evidence based practice

A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

1. Describe a healthcare problem

Note: A healthcare problem can be broad in nature or focused. 

2. Explain the significance of the problem.

3. Describe the current practice related to the problem.

4. Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

1. Identify the keywords used for the search.

2. Describe the number and types of articles that were available for consideration.

a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3. Identify two strategies that could be used to overcome the barriers discussed in F2.

4. Identify one indicator to measure the outcome related to the recommendation.

G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Articles have already been chosen, if can be helpful.  If you would like to choose an easier healthcare related problem or different articles, that is fine as well

Genitourinary and Adolescent Health and Management Plans

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. 

 Topic:  Genitourinary and Adolescent Health and Management Plans 



This week, there will be a variety of conditions assigned to you by your instructor pertaining to  genitourinary and adolescent health conditions (I chose Hemturia).  You are expected to present your initial topic including, but not limited to, the following items:  


Use the below headings while answering the questions.  

  • PathophysiologyEpidemiology

  • Physical exam findings

  • Differential diagnoses and rationale

  • Management plan to include diagnostic testing, medications if applicable, follow-up plans and referrals if needed

Know when to Refer to a Pediatric Specialist

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.

This week’s discussion will focus on the sick child and when it is necessary to refer. Please give an example from your clinical rotation of a child who was referred on to another health care provider. Include in your discussion the concept of “scope of practice” as defined in the location where you work. 

Follow-up after referral is a responsibility of the nurse practitioner and requires collaboration with other health care professionals as well as current knowledge of the problem being addressed. Not addressing follow-up can be a legal and malpractice issue.  (I chose referral to Pediatric ENT specialist due to multiple recurrent ear infections in the year).

Topic:  Know when to refer to a specialist

Also, address the reasons for the referral and its timeliness. For example, is this urgent? Emergency? Non-emergent? Why

How to Spot Fake News

SLO #3 News Media – How to Spot Fake News

Read and watch the following: and

If you had to help someone spot “fake news,” what would you tell them?  Choose a news article from a reputable media outlet and compare it to an online story that you know is fake.  Using the checklist provided on the factcheck web site, compare the two.  Although fake news is not new, it seems harder to distinguish and more accepted now.  Why?  How will this acceptance of fake news impact our democracy?

Two parts

Part one:

TopicThreadsPostsLast Post

Module 3: Discussion Question

Available after Monday, November 12, 2018 10:00 PM PST. Must post first.

Start by reading and following these instructions:

You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the discussion question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally.

Discussion Question:

Johnson viewed health as efficient and effective functioning of the system, and as behavioral system balance and stability. Behavioral system balance and stability are demonstrated by observed behavior that is purposeful, orderly, and predictable. Consider a clinical-practice situation that demonstrates Johnson’s model of health. How can the nurse support this theory to return the patient to balance and stability?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

Part two:


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.

  1. 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:

  1. Explore was happening in the United States during this time (culture, social, economics, struggles)

  1. What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)

  1. 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.

Health Care Provider and Faith Diversity:What is the meaning of human history?

The purpose of this paper is to complete a comparative analysis of two faith philosophies towards providing health care, one being the Christian perspective and the other one is Shintoism perspective. When writing the paper, be sure to address the implications between Christianity and Shintoism beliefs for health care:1st paragraph: Introduction with thesis 2nd paragraph: Answer the following
What is a prime reality?
What is the nature of the world around us?
What is a human being?
What is the meaning of human history?3rd paragraph Answer the following:
What happens to a person at death?
Why is it possible to know anything at all?
How do we know what is right and wrong?4th Paragraph:
What are critical common components to all religions/beliefs in regards to healing, such as prayer, meditation, belief, etc.? Explain.5th Paragraph:
What is important to patients of the faiths when cared for by health care providers whose spiritual beliefs differ from their own?6th Paragraph:


· Please read to get you started

· You will find as you search middle range, and at times practice specific theory, that some of these theories overlap with what we have been referring to as nursing theory. An example of this is Orlando’s and Peplau’s theories. These theories are at times described as middle range and at other times as nursing theory. Thus. you will see there is no hard and fast rule as to labeling of level of theory but that theory flows from most abstract to least abstract.  The important take away for the next two weeks is that you develop an understand of the importance that both middle range theory and practice specific theory, is these two types of theory are less abstract and more easily applied to practice and research.

· No more than 7 students per question

· After researching middle-range and practice-specific theories, answer one of the questions posted on the DB

· Be sure to preface your answer with the question

· The initial post is to include insight into practice application

· Please check the DB prior to your post to see how many students have already posted their selected philosophy 

· Read your peers’ posts and reply to at least one peer who has explored a different philosophy

· The reply post is to include insight into practice application

Initial post due Thursday @ 11:59PM Reply post due Sunday @ 11:59PM

1. Compare and contrast middle-range theory and practice-specific theory. Discuss the impact the development of these theories has on nursing.

2. Locate a nursing research article (be sure it is a research article and not an opinion article) that clearly describes how a middle-range theory was used to guide or support the research. How did the author(s) apply the theory in their research?

3. Describe a practice scenario from your own nursing experience and identify a middle-range or practice-specific theory that could be used as a framework for nursing care delivery. Discuss how the theory could be used to support your nursing care of the patient. NOTE: Do not identify the patient’s name in compliance with HIPPA regulations.  Use of initials as patient identifiers is acceptable. 

For this assignment we will be discussing the wellbeing supportive physical environment. I have also uploaded my text book. Also refer to chapter 21 as well for additional reference. Please make sure all the requirements are met. I will do #3 the scenario from my own nursing experience

Steps of Concept Analysis

Week 3: Steps of Concept Analysis


 This discussion provides an opportunity to start this assignment. Select a nursing concept, supported by a nursing theory, and address the following components included in a concept analysis:

  • Definition of concept

  • Identification of three attributes of the concept

  • Description of one antecedent and one consequence of the concept

  • Identification of two empirical referentsBrief explanation of theoretical applications of the concept (How is the concept relevant to a nursing theory?)

This information does not have to be comprehensive but provides a foundation to the upcoming assignment. Be sure to include scholarly references.

Health assessment

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

In this Discussion, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values.

To prepare:

• Review this week’s Learning Resources and consider the factors that impact the validity and reliability of various assessment tools and diagnostic tests.

• Select one of the following assessment tools or diagnostic tests to explore for the purposes of this Discussion:

o Mammogram

o Physical tests for sore throat (inspecting the throat, palpating the head and neck lymph nodes, listening to breath sounds)

o Prostate-specific antigen (PSA) test

o Dix-Hallpike test

o Body-mass index (BMI) using waist circumference for adults

• Search the Walden Library and credible sources for resources explaining the tool or test you selected. What is its purpose, how is it conducted, and what information does it gather?

• Examine the literature and resources you located for information about the validity and reliability of the test or tool you selected. What issues with sensitivity, specificity, and predictive values are related to the test or tool?

• Are there any controversies or issues related to any of these tests or tools?

• Consider any ethical dilemmas that could arise by using these tests or tools.

By Day 3

Post a description of how the assessment tool or diagnostic test you selected is used in health care. Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.