1. Paper Topic

 Discussion Topic

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Submit your paper topic in this discussion board. Argue the significance of the chosen issue in improving global public health. You need to select a community/state within a low/middle income (developing) country afflicted by the selected global public health problem. 

Each topic should be supported by two studies from peer-reviewed journals. 

Word limit 350, APA in-text citation and reference list required.

When student submitted the previous topic comments professor did

Good attempt! But more work is required, you need to cite 2 studies from a chosen country in Africa – please select one country only, example Nigeria and all articles should be focused on that community. For the paper you need 5 studies from the same country on the same topic. For each study you will review – Purpose, methods, results and recommendations. 

Please submit your articles and citations – this needs to be re-done, I will re-grade. 

This is too broad and what are your variable. This is not a study and also looks like a copy paste – you need to write in your own words. 

Here is a suggested topic and paper:

https://www.tandfonline.com/doi/abs/10.1080/19443994.2013.734677

Effect of ritualistic bathing on water quality of Ganga river in India. 

See if you can find similar studies that explore the impact of independent variable (bathing) on dependent variable (water quality)

You need total 5 such studies. 

All the Best, 

Dr. Puri 

2. Literature Review Assignment

Choose one articles on your chosen topic for this assignment. The review should include following components: study purpose, study methods – characteristics of the participants, study design, data-collection procedures, instruments used, and study results. 

Page length: 1 page. DO not attach the document, the review should be visible in the discussion board to the reader. 

References required: APA7 – in-text and reference list. 

Provide a link for the selected study! 

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Eleanor Thompson, a 72-year-old woman, has been battling an aggressive form of ovarian cancer for the past three years. Despite undergoing multiple rounds of chemotherapy and radiation, her condition has deteriorated, and she is now experiencing severe pain and suffering. Eleanor’s oncologist, Dr. Samuel Martinez, has presented the family with the option of another experimental treatment, but he has also suggested considering transitioning to palliative care. Eleanor’s family is deeply divided on the decision. Her eldest daughter, Maria, believes that every possible treatment should be pursued, holding onto hope for a miracle. She argues that her mother has always been a fighter and would want to continue the battle against her illness. On the other hand, Eleanor’s son, Michael, feels that his mother has suffered enough. He believes that transitioning to palliative care would allow her to spend her remaining days in comfort and peace. Caught in the middle is Eleanor’s husband of 50 years, Robert. He is torn between wanting to honor his wife’s fighting spirit, desiring to ease her pain, and the painful finality of either decision. The healthcare team must navigate a complex ethical landscape. Beneficence, the principle of doing good, pushes the team to consider what would truly benefit Eleanor in terms of quality of life. Non-maleficence, or “do no harm,” raises questions about the potential suffering Eleanor might endure with further aggressive treatments. Lastly, the principle of justice requires the team to treat Eleanor fairly and equitably, ensuring her needs are met regardless of family disagreements.
Using the case study above, answer the questions below.

1. Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
   • Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
   • Identify who is involved or affected by the ethical problem or issue.
   • Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
     • Apply the three components outlined in the Ethical Decision-Making Model media.
   • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
     • Describe the factors that contributed to the problem or issue and explain how they contributed.
2. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
   • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
     • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
     • Review the Think Critically About Source Quality resource.
       • Assess the credibility of the information source.
       • Assess the relevance of the information source.
3. Discuss the effectiveness of the communication approaches present in a case study.
   • Describe how the health care professional in the case study communicated with others.
   • Assess instances where the professional communicated effectively or ineffectively.
   • Explain which communication approaches should be used and which ones should be avoided.
   • Describe the consequences of using effective and non-effective communication approaches.
4. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
   • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
   • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
   • Discuss the key lessons this case provides for health care professionals.
5. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
   • Describe the proposed solution.
   • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
   • Discuss how likely it is the proposed solution will foster professional collaboration.
6. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
   • Apply the principles of effective composition.
   • Determine the proper application of the rules of grammar and mechanics.
7. Write using APA style for in-text citations, quotes, and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

DISCUSSION: PATIENT PREFERENCES AND DECISION MAKING

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

· Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

· Review the Ottawa Hospital Research Institute's Decision Aids Inventory at 
https://decisionaid.ohri.ca/Links to an external site..

· Choose “For Specific Conditions,” then 
Browse an alphabetical listing of decision aids by health topic.

· After you have chosen a topic (or condition) and a decision aid, consider if 
social determinants of healthLinks to an external site. were considered in the treatment plan Social determinants of health can affect a patient's decision as these are conditions in the patient's environment, such as economic stability, education access, health care access and quality, neighborhood, and social and community context.

·
NOTE: To ensure compliance with HIPAA rules, please 
DO NOT use the patient's real name or any information that might identify the patient or organization/practice.

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, 
social determinants of health
Links to an external site.
, and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:

Social Determinants of Health – Social Determinants of Health – Academic Guides at Walden 
Links to an external site.

University)

LEARNING RESOURCES

Required Readings

· Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). 

The connection between evidence-based medicine and shared decision makingLinks to an external site.
. 
Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

· Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). 

Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statementLinks to an external site.
. 
Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

· Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). 

Measuring return on investment for professional development activities: Implications for practiceLinks to an external site.
. 
Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

· Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). 

Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision makingLinks to an external site.
. 
Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). 

Patient decision aidsLinks to an external site.
. Retrieved from https://decisionaid.ohri.ca/

Describe your experience in the utilization of nursing research in your clinical practice.

Submission Instructions:

• Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Weekly objective

1. Explore an area of interest through patterns of knowing (CO 1)
2. Examine the components of the nursing metaparadigm.
3. Examine different patterns of knowing in nursing. (CO 2)
4. Analyze the benefits of reflection for shaping and understanding theory. (CO 2)
5. Differentiate between the received and perceived schools of scientific thought. (CO 2)

Course Outcomes

1. Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5)
2. Apply nursing theory as a framework to guide the development of new knowledge and implementation of evidence-based practice in future professional settings. (PO 1 and 4)

The above is just additional information for the question below.

 Write 1-2 paragraphs reflecting on ways of knowing and the use of metaparadigm in the NP role 

• Provide one specific example of how you achieved the weekly objectives.
• What do you value most about your learning this week?
• What else about the weekly topics do you need to explore to grow further as a future NP?