Client Questions

Assignment Description Effective Communication The Joint Commission reported that [poor] communication was the root cause of 66% of Sentinel Events between 1995-2005. Examine the communication and collaboration in your workplace. Include these aspects: The components necessary for effective interpersonal communication. Discuss the importance of interprofessional collaboration. Apply components of interpersonal communication to interprofessional collaboration. Discuss strategies to promote interprofessional collaboration. Describe effective strategies to build interprofessional teams. Cultural competence Assignment Expectations: Length: Between 1500 and 2000 words Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. You should utilize at least two scholarly sources in addition to your textbook.

Identify the tenets and application of a nursing theory. Discuss the impact of the identified nursing theory on evidence-based practice.  Your presentation should include the following: – Identify the nurse theory selected. – Provide an overview of the concepts of the nursing theory. – Analyze the application of the selected nursing theory for evidence-based practice. – Provide recommendations for application of selected nursing theory Submission Instructions: Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.  Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide. The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling. Speaker notes expanded upon and clarified content on the slides.

Please create a Power Point to answer the following: Case study Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention. What      questions does Orlando’s theory guide the nurse to consider in caring for      Susan and Sam? Develop      a family plan of care from the perspective of Orlando. Explore the 1950 and 60’s in the United States: Explore      was happening in the United States during this time (culture, social,      economics, struggles) What      did nursing look like during this time (what were their jobs like,      responsibilities, dress, autonomy, respect) What      is the most influential accomplishment in nursing theory from the 1950’s      and 1960’s? Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides. Nursing Theories and Nursing Practice (4th Edition), 4th ISBN: 978-0-8036-3312-4

Discussion: Searching Databases When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems. The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question. To Prepare: Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. By Day 3 of Week 4 Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

Respond  by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.                                                                                                                                     Main Post        Big data provides knowledge, insight, ideas and the potential to expand opportunities within an organization (McGonigle & Mastrian, 2018, p. 478).  Considerable amounts of data have been collected through the EMR over the past decade creating a challenge for nurse scientist to find nuggets of information in tsunami of data (Gephart, Davis, & Shea, 2017). The amount if big data can be difficult for those required to examine and retrieve information. Despite the overwhelming amounts of big data, it does come with benefits, challenges and risk associated with its use.      A benefit to using big data is the ability to communicate with a large group of patients at one time. For instance, a physician can send a message out to a large group of patients in a short period of time with the use of big data (Laurete Education, 2018).  A physician’s office can remind large group of patients of appointment reminders, lab appointments or alert them to call the md office with abnormal lab results.  This cost effective and convenient as it allows consistent measures to monitor the practice.      A potential challenge of using big data is the fine line of deciding who owns and who can use the data (Shanthagiri, 2014). For example, the data sources include the patient’s private health information which could now be potentially shared with labs, pharmacies, social media in addition to their physician (Shanthagiri, 2014).  The enforcement of privacy of PHI and HIPPA is strict. The potential for error with big data is a high risk.      Working with the VA medical center, I observe strict monitoring and firewalls ensuring safety of patient’s PHI. The vulnerability of exposure of personal health information to social media or social networks is a constant threat.  The EMR not only stores health data but also houses the patient’s personal information such as social security numbers, addresses, and birthdays. A strategy to combat this potential problem is a strong malware and security system monitored 24 hours a day 7 days a week. The VA medical center monitors all information going in and going out of the EMR with it’s own security department specific for data protection.  Each user is tagged to this information and can be traced.  The VA will immediately terminate privileges should a user of the EMR violate any firewall in the system. They monitor everything as they should.       As a bedside nurse I am aware of my contribution to this data however, I am not exposed to the cumbersome job of disentangling this information or protecting it. I know the potential benefit of collecting this information is to provide information as it relates to quantifying and qualifying illness, providing evidence for practice.  That being said, big data will continue to grow as we knowledge workers continue to contribute and technology advances. References Gephart, S., Davis, M., & Shea, K. (2017, December 13, 2017). Perspectives on Policy and the Value of Nursing Science in a Big Data Era. SAGE Journals.         https://doi.org/https://doi-org.ezp.waldenulibrary.org/10.1177/0894318417741122 Laurete Education. (2018).  Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Retrieved from                                       https://class.waldenu.edu/bbcswebdav/institution/USW1/201950_27/MS_NURS/NURS_5051_WC/USW1_NURS_5051_module03.html?course_uid=USW1.1425.201950&service_url=https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/wslinks&b2Uri=https%3A%2F%2Fclass.waldenu.edu%2Fwebapps%2Fbbgs-deep-links-BBLEARN#resources McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones & Bartlett Learning. Shanthagiri, V. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw

Discuss how health policy and initiatives are used to guide and direct your clinical practice as an Advanced Practice Nurse

Please read the attachment before beginning the assignment. No outside resources and only use what information is provide to complete homework Please review the assignment expectations which I have included below.  Your assignment was much longer than the 3 page max.  I did not see where you explained or rationalized your selections for the SWOT.  Also you had great sources but did not see where you actually used them in the paper. Conduct additional research to gather sufficient information to familiarize yourself with the facts of the case and be sure to justify/support your position. The body of the document should explain in detail your SWOT Analysis and supply rationale to the entries on your SWOT Analysis. Limit your response to a maximum of 3 pages. Support your case with peer-reviewed articles, using at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:https://www.angelo.edu/services/library/handouts/peerrev.php

What are your upcoming week’s specific learning goals and objectives? 2. What is your upcoming week’s detailed schedule at your community practice experience placement? This week I went one day for 6 hours…. 3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates? no issues… 4. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices. This week we did telemedicine, review EKG results, blood works, health assessment face to face patient, also did medication reconciliation. Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor. Pd:This journal is for my nursing community  practices, you need only to answer each question, using the answer I gave you under each question. Please I need any reference!

Respond  using one or more of the following approaches: Ask a probing question, substantiated with additional background information, and evidence. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Group B Inferential Statistics- Based on probability; used to draw conclusions or make generalizations about a given population or problem.   Example: “What can I infer about 5-minute Apgar scores of premature babies (the population) after calculating a mean Apgar score of 7.5 in a sample of 300 premature babies?” (McGonigle & Mastrain, p. 376, 2017).  Sampling Distributions- A sampling distribution is the frequency distribution of a statistic over many random samples from a single population.  Sampling Distribution of the Mean – as an example we randomly draw test scores from 25 students out of a total group of 5,000. We then calculate the mean, then draw a new group and repeat; each mean will serve as one datum, or data point.  Hypothesis Testing- is the use of statistics to determine the probability that a given hypothesis is true.  Null Hypothesis- the hypothesis that there is no significant difference between specified populations; or differences can be attributed to sampling or experimental error  Type 1 Error- This error occurs when we reject the null hypothesis when we should have retained it.   Type 2 Error- This error occurs when we fail to reject the null hypothesis. In other words, we believe that there isn’t a genuine effect when actually there is one.   Parametric statistics – A class of statistical tests that involve assumptions about the distribution of the variables and the estimation of a parameter.  Nonparametic statistics – A class of statistical tests that do not involve stringent assumptions about the distribution of variables. Between-subject design – A research design in which separate groups of people are compared (e.g. smokers and nonsmokers; intervention and control group subjects). Within-subject design – A research design in which a single group of participants is compared under different conditions or different points in time (e.g. before and after surgery). Two classes of Statistical Tests: Parametric tests – tests involving an estimation of a parameter, the use of interval or ratio-level data, and the assumption of normally distributed variables. Include t-tests and ANOVA.  Nonparametric tests – used when the data are nominal or ordinal or when a normal distribution cannot be assumed. Include the Mann-Whitney U test, Wilcoxon signed – rank test, and Kruskal – Wallis test.  Statistical Tests   T-test parametric procedure identifying mean differences for two independent groups, like experiment versus control or dependent groups, like pretreatment and post-treatment scores. One – way ANOVA – tests the relationship between one categorical independent variable, such as different interventions, and a continuous dependent variable.   Independent t-test – used to compare mean values of a single group to a hypothesized value. Two- way ANOVA – tests multiple hypotheses with two independent variables Paired t -test – Obtaining two measurements from the same people or from a paired set of participants. This measures the difference between two related groups. Used when the means for two sets of scores are not independent. Repeated – measures ANOVA – tests the same group using three or more measures of the same dependent variable.    ANOVA – parametric procedure for testing differences between means when there are more than three groups.   Chi-Square test – used to test hypothesis about group differences in proportions. It is computed by comparing observed frequencies and expected frequencies, in which there was no relationship between variables.   One-tailed test – A statistical test in which only values in one tail of distribution are considered in determining significance. A one-tailed test allots all of your alpha to testing the statistical significance in the one direction of interest.    Two-tailed test – Statistical tests in which both ends of the sampling distribution are used to determine improbable values. A two-tailed test allots half of your alpha to testing the statistical significance in one direction and half of your alpha to testing statistical significance in the other direction.        There are different types of statistical methodologies, inferential statistics are based on probability. Ali and Bhaskar (2016) define probability as “the likelihood that an event will occur” (para. 21). According to Hyatt, Powell, Johnson, and Caldwell (2017) a working knowledge of inferential statistics is needed to understand, interpret, and critically evaluate research studies. The basic premise of inferential statistics is to generate data from random samples and use it to describe or make inferences about an entire population (Ali & Bhaskar, 2016). A basic understanding of inferential tests will help nurses implement research into evidence-based pracitce.             While there are various inferential tests, it is important to understand that they all use probability to infer meaning; that meaning is subsequently applied mathematically to a larger population. For example, Polit and Beck (2017) report that the T-tests is a hypothesis testing tool which compares two groups of data sets to find the difference between them. In nursing research, this test can be utilized to determine if there is causality or any relationship between data sets. Analysis of variance (ANOVA) involves mathematically analyzing data. This test is useful in comparative analysis. For example, the efficacy of interventions, such as different ambulation protocols can be compared with through ANOVA. Inferential statistics also facilitate comparisons of proportions; this is achieved with the Chai Square test. This test is often used to compare differences between the interventional and the control groups (Polit, Beck 2017). While it is unlikely that non-researchers will retain knowledge of the various statistical tests, being able to identify the statistical methodology will help them to better interpret research results.   References Ali, Z., & Bhaskar, S. B. (2016). Basic statistical tools in research and data analysis. Indian journal of anaesthesia, 60(9), 662–669. doi:10.4103/0019-5049.190623 Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for Nursing practice (10th Ed.). Philadelphia, PA: Wolters Kluwer.Chapter 17, “Inferential Statistics” Hayat, M. J., Powell, A., Johnson, T., & Cadwell, B. L. (2017). Statistical methods used in the public health literature and implications for training of public health professionals. PloS one, 12(6), e0179032. doi:10.1371/journal.pone.0179032

Why my city is the best. Follow the attached example. The work must be in PowerPoint.My city is Viñales, Pinar del Rio. Cuba