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Integrating Evidence-Based Practice

Assignment:

Integrating Evidence-Based Practice

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? Describe strategies that could be used to increase success including overcoming barriers. 

Part 2: 

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 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. A minimum of one (1) scholarly source and the textbook are required for this assignment.Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

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Professional Identity of the Nurse: Role of the Nurse and Scope of Practice

Assignment

Professional Identity of the Nurse: Role of the Nurse and Scope of Practice

Purpose of Assignment:

According to Larson, Brady, Engelmann, Perkins, and Shultz (2013), “the development of professional identity is a continuous process that begins with admission to the nursing program and evolves throughout one’s professional career in a dynamic and fluid process where interacting relationship of education and practice lead to self-reflection, growth, and human flourishing” (p. 138).

Larson, J., Brady, N., Engelmann, L., Perkins, B., & Shultz, C. (2013). The formation of professional identity in nursing. Nursing Education Perspectives.34 (2). p 138.

Course Competency(s):

Identify roles and responsibilities for safe nursing practice in the healthcare environment.

Explain the roles and scope of practice for members of the intraprofessional team.

Instructions:

This course includes a project with three parts. Each part builds off prior knowledge to help you create your nurse professional identity. In the first part, you examine the role of the nurse and scope of practice, which will help you identify the nurses’ role. In the second part, you describe the importance of the code of ethics in nursing, and examine the standards of nursing practice for the role you are obtaining during the nursing program. The final submission requires you to use the first two parts of your assignment to explain your belief of caring in nursing, describe your professional identity, and identify a potential professional organization that you may join to help support your development.

Content:

Prepare a two to three page written assignment that includes the following:

· Introduction to the assignment (sections of the assignment; roles of the nurse, scope of practice, compare and contrast scope of practice)

· Describe the roles of the nurse for the program you are currently enrolled

· Identify the scope of practice for the nurse in the state where you intend to practice

· Using the Nurse Practice Act for the state where you intend to practice, compare and contrast the scope of practice for the LPN and RN

· Conclusion (reflect on the assignment including how you will use the scope of practice to support your role)

· Use at least two credible resources to support your findings. For example, one of the resources could be the State Board of Nursing website, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

Format:

· Two to three page written Assignment

· Standard American English (correct grammar, punctuation, etc.)

· Logical, original and insightful

· Professional organization, style, and mechanics in APA format and style

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Run your paper through Grammarly and make corrections to identified errors before submission. Scope of Practice (20 Pts)Scope of practice lacks presentation and/or supporting evidence. Failure to submit this section will result in zero points for this criteria.Scope of practice includes minimal presentation with limited supporting evidence.Scope of practice includes presentation and examples with supporting evidence.Scope of practice includes substantial presentation and detailed examples with supporting evidence.
Points: 12Points: 16Points: 18Points: 20
Nurse Practice Acts (30 Pts)Nurse practice act section lacks comparing and contrasting and/or supporting evidence. Failure to submit this section will result in zero points for this criteria.Nurse practice act section includes minimal comparing and contrasting with limited supporting evidence.Nurse practice act includes compare and contrast with examples with supporting evidence.Nurse practice act includes substantial compare and contrast and detailed examples with supporting evidence.
Points: 18Points: 24Points: 27Points: 30
Conclusion (10 Pts)Conclusion lacks a summary of the sections of the paper. Failure to submit this section will result in zero points for this criteria.Conclusion includes minimal summary of the sections of the paper.Conclusion includes a summary of the paper with supporting evidence.Conclusion includes a substantial summary of the paper with detailed examples with supporting evidence.
Points: 6Points: 8Points: 9Points: 10
Spelling and Grammar (5 Pts)Spelling and grammar contain substantial errors that make sentences and/or paragraphs incoherent.Spelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on’s or fragments, and/or improper verb tense usage.Displays proper grammar application, and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and/or paragraph.Demonstrates an exemplary application of spelling and grammar.
Points: 2Points: 3Points: 4Points: 5
APA Citation (5 Pts)Citations do not follow APA Style. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style.Errors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation).Errors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned).APA citations are free of style and formatting errors.
Points: 2Points: 3Points: 4Points: 5
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In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

 Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment Description

A Culture of Patient Safety

Read this article:

Sammer, C. & James, B. (2011, September 30). Patient safety culture: The nursing unit leader’s role. OJIN: The Online Journal of Issues in Nursing,16(3), Manuscript 3.                  

In the Hospital Hope scenario, what do you think was the most important factor that led to the change in practice in the SICU?

If you worked in a facility that needed a practice change, what framework would you use and why?

Assignment Expectations:

Length:1000 to 1250 words in length

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. A minimum of two scholarly sources plus the textbook are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

M7 Assignment UMBO – 1, 2, 3

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Define patient-centeredness in the context of evidence-based practice.

 Define patient-centeredness in the context of evidence-based practice. Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers. 

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length. 

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Healthcare Security – What Your Practice Needs to Know

Engaging Staff in Healthcare Security

Right now, you are starting out and learning about HIM. With luck and perseverance, one day you will be running the show. Put yourself in a leadership HIM position for this assignment.

Review and read this article: Healthcare Security – What Your Practice Needs to Know

Focus on section 3:

Establish security rules. Humans are the weakest link in the security chain. A single user can compromise an entire organization by simply opening a spam email.

·         Inform your staff about ransomware attack possibilities and the importance of healthcare security.

·         Create rules to remind employees that they should never open attachments they are not expecting

·         Implore them to double-check email addresses before opening.

·         Discourage users from downloading software from unknown sites

·         Educate them about ransomware scare tactics, such as fake pages that claim the FBI has locked a device due to suspicion of downloading illicit files.

Customize staff reminders on EHR security best practices.

Include the following aspects in the assignment:

Ø  Compose a 3-5-minute speech in which you cover the 5 points above

Ø  Your speech should include the consequences to the organization of not following these practices

Ø  Your speech should include the consequences to the employee of not following these practices

Ø  Tape your speech to send to all staff using Vocaroo (or another audio file tool)

Ø  Submit the link to your speech to the drop box

Ø  Cite any references used. As always, proper grammar, sentence structure, and spelling is required

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reas of nursing practice, nursing education, advocacy, policymaking, and expanding the influence of professional nursing organizations and associations

Despite making considerable progress in the areas of nursing practice, nursing education, advocacy, policymaking, and expanding the influence of professional nursing organizations and associations, the nursing profession still has areas where the progress and development are not as significant as many professional nurses would like it to be. In particular, there are barriers limiting the progress of Advanced Practice Nursing and the contribution that Advanced Practice Nurses (APNs) can make to improving the health care system and access to care. Back in 2011, The Institute of Medicine (IOM) (2011) published a landmark report called “The Future of Nursing: Leading Change, Advancing Health”. In this report, IOM (2011) identified several barriers to undermining the ability of APNs to contribute to the health care delivery to the full extent of their training and education. The three of those barriers include (1) federal and state-level regulations limiting nurses’ scope of practice (SOP), including state laws, (2) institutional culture and practice, and (3) outdated reimbursement models (IOM, 2011).

SOP regulations present a considerable barrier to the progress of advanced practice nursing. For example, nearly half of the U.S. states have reduced or restricted SOP. In the states with reduced SOP, APNs do not have the author to engage in at least one element of advanced practice (Martin & Alexander, 2019). In those states, APNs are required to have a collaborative agreement with physicians to provide primary care, diagnose patients, and prescribe treatments including controlled substances. In the states with restricted SOP, APNs practice under supervision, perform delegated tasks or work as a part of the teams managed by the physicians (Martin & Alexander, 2019). In other words, SOP regulations limiting APNs’ professional autonomy and the ability to practice independently to the full extent of their education and training present a significant barrier to the progress of advanced nursing practice.

As was mentioned earlier, one more barrier is institutional culture and practice. For example, many health care organizations hire APNs that completed programs that equipped them with exceptional skills and educational background necessary to manage complex patients, work in fast-paced settings, perform complex monitoring, develop evidence-based treatment plans, and order and interpret diagnostic studies (Vanderbilt School of Nursing, n.d.). Moreover, many graduates of the MSN programs possess advanced expertise in clinical care, interprofessional collaboration, quality improvement, and organizational leadership (American Association of Colleges of Nursing, 2011). However, APNs may find it challenging to realize their full potential and make a greater contribution to their organizations when the latter have an organizational culture where the role of APNs is viewed as a managing or supervising type of position. Apparently, such organizational culture makes it more challenging for APNs to make a more valuable contribution to improving organizational outcomes.

Finally, an outdated reimbursement model for the services provided by nurses is another barrier slowing down the progress of advanced practice nursing. As Sarzynski & Barry (2019) explain, a revenue stream may need to be developed in order for the APN role to survive in different settings. However, APNs do not receive reimbursement equal to physicians for providing the same services (Sarzynski & Barry, 2019). Further disparities in reimbursement are exacerbated by the fact that ANpss are more likely to practice in rural settings and treat vulnerable populations and Medicaid beneficiaries compared with physicians (Sarzynski & Barry, 2019). Thus, reimbursement issues should be regulated to ensure that APNs can generate adequate revue for their organizations and in independent practice as well. Therefore, regulations limiting nurses’ SOP, organizational culture and practice, and outdated reimbursement models are the three barriers blocking the way to the progress of advanced nursing practice. Addressing these barriers through policy and practice change should be one of the priorities of nurses’ policymaking and policy advocacy efforts.

Instructions: Please extending, refuting/correcting, or adding additional nuance to their posts. Post must be 300 words. Reply must be constructive and use literature where possible. Please use APA format.

Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts. effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors

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Education to the planning of a sequence of teaching in your practice

Assessment 2: Applying the TLL model to a sequence of teaching (60%)
Word Count: 3000 words.
In your role as a teacher, and drawing from the weekly content in this subject, apply and analyse the three layers in our TLL model (Neuroscience, Psychology, Educati^to the planning of a sequence of teaching in your practice. A sequence of teaching is a block of content you plan to teach (or have taught or a hypothetical teaching session) and should include at least 3 hours of content, activities and assessment task/s. You will consider the TLL Model against each of these areas.
Your submission will include the following:
• A description of the sequence of teaching
• Outline how each TLL layer is applied to the sequence of teaching
• Discuss the challenges and strengths in applying each layer of the model to the sequence of teaching
• Discuss the benefits to your teaching in applying the model
• Discuss and reflect on the potential benefits to student learning in applying the model
• Draw conclusions using a summative statement about the worth of applying the model to teaching in the classroom and / or teaching and / or learning context appropriate to your area of interest.
If you are not a teacher / actively teaching in the classroom:
• Try to choose a context for teaching and learning that is relevant to your area of interest and professional context
• If you are not actively engaged in the workforce, you are welcome to use a hypothetical situation where teaching and learning are the central goals
• The main thing is to adapt the lessons and insights you have gained over the previous weeks to better inform your teaching and learning practice (in whatever context you decide).
The broad purpose of this assessment is for you to apply your learning from this subject to your teaching and reflect on its utility. More specifically the task requires you to engage and draw from the weekly content and relevant literature and apply this to a teaching sequence in the classroom or another context relevant to you. For example, think about how your knowledge of brain structures may help in understanding how learning may occur and how that might influence your approaches to teaching within the sequence? What evidence is there in the research literature to support your ideas?

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readers why people can or cannot always practice some certain type of ethics and why.

Submit a short 250-300 word “Written Assignment.” Use these questions as prompts with an introductory opinion or thesis that explains to your readers why people can or cannot always practice some certain type of ethics and why.  Here are some questions you might answer to write about this topic:

  • Are there ethical actions that are always, always right?
  • Are there ethical actions that are always, always wrong?
  • Remember to state why/why not these actions cannot change over time and are universal (they apply to everyone, everywhere).
  • At the end of your piece, state whether you think anyone could disagree with you and why or why not.

Refer to both of the readings we have for this week and some of the vocabulary you have learned about ethics so far. Use APA citations when referring to the author’s main points or quoting them.  

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Nursing leaders and managers to issues in practice

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Use at least two references other than your text and those provided in the course.
    Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
    This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
    You will be writing an essay describing the differing approaches of nursing leaders and managers related to an issue in nursing practice, remember you need to discuss how leaders and managers deal with the issue you have chosen and what your philosophy is (this assignment will be submitted to TurnItIn).

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Leadership and management

Leadership is a much expansive concept than is management. Even though managers are perceived as leaders, management is concentrated on the accomplishment of organizational objectives. Leadership in contrastensues whenever one person endeavor to impact the conduct of an individuals or group-up, down, or oblique in the organization irrespective of the reason (Staigeret al., 2012). It may perhaps be for individual goals or for the aims of others, and these goals may or may not be consistent with organizational objectives. Leadership is characterized with an individual with the following competences: (1) aptitude to identify or comprehend the circumstances they want to influence, (2) adapting for the purposes of allowing their conduct and other resources to close the breach between the existing condition and what they are anticipating to achieve, and (3) capability to communicate effectively.

Nurse shortage and turnover

Nursing shortage, turnover and retention are interconnected concepts. In order to have clear understanding of these concepts, it is important to define these terms. Nursing shortage is defined as deficiency of adequatetrained ………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

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Evidence-based practice as “cookbook care

1/1

Why do you think many healthcare practitioners are often unwilling to change practice patterns, based on research findings? Some practitioners criticize evidence-based practice as “cookbook care.” Considering these perceptions, how would you utilize your education and experiences in planning the implementation of a major change?

2l1

Consider the question: “Why do physicians and nurses kill more people than airline pilots?” Apply your critical thinking skills to this argument and critique the statement. First, do you think it’s true? If it is, what do you think about their rationale? How would you address it if the question were posed to you in a forum?

2dq1

What kinds of extraneous variables (not cited in the studies) do you think could have affected the relationships between the independent variables and the dependent variables in both the Messina et al. and Coyne et al. studies?

2dq2

How effectively do you think the Coyne et al. study and the Messina et al. study both used their review of literature to help the reader understand why the research question was asked? How could they have done it more effectively?

3/1

Given that there is a documented advantage to the use of an experimental and control group design, discuss why other designs are frequently used, and the situations that may prompt the use of one.

3/2

Discuss your understanding of the concept of internal validity in a research study, and the impacts of several errors or biases that can reduce the study’s validity.

4/1

Why do you think so many people have problems with using, interpreting, or applying statistics in making business decisions?

4/2

As you have learned to evaluate different research studies, what elements seem the most important to you for evaluation of the research’s quality? Why?

5/1

Discuss the concept of the normal distribution, why it is important, and what you think it means.

5/2

When students talk about “grading on the curve,” how does that apply to the normal distribution?

6/1

Discuss the differences between the concepts of correlation and causality, and why it is critically important to make sure that the differences are understood?

6/2

What are the indicators for using a t-test? Create a research scenario in which it would be correct to use a t-test, including the research question, sample size, and dependent and independent variables.

7/1

What are the indicators for using an ANOVA? Create a research scenario in which it would be correct to use an ANOVA, including the research question, sample size, and dependent and independent variables.

7/2

What are the indicators for using a regression analysis? Create a research scenario in which it would be correct to use a regression analysis, including the research question, sample size, and dependent and independent variables?

8/1

Re-visit the roadmap that you began at the start of your program of study. Complete information regarding this course. In the discussion, reflect on how this course meets your career goals. What have you gleaned from the course that will help you in your career path? Respond to at least two other classmates.

8/2

Discuss your thoughts about the ethics of using informed consent vs. blinding the subjects to the expected outcomes of the intervention. Should they be told? How much should they be told cookbook care? How would the placebo effect be impacted if subjects are told which intervention is being applied to them?

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Question 1/1

            Healthcare practitioners are often unwilling to change patterns based on research findings because it affects the way the carry out their duties. Some healthcare practitioners have developed a pattern and routine of performing their duties of which they feel changes will inconvenience them. As a result, they prefer performing their duties as they have always been doing, thus criticizing evidence-based changes. In addition, the healthcare practitioners have the perception that the evidence-based research is the personal opinion because the researchers cooks the data and make the conclusion that favor their working style. In order to utilize knowledge gained through education and experience in planning to implement changes, it is necessary to involve healthcare practitioners in the research process so that they get the opportunity to understand the outcome of the research, hence taking part in the implementation process.

Question 2/1

            This statement is true because pilots’ working environment is not similar with that of nurses and physicians. First, if the pilot commits serious error, he/she will die with the passengers, unlike the nurses and physicians who let the patients to die alone. As a result, the pilots would be more careful than the nurses and physicians. The second reason is that pilots follow specific protocol and guideline in their working environment. For instance, they double check that everything is working properly before commence the journey because they have enough time. Journal of American Medical………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………cookbook care……………………………………………………………………………………………………………………………………………………….

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