basis of a clinical inquiry

  • 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

Quality Improvement Committee

Imagine one of your roles was to form a quality improvement committee in a place of practice (examples: hospital, long term care facility, assisted living).

Answer the following questions. Your post should look like:

  • Paragraph one: Why is quality improvement important at your place of practice? Be specific.
  • Paragraph two: Who should be on your committee and why? Do you believe patients or clients should be part of the committee? Why or why not?
  • Paragraph three: How could you increase employee interest in joining the QI committee?
  • Resources: Where did you find your data?

I work in a hospital setting, so answer should reflect that.

Community Assessment And Analysis Presentation

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

  1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
  2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

  1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
  2. Summary of community assessment: (a) funding sources and (b) partnerships.
  3. Summary of interview with community health/public health provider.
  4. Identification of an issue that is lacking or an opportunity for health promotion.
  5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

philosophy of nursing

philosophy of nursing

Please submit a statement of purpose on your philosophy of Nursing, 2 pages in length, double spaced and 12 point font that includes the following:

1. philosophy of nursing focused on past experience,

2. what influence nursing has had on your career,

3. why you chose to pursue this degree,

4.how you see this degree enhancing your career and how you will utilize this degree to advance patient care and health care outcomes.

Diabetes And Drug Treatments

Discussion: Diabetes and Drug Treatments

Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.
By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

By Day 6 of Week 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

MEDICAID BENEFITS

This week reflect upon the Medicare. And Medicaid programs to address the following:

-Describe the Quality Improvement Organization (QIO). And explain how the QIO improves policies and healthcare for Medicare beneficiaries.

-Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?

-Discuss the impact (including at least two positive. And two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.

-Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care. For vulnerable populations.

1750-2000 words

Descriptive Statistics

Assignment 2: Descriptive Statistics

This week, you explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment is to become familiar with the SPSS data analysis software. And to develop an understanding of how to calculate descriptive statistics. And make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.

To prepare:

  • Review the Statistics and Data Analysis for Nursing Research chapters assigned in this week’s Learning Resources. Pay close attention to the examples presented. As they provide information that will be useful when you complete the software exercise this week. You may also wish to review the Research Methods for Evidence-Based Practice video resources to familiarize yourself with the software.
  • Refer to the Week 4 Descriptive Statistics Assignment page and follow the directions to calculate descriptive statistics for the data provided using SPSS software. If you run into any difficulties or problems, post them to the Week 4 Discussion 2 area.
  • Download and save the Polit2SetA.sav data set. You will open the data file in SPSS.
  • Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document. This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.
  • Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

cause of fatigue

Please respond to the following :

The purpose of this discussion is to analyze the definition and cause of fatigue as well as explain how thyroid function impacts this symptom. Fatigue can be acute or chronic; it is often described as weariness not relieved by rest, affecting energy, motivation and concentration (“Fatigue definition,” 2020). Other coinciding symptoms involve stress, anxiety, irritability and muscle weakness. There are many causes of fatigue since it is a general symptom; differentials to consider are excessive stress, sleep disorders (such as insomnia and sleep apnea), altered thyroid function and respiratory conditions (such as COPD) (“Fatigue,” 2020). More specifically, stress and sleep disorders go together. When a person faces excessive stress from life events, such as death or loss of a job, they can be irritable, depressed, and hopeless for a long period of time. This constant state of arousal can lead to sleeping trouble, ultimately causing a sleep disorder.

The mix of these two conditions can cause fatigue (Browne, 2018). In addition, the thyroid impacts fatigue because this structure is responsible for metabolism. With too much thyroid hormone, the body goes into overdrive. When there is too little hormone, the body slows down. Organs involved in thyroid function include the brain, liver, kidneys, bones, and skin. Fatigue is mostly impacted by hypothyroidism because there is a slowing of body systems causing not only fatigue, but also constipation, dry skin, and brittle nails and skin (“The lowdown on thyroid slowdown,” 2018). Hence, fatigue is a general symptom caused by several different conditions.

APA References, 2

Your Leadership Profile

Discussion 2: Your Leadership Profile

Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

To Prepare:

Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources.

Please Note: This Assessment will take roughly 30 minutes to complete.

  • Once you have completed your assessment, you will receive your “Top 5 Signature Themes of Talent” on your screen.
  • Click the Download button below Signature Theme Report, and then print and save the report. We also encourage you to select the Apply tab to review action items.

NOTE: Please keep your report. You will need your results for future courses. Technical Issues with Gallup:
If you have technical issues after registering, please contact the Gallup Education Support group by phone at +1.866-346-4408. Support is available 24 hours/day from 6:00 p.m. Sunday U.S. Central Time through 5:00 p.m. Friday U.S. Central Time.

  • Reflect on the results of your Assessment, and consider how the results relate to your leadership traits.
  • Download your Signature Theme Report to submit for this Discussion.
By Day 3 of Week 5

Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. Note: Be sure to attach your Signature Theme Report to your Discussion post.

Respond to at least two of your colleagues on two different days by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

the US Bureau of Labor Statistics

According to the US Bureau of Labor Statistics (as cited in American Association of Colleges of Nursing, 2019), over 200,000 new RNs will be needed each year through 2026 to replace nurses who retire and to fill new positions. National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers (as cited in American Association of Colleges of Nursing, 2019) reported that about 51% of today’s RNs are 50 years old or older. These are dramatic numbers and represent a challenge for future nurse leaders and managers.

If you were a nurse leader or manager, how would you retain the nurses you have? How would you recruit additional nurses? In your opinion, what do you think the future of the nursing workforce will look like in 50 years?

Your discussion post should look like:

  • Paragraph one: How would you retain the nurses you have?
  • Paragraph two: How would you recruit additional nurses?
  • Paragraph three: What do you think the future of the nursing workforce will look like in 50 years?
  • Resources: Where did you find your data?