Nursing module 4 assignment

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What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?

What resources are available to you to engage in a meaningful and successful literature search?

As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.

Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.

For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest. 

6-paragraph assignment in which you do the following:

  •  a 1-pararaph introduction of how you conducted your literature search and the databases consulted in your search in relation to your practice area or area of interest. Be specific and provide examples.
  • a 1-paragraph summary of each of the articles you have selected (a total of 3 paragraphs).
  •  1 paragraph that synthesizes the three articles using a scholarly voice.
  •  a final paragraph in which you discuss the differences between summarizing and synthesizing research. Be specific and provide examples.

Consumer Health/ Public Health Advertisement

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Pick any Consumer Health or Public Health Advertisement that is a Video similar to a Public Service announcement. Try YouTube. Write at least half of a page answering in detail the following questions.  For example don’t just say it is Direct Advertisement tell me why you think it is direct advertisement. 

Every student in class should upload a document with the following answers completed in paragraph format. At least 1/2 page. DUE DATE: September 4, 2023 @4 PM

  1. Is this a Direct or Indirect Marketing Ad?
  2. Whom is the advertisement targeting and how do you know?
  3. Is the advertisement based on research? How do you know? 
  4. Review Table 3.1 from this list of which type of Advertisement Technique is used. 
  5. Review Table 3.2 from the list of what type of Advertisement Influence is shown in the ad. What evidence supports this claim?

PMHNP

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Research the 3 highest priority Differential Diagnoses, the proposed interventions with rationale and respond to the case.  

U 8 551

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A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”

  1. What other assessment data would substantiate the diagnosis of menopause?
  2. What type of therapy would you expect this patient to receive? Why?

instructions: It is a discussion post, APA format, 1 page in length is fine. Must have 3 references.

Discussion

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Florida

Purpose

The purpose of this assignment is to identify the scope of practice in one’s state, including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification, and education requirements for licensure.  Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patients’ access to care in their local community.

Purpose

The purpose of this assignment is to identify the scope of practice in one’s state, including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification, and education requirements for licensure.  Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patients’ access to care in their local community.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to: 

· Understand NP practice as defined by law (CO2) 

· Determine legislation as defined by legislation, statutes and regulations (CO2) 

· Identify barriers to ensuring patient’s rights (CO3) 

Due Date: Wednesday by 11:59 pm MST of Week 6

Initial responses to the discussion topic must be posted by Wednesday 11:59 pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59 pm MT.  Students are expected to submit assignments by the time they are due.

 A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 6, regardless of the number of days late. NOTHING will be accepted after 11:59 pm MT on Sunday (i.e. student will receive an automatic 0). 

Total Points Possible: 100

Preparing the Discussion

Discuss your state NP community in terms of scope of practice. Include your state’s scope of practice for NPs, including: 
Florida

1.

· Level of independence of practice 
**In California, NPs are required to practice under Standardized Procedure Guidelines. If CA is your intended practice state, please provide details on how Standardized Procedures Guidelines are developed in California and an example of a California SPG.

· Prescribing authority 

· Any limitations of practice 

· Process for obtaining licensure in your state 

· Certification and education requirements for licensure. 

2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community by these barriers? For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has an independent practice of the APN resulted in improved patient access to healthcare?   

3. How does access to NPs impact any healthcare disparities?  

4. A scholarly resource must be used for EACH discussion question each week.

Florida

Euthanasia

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Euthanasia & Physician Assisted Suicide (PAS)

After studying the course materials located on 

Module 8: Lecture Materials & Resources
 page, answer the following:

1. Euthanasia

· Medical / Generic definition

· Bioethical definition.

2. Describe pain and suffering within context of faith

3. Physician Assisted Suicide / Death ( PAS / PAD)

· Definition

· Is it ethical?

· Should we have the right to end our lives? Why yes or why not?

4. Better alternatives to PAS; compare and contrast each:

· Hospice

· Palliative care / Terminal sedation

5. Case studies. Brief summary of:

· Hemlock Society

· Jacob Kevorkian

· Britanny Maynard

Nursing

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Can you help me with my homework. 

Nursing

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Week 3 Module 3: Health Promotion, Risk Reduction, and Community Assessment

Module Overview

During week three, you will study risk reduction in population health and community assessment. You will complete course activities related to the process of completing a community assessment. A community assessment helps the nurse to:

· Identify the needs of a community,

· Clarify and prioritize problems, and

· Know what community strengths and resources are available to help solve those problems • Promote entry-level competencies in practicing public health nursing at the systems and community levels of nursing practice

Overall Topics

· Health Promotion

· Risk Reduction

· Community Assessment

Module Learning Objectives

By the end of this week, students will:

· Analyze the importance of risk reduction in population health.

· Examine the process and purpose of a community assessment.

· Identify the key components in a community assessment.

· During this course, complete and document a community assessment.

Learning Assignments

1. Read Nies and McEwen, Chapters 4 & 6 (including Table 6.2 – Community Assessment Parameters

2. Refer to Nies & McEwen PowerPoints in module

3. Read article: Caring in the Margins

4. Read 1939 Public Health article

5. Depending on your chosen community, you may do a walking or windshield survey that you will use as part of your data in your community assessment. There is a video example of a Windshield Survey. This is valuable data to include in your Community Assessment! Please note: Do not drive while completing the survey–have another driver when doing the windshield survey or you may also do it on foot, if able.

6. Review: Mustang Library NURS 400 Data Guide:

http://libguides.smsu.edu/nurs40


0

. The data guide is set up for NURS 400 at the Mustang Library. It has a menu at the top that includes databases for many of the items you need for your Community Assessment assignment! It also provides a nice overview of data resources available for assessing a community. Please take advantage of this excellent resource for your community assessment assignment.

7. Review: Community Assessment Windshield Survey:


https://www.youtube.com/watch?v=TGXMoQjXbUk

8. View: Sample video of a Windshield Survey:


https://www.youtube.com/watch?v=tG9YBqywhiE

9. See course module for all activities

Items Due

1. Synthesis and Application #2 initial posting due on 9/11/23 at 11:59 pm and
two replies to peers due on 9/17/23 by 11:59 pm (discussion is not self-graded) – Caring in the Margins

Discussion Topic

Task: Reply to this topic

Please read the article – Caring in the Margins by Enestvedt et al. (2018). The article discusses essential skills in transcultural nursing around issues of equity and social justice. Consider 'aha' takeaways while/after you read the article. The synthesis and application post focuses on getting you to think a bit deeper on this topic, specific to your own profession and public health nursing. There are three questions for you to answer:

1. Consider your own profession. What do you see as opportunities for adopting pieces of what you read in this article within your current professions and/in public health nursing?

2. Consider your own profession. Are there pieces of what you read in this article that you are struggling with and/or feel are not a fit regarding your profession and/or in public health nursing?

3. What is something you want to know more about, as it relates to this article?

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6

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 Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder (ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words, but do not know how to help her. Tomeika recently began attending an early childhood special education classroom for learners with ASD in the County Public School System for six hours a day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes. During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of concern, and also provides training to parents. 

Nursing NUR 445 – Week 6 Assignment: Case Study Part I

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This week, you will complete Case Study Part 1:

SECTION 1 BACKGROUND: IDENTIFYING A PROBLEM Eleanor is a 52-year-old patient who has had a hip replacement 1 day ago who is on your assigned patient care team. You complete patient care rounds and assess Eleanor’s vital signs, comfort level, intravenous (IV) site and wound dressing. Eleanor has an IV for fluid replacement and medication administration. She also has an indwelling urinary catheter. She tells you that her pain level is a 4 out of 10 and she is reluctant to move around because of the pain. You know that the patient’s pain control is a high priority and that the physician ordered the indwelling urinary catheter until the patient is able to get out of bed easily and tolerate fluids. The urinary catheter is convenient in that the patient will not experience pain getting up to the bathroom and it provides an accurate measurement of output. On the other hand, you know that the longer the indwelling urinary catheter is in place, the higher the risk of an infection. You ask a trusted senior nurse when is the right time to remove the catheter since Eleanor is now tolerating ice chips. The senior nurse tells you that the catheter is usually kept until the patient is able to get up and ambulate independently. You wonder if there are any contraindications or problems with removing Eleanor’s indwelling catheter now. You decide to follow the senior nurse’s advice, leaving the indwelling urinary catheter in place and reevaluate for removal in the morning. 

SECTION II BACKGROUND: INTERPROFESSIONAL TEAMS AND STAKEHOLDER ENGAGEMENT This section is focused on the identification of a clinical problem and the steps of forming an interprofessional team to work on fixing the problem. The intent is to understand who are the stakeholders for this problem and the importance of engaging stakeholders in the quality improvement (QI) project. Examine the problem of CAUTIs holistically to identify stakeholders. You return to work the next day to learn that Eleanor has a low-grade fever of 99.8° F that was reported to the physician. The physician ordered an immediate urine culture and removal of the catheter the previous afternoon. The urine culture was positive for Escherichia coli, representing the presence of catheter-associated urinary tract infection (CAUTI). During the bedside report, you find that although Eleanor states she is tired, she is able to get up to the bathroom with a walker independently. She is also tolerating oral fluids and foods. The presence of the CAUTI bothered you enough that you spoke to your Unit Director about looking into evidence-based interventions to reduce CAUTIs. The Unit Director tells you that the rate of CAUTIs for the medical–surgical unit has steadily risen over the past year and the monthly total is twice the number from 2 years ago. You volunteer to convene a committee to work on the problem. Your first step is to identify others who should be on your team. You know that the stakeholders are individuals who influence or are influenced by the clinical problem under investigation. Review the discussion on stakeholders in Chapter 15 for guidance on selecting appropriate stakeholders. 

SECTION III BACKGROUND: LEADING A QI TEAM This section is focused on power gradients and leadership styles within an interprofessional team. Consider how to lead a team consisting of various healthcare professionals. You identified a variety of interprofessionals to include on your committee including two direct care nurses from the medical–surgical unit, one nurse from the operating room, two certified nurse assistants, a nurse supervisor, a physician, the medical–surgical clinical nurse specialist, a pharmacist, a laboratory representative, and a dietician. You feel that these individuals clearly represent all aspects of patient care. Review the information on communicating within a team and with different power gradients in Chapter 8. By working closely with the clinical nurse specialist (CNS), you are able to convene a meeting of the team.

Download and complete Case Study Part I Worksheet Download Case Study Part I Worksheet. 

Submit your completed Case Study Part I worksheet and its attachments into the drop box as one attachment.