To Prepare:

• Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Respond to two (2) of the following prompts:

1. How has U.S. society’s understanding of race and ethnicity evolved over time? Why do the cultural explanations for race and ethnicity exceed the biological ones? What impact does constantly evolving terminology related to race and ethnicity have on racial and ethnic relations in the U.S.? (USLO 4.1)
2. Explore and identify your community’s racial and ethnic demographics. What are some of the racial and ethnic conversations taking place in your community? How would you rate intergroup interactions among members of your community on a scale of tolerant to intolerant? Consider if notions like pluralism, amalgamation, expulsion, and genocide apply to your community. (USLO 4.2, 4.3)
3. Compare and contrast the strengths and limitations of the theoretical perspectives on race and ethnicity. Is it beneficial to have several theoretical viewpoints on race and ethnicity, or should we focus on developing a single theory to study racism and ethnic oppression? Which theory do you find most compelling and likely to promote social justice? (USLO 4.4)

Assessment 1

Nursing Informatics in Health Care

Write a 4–5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Introduction

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

Review assessment resources and activities.

Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.

Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.

Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.

Interview peers in your network who are considered information technology experts.

Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.​ This is not an essay, but instead, it is a proposal to create a new Nurse Informaticist position.

One important part of this assessment is the justification of the need for a nurse informaticist in a health care organization and references from relevant and timely scholarly or professional resources to support the justification for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist position brings value to the organization. This justification must include evidence from the literature to support that this position will provide a return on investment for the organization.

Proposal Format

The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets following each heading:

Nursing Informatics and the Nurse Informaticist

What is nursing informatics?

What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations

What is the experience of other health care organizations with nurse informaticists?

How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

Impact of Full Nurse Engagement in Health Care Technology

How does fully engaging nurses in health care technology impact:

Patient care?

Protected health information (security, privacy, and confidentiality)?

In this section, you will explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients' protected health information, particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.

Workflow?

Costs and return on investment?

Opportunities and Challenges

What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?

How can the interdisciplinary team collaborate to improve quality care outcomes through technology?

Summary of Recommendations

What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?

This is the section where the justification for the implementation of the nursing informaticist role is addressed. Remember to include eviden
ce from the literature to support your recommendation.

After reviewing Module 5: Lecture Materials & Resources, discuss the following;

How do family, friends, and community influence individual health and lifestyle?  Identify at least 3 positive and 3 negative effects.

Submission Instructions:

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

Subjective

Danny Rivera is an 8 years old boy presenting with a wet cough. He reports that the cough has lasted three days. He describes the cough as wet and gurly.

Objective

The cough is temporarily treated by the children’s cough medicine his mother gave him. He reports that the cough is not aggravated by activity. He reports the cough gets worse at night, which keep him up at night. He reports tenderness of his throat. He reports a history of frequent rhinorrhea and cough. Risk factor includes second-hand smoke from father, history of pneumonia in the past year, and being overwiegt for his age.

Assessment

He has no acute respiratory distress, his lungs are clear to auscultation and is afebrile, He has current rhinorrhea, examination of the nose reveals boggy turbinate. His throat appears red with visible cobblestoning in the back. His respiratory rate is inscreased, and he present mild tachycardia.

Plan

I recomende calling his grandmother to pick him up from school. He should see his primary care provider within the next few days for an evaluation and tests to rule out asthma and allergies. In the meantime, he should be allowed to rest and should be given cough medicine as needed.