on the post in general. I attached the rubric. Please use references only from the last 5 years.
PICO question related to mental health:
(P) In adolescents diagnosed with depression (I) does cognitive behavioral therapy (C) compared to pharmacological treatment (O) lead to greater improvement in depressive symptoms?
Type of Question: According to Gallagher Ford and Melnyk (2019), PICO questions aim to identify the terms to search for the best evidence to answer a clinical question. PICO questions are used as a search strategy (Gallagher Ford & Melnyk, 2019). PICO questions allow for unbiased and effective searches for the questions posed (Gallagher Ford & Melnyk, 2019).
Sources for Best Evidence: CINAHL, MEDLINE, and PsychINFO would be the best sources for my PICO question. CINAHL and MEDLINE examine healthcare issues across different disciplines (Melnyk & Fineout-Overholt, 2019). PsychINFO examines psychological, behavioral, and health sciences (Melnyk & Fineout-Overholt, 2019).
Levels of Evidence: According to Melnyk and Fineout-Overholt (2019), levels of evidence rank evidence by the type of design or research methodology that would answer the question with the fewest errors. Level I evidence is generated from systematic reviews or meta-analyses of all RCTs or evidence-based clinical practice guidelines and is the most substantial level of evidence to guide clinical practice (Melnyk & Fineout-Overholt, 2019)
References
Gallagher Ford, L., & Melnyk, B. M. (2019). The underappreciated and misunderstood PICOT question: A critical step in the EBP Process. Worldviews on Evidence-Based Nursing, 16(6), 422–423. https://doi-org.ezproxy.utica.edu/10.1111/wvn.12408
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

lease complete the following questions in your reflective journal: Meets Module SLOs 1, 2, 3, 4 & 5
After completing the Sentinel U: Patient Management and Delegation Level 3-
First while looking at the report sheets- what do you glean to know you have a low, medium, or high acuity patient?
While looking at the report sheets, what tells you an expert nurse needs to do something? The nurse with a medium amount of experience needs to do something.
While looking at the report what tells you if I was taking care of this patient I need to see them right out of the report because of?
What helpful suggestions can you as a charge nurse or nursing manager provide a new staff nurse to improve time management with a patient assignment? (Use your suggested reading for suggestions to improve time management: Leis, Sheila J., and Amanda Anderson. 2020. “Time Management Strategies for New Nurses.” American Journal of Nursing 120 (12): 63. doi:10.1097/01.NAJ.0000724260.01363.a3. ).
Describe the workload tool used where you have practiced to efficiently meet the patient staffing needs. If you are not currently working as a nurse, find a tool online and describe it. (See Chapter 8 in your textbook).
Calculate the nursing care hours per patient-day (NCH/PPD) based upon the same number of patients (10) staying for 24 hours and during the 0700-1500 shift, 3 RNs and 1 nursing assistant (NA); 1500-2300 shift, 3 RNs; 2300-0700 shift, 2 RNs, and 1NA. The formula is NCH/PPD = Nursing hours worked in 24 hours divided by Patient Census. Where nursing care hours per patient day is (NCH)/PPD.
How does the nursing care hours per patient day formula compare to other workload measurement tools you discussed in question 2?
Review the staffing and scheduling policy where you currently work and explain it in a short summary. If you are not currently working as a nurse, find a policy online and use it to answer the question. (See Chapter 8 in your textbook). Explore the American Nurses Association statement regarding nursing staffing advocacy, https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/Links to an external site. and determine if the policy you reviewed meets the state minimum staffing guidelines for the state you currently work- does your state have guidelines? Why or why not?
Short case: The outpatient surgical unit is experiencing various unfinished nursing care, including patient teaching, review of current medications and reconciliation of the medications, and emotional support for the patient and family. There has been an increase in hospital-acquired infections and medication errors. The patient satisfaction scores have declined. Staff state they are feeling stressed and feel they don’t have enough time to complete everything that needs to be done in a timely manner. The facility is at the proper staffing ratios. There are some new nurses hired recently. In nursing management, what is a possible solution to improve the completion of needed nursing care and to improve the satisfaction of the patients? (Use your assigned reading articles to address the question: Bryant, S., & Yoder, L. (2021). Implementing the Lean Management System to Influence Unfinished Nursing Care. MEDSURG Nursing, 30(3), 181–217. and Al-Abri, R. K., & Al-Hashmi, I. S. (2007). The learning organization and health care education. Sultan Qaboos University medical journal, 7(3), 207–214).
Describe the nursing budget model used at the facility where you currently work. What are the budget goals? What plans have been made to carry out the goals for the place you work in the budget? (If you are not currently working use the provided budget to discuss: El Camino Hospital FY 19 Budget- https://www.elcaminohealth.org/sites/default/files/migrated-content/page/3436/body-pdf-Board-FY2019-Budget.pdfLinks to an external site.

APA, 3 Scholarly articles, No government sources please.
Instructions
Follow the steps to complete your journal response assignment for Module 3.
gastrointestinal conditions:
Acute abdominal pain
A specific form of gastroenteritis
Acute pancreatitis
Helicobacter pylori infection
Peptic ulcer disease
Module focus: Consider adult gastrointestinal conditions as you reflect on the following prompts:
Reflective Journal Assignment:
Think about what information you reviewed in this module that you deem most important. What material resonated most with you?
Describe how you can apply this content to your future practice as a healthcare professional.
How has this module contributed to your growth toward becoming a competent nurse practitioner?
Summarize your thoughts using 250–300 words. You should cite online literature or articles that you find in the library to support your ideas.

APA, 3 scholarly articles, no government sources,
instructions
Write a 1- to 2- page paper in APA (7th ed.) format comparing the nursing process to the five steps of evidence-based practice.
Include the following:
Identify the five steps of the evidence-based practice model.
In your own words, explain what each of the five steps entails.
Use a real or fictitious clinical problem and discuss how to approach the problem using each of the five steps. Provide details about precisely how you would find the information, critically appraise the evidence, integrate the appraised information, and evaluate the effectiveness of the previous steps.
Explain how this process will look at your facility as an ongoing process to improve nursing care associated with your identified problem.

clinical problem would be nurse burnout

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guideLinks to an external site.. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
By Day 7 of Week 10
Submit Part 4 of your Evidence-Based Project. Review the following submission instructions for the type of submission you choose.
submission information – Narrated PowerPOint