Community Health Promotion Project

/in /by

Nursing homework help

Dropbox AssignmentAssignment 2: Community Health Promotion Project

For this assignment, you will compose a scholarly paper focused on health promotion for a population of your choosing. Your paper should be 6 to 7 pages in length and formatted in APA style.Be sure to address the following:Identify the population you choose and analyze relevant information (demographics, socioeconomics, environmental hazards, and access to healthcare) pertaining to your chosen population.Analyze and discuss the mortality and morbidity risk factors for your selected population. Discuss four health risk factors.Suggest a health promotion activity for each health issue identified from your analysis.Use course lectures, textbook readings, and three scholarly journal articles to support your findings and recommendations in relation to your chosen population.On a separate page, cite all sources using APA format. You can use this APA Citation Helper as a convenient reference for properly citing resources. You may create your essay in this APA-formatted template.Submission Details:Name your document SU_NSG4074_W4_A2_LastName_FirstInitial.doc.Submit it to the W4 Assignment 2 Dropbox by Monday, October 30, 2017.

Individualized Fitness Plan

/in /by

 

Nursing homework help
Individualized Fitness Plan

Using your fitness assessment analysis, develop a fitness plan with short term goals for this term as well as long range, lifetime fitness goals, using the FITT principle, and with an activity plan for the entire week. Your fitness plan should include activities and exercises you like to do! Your weekly fitness plan should include exercises/activities you plan on engaging in during activity classes you may have, during athletic team workouts if applicable to you, and any other activity you engage in throughout the week.

For Important Health Benefits

Adults need at least:

walking

2 hours and 30 minutes (150 minutes) of moderate-intensity aerobic activity (i.e., brisk walking) every week and

weight training

muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

OR

jogging

1 hour and 15 minutes (75 minutes) of vigorous-intensity aerobic activity (i.e., jogging or running) every week and

weight training

muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

OR

walking jogging

An equivalent mix of moderate- and vigorous-intensity aerobic activity and

weight training

muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

10 minutes at a time is fine

We know 150 minutes each week sounds like a lot of time, but you don’t have to do it all at once. Not only is it best to spread your activity out during the week, but you can break it up into smaller chunks of time during the day. As long as you’re doing your activity at a moderate or vigorous effort for at least 10 minutes at a time.

How do you know if you’re doing light, moderate, or vigorous intensity aerobic activities? For most people, light daily activities such as shopping, cooking, or doing the laundry, don’t count toward the guidelines. Why? Your body isn’t working hard enough to get your heart rate up.

Moderate-intensity aerobic activity means you’re working hard enough to raise your heart rate and break a sweat. One way to tell is that you’ll be able to talk, but not sing the words to your favorite song. Here are some examples of activities that require moderate effort:

· Walking fast, doing water aerobics, riding a bike on level ground or with few hills, playing doubles tennis, pushing a lawn mover

Vigorous-intensity aerobic activity means you’re breathing hard and fast, and your heart rate has gone up quite a bit. If you’re working at this level, you won’t be able to say more than a few words without pausing for a breath. Here are some examples of activities that require vigorous effort:

· Jogging or running, swimming laps, riding a bike fast or on hills, playing singles tennis, playing basketball

Your plan should include:

1. Your name

2. Short term goal (goal for this term) (worth 2.5 points)

3. Long term goals (goals for a lifetime) (worth 2.5 points)

4. Using the F.I.T.T. principle map out your fitness plan using a table – don’t forget to include flexibility exercises (see example below). Your FITT plan should align with the minimum standards set by the CDC (see above).(worth 10 points)

Frequency

(How often?)

Intensity level

(Heart rate?)

Type

(Activity?)

Time

(How long?)

5 days/week

vigorous

Running

30 minutes

2 days/week

3 sets of 12 – see muscle/muscle groups

Weights – free & machine

45 minutes

3 days/week

500 yards/15 minutes

swimming

15 minutes

2 days/week

50% of max

volleyball

90 minutes

Everyday

4 MPH

dog walking

30 – 60 minutes

Daily

15 – 20 seconds

Yoga

20 minutes

4 days/week

to muscle failure

abdominal crunches

15 minutes

1 day/week

moderate

Hiking

120 minutes

5. List specific muscle/muscle groups target areas for resistance training, for example: arms – biceps and triceps, chest, back, shoulders, abdominals, legs – (quadriceps, hamstrings, and calves). Make sure you include the number of sets and reps.

6. Now make a spreadsheet for the week and plug into each day when you are going to engage in each activity. (worth 5 points)

7. And remember, ask yourself, is my plan realistic? Sustainable?

You will be graded on the thoroughness of your plan. Spelling and grammar will be considered in the grading process. This assignment is worth 20 points

Interdisciplinary Perspectives in Healthcare

/in /by

Nursing homework help

Interdisciplinary Perspectives in Healthcare

DISCUSSION BOARD 250-300 WORDS DUE THURSDAY

 

The Community Health Center has emerged as an increasingly important setting and focus for a collaborative, interdisciplinary approach to delivering health care. Political and economic realities promise to magnify the role of this institution.

To prepare:

For this Discussion, review this week’s Required Resources and reflect on the ramifications and potential for collaboration in community health centers.

Post a comprehensive response to the following:

  • Identify what you believe are the two key benefits of collaboration for community health centers.
  • How do you feel health care reform will promote or hinder collaboration and an interdisciplinary approach at community health centers?

Support your arguments with specific citations from this week’s readings.

_________________________________________________________

RESOURCES

 

Dieleman, S., Farris, K., Feeny, D., Johnson, J., Tsuyuki, R., & Brilliant, S. (2004). Primary health care teams: Team members’ perceptions of the collaborative process. Journal of Interprofessional Care, 18(1), 75-78.
Note: Retrieved from the Walden Library databases.

This article reports the results of an experiment to measure the impact on a variety of providers working on a collaborative health care team in a noninstitutional, community setting.

Fewster-Thuente, L., & Velsor-Friedrich, B. (2008). Interdisciplinary collaboration for healthcare professionals. Nursing Administration Quarterly, 32(1), 40-48.
Note: Retrieved from the Walden Library databases.

This article considers a number of factors that can help or hinder the cause of interdisciplinary collaboration, especially those associated with patient outcomes. This is an especially important matter as it has been estimated that nearly 70% of adverse effects suffered by hospital patients are caused by the lack of communication and collaboration between doctors and nurses.

Grumbach, K., & Bodenheimer, T. (2004). Can health care teams improve primary care practice? JAMA, 291(10), 1246-1251.
Note: Retrieved from the Walden Library databases.

The authors identify and discuss five essential characteristics that teams must possess to work together successfully, namely: defined goals, clinical and administrative systems, division of labor, training, and communication. Case studies of a local and a regional primary care practice are used to advance the argument.

Hennessy, C. (2010, January 7). Hospice provides compassionate end-of-life care. CT Post. Retrieved from http://www.ctpost.com/health/article/Hospice-provides-compassionate-end-of-life-care-312784.php

When we think of interdisciplinary health care, we generally wouldn’t think of hospice. But, as this article demonstrates, hospice care is a perfect example of the coordinated, compassionate, and efficient model of providing needed health care services.

Huang, B., & Perroud, T. (2003, January 17). Our protocol for a successful interdisciplinary collaboration. Science Career Magazine. Retrieved from http://sciencecareers.sciencemag.org/career_magazine/previous_issues/articles/2003_01_17/noDOI.11449521753182219153

Two physical chemists describe the benefits of collaboration in their lab research. While their work has no direct bearing on health care, their observations and experiences collaborating with others provide useful lessons that can be applied to any endeavor.

Leaders of major national organizations collaborate on approaches to health reform. (2009, March 27). Targeted News Service.
Note: Retrieved from the Walden Library databases.

This press release announces the formation of a task force committed to cooperating to find solutions to difficult issues involved in reforming the nation’s health care system. The intent is to facilitate the process in a nonpolitical way. The committee is composed of leaders representing different industry stakeholders in the process, including doctors, hospitals, insurers, consumers, and public health professionals, among others.

Mitchell, G., Tieman, J., & Shelby-James, T. (2008). Multidisciplinary care planning and teamwork in primary care. Medical Journal of Australia, 188(8), 61-64.
Note: Retrieved from the Walden Library databases.

Systematic reviews of research on the effect of a multidisciplinary approach to treating patients with chronic disease confirmed that such an approach improved patient outcomes. Before it can become widespread, this approach will require structural and practical realignment.

Senators urge review of barriers to collaboration. (2010, January 11). AHA News, 46, 1.
Note: Retrieved from the Walden Library databases.

In an effort to expedite and encourage the adoption of collaborative care models for patient-centered health care, nine Democratic U.S. Senators petitioned the Department of Justice and the Federal Trade Commission to create guidelines and offer advice to hospitals, doctors, and other interested care providers.

State Government of Victoria Department of Health. (n.d.). Achieving best practice cancer care, A guide for implementing multidisciplinary care. Retrieved from http://docs.health.vic.gov.au/docs/doc/Achieving-best-practice-cancer-care–A-guide-for-implementing-multidisciplinary-care—Mar-2007

This site presents a model for multidisciplinary cancer care in the state of Victoria, Australia.

Taylor, T. (2009). The role of community-based public health programs in ensuring access to care under universal coverage. Issue Brief. American Public Health Association.

“The Role of Community-Based Public Health Programs in Ensuring Access to Care Under Universal Coverage” by Tia Taylor. Copyright October 2010 by AMERICAN PUBLIC HEALTH ASSOCIATION. Used by permission of AMERICAN PUBLIC HEALTH ASSOCIATION via the Copyright Clearance Center.

This monograph published by the American Public Health Association addresses the importance of community-based public health programs and how the rising tide of health reform may, in fact, jeopardize some essential services, putting already vulnerable populations at greater risk.

U.S. Department of Health and Human Services. (2010). Recovery Act (ARRA): Community health centers. Retrieved from http://wayback.archive-it.org/3909/20130926130202/http://www.hhs.gov/recovery/hrsa/healthcentergrants.html

As part of the American Recovery and Reinvestment Act, $2 billion was designated for the creation of Community Health Centers. Some of the key provisions of the program are provided on this site.

Vazirani, S., Hays, R., Shapiro, M., & Cowan, M. (2005). Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. American Journal of Critical Care, 14, 71-77. Retrieved from http://ajcc.aacnjournals.org/content/14/1/71.full.pdf+html

Perhaps the most compelling argument for interdisciplinary health care is that it has been demonstrated to improve patient outcomes. This article describes a 2-year experiment to measure the effect of a multidisciplinary intervention on health care providers at an acute inpatient medical unit.

U.S. Department of Health and Human Services. Increased demand for community health center services (IDS) grants by state. Retrieved from http://wayback.archive-it.org/3909/20130926131407/http://www.hhs.gov/recovery/programs/hrsa/ids.html

This website keeps a constant running count of the effect of new grants for community health services under the American Recovery and Reinvestment Act of 2009. The number and value of grants, jobs created, and patients covered is tabulated by state.

Click on your state to look for the grants in your state.

Community Medicine and Community Health Centers

U.S. Department of Health and Human Services. Recovery Act funding for commmunity health centers. Retrieved from http://wayback.archive-it.org/3909/20130926130349/http://www.hhs.gov/recovery/programs/hrsa/index.html

This page provides links to ARRA Community Health Center grants by state.

Find an example of community centers in your state.

The University of Texas Southwestern Medical Center at Dallas. Family and Community Medicine, Division of Community Medicine. Retrieved from http://www.utsouthwestern.edu/education/medical-school/departments/family-community-medicine/divisions/community-medicine/index.html

This is the website for the Department of Family and Community Medicine at the Southwestern Medical Center in Dallas, TX. Explore the site to familiarize yourself with the kinds of services and research being conducted here, as it relates to an interdisciplinary approach to community health.

______________________________________________________________

 

Current Issues in Healthcare Policy and Practice

DISCUSSION BOARD 250-300 WORDS DUE THURSDAY

 

Discussion: Access to Care

One of the biggest complaints about the U.S. health care delivery system revolves around access to services. More specifically, too often, the high cost of health care is a barrier to its access. A key objective of health care reform efforts has been to expand access to quality care to more people. What will the effects of increasing access to health care be?

To prepare for this Discussion, consider this week’s Learning Resources.

Find an article in the Walden Library that illustrates the potential positive and/or negative impact of increased access to health care services as a result of health care reform.

Post a comprehensive response to the following:

  • Cite and summarize the article.
  • What are two effects of increased access to care on the providers of that care (i.e., hospitals, physician practices, or long-term care facilities)?
  • How do you think the impact of increased access might be mitigated? Should it be? Why or why not?

Note: Initial postings must be 250–350 words (not including references).

_____________________________________________________________________

ASSIGNMENT …. DUE SUNDAY BY 11:59 PM (CITE ALL REFERENCES IN ASSIGNMENT)

 

The Practical Role of Policy

What has health policy done for me lately?

Developing health care policy is often an exercise in balancing competing interests, many of them political. Policy is often the product of elaborate negotiations between many interested parties. It is sometimes difficult for individuals to see the connection between health care policies and their own personal health. In short, people ask, “What does health policy mean to me?”

This Application will give you an opportunity to delve a little deeper into the practical role of policy, by examining a health policy issue that is of particular interest to you.

To prepare for this Application, select an acute or chronic health issue (such as motorcycle accident-related head trauma or type 2 diabetes) that is of interest to you. Using the Walden Library and credible websites, research this issue to analyze a key policy related to the health issue you selected. Select at least three articles about the policy to use in your paper.

To complete this Application, write a 3- to 4-page paper that addresses the following:

  • Describe the health care issue you selected. Explain why this issue is important, in terms of access, affordability, quality, and safety.
  • Identify a health policy that is related to the health issue you selected. Explain its intended purpose and indicate the source of the policy (i.e., state law, federal law, accreditation organization, etc.)
  • Cite and summarize the articles you selected.
  • Analyze what the literature says about the impact of the policy, in terms of cost, affordability, access, quality, and safety.

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources, as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.

_________________________________________________________

RESOURCES

 

Current Issues in Healthcare Policy and Practice
Chapter 2, “Cost, Access, and Quality” (pp. 45–76 through “Current Indicators of Access”)The cost of health care, access to it, and the quality of the care are often related to one another in a reciprocal and interactive way. This chapter establishes a foundation for understanding health care costs and how those costs are directly related to access and quality. You will finish this chapter in next week’s reading.

Health Politics, Policy, and Practice
Chapter 5, “Medicare: The Great Transformation”Along with Medicaid and Social Security, Medicare is one of the three largest Federal entitlement programs. It is relied upon by millions of American citizens. This chapter looks at the history of this important program and how the politics influence the benefits and operation of this mammoth government program.
Chapter 6, “Medicaid: Health Care for You and Me?”This chapter presents an overview of the Medicaid program, looks at how it has evolved over the years, and considers where it might be going. It presents three commonly held myths about Medicaid.

Goldsmith, J. (2010). Analyzing shifts in economic risks to providers in proposed payment and delivery system reforms. Health Affairs, 29(7), 1299–1304. Retrieved from http://ezp.waldenulibrary.org/login?url=http://proquest.umi.com.ezp.waldenulibrary.org/pqdweb?did=2089628041&sid=6&Fmt=3&clientId=70192&RQT=309&VName=PQD

The unbridled growth of health care costs has been, and continues to be, a significant factor fueling the push for health care reform. This article analyzes some of the cost-containment models that are currently under consideration and assesses the feasibility of their implementation.

Rosenthal, E., Brownstein, J., Rush, C., Hirsch, G., Willaert, A., Scott, J., et al. (2010). Community health workers: part of the solution. Health Affairs, 29(7), 1338–1342. Retrieved from http://ezp.waldenulibrary.org/login?url=http://proquest.umi.com.ezp.waldenulibrary.org/pqdweb?did=2089628121&sid=9&Fmt=3&clientId=70192&RQT=309&VName=PQD

This article examines the contribution that community-health workers could make to cost reduction, access expansion, and quality improvement of Medicaid and health care, in general.

Heathcare.gov. (n.d.). Understanding the affordable care act. Retrieved October 18, 2010, from http://www.healthcare.gov/law

This web page presents various elements to provide an overview of the Affordable Care Act. Signed into law by President Obama on March 23, 2010.

Optional Resources

“Health Care Reform” (PBS.org)
http://www.pbs.org/now/shows/health-care-reform/

Current Issues in Healthcare Policy and Practice
Chapter 9, “Long-Term Care Reimbursement”

Kristof, N. D. (2010). Access, access, access: [Op-Ed]. The New York Times (Late Edition), A31. Retrieved from http://ezp.waldenulibrary.org/login?url=http://proquest.umi.com.ezp.waldenulibrary.org/pqdweb?did=1985614601&sid=2&Fmt=3&clientId=70192&RQT=309&VName=PQD

A 33-year-old patient is seen for a bilateral screening mammography with computer-aided detection, interpreted by the physician, with digitization of the radiographic images. What CPT codes should be assigned?

/in /by

 

Nursing homework help
Answer the following questions, please make sure all answers are CORRECT and send back to me

2. A 23-year-old patient comes in complaining of shortness of breath, fatigue, and an abnormally fast heartbeat. She also has GERD, acute exacerbation of asthma, and cachecticorum acne. The physician obtains a complete blood cell count, and renders a diagnosis of Rietti-Greppi-Micheli anemia. What diagnosis codes are assigned?

A. D58.3, K23.9, J45.906, L70.8

B. D56.3, K24.9, J45.941, L70.8

C. D59.3, K21.9, J45.921, L70.8

D. D56.9, K21.9, J45.901, L70.8

4. A 33-year-old patient is seen for a bilateral screening mammography with computer-aided detection, interpreted by the physician, with digitization of the radiographic images. What CPT codes should be assigned?

A. 78053, 77054

B. 77097, 77056

C. 77059, 77051

D. 77057, 77052

5. A patient undergoes testing for ten synthetic cannabinoids, cocaine, methadone, and three opiate analogs. What codes would be assigned?

A. 80331, 80353, 80358, 83992

B. 80352, 80353, 80358, 80363

C. 80352, 80353, 80364, 80368

D. 80347, 80360, 80363, 80365

7. A patient undergoes a limited clinical pathology consultation, without review of history or medical records. What code should be assigned?

A. 80502

B. 80500

C. 80434

D. 80436

8. A lumbosacral myelography performed with radiological supervision and interpretation is assigned to code

A. 72285.

B. 72270.

C. 72275.

D. 72265.

9. A 26-year-old patient undergoes a carotene test to check her vitamin A level. What CPT code should be assigned?

A. 82381

B. 82384

C. 82380

D. 82382

10. What code is assigned for intravenous pyelography without KUB and without tomography?

A. 74455

B. 74400

C. 74742

D. 74326

11. A patient has an activated coagulation time test. The coder assigns code 85345. Is this code correct or incorrect?

A. The code is correct, but should include a modifier for the activated portion of the test.

B. The code is incorrect. The correct code is 85347.

C. The code is incorrect. The correct code is 85348.

D. The code is correct.

12. Code 82947 indicates a test that is included in a/an _______ panel.

A. renal function

B. lipid

C. electrolyte

D. hepatic function

13. A new patient comes in to the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

A. G0147

B. G0417

C. G0856

D. G0256

14. Code 89230 indicates

A. sweat by iontophoresis.

B. bilirubin, total, transcutaneous.

C. nasal smear for eosinophils.

15. What code is assigned for a hepatitis C antibody test?

A. 86784

B. 86756

C. 86803

D. 86830

16. Blood lipoprotein with electrophoretic separation and quantitation with high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses would be assigned to code

A. 83701.

B. 83698.

C. 83704.

D. 83705.

17. The description for code 82441 is

A. cholinesterase; serum.

B. chlorinated hydrocarbons, screen.

C. cortisol; free.

D. chromium.

18. What code would be assigned for anterior segment imaging with fluorescein angiography, with interpretation and report?

A. 92230

B. 92235

C. 92499

D. 92287

19. A patient has a temporomandibular joint arthrography. If the procedure is performed under radiological supervision and interpretation, what code should be reported?

A. 70553

B. 70350

C. 70332

D. 70551

20. Mr. Carson comes to the emergency room complaining of leg pain after falling out of bed in his home. A technician at the hospital obtains an x-ray of the tibia and the fibula using the hospital’s radiology equipment. The physician reviews his x-ray, and determines that he has sprained his leg. Mr. Carson also has a history of prostate cancer, cigarette smoking, Crohn’s disease, and hyperbilirubinemia. The emergency department visit included an expanded problem focused history and examination. The medical decision making was of moderate complexity. Code this scenario.

A. 99284-25, 73592

B. 99285-25, 73592

C. 99281-25, 73591

D. 99283-25, 73590

Weighing the Evidence

/in /by

 

Nursing homework help

Weighing the Evidence

When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research.

In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.

To prepare:

· Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.”

· Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion.

· Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions?

· Consider possible alternate conclusions that the researchers could have drawn based on their data.

· Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Review Chapter 2, Fig. 2.1

Chapter 29, “Systematic Reviews of Research Evidence: Meta-analysis, Metasynthesis, and Mixed Studies Review”

This chapter focuses on the different types of systematic reviews. The chapter discusses the advantages of this type of analysis and the steps for conducting a meta-analysis or metasynthesis.

Dingle, P. (2011). Statin statistics: Lies and deception. Positive Health, 180, 1.

In this article, the author outlines how misleading statistics are used to make false claims about the positive use of statin drugs in order to retain a market share of sales for pharmaceutical firms.

Katapodi, M. C., & Northouse, L. L. (2011). Comparative effectiveness research: Using systematic reviews and meta-analyses to synthesize empirical evidence. Research & Theory for Nursing Practice, 25(3), 191–209.

The authors of this article assert that more comparative effectiveness research (CER) is necessary to accommodate the elevated demand for evidence-based health care practices. The article supplies a summary of methodological issues relevant to systematic reviews and meta-analyses used in the process of CER.

Stichler, J. F. (2010). Evaluating the evidence in evidence-based design. Journal of Nursing Administration, 40(9), 348–351.

The quality of evidence used in EBP can vary considerably. This article highlights the necessity of critically appraising facility design research articles and using a hierarchical model to rate the strength of evidence.

Bernd, R., du Prel, J.-B., & Blettner, M. (2009). Study design in medical research: Part 2 of a series on the evaluation of scientific publications. Deutsches Aerzteblatt International, 106(11), 184–189. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695375/pdf/Dtsch_Arztebl_Int-106-0184.pdf

This article provides guidance in evaluating the study design of scientific publications for reliability and credibility. The authors suggest that the most important elements to consider are the question to be answered, the study population, the unit of analysis, the type of study, the measuring technique, and the calculation of sample size.

Walden University. (n.d.a). Paper templates. Retrieved July 23, 2012, from http://writingcenter.waldenu.edu/57.htm

This website provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.

Media

Laureate Education (Producer). (2012g). Hierarchy of evidence pyramid. Baltimore, MD: Author.

This multimedia piece explains the hierarchy of evidence pyramid. The piece offers definitions and key information for each level of the pyramid.

Laureate Education (Producer). (2012n). Weighing the evidence. Baltimore, MD: Author.

In this video, Dr. Kristen Mauk provides insight about how she analyzed her data and interpreted meanings of what the data showed. She describes how she drew conclusions based on the results and how she explained unexpected findings that were contrary to her initial hypotheses.

\��0

 Creating a Culture of Evidence-Based Practice

/in /by

Nursing homework help

 Creating a Culture of Evidence-Based Practice

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

To prepare:

· Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.

· Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?

· Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.

· Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?

· Reflect on how nurses can disseminate findings from evidence-based practice research.

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter      30, “Disseminating Evidence: Reporting Research Findings”

    In this chapter, the focus is on actually reporting on the research      findings and how to determine the best approach for reaching the desired      audience. The chapter also includes tips on how to organize the      information and describes what is usually included in such reports.

Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. Australian Critical Care, 24(4), 244–254.

This article describes a multi-dimensional EBP program designed to generate sustainable improvement in patient care and patient outcome. The text details the program’s strategies for implementation along with achievements and lessons learned.

Barnsteiner, J. H., Reeder, V. C., Palma, W. H., Preston, A. M., & Walton, M. K. (2010). Promoting evidence-based practice and translational research. Nursing Administration Quarterly, 34(3), 217–225.

In this text, the authors highlight established systems and structures designed to supply staff with resources to translate research and deliver EBP. Additionally, the article explicates a multitude of initiatives designed to disseminate evidence to the point of care.

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230.

This article provides several models for implementing evidence-based practice within an organization. It introduces four different phases through which an implementation should progress, and provides examples of each.

Estrada, N. (2009). Exploring perceptions of a learning organization by RNs and relationship to EBP beliefs and implementation in the acute care setting. Worldviews on Evidence-Based Nursing, 6(4), 200–209.

In this article, the authors detail a survey design study conducted to determine the relationship between a learning organization’s characteristics and the beliefs of registered nurses with respect to EBP. In addition, the study examines the impact of EBP beliefs on registered nurses’ implementation of EBP.

Fineout-Overholt, E., Williamson, K. M., Kent, B., & Hutchinson, A. M. (2010). Teaching EBP: Strategies for achieving sustainable organizational change toward evidence-based practice. Worldviews on Evidence-Based Nursing, 7(1), 51–53.

The authors of this text suggest multiple strategies for integrating the EBP paradigm at the organizational level. The text provides rationale for why educators should also consider change at the individual level as an effective conduit for disseminating the EBP paradigm at the organizational level.

Munten, G. van den Bogaard, J., Cox, K., Garretsen, H., & Bongers, I. (2010). Implementation of evidence-based practice in nursing using action research: A review. Worldviews on Evidence-Based Nursing, 7(3), 135–157.

This text reviews 21 action research studies to determine what is known about using action research to implement evidence-based practice. The authors explicate the promising features and flaws that were common across the action research studies they used.

Satterfield, J. M., Spring, B., Brownson, R. C., Mullen, E. J., Newhouse, R. P., Walker, B. B., & Whitlock, E. P. (2009). Toward a transdisciplinary model of evidence-based practice. The Milbank Quarterly, 87(2), 368–390.

This article presents the primary issues and challenges in EBP across numerous health disciplines. The authors then posit a transdisciplinary EBP model designed to incorporate the strengths and diminish the flaws of each discipline’s EBP model.

Steurer, L. M.(2010). An evidence-based practice scholars program: One institution’s journey toward excellence. Journal of Continuing Education in Nursing, 41(3), 139–143.

The author of this article details the efforts of an EBP scholars program that was designed to teach an overview of EBP, along with the skills necessary to improve patient outcomes. In addition to the program’s development and implementation, the article highlights lessons learned.

Media

Laureate Education (Producer). (2012k). Translating evidence into practice. Baltimore, MD: Author.

Dr. Kristen Mauk discusses the outcomes of her DNP project in this video. She explains how nurses in the rehabilitation unit where she conducted her project used the results of her project to improve their practices.

Laureate Education (Producer). (2012c). Disseminating findings. Baltimore, MD: Author.

In this video, Dr. Kristen Mauk offers advice for nursing students and practitioners in disseminating the findings of their research and evidence-based practice projects. She identifies many options for dissemination that are available to nurses.

  Security of Health Care Records

/in /by

Nursing homework help

  Security of Health Care Records

With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.

· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?

· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.

· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 5, “Ethical Applications of Informatics”

This chapter examines the ethical dilemmas that arise in nursing informatics. The authors explore the responsibilities for the ethical use of health information technology.

  • Review Chapter 23 “Research: Data Collection,      Processing, and Analytics” (pp. 415–416)

In this section, the author explains information fair use and copyright restrictions. The section describes processes for ensuring the security of a computer network.

Brown, B. (2009a). Improving the privacy and security of personal health records.

Journal of Health Care Compliance, 11(2), 39–40, 68.

The author of this article examines the use of the document titled “Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identified Health Information.” The article describes how the framework aims to construct an approach to address the privacy and security challenges that come with health information exchanges and personal health records.

Dimitropoulos, L., Patel, V., Scheffler, S. A., & Posnack, S. (2011). Public attitudes toward health information exchange: Perceived benefits and concerns.

American Journal of Managed Care, 17, SP111–SP116.

This article describes a study that sought to determine the attitude of consumers toward electronic health information exchanges (HIE), HIE privacy and security concerns, and the relationship between these concerns and the perceived benefits of HIE. The authors recommend solutions to some of the privacy challenges stimulated by HIE.

Goodman, K. W. (2010). Ethics, information technology, and public health: New challenges for the clinician-patient relationship. Journal of Law, Medicine & Ethics, 38(1), 58–63.

In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.

Hoffman, S., & Podgurski, A. (2011). Meaningful use and certification of health information technology: What about safety? Journal of Law, Medicine & Ethics, 39(3), 425–436.

This article stresses the necessity of sufficient safeguards for EHR systems. The author explores current safety regulations for EHR system design and deployment. The author makes additional recommendations for protecting public health in the digital area.

 

Rothstein, M. A. (2010). The Hippocratic bargain and health information technology. Journal of Law, Medicine & Ethics, 38(1), 7–13.

The increasing availability of sensitive patient information granted by electronic health records has generated significant debate about patient privacy. This article examines the potential ethical and legal consequences of patient-directed sequestering of sensitive health information.

Optional Resources

Brown, B. (2009b). Privacy provisions of the American Recovery and Reinvestment Act. Journal of Health Care Compliance, 11(3), 37–38, 72–73.

Retrieved from the Walden Library databases.

Think about the nurse’s role in improving the health literacy of patients.

/in /by

Nursing homework help

Health Literacy

In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.

In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.

To prepare:

· Think about the nurse’s role in improving the health literacy of patients.

· Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.

· Reflect on experiences you have had with patients who self-diagnose using online medical sources.

· Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online.

· What are some strategies you could employ to improve the health literacy of patients?

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter      17, “Supporting Consumer Information and Education Needs”

This chapter explores health literacy and e-health. The chapter examines a multitude of technology-based approaches to consumer health education.

  • Chapter      18, “Using Informatics to Promote Community/Population Health”

In this chapter, the authors supply an overview of community and population health informatics. The authors explore a variety of informatics tools used to promote community and population health.

  • Chapter      16, “Informatics Tools to Promote Patient Safety and Clinical Outcomes”

The authors of this chapter present strategies for developing a culture of safety using informatics tools. In addition, the chapter analyzes how human factors contribute to errors.

Health literacy: How do your patients rate? (2011). Urology Times, 39(9), 32.

The authors of this article define health literacy and emphasize its poor rates in the United States. Additionally, the authors recommend numerous websites that offer patient education materials.

Huff, C. (2011). Does your patient really understand? H&HN, 85(10), 34.

This article defines hospital literacy and highlights the barriers that prevent it from increasing. It also emphasizes the difficulties created by language and financial costs.

The Harvard School of Public Health. (2010). Health literacy studies. Retrieved from http://www.hsph.harvard.edu/healthliteracy

This website provides information and resources related to health literacy. The site details the field of health literacy and also includes research findings, policy reports and initiatives, and practice strategies and tools.

Office of Disease Prevention and Health Promotion (n.d.). Health literacy online. Retrieved June 19, 2012, from http://www.health.gov/healthliteracyonline/

This webpage supplies a guide to writing and designing health websites aimed at increasing health literacy. The guide presents six strategies that should be used when developing health websites.

U.S. Department of Health and Human Services. (n.d.a). Quick guide to health literacy. Retrieved June 19, 2012, from http://www.health.gov/communication/literacy/quickguide/Quickguide.pdf

This article contains an overview of key health literacy concepts and techniques for improving health literacy. The article also includes examples of health literacy best practices and suggestions for improving health literacy.

Required Media

Agency for Healthcare Research and Quality (Executive Producer). (2012a). Interview with Rachelle Toman, M.D. Ph.D. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/videos/clinician06/index.html

In this interview, Dr. Toman discusses the importance of asking patients questions to ensure they have been able to sufficiently communicate their concerns.

Agency for Healthcare Research and Quality (Executive Producer). (2012b). The waiting room video. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/videos/waitroom/index.html

This video addresses the importance of communication in the patient-health care professional relationship. It highlights the need to ask meaningful questions to the patient to fully understand issues and concerns.

Explain the significance of monitoring the prevalence of MDR-TB among Category II pulmonary tuberculosis patients.

/in /by

 

Nursing homework help

Assignment 2—Effective Management of Tuberculosis

Multidrug-resistant tuberculosis (MDR-TB) has emerged as a global public health concern. Tuberculosis (TB) is contracted by breathing in air droplets from a sneeze or cough of an infected person. TB primarily attacks the lungs; however, it can spread to other parts of the body, especially if left untreated. The drug treatment regimen takes approximately 6 months or longer, so many patients become resistant to the medications after a certain period.

From the assigned readings this week, review the following article:

Sharma, S. K., Kumar, S., Saha, P. K., George, N., Arora, S. K., Gupta, D., . . . Vashisht, R. P. (2011). Prevalence of multidrug-resistant tuberculosis among Category II pulmonary tuberculosis patients. Indian Journal of Medical Research, 133(3), 312–315. (Web of Science Accession Number: WOS: 000289322400013)

Write a 3–5-page paper in Microsoft Word format that addresses the following:

Explain the significance of monitoring the prevalence of MDR-TB among Category II pulmonary tuberculosis patients.

Describe the methodology of the study in the above journal article and how the study sample was selected.

Analyze the study’s findings as they relate to the effective management of tuberculosis.

Summarize the results of the study.

Justify how the results of the study can improve rapid detection of MDR-TB.

Support your statements with appropriate examples and scholarly references.

Submit your assignment to the W4: Assignment 2 Dropbox by Tuesday, October 31, 2017.

Name your document SUO_PHE4095_W4_A2_LastName_FirstInitial.doc.

Cite all sources using the APA format.

Health disparities: Chronic diseases

/in /by

 

Nursing homework help

in this assignment, you will identify the various threats to the validity of a proposed research topic.

Select a topic related to public health care from the following:

Health disparities: Chronic diseases

Environmental health

Impact of infectious diseases on public health

Using the South University Online Library or the Internet, conduct a literature review on your chosen topic. Based on your review, create a 3- to 4-page Microsoft Word document that includes:

A list of topic that you have selected and provide a rationale for your choice.

At least three specific research questions (hypotheses) on which your research proposal will be based.

The research method for your research proposal. Your research method should explain how you intend to obtain your results, including information on the type of research and sampling plan.

The different types of threats to validity and a brief explanation of the threats that are appropriate for your research design.

Specify strategies for minimizing the identified threats to validity.

A project plan with a detailed equipment list.

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Name your document SU_PHE3025_W4_A2_LastName_FirstInitial.doc.

Submit your document to the W4 Assignment 2 Dropbox by Tuesday, October 31, 2017.

Assignment 2 Grading CriteriaMaximum PointsListed the topic selected and provided a rationale for choice.5Provided at least three specific research questions (hypotheses) on which research proposal will be based.10Explained the research method for research proposal. The research method should explain how you intend to obtain your results, including information on the type of research and sampling plan.10Explained the different types of threats to validity and a brief explanation of the threats that are appropriate for your research design.10Specified strategies for minimizing the identified threats to validity.5Created a project plan with a detailed equipment list.5Us