Pathophysiology
Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?
Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?
Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.
Resources within your text covering international/global health, and the websites in the topic Resources, will assist you in answering this discussion question.
EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS
Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?
In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.
To Prepare:
· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)
Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
· Identify and briefly describe your chosen clinical issue of interest.
· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
LEARNING RESOURCES
· Melnyk, B. M., & Fineout-Overholt, E. (2023).
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
· Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)
· Davies, K. S. (2011).
Formulating the evidence based practice question: A review of the frameworksLinks to an external site. for LIS professionals.
Evidence Based Library and Information Practice, 6(2), 75–80.
· Library of Congress. (n.d.).
Search/browse help – Boolean operators and nestingLinks to an external site.
. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html
· Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010).
Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.Links to an external site.
American Journal of Nursing, 110(3), 58–61.
· Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).
Evidence-based practice: Step by step: Igniting a spirit of inquiryLinks to an external site.
.Links to an external site.
American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
· Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010).
Evidence-based practice step-by-step: Searching for evidence.Links to an external site.
American Journal of Nursing, 110(5), 41-47.
· Walden University Library. (n.d.-a).
Databases A-Z: NursingLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
· Walden University Library. (n.d.-c).
Evidence-based practice research: CINAHL search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp
· Walden University Library. (n.d.-d).
Evidence-based practice research: Joanna Briggs Institute search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp
· Walden University Library. (n.d.-e).
Evidence-based practice research: MEDLINE search helpLinks to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp
· Walden University Library. (n.d.-f). Keyword searching:
Finding articles on your topic: Boolean termsLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean
· Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic:
Introduction to keyword searchingLinks to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics
· Walden University Library. (n.d.-h).
Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?Links to an external site.
Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670
· Walden University Library. (n.d.-i).
Systematic review.Links to an external site.
Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654
Slide 1: Title Slide
Slide 2: Roadmap
Slide 3: Compelling Introduction
Slide 4: What? – Introduction to Childhood Obesity
Slide 5: What? – Consequences of Childhood Obesity
Slide 6: So What? – Why You Care
Slide 7: So What? – Why the Audience Should Care
Slide 8: Now What? – Advocacy Initiative Overview
Slide 9: Now What? – Key Elements of Action Plan
Slides 10-14 (or more): Now What? – Action Plan Details
Slide 15: Call to Action
Slide 16: Conclusion
Slide 17: Questions
Ensure that your presentation is visually appealing, uses appropriate fonts and visuals, and keeps text concise for an engaging and impactful delivery. Feel free to add relevant images, graphs, and statistics where they enhance your message.
CAM treatment
Give an example of a program at “Adventist healthcare white oak medical center” that was planned to meet the needs of the population they serve. Share the organization’s evaluation of effectiveness (if data is available). Provide three scientific citation in APA
1
Week 7: Change Project Final Paper
Your final paper will encompass all assignments you have completed thus far. At this
point, you will have submitted each section individually and a comprehensive rough
draft. You have received extensive feedback. An attempt to incorporate all previous
assignment feedback should be evident.
The paper should be between 20 and 30 pages in length, not including the cover page,
references, and any appendices. It must follow the current APA manual style and
format. Each section of the paper should be clearly identified using proper headings.
The final paper should be professionally written in a manner suitable for publication.
NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based
Change Project Paper Rubic (Final))
NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper
Rubic (Final))
Criteria Ratings Pts
This criterion is linked to a
Learning Outcome
Introduction and
Background
15 to >12.3 pts
Meets Expectations
The change project topic is introduced. All
background information is included. Project
importance within the field or significance for
the designated facility is described.
15 pts
2
This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format
15 to >12.3 pts
Meets Expectations
Presents a thorough and insightful analysis of the
chosen topic/problem. Describes the problem
thoroughly, including the target population
description and history/background information
at the assigned clinic or hospital. The significance
and applicability to nursing is included and well
presented. Includes an appropriate topic
identification related to an advanced practice
nursing issue or practice problem of concern.
Population is fully defined and present in the
research question. Includes specific
interventions, identifies comparisons, and
presents appropriate outcomes in a timely
manner for the question. Overall, the question is
well-built using the PICOT format.
15 pts
This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review
18 to >14.76 pts
Meets Expectations
The minimum requirement of peer-reviewed
articles, books, or limited non-research literature
(tool kits or standardized procedures) are
present. Literature is supported by scientific
evidence that is credible and timely. Subtopics
are used to support the main topic. In-text
citations are present and correctly formatted.
Presents a thorough and insightful analysis of
significant findings related to the change project
topic. Ideas are synthesized and professionally
sound and creative. Insightful and
comprehensive conclusions and solutions are
present.
18 pts
3
This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes
18 to >14.76 pts
Meets Expectations
The project, aims, values, and desired outcomes
are well-developed. They are clear and thorough.
Aims include examples of projected features and
functions. Values include implementation
benefits for specific stakeholders. Desired
outcomes state the purpose, have a quality
focus, and describe the benefits that will occur
as a result of implementation.
18 pts
This criterion is linked to a
Learning Outcome
Theoretical Framework
18 to >14.76 pts
Meets Expectations
Identifies independent theories or conceptual
models that relate to the change project topic
and describes how they will be applied to the
change project. Thoroughly discusses how each
element of the phenomenon applies to the
framework. Clearly applies each element of the
theory to the elements of the phenomenon
under study. Develops the rationale for the
sample selection criteria, and expertly discusses,
analyzes, and critiques pertinent research that
uses the framework.
18 pts
4
This criterion is linked to a
Learning Outcome
Intervention
18 to >14.76 pts
Meets Expectations
Provides keen insight into obstacles and
proposes sound, creative solutions or
interventions based on the literature review
findings. Expertly compares other views on the
problem and solutions with detail. Uses
examples to thoroughly address the FNP role in
the intervention and discusses implications for
clinical practice. Thoughtfully discusses the
implications of the change project and its
significance to the nursing profession and filling
gaps in knowledge. Accurately categorizes and
thoroughly explains specific methods of data
collection to be used. Explains in detail how data
will be analyzed and used. Provides a sound
justification for subject selection and sampling
procedure. Accurately and thoroughly describes
potential limitations to data collection and
control.
18 pts
This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion
18 to >14.76 pts
Meets Expectations
Provides an insightful and thorough summary of
the project, main points, and details the
significance of the project to the advanced
practice nursing profession. Provides detailed
and creative recommendations for future
research and implications for clinical practice.
Discusses limitations of the study in detail.
Suggests specific directions for future research.
Insightfully considers changes in theoretical
construct and provides reasonable and creative
suggestions for public policy and/or changes in
educational practice. Expertly ties the theoretical
framework to the overall product.
18 pts
5
This criterion is linked to a
Learning Outcome
Mechanics and APA
30 to >24.6 pts
Meets Expectations
Writing is clear, concise, formal, and organized.
Information is well organized and clearly
communicated. The assignment is free of spelling
and grammatical errors. All the requirements
related to format, length, source citations, and
layout are followed. A complete reference page is
included and formatted using correct APA format. If
applicable, appendices and tables are complete and
appropriate.
30 pts
Total Points: 150
Please watch videos to be able to answer questions. Please click links
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Setting boundaries and making self-care a priority is extremely important when practicing as a nurse. Discuss methods of self care that you have found to be effective when dealing with an emotional reaction to a situation.
Once you have selected a topic, post a discussion about why that self-care technique is beneficial, how it helps you, how it can benefit your nursing practice, and why self-care is so important when caring for individuals with mental illness.
250 words or less simple discussion
