Health & Medical

Using the PICOT question” In young adults with newly diagnosed hypertension, how does the addition of a walking program compared with pharmacologial interventions alone affect blood pressure within 6 months?”   apply steps 1–3 of the EBP as described by Melnyk & Fineout-Overholt in Chapter 1. Step 1: Formulate the Burning Clinical PICOT Question Step 2: Search for the Best Evidence Use each of the keywords from the PICOT question to perform a systematic search  Discuss how you performed your search, including search terms and process. Step 3: Critical Appraisal of Evidence (Initial Thoughts)  Create an annotated bibliography on a minimum of five empirical research studies that resulted from this search. Include the following for each article: Reference for each study using APA 7th edition format and style Purpose of the study Research question(s)/hypotheses Research design/evidence rating Summary of how findings contribute to the PICOT questions Additionally complete a literature search on the PICOT question “In young adults with newly diagnosed hypertension, how does the addition of a walking program compared with pharmacologial interventions alone affect blood pressue within 6 months?” .  one quantitative and one qualitative research study for approval.

Complete the previous individual assignments associated with this project (i.e., Part 1: Strategic Audit Project, Part 2: Strategic Audit Project, and Part 3: Strategic Audit Project). Using the information you gathered from your organization and healthcare professional, identify the strengths, weaknesses, opportunities, and threats to your organization. Write a 2 page paper that identifies the strengths of, weaknesses of, opportunities of, and threats to your organization. Provide sufficient reasoning on why you believe a particular item is a strength, weakness, opportunity, or threat. Your final paper must follow APA guidelines, and include:

This is a discussion post and the following questions need to be included. Should hospitals establish a minimum gestational age at which premature babies must be in order to invoke life-saving interventions? What are the financial, physiological, and emotional implications of establishing such a regulation? Would birth weight be a better indicator than gestational age?

Complete the following case scenario. Your answer must be IN YOUR OWN WORDS. (2 Full pages, double space 12 font size-Times New Roman and no PDF)   (Late submission will lose points excessively late assignment will receive a zero grade)     Daniella’s Assisted Living Case Scenario One    Activity 1.      What is assisted living, and how it differs from nursing facility care?   2.      How have Daniella’s needs changed since moving into the assisted living facility?       3.      How are those changing needs being met by the assisted living facility       4.      If assisted living services were not available, what would Daniella’s options likely be?

Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas | Transcript media piece) and provide details about it.

WEEK 9 NURS 6050 Discussion: The Role of the RN/APRN in Policy Evaluation   In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters? Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies? In this Discussion, you will reflect on the role of professional nurses in policy evaluation.   To Prepare:   In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. Review the Resources and reflect on the role of professional nurses in policy evaluation.   By Day 3 of Week 9   Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.   Rubric Detail     Name: NURS_6050_Module05_Week09_Discussion_Rubric     Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.   Supported by at least three current, credible sources.   Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.   At least 75% of post has exceptional depth and breadth.   Supported by at least three credible sources.   Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the discussion question(s).   One or two criteria are not addressed or are superficially addressed.   Is somewhat lacking reflection and critical analysis and synthesis.   Somewhat represents knowledge gained from the course readings for the module.   Post is cited with two credible sources.   Written somewhat concisely; may contain more than two spelling or grammatical errors.   Contains some APA formatting errors. 0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately.   Lacks depth or superficially addresses criteria.   Lacks reflection and critical analysis and synthesis.   Does not represent knowledge gained from the course readings for the module.   Contains only one or no credible sources.   Not written clearly or concisely.   Contains more than two spelling or grammatical errors.   Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by day 3. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not post by day 3. First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are fully answered, if posed.   Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.   Demonstrates synthesis and understanding of learning objectives.   Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are answered, if posed.   Provides clear, concise opinions and ideas that are supported by two or more credible sources.   Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) Response is on topic and may have some depth.   Responses posted in the discussion may lack effective professional communication.   Responses to faculty questions are somewhat answered, if posed.   Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) Response may not be on topic and lacks depth.   Responses posted in the discussion lack effective professional communication.   Responses to faculty questions are missing.   No credible sources are cited. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are fully answered, if posed.   Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.   Demonstrates synthesis and understanding of learning objectives.   Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are answered, if posed.   Provides clear, concise opinions and ideas that are supported by two or more credible sources.   Response is effectively written in standard, edited English. 12 (12%) – 13 (13%) Response is on topic and may have some depth.   Responses posted in the discussion may lack effective professional communication.   Responses to faculty questions are somewhat answered, if posed.   Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) Response may not be on topic and lacks depth.   Responses posted in the discussion lack effective professional communication.   Responses to faculty questions are missing.   No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days. Total Points: 100 Name: NURS_6050_Module05_Week09_Discussion_Rubric         Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: 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 transition. 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 inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.   Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393. doi:10.1016/j.outlook.2018.05.003   Document: Healthcare Program/Policy Evaluation Template (Word document)

Part 1  Vaccines . . . pro or con? For this discussion, you are going to select the opposite stance of the one you actually hold about whether to vaccinate children. Support your stance through the immune system function and the role of vaccines. Why should your stance be made the standard in your state? For your citation, you might use articles that show examples of positive or negative consequences of vaccinating and not vaccinating. You can also find articles from experts that address the role of vaccines as it relates to the immune system. Part 2 On your last birthday, your neighbor told you, “Everything is downhill from here.” He believes there is nothing that can prevent or minimize the effects of aging on your lymphatic and immune systems. Explain to your neighbor how aging impacts these systems. Also, share your opinion on preventative methods. Is your neighbor correct in his thinking or not, then explain your reasoning? For your citation, you might use articles that show examples of positive or negative effects of aging on the lymphatic and immune systems. You can also find articles from experts that suggest best practices for age-related preventative methods.

Originally prescribed as a treatment for individuals with Celiac disease, gluten-free diets have gained popularity among gluten tolerant individuals. This has led to an explosion of gluten-free products available in grocery stores and restaurants. However, are these diets beneficial for the general population? Instructions 1.    Click the underlined links below to read a journal article and an article published by a popular news organization. Note the differences in the writing style and detail of information presented. a.    CBS News Article: http://www.cbsnews.com/8301-504763_162-57483789-10391704/gluten-free-diet-fad-are-celiac-disease-rates-actually-rising/ (Links to an external site.) b.     Academy of Nutrition and Dietetics: Gluten-Free Diets: Imprudent Dietary Advice for the General Population? Actions 2.    Answer the essential questions below in your inital post 3.    Respond to at least one of your classmates’ post. Essential Questions 1.    What had you heard about gluten in the past? There are no wrong responses!  2.    Have these articles and/or the information in the textbook changed your opinion? Why or why not? 3.    What advice would you give to a friend who asked if they should try a gluten-free diet to lose weight or “to eat healthier”? Be sure to support your response with reputable sources. NOTE: There is a minimum word limit of 250 words for the initial post, and 100 words for the reply post. Please cite any sources used in your responses using either APA or MLA formatting.

In this Discussion you will right two reviews   1.     You will research one of the leading causes of death in the United States, comparing data from your state with national data and examining risk factors associated with the health problem. To prepare for this Discussion, examine the leading causes of death in the United States using the following websites from this module’s Learning Resources: CDC: Leading Causes of Death Medical News Today: What Are the Top 10 Leading Causes of Death in the US? Select one leading cause of death on which to focus for this Discussion. Using credible websites, research how your state’s data compare to national data related to this health condition. For example, you may search for information on the following websites, found in this module’s Learning Resources: Centers for Disease Control and Prevention (CDC) United Health Foundation: America’s Health Rankings Trust for America’s Health Robert Wood Johnson Foundation Ensure that you examine comparable data from reliable sources. For instance, look at state and national prevalence rates from the same year and, ideally, from the same source. Review the information on determinants of health (also referred to as risk factors) presented in Chapter 2 of the Shi and Singh (2015) textbook. In addition, conduct research using the Walden library and credible websites to identify and analyze the causes of your selected health problem and associated lifestyle, genetic, and environmental risk factors. If you are an international student, you may research a leading cause of death in your country and compare data from your local community with national data. Substantive and cohesive response to the following: Describe one of the leading causes of death. Compare your state’s data with national data related to this health problem. Identify your sources of data. Describe the causes of this health problem and associated lifestyle, genetic, and environmental risk factors/determinants. Reminder: Use and cite sources to support your posting and responses.                     2.  International Comparison of Health System Characteristics How does the U.S. health care delivery system compare with other countries’ health care delivery systems? What is the relationship of a country’s economic resources to health outcomes? How does the funding of services influence access to care? How does government involvement in health care delivery inform the patient/consumer experience? There are no simple answers to the questions above. Yet, health care administrators must engage in thoughtful, ongoing inquiry into questions such as these in order to gain a well-rounded perspective on health care delivery. In your Assignment for this module, you will analyze and compare data to deepen your understanding of the U.S. health care delivery system, as well as other health care delivery systems around the world. Your examination of data can provide valuable insights, but it is also important to consider the context surrounding health care expenditures and outcomes. In this Discussion, you will examine health system characteristics, such as government involvement and funding of health care delivery in the United States and other nations. For this Discussion and the Assignment, select TWO countries to compare with the United States in terms of health care (i.e., compare the SAME countries in both the Discussion and Assignment). One country must be a developed country, and the other must be considered a developing (low- or middle-income) country: as much as possible, select countries that are of similar size. To identify the development level of countries, use the following resources found in this module’s Learning Resources:   The International Statistical Institute: Developing Countries World Bank: Country and Lending Groups   In the Learning Resources related to health system characteristics, particularly Chapter 1 in the Shi and Singh textbook. Research the characteristics of the U.S. health care delivery system and the systems of your selected countries using credible websites, such as the Organisation for Economic Co-operation and Development (OECD) site, found in this module’s Learning Resources. Consider the following questions as you research each country: How is the health system organized? Is there a central governing agency? How does an individual gain access to needed services, including specialized care? How are health care services paid for? For example, does the country have a national health system with tax-funded coverage, a health insurance system with a single payer, a health insurance system with multiple insurers, or something else? What benefits do people in this country experience because of the health system’s characteristics? For instance, are people guaranteed access to health care services? Do patients receive well-coordinated care because their health information is readily available to providers through an integrated technology system? Do they have a great deal of choice when selecting physicians? What challenges do people in this country encounter? For instance, is there typically a long wait to see a specialist? Do patients encounter adverse effects because medical supplies are not readily available? Are health care services prohibitively expensive for most people?  Substantive and cohesive response to the following: Analyze two or more defining characteristics of the U.S. health care system. Explain how these characteristics compare to the characteristics of the health care systems of your selected countries. (Be sure to identify the countries in your posting.) Evaluate potential benefits and challenges for people in your selected countries based on the health system characteristics you have identified.

In Week 4, you submitted your Parts 1 and 2 and your Annotated Bibliography to your Instructor for feedback.  For this Major Assignment 1, you will incorporate your Instructor’s feedback if you have not already done so. Also, you will finalize your Major Assignment 1 and complete Part 3: Potential for Social Change section. To prepare for this Assignment: Review the Major Assignment 1: Developing a Research Topic for a Qualitative Study Assignment Overview and Guidelines for proper formatting of your paper. Incorporate your Instructor’s feedback from week 4 Parts 1 and 2 submission.  Please indicate the new material by highlighting the new or revised text in Parts 1 and 2. Update your Annotated Bibliography to include any new articles you have read since Week 4 that would be appropriate to include. Continue on to Part 3 and finalize this section for your final submission. Use the Detailed Major Assignment 1 Guidelines to format your paper. Part 3: Potential for Social Change Based on your understanding of social change, write one paragraph to describe how the results of your study might contribute to making a difference at a local/community, regional, or national level. Finalize your Annotated Bibliography. Use the Major Assignment 1: Developing a Research Topic for a Qualitative Study Assignment Overview and Guidelines for proper formatting of your paper. Finalize your References section of your paper. Use the Major Assignment 1: Developing a Research Topic for a Qualitative Study Assignment Overview and Guidelines for proper formatting of your paper.