Identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. Notes: – The reflection should be 500-600 words. – A part of points will be taken off for each criterion that was not met. – A late submission will be subjected to a point reduction each day after the deadline until it runs down to zero.

2

The use of technology in nursing education

Ivet Infante Hidalgo

Florida National university

Adult Health Nursing I-FSD_GR01

Yaimara Diaz Alameda

06/18/23

The use of technology in nursing education

Literature Review

Nursing education is vital in preparing future healthcare professionals to provide high-quality care. With the rapid advancements in technology, nursing programs have recognized potential of integrating digital tools into curricula to enhance teaching and learning experiences. Nursing programs now employ simulation equipment, virtual reality systems, and e-learning platforms for interactive modules and assessments. Virtual simulations provide hands-on practice in a safe environment, while online platforms offer access to educational resources and facilitate collaborative learning (Altmiller & Pepe, 2022). Mobile apps and wearable devices enable real-time patient monitoring and data collection. Teleconferencing and videoconferencing support remote teaching and mentoring. Electronic health records are also used to familiarize students with documentation systems. The technologies contribute to comprehensive nursing education, promoting practical experience, theoretical understanding, and adaptability in healthcare. The increased integration of technology in nursing programs has raised studies to assess its impact on nursing education.

Technology has been found to facilitate collaborative learning among nursing students, promoting teamwork, communication, and interprofessional collaboration. Männistö et al. (2019) conducted systematic review intended to evaluate the efficiency of educational interventions in digital collaborative learning within the nursing curriculum. The review followed rigorous guidelines and entailed published RCTs between 2003 and 2018. The researchers searched multiple databases for relevant studies and independently evaluated their quality using established criteria. Total of five RCTs involving 647 nursing students were included in the review. The findings consistently established favorable influence of digital collaborative learning on students' knowledge and nursing abilities. Using collaborative education in digital settings facilitated interaction and collaboration among nursing students. It improves their capacity to solve problems, satisfaction, and desire to learn.

Männistö et al. (2019) review concludes that digital collaborative learning holds great potential for enhancing nursing students' competence, knowledge, and satisfaction. Online discussion boards, video conferencing, and shared virtual spaces allow students to connect with peers, exchange ideas, and engage in collaborative problem-solving activities. As digital tools and teachers' proficiency in utilizing them continue to improve, evidence suggests that effectiveness of collaborative learning in digital contexts is rising in nursing education. The authors recommend systematically incorporating digital collaborative learning across various nursing courses, highlighting its ability to enhance learning results for students in higher education.

Integrating technology in nursing education supports the development of critical thinking skills. Singh and Masango (2020) investigate student nurses' perspectives on using information technology (IT) in nursing education. It aimed to identify their challenges regarding IT use and recommend strategies for improving IT utilization in nursing education. Singh and Masango chose quantitative non-experimental descriptive research design. The study was conducted at a private nursing education institution in Kwa-Zulu Natal, South Africa. The sample consisted of 244 student nurses who completed self-administered structured questionnaire. Most respondents were young adults familiar with IT and belonged to Millennial or Net Generation. However, despite their familiarity with IT, most did not possess formal IT qualifications or receive IT training before entering the nursing programs. The respondents reported frequent use of IT for communication, internet searches, and academic purposes, but they showed varying levels of competence in different IT skills.

The study found that information technology (IT) in nursing education provides opportunities for students to engage in interactive learning experiences, access wealth of information resources, and participate in collaborative activities. Students engage in problem-solving exercises, analyze complex scenarios, and develop critical thinking abilities. Student nurses reported frequent IT use for internet searches, communication, and academic purposes. Engaging in the activities requires students to evaluate and analyze information contributes to development of critical thinking skills. Simulation devices and interactive video conferencing enabling students to practice clinical judgment in a secure setting, enhancing critical thinking abilities. Singh and Masango (2020) also revealed that student nurses perceived technology as valuable tool for accessing medical videos, medical applications, and medical databases. Students interact with online case studies, virtual patient scenarios, and mobile applications. The resources facilitate independent learning allowing students to explore different perspectives, analyze complex healthcare situations, evaluate evidence, and make informed decisions.

Technology improves clinical competency in nursing education. Hack-Polay et al. (2022) investigated technology role in enhancing nursing education and promoting resilience among nursing students. It utilized mixed-method approach collecting 54 nursing students data and 20 health professionals in Australia and United Kingdom. The findings indicate improvement in nursing students' confidence in mental health nursing practice after clinical experience in mental health settings. Hands-on exposure to technology and its integration into healthcare practices enhanced students' abilities to handle complex situations and effectively communicate with patients. Virtual simulations and augmented reality tools offer safe and controlled environment to practice clinical skills. Qualitative interviews with health professionals also reveal that exposure to emerging technologies helps nurses develop modern capabilities. The study emphasizes that technology upskills nurses for contemporary healthcare settings. The findings suggest that AI, digital technology, and health-related engineering equipment foster faster responses, improved accuracy, and enhanced quality of care. It reduces professional stress by critically aiding and providing support in diagnosis and patient. Technologies facilitate repeated practice, feedback, and self-assessment, increasing clinical competency and confidence in real-life patient care settings.

Conclusion

Technology integration in nursing education has revolutionized future healthcare professionals' teaching and learning experiences. Digital tools like simulation equipment, virtual reality systems, e-learning platforms, mobile apps, and wearable devices enhance nursing education. Collaborative learning in digital environments effectively promotes teamwork, communication, problem-solving abilities, and motivation for learning. Information technology facilitates interactive learning experiences, critical thinking development, and access to information resources. Technology improves clinical competency through hands-on practice, enhances communication skills, and prepares nurses for modern healthcare settings.

References

Altmiller, G., & Pepe, L. H. (2022). Influence of technology in supporting quality and safety in nursing education.
Nursing Clinics of North America,
57(4), 551–562. https://doi.org/10.1016/j.cnur.2022.06.005

Hack-Polay, D., Mahmoud, A. B., Ikafa, I., Rahman, M., Kordowicz, M., & Verde, J. M. (2022). Steering resilience in nursing practice: Examining the impact of digital innovations and enhanced emotional training on nurse competencies.
Technovation,
120, 102549. https://doi.org/10.1016/j.technovation.2022.102549

Männistö, M., Mikkonen, K., Kuivila, H., Virtanen, M., Kyngäs, H., & Kääriäinen, M. (2019). Digital collaborative learning in nursing education: a systematic review.
Scandinavian Journal of Caring Sciences,
34(2), 280–292. https://doi.org/10.1111/scs.12743

Singh, F., & Masango, T. (2020). Information technology in nursing education: Perspectives of student nurses.
The Open Nursing Journal,
14(1), 18–28. https://doi.org/10.2174/1874434602014010018

 Submit your completed assignment by following the directions

Implementation of non-pharmacological therapies improves functional mobility and quality of life in Parkinson’s disease.

Student’s name

Institutional affiliation

Course name and code

Professor’s name

Due date

Implementation of non-pharmacological therapies improves functional mobility and quality of life in Parkinson's disease.

Introduction

Parkinson's disease is a neurodegenerative condition that significantly impacts the quality of life for those influenced (Cristini et al., 2021). While pharmacological therapies play a crucial role in managing the disease, there is a developing interest in non-pharmacological therapies to complement conventional treatments. One such area of interest is the impact of physical exercises, such as boxing and sensory exercises, on the motor symptoms of Parkinson's disease. This study, conducted by Sangarapillai and colleagues in 2021, examines the potential benefits of these interventions on motor symptoms in people with Parkinson's disease (Cristini et al., 2021). This research aims to contribute to the understanding of non-pharmacological approaches in treating Parkinson's disease and to evaluate their viability in improving motor functioning and overall well-being.

Background of the study

Motor symptoms, including bradykinesia, tremors, inflexibility, and postural instability, characterize Parkinson's disease. These symptoms regularly lead to functional impairment and a diminished quality of life. While pharmacological medicines, such as levodopa, have been the pillar of Parkinson's management, they may have limitations, including side effects and reduced efficacy over time. Non-pharmacological interventions have developed as potential aides to address these limitations. One such approach includes physical exercises, including boxing and sensory exercises (Tunur et al., 2020). Studies have shown that exercises can improve balance, gait, and overall motor function in individuals with Parkinson's disease. However, there is a need for more thorough research to assess the adequacy of particular exercise interventions. In this setting, the PICO question investigates whether boxing and sensory exercises, as non-pharmacological mediations, can significantly affect motor symptoms in people with Parkinson’s (Tunur et al., 2020). The study points to supply insights that can educate the advancement of more holistic and effective management strategies for this neurodegenerative condition.

Significance of the study

Understanding the significance and importance of investigating the impact of non-pharmacological mediations, such as boxing and sensory exercises, on motor symptoms in Parkinson's disease is essential. Parkinson's disease is a weakening neurodegenerative condition affecting millions worldwide, significantly affecting their quality of life. The motor symptoms, including bradykinesia, tremors, and postural instability, frequently lead to marked limitations and loss of independence. The existing pharmacological treatments, while effective to some extent, may come with side effects and may lose efficacy over time. This highlights the need for alternative and complementary approaches to upgrade the management of this condition. Non-pharmacological interventions, like workout programs, hold promise in addressing these limitations, as they offer potential benefits for motor symptoms and overall well-being. Research in this area is significant to recognize evidence-based interventions that can improve the lives of people with Parkinson's disease and give healthcare experts more comprehensive tools for care.

Quality and Safety Education for Nurses (QSEN)

Quality and Safety education for nurses (QSEN) competencies are significant for guaranteeing that nurses give safe and high-quality care. There are six QSEN competencies, and each plays a vital role in nursing. They include patient-centered care, teamwork, quality advancement, and safety. (QSEN) competencies guarantee that nurses provide safe, high-quality care. Patient-centered care emphasizes administering medications to individual patient needs, guaranteeing responsive and personalized care that upgrades the quality of life. Teamwork and collaboration are significant for planning multidisciplinary care groups to supply complementary therapies effectively. Evidence-based practice guarantees that the choice of non-pharmacological treatments is established within the best available research, adjusting to patients' goals. Quality improvement involves ongoing assessment to upgrade the adequacy of these treatments, eventually contributing to better patient care. Safety measures are fundamental to ensure patients are protected while administering complementary services. At the same time, informatics skills help in data management to monitor patient progress and make informed care choices. These competencies collectively advance holistic, evidence-based, secure, patient-centered care in Parkinson's disease management.

Teamwork and collaboration stand at the center of providing effective and patient-centered healthcare. In the ever-evolving nursing scene, where patients frequently require care from diverse healthcare professionals, working collaboratively is not only a valuable skill but also an essential competency. For people living with chronic conditions like Parkinson's disease, a multidisciplinary approach is necessary, enveloping the skills of nurses, physical therapists, speech therapists, occupational therapists, and more. In this context, the “Teamwork and Collaboration” competency becomes fundamental in guaranteeing that care is comprehensive and harmonized. This competency goes past mere interaction; it fosters a culture of communication, mutual respect, and shared decision-making among healthcare providers to attain the highest standard of patient care. In this elaboration, we look into the importance of teamwork and collaboration, investigating how it supports quality and safety in healthcare, especially in individuals with Parkinson's disease.

LITERATURE REVIEW

Article one

Type of Research Study

The study described is a multicenter randomized controlled trial that aimed to investigate the efficacy and safety of combining electro-acupuncture with conventional pharmacotherapy for motor dysfunction and constipation in patients with Parkinson's disease (Li et al., 2023). The study included 166 patients from seven hospitals in China and used Unified Parkinson's Disease Rating Scale (UPDRS) scores and bowel frequency as dependent variables. This study used computer-generated random sequences. Statistical analyses were performed using SAS 9.4 software. The results showed that combining electro-acupuncture with conventional treatment significantly improved motor function and bowel frequency in Parkinson's disease patients. Strengths of this study include its well-designed nature, large sample size, and adherence to reporting guidelines, while limitations include a specific geographic focus and lack of a sham acupuncture group. This study provides high-quality Level I evidence for the efficacy and safety of electro-acupuncture in the treatment of Parkinson's disease (Li et al., 2023).

Purpose of Research Study

The study aimed to investigate the efficacy and safety of electro-acupuncture combined with conventional pharmacotherapy in the treatment of motor dysfunction and constipation in patients with Parkinson's disease. Li et al., (2023) conducted research using a well-designed randomized controlled trial with a sufficient sample size and provided high-quality evidence. The main research question centred on evaluating the effects of electro-acupuncture as an adjunctive therapy on motor function and bowel frequency in patients with Parkinson's disease.

Population of the Research Study

The research population in this study consisted of 166 patients diagnosed with Parkinson's disease, who were recruited from seven hospitals in China. The mean age of the patients was 63.5 years, with a majority of them being male (62.7%). The participants had an average disease duration of 5.6 years and an average Unified Parkinson's Disease Rating Scale (UPDRS) score of 32.1 at the beginning of the study (Li et al., 2023).

Methods of Research Study

The research method used in this study was a multicenter randomized controlled trial conducted in China, involving 166 patients with Parkinson's disease, and aimed to investigate the effectiveness and the safety of combining electro-acupuncture with conventional drug treatment for motor dysfunction and constipation in these patients. (Li et al., 2023). The study aimed to evaluate the effects of electro-acupuncture on motor function and bowel frequency in patients with Parkinson's disease by comparing the change in scores on the Unified Parkinson's Disease Rating Scale (UPDRS) and Frequency distribution between the electro-acupuncture group and control group after 12 weeks of treatment. This study provides valid Level I evidence, showing significant improvement in motor function and stool frequency with electro-acupuncture combined with pharmacological treatment.

Findings of the Research Study

According to Li et al. (2023), the efficacy and safety of combining electro-acupuncture with conventional pharmacological treatment were investigated in 166 patients with Parkinson's disease. The study revealed that the use of electro-acupuncture in combination with conventional pharmacological treatment significantly improved both motor function and bowel movement frequency in these patients compared to conventional treatment alone. Specifically, the mean change in Unified Parkinson's Disease Rating Scale (UPDRS) score from baseline to week 12 was significantly greater in the electro-acupuncture group (mean difference -4.2, 95% CI -6.1 to -2.3, P<0.001), and the mean change in bowel movement frequency from baseline to week 12 was also significantly greater in the electro-acupuncture group (mean difference 0.5, 95% CI 0.2 to 0.8, P=0.001). Notably, no serious adverse events were reported in either group. The study, characterized by a large sample size and rigorous methodology, provides robust Level I evidence suggesting that combining electro-acupuncture with traditional pharmacological treatment is a valuable approach to treating motor dysfunction and constipation in patients with Parkinson's disease. However, it is important to acknowledge the limitations of the study, such as the concentration on one country and the lack of a sham acupuncture group, which requires further research to clarify the specific effects of electro-acupuncture and to assess the generalizability to other populations.

Article two

Type of Research Study

Sangarapillai et al. (2021) used a double-blinded parallel-group randomized controlled trial to explore the impacts of boxing and sensory exercises on motor symptoms of Parkinson's disease. The design was characterized as an intervention study, with a sample estimate of roughly 40 members who were randomly assigned to either the boxing or sensory exercise group. This study design permitted for a thorough examination of the impact of these interventions on motor symptoms of Parkinson's disease (Sangarapillai et al., 2021).

Purpose of the Research Study

The study aims to examine the impacts of boxing and sensory exercise interventions on motor symptoms in people with Parkinson's disease. The research question rotated around evaluating the impacts of these non-pharmacological interventions, which are relevant in improving motor function and advancing social interaction among this population. This investigation, conducted at the Movement Disorders Research and Rehabilitation Center, Wildrid Laurie College, centered on the intervention groups' advance in motor symptoms, as measured by the Unified Parkinson’s Illness Rating Scale (UPDRS-III) and unbiased computerized gait data (Sangarapillai et al., 2021).

Population of the Research Study

The study's test comprised 40 participants with idiopathic Parkinson's disease, chosen from the Movement Disorders Research and Rehabilitation Center at Wildrid Laurie College. The independent variable was the type of workout interventions (boxing or sensory). In contrast, the dependent variable was motor symptoms, surveyed using the United Parkinson's Illness Rating Scale (UPDRS-III) and unbiased computerized gait data. Outstandingly, the study can be classified as Level I evidence, emphasizing its high-quality controlled trial design (Sangarapillai et al., 2021).

Methods of the Research Study

According to the study's statistical results, a double-blinded parallel-group randomized controlled trial with roughly 40 members diagnosed with idiopathic Parkinson's disease was carried out to examine the impacts of boxing and sensory exercises on motor symptoms. The statistical examinations included free t-tests to evaluate comparability, a 2-factor blended repeated-measures ANOVA to investigate the essential result degree (UPDRS-III), and repeated-measures ANOVA to examine auxiliary result measures. (Sangarapillai et al., 2021).

Findings of the Research Study

The study uncovered that both boxing and sensory exercise interventions brought about noteworthy improvements in motor symptoms of Parkinson's disease. The UPDRS-III scores have a significant primary impact on groups, with both groups showing improvement over time. The PD SAFEx group displayed more significant changes than the RSB gathered at post-assessment and washout. The study suggested the need for larger-scale trials to upgrade the generalizability of results and proposed consideration of a heart rate screen for more precise monitoring during exercises (Sangarapillai et al., 2021).

Synthesis

Both studies looked at non-pharmacological medications to improve motor symptoms in patients with Parkinson's disease, focusing on diverse approaches. The first study by Li e., al. (2023) looked at the combination of electro-acupuncture with conventional pharmacological treatments. On the other hand, the study by Sangarapillai et al. (2021) explored the effects of boxing and sensory exercise on motor symptoms of Parkinson's disease, and both interventions led to significant improvements in motor side effects. Both studies utilized a randomized controlled design and reported an improvement in motor symptoms. In the electro-acupuncture study, motor symptoms and bowel frequency were significantly improved compared with the control group due to the well-designed trial, large sample size, and adherence to reporting guidelines as strengths. However, the limitation of the study site in China and the lack of a sham acupuncture group raised questions about the generalizability and specificity of the intervention effect.

In contrast, the sensory training and boxing study also showed critical improvement in motor symptoms, with the PD SAFEx (sensory exercise) showing greater benefits than the RSB bunch (Boxing). This study was a well-designed double-blind randomized controlled trial with fair stride information and a washout period to survey the durability of the intervention. However, the sample size was relatively small and the participants’ diversity was limited, which may influence the generalizability of the outcome. Both studies give an important understanding of non-pharmacological approaches to managing motor symptoms in Parkinson’s disease, with each having its advantages and limitations. While electro-acupuncture may provide a more specific therapeutic intervention, boxing and sensory exercises may offer a more social and available option for patients (Sangarapillai et al., 2021; Li et al., 2023).

Nursing Practice

Implications for nursing practice

Nursing practice should prioritize a holistic care approach that addresses the varied needs of people with Parkinson's disease. This approach recognizes that the impacts of the illness expand past physical side effects and include emotional, mental, and social effects. Nurses are instrumental in advancing this holistic point of view by evaluating patients' general well-being, understanding their one-of-a-kind challenges, and planning care that manages symptoms and improves the overall quality of life. By implementing a holistic approach, nurses can assist patients and their families in coping with the emotional and psychological aspects of living with Parkinson's disease. This may include encouraging support groups, offering counselling services, and providing resources for managing depression and anxiety, which are common in Parkinson's patients. Moreover, physical treatment, workout programs, and assistive devices can improve a patient's functional independence by tending to mobility issues, a significant disease characteristic. A holistic approach, which considers the patient's physical, emotional, and social needs, is essential in improving the overall care experience for individuals with Parkinson's disease.

Best practice

Best practices within the context of Parkinson's disease and the integration of non-pharmacological complementary therapies with pharmacological treatments are based on evidence and a patient-centered approach. Multidisciplinary Care is one of the best practices to embrace. This includes collaboration between healthcare professionals such as neurologists, nurses, physical therapists, occupational therapists, speech therapists, and psychologists. These specialists work together to make an individualized care plan that addresses different perspectives of the disease. Multidisciplinary care guarantees that the patient's physical, emotional, and psychosocial needs are met successfully. Patient-Centered Care Plans is another best care practice. Each person with Parkinson's disease experiences the condition differently, hence the need to involve patients in the decision-making process. This collaborative approach empowers patients and increases their participation in their own care, ultimately leading to better outcomes and improved quality of life.

QSEN and Best practice

The best practice aligns with Qsen competency by emphasizing multidisciplinary cooperation, shared decision-making, and tailored holistic patient care. Incorporating these best practices ensures that all individuals with Parkinson's disease receive comprehensive, personalized care that considers both pharmacological and non-pharmacological therapies, leading to better management of symptoms and quality of life.

QSEN competency in nursing practice

Patient centered care impacts the care given to patients by cultivating a profound understanding of each patient's one of a kind needs, values, and preferences. This, in turn, advances the delivery of individualized and compassionate care that addresses their emotional and mental wellbeing. In addition, this approach encourages communication and collaboration among the healthcare team. By effectively including patients and their families in decision-making, medical caretakers can guarantee that care plans are comprehensive and custom fitted to meet the patient's goals and expectations, ultimately enhancing the quality of care. By recognizing the importance of Patient-Centered Care, nursing practice advances the accessibility of resources, because it underscores the significance of resource allocation based on the individualized needs. This approach empowers nurses to build strong, trusting connections with their patients, resulting in a holistic and compassionate approach to healthcare.

Nursing Education

QSEN and Educational provision

Nursing education about Parkinson's disease plays a vital role in its management. It integrates teamwork and collaboration QSEN competency through team-based learning and simulation scenarios. Practicing nurses are among the people who need to receive education. Advancing education is imperative for practicing nurses. Workshops, classes, and online courses can assist nurses to remain up to date with the most recent research and best practices in managing Parkinson's disease. This instruction should emphasize the significance of a patient-centered, multidisciplinary approach and give benefits for executing non-pharmacological treatments. Practicing nurses, including those in different healthcare settings, should be well-informed about the most recent treatment choices and be able to teach patients and their families. Nurses must also educate other individuals on the healthcare team, including physicians, physical therapists, occupational therapists, and speech specialists, about the benefits of integrating non-pharmacological therapies in Parkinson's care. Interdisciplinary collaboration is essential, and educating these professionals about the role of nursing and the potential advantages of complementary therapies is crucial in providing the best care possible.

Population to Receive Education

Patients and their families should also know about the disease and its management. Nurses should give clear, justifiable information on the disease, accessible treatment choices, and the benefits of non-pharmacological treatments, enabling patients and families with information to make a difference and effectively take an interest in decision-making and self-management, driving to better treatment and quality of life. By teaching this population, nurses can contribute to a comprehensive and patient-centered approach to Parkinson's disease care that integrates non-pharmacological therapies successfully.

Challenges in disseminating information

One critical issue in disseminating healthcare information, including information on Parkinson's disease and complementary therapies, is the presence of health challenges. Socioeconomic factors, geographic location, and systemic inequities drive these challenges. Access to quality healthcare data can be constrained for underserved and marginalized populations, resulting in unequal health outcomes. Those in low-income communities or remote areas may not have the same access to healthcare resources or educative materials, making it challenging to get convenient and essential information about managing Parkinson's disease.

Another challenge is information overload and quality assurance. In the digital age, plenty of information is available online; while this is advantageous, it also presents a challenge in information overload. Patients and caregivers may encounter overwhelming conflict or wrong data, making it troublesome to obtain reliable sources. Ensuring up-to-date information is challenging as new information is continuously emerging daily.

Recommendations for Education

One of the recommendations for providing education includes using Interactive education such as group discussions, case studies, and hands-on activities. Interactive learning can improve engagement and retention of information. Within the context of Parkinson's disease and complementary therapies, interactive sessions can allow patients and their families to ask questions, share encounters, and effectively take an interest in their care planning. These recommendations aim to make healthcare education more engaging and patient-centered.

Nursing research

Recommendations for further Research

Recommendations for further clinical and professional practice include Caregiver Education, support, and a personalized treatment plan. These recommendations point to improve the individualized and holistic care provided to Parkinson's patients and supporting the caregivers who play a critical part in their care journey.

Authors recommendations

The authors have made several proposals for the articles concerning Parkinson's disease and its management. Some of the suggestions include randomized assessment and Larger-Scale trials to address the selection bias identified in the study and give a more random and unbiased assessment program. Another proposal is an extended follow-up period and cross-cultural studies that aim to understand better Parkinson's disease and program effectiveness in different countries and cultures (Landers et al., 2019).

REFERENCES

Cristini, J., Weiss, M., De Las Heras, B., Medina-Rincón, A., Dagher, A., Postuma, R. B., Huber, R., Doyon, J., Rosa-Neto, P., Carrier, J., Amara, A. W., & Roig, M. (2021). The effects of exercise on sleep quality in persons with Parkinson’s disease: A systematic review with meta-analysis. 
Sleep Medicine Reviews, 
55, 101384.
https://doi.org/10.1016/j.smrv.2020.101384

Landers, M. R., Navalta, J. W., Murtishaw, A. S., Kinney, J. W., & Richardson, S. P. (2019). A high-intensity exercise boot camp for persons with Parkinson's disease: a phase II, pragmatic, randomized clinical trial of feasibility, safety, signal of efficacy, and disease mechanisms. Journal of Neurologic Physical Therapy, 43(1), 12-25.
https://doi.org/10.1097/npt.0000000000000249

Li, K., Xu, S., Wang, R., Zou, X., Liu, H., Fan, C., & Wu, H. (2023). Electro acupuncture for motor dysfunction and constipation in patients with Parkinson's disease: a randomized controlled multicentre trial. Clinical medicine, 56.
https://doi.org/10.1016/j.eclinm.2022.101814

Sangarapillai, K., Norman, B. M., & Almeida, Q. J. (2021). Boxing vs sensory exercise for Parkinson’s disease: A double-blinded randomized controlled trial. Neurorehabilitation and Neural Repair, 35(9), 769-777.
https://doi.org/10.1177/15459683211023197

Tunur, T., DeBlois, A., Yates-Horton, E., Rickford, K., & Columna, L. A. (2020). Augmented reality-based dance intervention for individuals with Parkinson’s disease: A pilot study. 
Disability and Health Journal, 
13(2), 100848.
https://doi.org/10.1016/j.dhjo.2019.100848

‌

‌

ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

RESOURCES

Required Readings

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)

· Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). 

Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transitionLinks to an external site.
. 
American Journal of Public Health, 93(8), 1261–1267.

· Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). 

Leading by success: Impact of a clinical and translational research infrastructure program to address health inequitiesLinks to an external site.
. 
Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.

· Williams, J. K., & Anderson, C. M. (2018). 

Omics research ethics considerationsLinks to an external site.
. 
Nursing Outlook, 66(4), 386–393.

·
Document: 

Healthcare Program/Policy Evaluation Template (Word document)

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To Prepare:

· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.

· Select an existing healthcare program or policy evaluation or choose one of interest to you.

· Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

· Describe the healthcare program or policy outcomes.

· How was the success of the program or policy measured?

· How many people were reached by the program or policy selected?

· How much of an impact was realized with the program or policy selected?

· At what point in program implementation was the program or policy evaluation conducted?

· What data was used to conduct the program or policy evaluation?

· What specific information on unintended consequences was identified?

· What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

· Did the program or policy meet the original intent and objectives? Why or why not?

· Would you recommend implementing this program or policy in your place of work? Why or why not?

· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

BY DAY 7 OF WEEK 10

Submit your completed healthcare program/policy evaluation analysis.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the 
Turnitin Drafts from the 
Start Here area. 

1. To submit your completed assignment, save your Assignment as 
WK10Assgn+LastName+Firstinitial

2. Then, click on 
Start Assignment near the top of the page.

3. Next, click on 
Upload File and select 
Submit Assignment for review.

Rubric

NURS_6050_Module05_Week10_Assignment_Rubric

NURS_6050_Module05_Week10_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeProgram/Policy EvaluationBased on the program or policy evaluation you seelcted, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:·   Describe the healthcare program or policy outcomes.·   How was the success of the program or policy measured?·   How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?·   At what point in time in program implementation was the program or policy evaluation conducted?	35 to >31.0 pts Excellent Using sufficient evidence, response clearly and accurately describes the healthcare program or policy outcomes. …Response accurately and clearly explains how the success of the program or policy was measured. …Response accurately and clearly describes how many people were reached by the program or policy and accurately describes the impact of the program or policy. …Response accurately and clearly indicates the point at which time the program or policy evaluation was conducted. 31 to >27.0 pts Good Using sufficient evidence, response accurately describes the healthcare program or policy outcomes. …Response accurately explains how the success of the program or policy was measured. …Response accurately describes how many people were reached by the program or policy and accurately describes the impact of the program or policy. …Response accurately indicates the point at which time the program or policy evaluation was conducted. 27 to >24.0 pts Fair Description of the healthcare program or policy outcomes is inaccurate or incomplete. …Explanation of how the success of the program or policy was measured is inaccurate or incomplete. …Description of how many people were reached by the program or policy and the impact is vague or inaccurate. …Response vaguely describes the point at which the program or policy evaluation was conducted. 24 to >0 pts Poor Description of the healthcare program or policy outcomes is inaccurate and incomplete or is missing. …Explanation of how the success of the program or policy was measured is inaccurate and incomplete or is missing. …Description of how many people were reached by the program or policy and the associated impacts is vague and inaccurate or is missing. …Response of the point at which time the program or policy was conducted is missing.	35 pts
This criterion is linked to a Learning OutcomeReporting of Program/Policy Evaluations·   What data was used to conduct the program or policy evaluation?·   What specific information on unintended consequences was identified?·   What stakeholders were identified in the evaluation of the program or policy? Who would benefit the most from the results and reporting of the program or policy evaluation? Be specific and provide examples.·   Did the program or policy meet the original intent and objectives? Why or why not?·   Would you recommend implementing this program or policy in your place of work? Why or why not?·   Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.	50 to >44.0 pts Excellent Response clearly and thoroughly explains in detail: -specific information on outcomes and unintended consequences identified through the program or policy evaluation. -the stakeholders involved in the program or policy evaluation. -who would benefit most from the results and reporting of the program or policy evaluation. -whether the program met the original intent and outcomes, including an accurate and detailed explanation of the reasons supporting why or why not. -whether the program should be implemented, including an accurate and detailed explanation of the reasons supporting why or why not. -at least two ways that the nurse advocate could become involved in the evaluation of the program or policy after 1 year of implementation. 44 to >39.0 pts Good Using sufficient evidence, response accurately identifies the data used to conduct the program or policy evaluation. Response explains in detail specific information on outcomes and unintended consequences identified through the program or policy evaluation. Response explains in detail the stakeholders involved in the program or policy evaluation. Response explains who would benefit most from the results and reporting of the program or policy evaluation. Response includes an accurate explanation of whether the program met the original intent and outcomes, including an accurate explanation of the reasons supporting why or why not. Response includes an accurate explanation of whether the program should be implemented, including an accurate explanation of the reasons supporting why or why not. Response includes an accurate explanation of two ways that the nurse advocate could become involved in the evaluation of the program or policy after 1 year of implementation. 39 to >34.0 pts Fair Response vaguely or inaccurately identifies the data used to conduct the program or policy evaluation. Explanation of specific information on outcomes and unintended consequences identified through the program or policy evaluation is vague or incomplete. Explanation of the stakeholders involved in the program or policy evaluation is vague or inaccurate. Explanation of who would benefit most from the results and reporting of the program or policy evaluation is vague or inaccurate. Explanation of whether the program/policy met the original intent and outcomes, and the reasons why or why not is incomplete or inaccurate. Explanation of whether the program or policy should be implemented, and the reasons why or why not, is incomplete or inaccurate. Explanation of ways that the nurse advocate could become involved in the evaluation or policy after 1 year of implementation is incomplete or inaccurate. 34 to >0 pts Poor Identification of the data used to conduct the program or policy evaluation is vague and inaccurate or is missing. Response includes vague and incomplete or is missing explanation of: -specific information on outcomes and unintended consequences identified through the program or policy evaluation. -the stakeholders involved in the program or policy evaluation. -who would benefit most from the results and reporting of the program or policy evaluation. -whether the program or policy met the original intent and outcomes, and the reasons why or why not. -whether the program or policy should be implemented, and the reasons why or why not. -ways that the nurse advocate could become involved in the evaluation or policy after 1 year of implementation.	50 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas.Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 to >4.0 pts Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. …A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 to >3.0 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3 to >2.0 pts Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. …Purpose, introduction, and conclusion of the assignment is vague or off topic. 2 to >0 pts Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. ...Purpose, introduction, and conclusion of the assignment is incomplete or missing.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts Good Contains a few (1-2) grammar, spelling, and punctuation errors. 3 to >2.0 pts Fair Contains several (3-4) grammar, spelling, and punctuation errors. 2 to >0 pts Poor Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:The paper follows correct APA format for title page, font, spacing, parenthetical/in-text citations, and reference list).	5 to >4.0 pts Excellent Uses correct APA format with no errors. 4 to >3.0 pts Good Contains a few (1-2) APA format errors. 3 to >2.0 pts Fair Contains several (3-4) APA format errors. 2 to >0 pts Poor Contains many (≥5) APA format errors.	5 pts