Category: Nursing

NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement

Legislation Grid and Advocacy Statement

Legislation Grid

Health-related Bill Name

Promoting Physical Activity for Americans Act

Bill Number

S. 1301

Description

The identified bill is sponsored by Sharrod Brown, the senior Senator for Ohio (Govtrack, 2021). The Senator is a democrat. The bill was first introduced to the House of Representatives on April 22, 2021.The bill seeks to authorize the Secretary for Health and Human Services (HHS) to be publishing a report on physical activity and the interventions aimed at controlling specific measures of interest. The bill also requires that the secretary for HHS to publish evidence-based intervention aimed at promoting physical activity among specific populations of the community. The bill would also require that any other federal agency that would wish to promote physical activity among the community members should base on the published research-based report. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement.

 

Federal or State?

Federal

Legislative Intent

The legislative intent of the bill is to foster the utilization of the latest medical innovation and research in the promotion of physical activity among the communities. The other intent is to ensure that population specific interventions are used when promoting physical activity. With the increase in the rate of obesity and lifestyle diseases, the legislative intent of the bill is to improve effectiveness of physical activity promotion practices so as to further improve the rate of community members involved in physical activity within the community. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement The rate of obesity and lifestyle related diseases would be fostered in the quality of the patient intervention.

 

Proponents/ Opponents

Proponents: Sponsoring legislators, the healthcare professionals and the members of the community especially at risk of developing obesity and lifestyle diseases.

 

Opponents: The secretary for HHS would likely challenge the bill with the basis of the cost of carrying out research for publishing the report after every 10 years.

Target Population

NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement The bill targets all the citizens of the United States especially considering that a large proportion are at risk of being obese because of not meeting the minimum requirements for physical activity.

 

Status of the bill (Is it in hearings or committees?)

The bill was passed by the Senate on 30
th
July 2021 through a voice vote (Govtrack, 2021). The bill will be forwarded to the House for the second time before proceeding to the next subsequent stages.

 

 

General Notes/Comments

 

 

The bill, presented by Sherrod Brown is considered to offer a uniquely important opportunity for the promotion of physical activity and in essence improve the intervention to combat obesity. The bill with two sponsors is projected to be having at least 48% probability of being ascended into law because of its feasibility and relevance to the prevailing situation.

 

Legislation Testimony/Advocacy Statement

The personal position in the bill in question is to join the proponents and thus support the bill. The bill proposes a suitable approach for promoting physical activity considering that it proposes the implementation of evidence-based intervention (Bowen, et al. 2021). The rate of obesity in the United States has been consistently growing over time. The rate of obesity between 1999 and 2000 was 30.5% as compared to the rate of 42.4% between 2017 and 2018 (Gelius, et al. 2020) NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement. Obesity is also closely associated with an increased risk of various lifestyle diseases such as hypertension, diabetes and certain types of cancers. The lifestyle health conditions are among the top ten leading causes of death in the United States. Only 19.3% of the United States citizens meet the minimum recommended physical activity rate and thus indicating a significantly high demand for better interventions to promote physical activity. Physical activity is a key element that contributes to body weight besides diet. Promoting physical activity is therefore considered to be important.

Considering the opponents for the bill the bill base counter-arguments on the cost carrying out research to publish the reports after 10 years, it would be vital to consider that 10 years is a significantly wide interval (Bowen, et al. 2021). The opponents should also be informed about the extreme cost incurred annually due to obesity. It is estimated that the cost associated with adult obesity ranges between $147 billion to 210 billion annually (Piercy, et al. 2018). The high cost due to unproductivity at workplace and the cost of treatment for obesity related conditions is higher as compared to the cost of carrying out research for 10 years to publish a report. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement The opponents should also be informed about the importance of utilizing evidence-based intervention since it helps to promote the utilization of the latest research findings into practice. Considering the dynamic nature of clinical practices, it is important to embrace research even when promoting physical activity.

References

Bowen, P. G., Opoku-Agyeman, W., Clay, O. J., McCaskill, G., Mixon, V., Sen, B. P., … & Martin, M. Y. (2021). Promoting Physical Activity Through Policy at a Single Safety-Net Clinic: A Pilot Study. 
Translational Journal of the American College of Sports Medicine
, 
6
(2), e000160.

Gelius, P., Messing, S., Goodwin, L., Schow, D., & Abu-Omar, K. (2020). What are effective policies for promoting physical activity? A systematic review of reviews. 
Preventive medicine reports
, 
18
, 101095.

Govtrack, (2021) S. 1301: Promoting Physical Activity for Americans Act. Retrieved from: https://www.govtrack.us/congress/bills/117/s1301 NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement

Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., … & Olson, R. D. (2018). The physical activity guidelines for Americans. 
Jama
, 
320
(19), 2020-2028.

 

Assignment: Legislation Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, 
If I had anything to do about it, things would work a little differently?
 Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement.

The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)

Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected,
complete the Legislation Grid Template
. Be sure to address the following:

Determine the legislative intent of the bill you have reviewed.

Identify the proponents/opponents of the bill.

Identify the target populations addressed by the bill.

Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

Advocate a position for the bill you selected and write testimony in support of your position.

Describe how you would address the opponent to your position. Be specific and provide examples.

At least 2 outside resources and 2-3 course specific resources are used. NURS 6050 Assignment: Legislation Grid and Testimony/Advocacy Statement.

Developing a Care Plan

Name

Institution

Date

 

 

Developing a Care Plan

Introduction

Care planning in nursing is a vital aspect of nursing practice as it provides the outline for patient care. A good care plan should include aspects such as accuracy, completeness, and the content should be relevant (Johnson et al., 2018). Accordingly, this paper will provide a care plan for the aggregate population (
S
outh Charlotte), as well as the disaster management plan to address the major health risks in the population.   

Comprehensive Care Plan

Assessment

The aggregate participants in
S
outh Charlotte
are older adults aged 65 years and over. The main health risks for this aggregate population include A1C management, surgical risks of diabetes, and increased BMI (obesity).

Nursing Diagnosis

Ineffective A1C management deficit and increased of infections, wound healing and slow healing surgical outcomes

Imbalanced nutrition more than body requirements as indicated by a BM1>40

Strategies to Address the Major Health Risks

A multidisciplinary team should be formed to promote health in the target population. Health promotion should include providing support for self-management education for people with diabetes. The health promotion program in
S
outh Charlotte should ensure that all older adults with diabetes take part in
diabetes self-management education. This will equip them with the required skills, knowledge, and ability for diabetes self-care, and especially managing and reducing the AIC values, as a measure of effective glycemic control (Al-Rasheedi, 2015). Effective HbA1c control will also prevent long-term complications associated with diabetes. M
oreover, the participants should be provided with self-management support that will help them implement and sustain the gained self-management skills and behaviors.

Implement an exercise program in
S
outh Charlotte targeting older adults with diabetes: The older population with type 2 diabetes will be recruited to the exercise program where they will be encouraged to perform at least two weekly sessions of resistance exercise. Evidence shows that resistance training among older adults diagnosed with type 2 diabetes reduces AIC (
Alvarez et al., 2017)
. Moreover, the increased physical activity will help in lowering the BMI for the target population and thus address the issue of obesity in this population.

Recommend compulsory influenza and
anti-pneumococcal
immunization for all older adults in South Charlotte. These immunizations will reduce respiratory infections, hospitalization, and the mortalities associated with respiratory tract infections (
Alvarez et al., 2017)
. Infections, including respiratory tract infections, are very prevalent in people with type 2 diabetes.

Smoking cessation counseling programs should be integrated into the routine element of diabetes care. In addition, all individuals with type 2 diabetes should be educated to stop smoking or inhaling secondary tobacco smoke. Tobacco smoking is attributed to numerous health risks, including the development of type 2 diabetes, cardiovascular conditions, and premature death. Smoking cessation is associated with the improvement of metabolic parameters, as well as decreased blood pressure in individuals with type 2 diabetes (
Hieshima et al., 2018)
.

Integrating nutritional therapy in diabetes treatment: All older adults with type 2 diabetes in South Charlotte should be provided with a personalized eating plan. Nutrition therapy is a key aspect of diabetes management and plays a big role in stabilizing AIC values; therefore, the older adults with type 2 diabetes should be vigorously involved in education, treatment planning, and self-management with their healthcare team, and this should include the collaborative development of the personalized eating plan (
Franz & MacLeod, 2018)
. All people with type 2 diabetes in South Charlotte should be referred and linked with a registered dietitian with the required skills and knowledge to provide diabetes-specific nutrition therapy. Emphasis should focus on providing healthy eating patterns. Also, to reduce weight in the target population, the participants should be educated to eat healthily by consuming a variety of fruits and high vegetable intake, while reducing intake of carbohydrates (
Franz & MacLeod, 2018)
. This will assist in weight loss.

Lastly, all
aggregate participants in
S
outh Charlotte should be educated on the importance of adhering to the prescribed medications. Improved adherence to treatment in individuals with type 2 diabetes will enhance glycemic control and thus reduce morbidity and mortality allied to uncontrolled type 2 diabetes (
Polonsky & Henry, 2016)
.

Disaster Management Plan

Charlotte NC region is mainly typified by a moderate climate with a clear discrepancy between warm and cold seasons. Winters are normally characterized by cold weather with a lot of snowing and heavy rainfalls. The likely disasters that may affect the aggerate population in Charlotte NC include hurricanes and flooding. Charlotte NC is a region at a high risk of flooding and storm surge associated with hurricanes. Floods and hurricanes lead to effects such as deaths, injuries, adverse effects on human health and welfare, destruction to the infrastructure, and interruptions to education and business (Tullos D. (2018).

The national climate assessment shows that Charlotte NC has a high probability of experiencing flooding and hurricanes. However, flooding the most likely environmental risk to affect Charlotte NC. This is because Charlotte NC has varying physiography that makes it extremely venerable to flooding and also hurricanes. Charlotte NC has many areas that are low-lying and flat and also coastlines and valleys that make it predisposed to flooding, after an accumulation of heavy rainfall (Lickley, et al., 2014). From the historical evidence, there is a high likelihood that Charlotte NC will continue experiencing flooding and a moderate likelihood of Charlotte NC experiencing hurricanes in the future.

To mitigate the effects of possible hurricanes and flooding, projects, and policies aimed to lower or eliminate the effects of flooding and hurricanes on people and property should be implemented (Tullos D. (2018). This should include evacuation plans and procedures in case of a disaster. Additionally, the shelter and feeding of the affected individuals should be prioritized, and more importantly provision of treatment to the injured.

Secondly, education, training, and outreach efforts emphasizing the effects of the hazards and methods to increase resiliency should be conducted. This should include educating and training the community members on the appropriate precautionary measures to take in case of flooding or hurricanes Lickley, et al., 2014). For example, community members should be educated to avoid low spots such as basements or underpasses during flooding and avoid low-lying areas. People should also be advised to always remain indoor during hurricanes since strong winds blow away anything around and if their homes are not on higher ground, to access a shelter. It is also important to avoid driving into flooded areas.  In case the emergency managers advise people to evacuate, the community members should be advised to ensure they evacuate immediately (Tullos D. (2018). This type of education will inform community members on actions to take in case of a disaster.

More importantly, healthcare providers in the area, and especially nurses who are the front-line healthcare workers should be educated and trained regarding disaster management. This will equip them with the required skills and knowledge to handle victims of disasters such as hurricanes and flooding within healthcare organizations.

Lastly, a flood/hurricane insurance program should be in place to provide residents of Charlotte NC with incentives to adopt land-use regulations and prohibit constructions lower than the 100-year flood elevation (Lickley, et al., 2014).

Conclusion

The nursing diagnosis for the aggregate population includes ineffective A1C management deficit and increased infections, wound healing and slow healing surgical outcomes; and imbalanced nutrition more than body requirements. Strategies include outreach education to the community members on diabetes self-management, including implementation of weight loss programs, promoting physical activities, and integrating a healthy diet in the diabetes treatment plan. The most likely disasters in Charlotte NC include flooding and hurricanes.

 

 

References

Al-Rasheedi A. A. (2015). Glycemic Control among Patients with Type 2 Diabetes Mellitus in Countries of Arabic Gulf.
International journal of health sciences
,
9
(3), 345–350.

Alvarez, C. E., Clichici, L., Patricia Guzmán-Libreros, A., Navarro-Francés, M., & Ena, J. (2017). Survey of vaccination practices in patients with diabetes: A report examining patient and provider perceptions and barriers.
Journal of clinical & translational endocrinology
,
9
, 15–17. https://doi.org/10.1016/j.jcte.2017.06.002

Franz, M. J., & MacLeod, J. (2018). Success of nutrition-therapy interventions in persons with type 2 diabetes: challenges and future directions.
Diabetes, metabolic syndrome, and obesity: targets and therapy
,
11
, 265–270.
https://doi.org/10.2147/DMSO.S141952
.

Hieshima, K., Suzuki, T., Sugiyama, S., Kurinami, N., Yoshida, A., Miyamoto, F., Kajiwara, K., Jinnouchi, T., & Jinnouchi, H. (2018). Smoking Cessation Ameliorates Microalbuminuria With Reduction of Blood Pressure and Pulse Rate in Patients With Already Diagnosed Diabetes Mellitus.
Journal of clinical medicine research
,
10
(6), 478–485.
https://doi.org/10.14740/jocmr3400w
.

Johnson, L., Edward, K. L., & Giandinoto, J. A. (2018). A systematic literature review of accuracy in nursing care plans and using standardized nursing language.
Collegian
,
25
(3), 355-361.

Lickley, M. J., Lin, N., & Jacoby, H. D. (2014). Analysis of coastal protection under rising flood risk.
Climate Risk Management
,
6
, 18-26.

Polonsky, W. H., & Henry, R. R. (2016). Poor medication adherence in type 2 diabetes: recognizing the scope of the problem and its key contributors.
Patient preference and adherence
,
10
, 1299–1307.
https://doi.org/10.2147/PPA.S106821
.

Tullos D. (2018). Opinion: How to achieve better flood-risk governance in the United States.
Proceedings of the National Academy of Sciences of the United States of America
,
115
(15), 3731–3734. https://doi.org/10.1073/pnas.1722412115

 

 

Developing a Care Plan
Last week, you conducted a risk assessment to identify the health risks faced by the aggregate you selected. This week, begin working on a comprehensive care plan for the aggregate and submit it to the Submissions Area by the due date assigned.

The care plan should propose a nursing diagnosis for the aggregate and include strategies to tackle the major health risks identified during the risk assessment.

In addition, it should include a disaster management plan with the following components:

List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.)
Strategies for handling at least two disasters from the list
Recommendation for a disaster supplies kit
Propose a nursing diagnosis and suggest interventions that address the major health risks identified from the risk assessment. In your care plan, include a list of disasters that may affect the aggregate and a disaster management plan.

Submission Details:
Your comprehensive care plan should be in a 4- to 5-page Microsoft Word document.

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Psychology is a program that requires a lot of concentration as it details with inter-relationship between people’s minds and character traits. It is a course that covers diverse fields of humanities. Students pursuing psychology must complete well-researched academic papers with
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Social Psychology Dissertation Topics

Social psychology is a branch that deals with the impact that an environment has on a person’s emotions, behavior, and thoughts. It is a program that uses qualitative research techniques to collect data. After conducting data on social psychology, it is evident that individuals around them highly influence their actions and decisions.

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Thorough research on Behavior Stimulus Interaction (BSI)

What are the impacts of globalization on human relationships? (Develop relevant concepts for support)

A qualitative study of Behavioral Game Theory & its relevance in strategic thinking

(Use a list of 5 Game theory strategies on this topic) 

Use your personal opinions to support: Family plays a vital role in developing non-verbal communication in toddlers. 

Write a detailed research paper on the influence of social pressure on the morale of an individual.

Support the argument: Childhood bullying & its effect on socio-psychological behavior

Pros and cons of intimate cross-cultural relationship

Ph.D. Clinical Psychology Dissertation Topics for Top Grades

Students studying this academic program learn how to deal with patients suffering from mental and personality disorders such as addiction and depression. Psychology students are taught various practices and techniques for relieving patients from their suffering. Below are some
dissertation topics in clinical psychology
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A comparative study on different ways to prevent alcohol addiction 

Conduct a detailed research of early signs of anxiety disorders in UK teenagers

Discuss cognitive-behavioral theory

What are the factors that impact the mental health of adolescents?

An investigation of how domestic violence influences a student’s personality traits (Comment your views)

How has social media changed the way humans behave and communicate?

Elaborate on various types of clinical psychology therapies

A+ Forensic Psychology Dissertation Topics

Forensic psychology involves the analysis of psychological theories used during the investigation of criminal cases. Forensic experts use two main facets of forensic psychology: first, analyzing the psychological behavior of the criminal and second, how to handle the criminal. Students taking psychology are mainly advised to major in this program as it opens doors to different career opportunities. 

Use the following
dissertation topics in forensic psychology victimology
to complete a quality dissertation: 

What is the impact of the Internet and other sources of entertainment on the crime rate in the UK?

Discuss the major factors that contribute to mass killing in the UK (Comment your views)

How has society neglected the domestic violence faced by men? Conduct a well-detailed on the same

Briefly discuss how rehabilitation can help reduce the criminal rates

Conduct a research-oriented study on the recent modifications in the field of forensic psychology

There has been a surge of criminal cases in the UK due to increased rates of crime and injustice. Discuss this statement 

A brief study on the illicit tablet recognition system

Sport Psychology Dissertation Titles to Help Improve your Grade

Psychology students are also taught concepts and skills to use in sports. These theories play an essential role in enhancing performance psychologically and motivating athletes. It further explains how participating in sports can help create a strong relationship between a person’s mind and brain. 

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health psychology dissertation topics?
Your troubles are over after you take advantage of these topics:

Demonstrate the most effective ways to heal sports injuries 

How can psychology be used in sports to help develop leadership traits among athletes? 

What impact does the gender of the coach have on the performance of athletes? 

Aggression: Pros and cons in sports

Discuss different types of exercises that elder plays should take 

Which are the most commonly suffered diseases by the gymnasts

How does meditation improve the athlete’s performance?

Cognitive Psychology Dissertation Topics

It is a branch of psychology that deals with people’s internal mental practices. These include practices like attention, decision making, problem-solving, and learning. Most students consult experts for help with psychology dissertation assignments due to a lack of
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Briefly discuss the role of a multilingual environment in improving the linguistic skills

What is the relevance of visual illusions in improving the understanding of perpetual processes?

Complete a research paper on Network Neuroscience Theory

Conduct a comparative study of various cognitive therapies and how relevant they are in fighting depression

Cultural differences: Its impact on the mental health of UK teenagers

How can playing video games influence the cognitive behavior of an individual?

Discuss a gradual shift in the cognitive processes over decades

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What is the importance of sex hormones in developing a teenager’s brain during adolescence? 

Are babies born in the present generation smarter? Debate on this statement

How does music influence a student’s learning power?

Obesity has affected the mental health of individuals for some time. Support this claim using relevant points

Packaging nutritious food attractively will encourage teenagers to eat healthy food. Make your suggestion using a solid argument.

Which one is better for helping students finish their homework between Tangible Reinforcement and Social Reinforcement?

Do mental games improve the cognitive skill of students?

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Briefly describe what an evolutionary game theory entails

Write a research paper discussing the evolution of sexual recombination

A case study on the principle of evolutionary psychology

Use accurate information to discuss friendship & deep engagement relationship

A qualitative analysis of predator-prey reasoning

Does philosophy & evolutionary psychology relate? Support your points

A comparative analysis of the theoretical foundation of evolutionary psychology

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To secure your psychology degree, you have to study people’s emotional and mental disorders. Abnormal psychology involves clinical measures to deal with varioFus health complications like depression, shock, phobia, anxiety, etc. Most students fail to deliver their abnormal psychology dissertation assignments due to a lack of
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Briefly discuss Schizophrenia disorder.

Conduct a comparative analysis on normal vs. abnormal personality

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Provide a brief history of abnormal psychology

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Provide your patient with tips on how to deal with anxiety disorders

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Why is workplace abuse reporting a rare action among Brits?

Provide evidence on: Mental traumas influenced by poor leadership styles and related shortfalls.

Does child labor in Northern Ireland help teach children how to be responsible?

Discuss learning disabilities and in our modern lives

Bias in hiring promotion: ethical and legal issues

Leadership effective development and related interventions on students in the IT-sphere. Use updated data to support your points

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Describe the negative impacts related to conscientiousness

How to handle developmental disabilities’ challenges in your workplace?

Prevention of intimidation through awareness increase

Using social media applications to increase the employment rate among students. Elaborate this statement

How has volunteers’ satisfaction rate helped solve problems? 

Personal psychological outcomes upon contract breach or violation

Provide information overload on work achievements

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Why are autistic children the most affected by mental disorders? 

Is home-schooling a better technique to motivate students to gain teamwork skills?

Why do pre-school students embrace the use of technology so eagerly? 

How can you use historical films to improve perception skills of the cultural past?

Briefly discuss the neuroscience and human perception of light and sound

Did Nazis form any secret bases in Antarctica? 

Should capital punishment be imposed on all serial killers?

Why should smartphones be banned in schools? 

Strategic improvements to be used when clearing the Earth’s orbit from junk. Elaborate 

Is the discovery of automobiles the greatest threat to the ecosystem? 

Should basic cybersecurity principles be mandatory in all schools?

Why are fast foods considered a threat to humanity?

Describe how will SpaceX conquer space and nearby planets

Why do teenagers consult their parents frequently in adolescence?

Is an excellent academic performance guarantee a prosperous future or a promising career?

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Personality psychology helps students learn the relevant techniques that human beings develop to nature the personal traits that make them unique. You can research how people’s environment and cultural backgrounds define a person’s personality. You can use these psychology personality dissertation topics to ace your paper:

What is the relationship between Schizophrenia and creativity skills?

Taking children to boarding skills helps shape them into responsible individuals. Support this statement with solid points 

Why are personality tests frequently used and are no more efficient?

Why are college group projects not necessary anymore for college scholars?

Analyze the pros and cons of shaping personality using Al tools

Do Montessori schools help nature students to become responsible individuals? 

Differentiate between parental involvement and school in shaping a child’s character

Provide relevant information on suppression of personality and PTSD in the military environment

How does the media misrepresent types of successful personalities?

British way: what does it mean to be British?

Top Covid-19 Psychology Dissertation Topics

The pandemic strike has made Covid-19 a study topic in various universities in the UK. Writing a dissertation on Covid-19 is a respectable activity for all NHS heroes who helped us survive through the pandemic as they worked day and night. Psychology research on Covid-19 involves the analysis of how these heroes might have been affected physically and mentally.

A research paper on PTSD increase and Covid-19

How did British children embrace social distancing life?

Discuss how you can use online scouting practice as a way to improve cognitive skills

Briefly elaborate on the treatment of mental health patients and Covid-19 isolation.

What are the leading causes of vaccination phobia? 

Did the media exaggerate on the fears of Covid-19?

Most Covid-19 patients had a difficult time with mental recovery: Use accurate data to support this statement.

How did people manage stress and anxiety through the Covid-19 pandemic?

Measures to be taken to deal with a loss of a Covid-19 patient

Discuss the different psychological effects the pandemic influenced on British daily routine

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.

Keep in mind that your psychology dissertation topics must be distinctive, can solve your research problem, insightful, and can be practically implemented. Check out some of our psychology dissertation topics that you can use to complete your dissertation project.

Format of a Top-Notch Psychology Dissertation

Writing a well-structured dissertation project has a significant impact on your final grade. It shows how competent you are in writing any paper. Use this format to improve your writing skills.

Title page

Your title is the first section that catches your reader’s eyes, and it should be engaging. It acts as a summary of what your dissertation project entails and any necessary information about your project. The main keywords in your project must be included on your title page.

Acknowledgments

In this section, you should express gratitude to individuals who helped you complete your dissertation project. It is a brief statement that only takes one page and is written between your title and abstract pages.

Abstract 

This section provides you with a chance to brief your audience on what to expect in your dissertation. It is the first section that provides essential information of your work.

Table of contents

It is an important section of your dissertation as it guides your audience on where to find a particular content. You are required to number your sections for easy navigation on your project.

Introduction 

You will briefly write on the project rationale, analysis background, research objectives, and study problems. You can also include an outline of your dissertation structure in this section.

Literature review

This section will present accurate concepts used in your paper based on the topic you choose to handle different research questions. The main objective of this section is to discuss the weaknesses and strengths while filling any research gaps.

Methodology

The methods and techniques used to gather your data are included in this chapter, such as research design, data analysis strategy, and research limitations.

Results and analysis 

The data you gather from your research should be outlined in the findings and analysis section. You can use graphs, charts, or tables to present the trends and relationships of your data.

Discussion and conclusion

You will now interpret your results in this chapter by stating whether your research hypothesis has been approved or not. The main objective of this section is to establish the relationship between your results and arguments from different sources. You will also include recommendations regarding the impact of data and the actions to take in the future. 

Finally, you will write a summary of what you gathered from your research by including your suggestions, reviews, and comments from other people.

References

This section should be completed according to the specifications of your institution. Here, you will include all sources and authors of those books.

Appendices 

You might need additional information, graphs, and diagrams to complete your project when writing your dissertation. Any additional data is usually included in the Appendices section. The main objective of this part is to expand your data.

In a nutshell

If you are reading this section, you might as well have already decided on the
best psychology dissertation topics
to use. You can also consult our professional psychology dissertation writers if you still have trouble developing an informative topic. Our experts will also help you write, research, and edit your dissertation project.

Ensure you choose a topic that is to research and you are interested in. It will ensure you have a smooth research and writing period.

If you still need help selecting a specific psychology dissertation topic or writing an engaging dissertation paper, worry not. We provide dissertation writing services to students at affordable rates. Place your
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today.

A term paper is a unique research paper required at the end of a school semester. The focal point of a term paper is to gauge a student’s knowledge of the course. Therefore, a student must understand how to write a term paper that is logical, clearly formatted, well-analyzed, and properly researched.

A regular academic term paper is about a few pages long. There is no size that fits all the length of a term paper. Thus, the length depends on the professor’s instructions. So stick to your instructions. The most common length of a college term paper is 5000 words. If the paper is single-spaced, 12pt font, single column, and 1-inch margin format, it should be 15 pages.

What Is The Difference Between a Research Paper and a Term Paper?

There always has been a cloud of bafflement on the difference between a research paper and a term paper format. But the first difference is the submission time frame. A college term paper, just like its name, has to be submitted at the end of a term. On the other hand, a research paper can take several months or a few years to complete in some situations.

Again, on the time frame, you will be tasked with a research paper right at the beginning of a semester. As for college term papers, you are mostly to be assigned in the middle of the semester.

A college research paper is a bit more intricate.

A research paper has a hypothesis, and when concluding a college research paper, you can agree or disagree. A term paper format is straightforward. Typically, a term paper will try to back existing thesis papers. That is why a research paper has to be longer.

Although a research paper is vital, it has no impact on the final grade, whereas a term paper is crucial to the final grade.

Another difference between a research paper and how to write a term paper is the purpose. A research paper aims to find a suitable solution to an existing problem in a specific field. It aims to solve a real-life problem. A term paper is simply a showcase or display of the understanding or knowledge of a student on a specific topic.

Standard Term Paper Format

As we had mentioned earlier, some specific parts of your term paper, for example, the length, are not universal. It depends on your teacher’s instructions. Thus, the nature of the format of your term paper will depend on your course. For context, how one will format a nursing term is entirely different from a sociology term paper.

Fortunately, there is a standard term paper format. Most term papers will bear the following college term paper formats.

Title Page

A title page should be separate from the rest of the topics. A term paper title page includes the term paper heading, your name and course name, the name of your professors and the date.

Acknowledgment

The acknowledgment section consists of

Topic

List your topic and describe your subject briefly

Rationale

Give valid reasons for choosing the selected topic

Other Information

Provide any other information you deem fit to be in the introduction

Table of Contents

Abstract

Write on the questions that your term paper will answer and a short overview of the whole paper.

Literature Review

In the literature review section, articulate the research methodologies and the procedure you used to apply them. Give as many details as possible and remember to stay logical, avoid being fluffy, and keep in mind the word limit.

Results

Finish your term paper by giving your conclusions and closing statements. Give your perspective on whether the hypothesis was true or false.

Future Recommendations

Suggest ideas that future researchers can begin to work on.

References

Outline all sources used in your research. Ignoring the required term paper format might have your instructor accusing you of plagiarism. The most common citation format is MLA and APA.

MLA Formatting – College Term Paper Format

MLA (Modern Language Association) is among the most common formatting guides. MLA is quite common in humanities and liberal arts. It is crucial to follow the MLA referencing guidelines to the latter. Here are some critical formatting rules in MLA term paper formatting.

Your term paper should be double-spaced. Ensure there are no extra spaces and single spaces

You should have a 1-inch margin on both sides of your term paper

You should use 12 pt Times New Roman font

Align all the text to the left

Indent all your paragraphs to the right. Each indentation should be at least ½ inch.

The title should be centered and appear under the heading details. Do not underline or bold titles whatsoever.

Add your last name and page number to the right top corner of each page.

APA Formatting- College Term Paper Format

The APA (American Psychological Association) term paper format is widely used in social sciences. Here is a brief guide on how to reference your term paper in APA

Your paragraphs should be indented ½ inch.

Create a first-page header that contains the page number and a capitalized running head

Set 1” margins on all sides of your term paper

Double-space your term paper throughout

Use 12pt Times New Roman font

Your paper should be in A4 white paper with dimensions of 8.5”x 11”

How to Write a Term Paper Proposal

Before writing the actual term paper, you need to know how to write a term paper proposal. You must defend your term paper proposal before writing the actual term paper. Therefore, the term paper proposal should be written and submitted for approval.

In your academic term paper, use the most recent studies and research. The referencing rules also apply. The description should be clear so your professor can understand what you plan to talk about.

In most cases, your instructor will provide a term paper proposal template, and if they don’t, here is a format to help you out.

Title

This is simply the draft title of what you plan to research. It should be clear and easily understandable.

Objectives

Each term paper has objectives. Outline the outcome of your research

Relevance and Importance

Why is your term paper title crucial? Include the latest news, articles, events, and even blogs that show your selected topic is vital. Your information should be credible and grab the reader’s attention.

How to Write a Term Paper Outline

Before you get down to how to write a term paper, you need to have a plan. Your term paper outlines your direction as you maneuver the writing process. You will get to draft all the points discussed in your writing process.

Writing a term paper is a lengthy process, and you will need help to stay focused and stick to the critical points of your paper. In some cases, the instructor might ask you for a term paper outline before you begin writing. The instructor will do this mainly because they want to know where you are headed with your term paper and help you improve the areas that need improvement.

Sometimes, you might bump across a point midway through your
nursing term paper
, and an outline will guide you towards correctly inputting your idea. You can revise, structure, and restructure your points until you find your desired term paper format.

A term paper needs careful and logical restructuring. Before you write any paragraph, think it through clearly if it is where it is supposed to be. Think about your main topic and how you will use the key points to support your arguments. Subdivide the key points and list the relevant data and other material that you will use to back your points. These listed points will be your headings and subheadings.

Here is a guide on how to write a term paper outline.

Introduction

This is your initial part, and it should introduce the reader to the issue at hand and give your perspective on the issues or state your thesis.

Body

This is the meat of your term paper. You should divide your body into several headings and subheadings depending on the different ideas of the topic you want to put across.

Here is a quick tip

H1: A brief history of the issue

H2: How far has been the issue at hand been handled

H3: The outcome of the issue being explored

H4: Possible solutions

Conclusion

A summary of the points discussed and your perspective on the thesis statement.

How to Write a Term Paper

At this point, you have everything you need at your disposal to nail a term paper. Here is a step-by-step process with no steps skipped on how to write a term paper that will earn you that A.

Create a Title Page

This is quite simple. Although in some instances, a title page might not be required. The title page always depends on the required styles. A title page should inspire you to write text. On your title page, include your topic, the name of your school, and other relevant races. This will make it easier to start writing the main text.

Structure of Your Content

With the help of your pre-written term paper outline, you have enough information to create your term paper. Use the listed headings and subheadings as a guide to writing the text. You can also be creative and formulate other headings to improve the readability and distribute the data evenly in all sections. You don’t want to overload some sections and leave other sections with less content.

Write Your Introduction

The introduction to your term paper is an essential part. You need to input maximum effort whenever you are writing your introduction. To make things easier on how to write a term paper, outline the objective and goals of your academic term paper.

Note down the main reason why you opted for the term paper topic or why your term paper topic is relevant to your field of study. Also, write about the methods you use in your research. Feel free to be creative as possible and make your introduction as attractive as possible. When the introduction is easier, how to write a term paper also becomes easier.

Write Your Body

This is the central part of how to write a term paper. The body section is lengthy, determining how well you will score in your term paper. In the body, you list headlines and discuss them further in paragraphs whilst expanding on the topic and summarizing the information. Ensure your paragraphs and ideas flow smoothly and coherently. Sections that lack logical flow ideas will ultimately hurt your final grade.

Include other features such as graphs, tables, calculations, and drawings to articulate your points. Such features will help the reader understand your arguments better. Charts and other figures will also make your instructor perceive you as a serious student. These features signify that you put in maximum effort to produce a high-quality academic term paper.

Conclusion

The term paper conclusion should be straightforward since you do not need any new information. Refer back to the introduction and answer the question or the thesis statement, summarize your key point, and reiterate the importance of your term paper to your relevant field.

Referencing

Depending on the formatting style you are using, list all the sources. The section contains all the references as used in your text. List all the textbooks, journals, blogs, and other sources if you have used them.

Proofread Your Paper

Finally, proofread your paper. Although proofreading might sound cumbersome, you must proofread your paper to remove errors. If you’re having difficulty proofreading your entire paper, you can hire proofreading experts to do it for you at a fee. You don’t want to score poor grades on your term paper because you were too lazy to proofread your paper.

Tips on How to Write a Term Paper

Learning how to write a term paper that will earn you that A+ is an art. It requires more than sitting down on your computer and typing bunches of text on a blank page. Luckily, some tips can help you write an A+ academic term paper. These tips will help you to avoid stress and sleepless nights.

Write a Catchy Introduction

Input maximum efforts to write your introduction. You should be able to grab the reader’s attention by the eyeball with the first few words. If you get it right from the beginning, you are guaranteed top grades. You should think of perfect words, facts, and questions that will immediately grab the reader’s attention and spark their curiosity to read more.

Use an Original and Unique Topic

The rule of the thumb on how to write a term paper is to use an interesting topic. Look into those topics that are unique and have enough research available. Explore all your creativity and formulate an exciting term paper heading.

Ask your classmates about the topics they have written and try to be as unique as possible. If you find that your classmates have a similar topic, try to change it. You might be surprised by interesting topics you will stumble upon.

Use Relevant Information on Topic

After selecting the topic, the next thing on how to write a term paper is to get down to finding relevant information right away; otherwise, you might have less time for doing research. Use the library, internet sources, textbooks and sources, and other textbooks. In backing up your sources, make sure you use only relevant sources. Avoid irrelevant details that do not add value to your term paper.

Stick to The Outline

A term paper outline is your key to success. It will help you navigate the entire writing process, so spend enough time writing your term paper outline. A detailed term paper outline will come in handy for writing a logical and systematic term paper.

With a term paper outline, you are less likely to forget any crucial point you have noted down if you have no idea how to write a term paper outline. Use our term paper outline guide.

Write The Abstract

The abstract is similar to the trailer of a movie. You should have a short abstract for your term paper. An abstract is essential since it tells the reader more about what you will discuss in your paper.

Write a Powerful Body Section

Your body section also requires maximum effort. Focus on the fundamental ideas of your academic term paper and give supporting arguments on each key concept. The number of paragraphs is relative to the subject and the instructions from your professors.

So be keen to read and understand the instructions. Always introduce your key point well and make your position clear by using clear arguments.

Summarize Your Term Paper

The final part on how to write a term paper is a summary—also known as the conclusion section. Do not add any new information but instead summarize the ideas you mentioned before. The main function of a summary or conclusion section is to give the reader thoughts on your term paper. Make the readers’ time worthwhile.

Edit and Proofread

Take some time off your term paper and come back and reread it. Come back and check out grammar and spelling mistakes, among other things. Tweak and twist until you achieve the perfect academic term paper.

Sometimes you might not notice mistakes after writing a paper, so it is ideal to delegate it to someone else. A new set of eyes will be better positioned to detect any flaws in your term paper.

Term Paper Headings

Your professor will usually provide term paper topics; however, you can choose your topic in some cases. You can find
research paper topics
in the news, magazines, blogs, and articles. Now that you have learned how to write a term paper, here are a few academic term paper topics.

 Education Term Paper Headings

Integration of disabled students vs. special classroom setting for their specialized needs

Teachers’ requirements/needs in comparison to teaching as a service profession

Exams regularly serve little purpose other than to assess a person’s ability to take exams. Should exams be abolished in favor of another method of evaluation?

No government support vs fairness to parents who pay twice for education

Discrimination in education

Fewer than 10% of students earn “As” in some European schools. Is there grade inflation in the United States of America? Why do Americans have so many “As”?

Compared to course requirements alone, standardized tests are required for advancement.

School’s responsibility vs. parental responsibility for school violence

Permit corporal punishment

What’s the difference between multilingual/multicultural and basic education?

Policing schools

Is the No Child Left Behind Act effective?

Teacher competency tests vs degree requirements only

Homeschooling

Should American teenagers adopt the British practice of taking a year off between high school and college?

Placement by age vs placement by academic ability

Education and funding

Intimidation of violence vs. toughness with adaptability

Standardized tests

Grade inflation

Nationally standardized assessments versus local management of educational resources

Church-state separation vs. religion’s contribution to the common good

Drug and alcohol abuse, pregnancy, suicide

Environmental Term Paper Headings

How to stop wasting paper and save trees?

Should there be more films about environmental concerns created?

How to expound on the appropriate adaptation of hurricane-prone structures?

Is nuclear power safe for humans?

Is it possible to predict hurricane impacts?

What are the most effective strategies for mitigating global warming?

Earthquake effects on the underground

Can overpopulation be managed?

How dangerous is GMO food?

Human impacts on forests

College Term Paper Headings

IELTS Vs. TOEFL.

Colleges should have education consultants to help the students.

The flawed education system of the United States

Distance learning and its usefulness.

Can an average person become a politician, and how?

Importance of getting a degree in professional life.

College dropouts are more likely to become billionaires. Do you agree?

How should students plan for college tuition?

Children should choose those subjects that interest them. Agreed?

How does substance abuse affect the performance of college students?

The College curriculum should include specific classes for boys and girls.

How to be successful in life?

Emerging graduate programs.

4-year college degree vs. 2-year degree.

Physical punishments and their impact on children.

Environment Term Paper Headings

How have preceding oil spills influenced regulatory policies and cleanup procedures?

Conduct a detailed analysis of global deforestation levels over time.

What impacts has climate change had on coral reefs?

How can we increase global access to safe drinking water?

Why has the number of natural disasters increased in the past few decades?

Impacts of the Paris Climate Agreement on the environment

Should advanced economies increase their nuclear energy reliance?

How are black holes created?

What can be done to save amphibian species that are currently threatened with extinction?

How catastrophic has Earth’s climate change been over the last several years?

 Social Media Term Paper Headings

How to prevent cyber-bullying?

What approaches are useful for identifying pedophiles on social media?

Can LinkedIn help people find jobs or further education?

What are some techniques to identify pedophiles on social media?

How bad is social media addiction?

How to protect children online?

How do I unplug from social media?

Why are increasing numbers of adolescent generations obsessed with likes and comments?

Who are the world’s most popular online marketers?

Why do people want to post everything online?

Term Paper Headings Ideas on Culture

A new comprehension of past events

How do pop culture trends influence youth?

Why was Greek cultural influence so important for the ancient Mediterranean world?

Why was the Victorian period a time of cultural change?

Should pregnant celebrities be exposed on magazine covers?

The effects of advertisements and commercials on modern art

The roots of antisemitism

The origin of racial discrimination

The most remarkable cultural achievements of the 20th century and their influence on our society

Cultural revolutions throughout history

Business Term Paper Headings

Propose some profitable small business ideas.

Should the minimum wage rate be increased?

Pros and cons of online retail.

How do different marketing techniques boost business?

Role of government organizations in white-collar crimes.

How has cyber-security emerged as a new business endeavor?

Trending business ideas.

Describe the different types of business models and ways to implement them successfully.

Is e-business more profitable than traditional business?

Should successful businessmen be helping new people in the market?

Owning a business is the only way to total financial security. Agreed?

The relation of demand in supply in the market.

What are the main causes behind the rise of entrepreneurial culture?

How do the political instabilities of the country influence businesses?

Do you think small business retailers compromise on business ethics?

Conclusion

Learning how to write a term paper is a lengthy process so Make sure to conduct thorough research before beginning to write. You don’t want to jump on one term paper topic and realize that you don’t have enough data to complete your term paper.

Start with research, then craft a term paper outline before you begin writing your term paper. This will aid in you writing a properly structured academic term paper. Do you feel stuck on your term paper? Our academic term paper experts are here to help you.
Contact us now
.

The Application of Data to Problem-Solving Nursing Essay

The Application of Data to Problem-solving

Healthcare Scenario

In a pediatric outpatient primary care clinic, one provider alone may see 15-20 children in a day, at the least. Some of those children may live in a home where food choices and physical activity may not be the healthiest. As healthcare providers, it is important to look at the whole child and family dynamic when assessing a child’s health status The Application of Data to Problem-Solving Nursing Essay. Therefore, gaining data on children’s health in the home could help prevent certain mental and physical illnesses.

Data to be Accessed

            Some important data to be obtained could include the patient’s weight, blood pressure, a food diary for the patient, an activity diary, and a feelings/mood diary. Some other good ideas from Imoisili et al. (2021) would be to include hemoglobin A1c and liver markers such as ALT and lipids. Depending on the age, this could be done using a sort of game to help children be more motivated to document their daily choices. The patient could write it down in a notebook that the clinic can provide for them, or if they are younger, they can draw pictures in it. What might be useful for older children is documenting their food intake, activity level, or mood on a mobile device application that can be synced to the clinic’s medical record. The Application of Data to Problem-Solving Nursing Essay The only one who would have access to this would be the patient’s provider. If the patient is using a notebook to write or draw in, they would simply return it once a week to the clinic to be documented in the medical record system.

Knowledge Derived from Data

            From this specific data, we can obtain a deeper knowledge of a patient’s life at home, of the food options the patient has available to choose from, their activity level, and their emotional state. All of these play a factor in a patient’s overall health. Each category of health affects the other. This knowledge can help us to target what needs to be focused on instead of simply telling the patient and his or her parents that they must eat healthier and be more physically active. Diving into what is really the issue behind the patient’s increased weight will provide more success rates for the patient and family. The underlying issue may not even be physical activity or food choices. It may be psychological stress on the child, in which case, resources would be provided for them to help resolve the psychological issue within the patient The Application of Data to Problem-Solving Nursing Essay.

Clinical Reasoning and Judgement

            Clinical reasoning and judgement can be formed from the knowledge obtained from this specific data by observing the trends of certain ages and population groups in their physical activity and food choices. The Application of Data to Problem-Solving Nursing Essay The nurse leader can infer from this information the influences of each individual patient’s daily life and possibly be able to offer suggestions of lifestyle changes that the family and patient can implement in their daily choices.

Application of Data

            With the application of this data obtained, we as healthcare providers must keep in mind that the “psychosocial concerns such as stress and dysfunction in the family, or a child’s experience with bullying can increase the chances of dropout” (Berry et al., 2021). So we must make sure that when we apply this new information to our patient’s lives, that we follow up with them and make sure we gave them the greatest chance of success for the future and for the rest of their lives. A study performed by Thompson et al. (2019) showed that regular checkups and teachings from nutrition specialists and behavioral specialists with the patient and family greatly increase the success rate in weight management over a two-year period.

Conclusion

            Pediatric obesity is a prevalent issue in today’s world, and as we integrate data that we obtain from current patients, we can positively affect the outcome of their health now and in future years to come. We can obtain data from our patients electronically or written. That is the beauty of today’s technology and our increasing ability to help our patients in more than just the conventional method.

 
 

Resources

Berry, D. C., Rhodes, E. T., Hampl, S., Young, C. B., Cohen, G., Eneli, I., Fleischman, A., Ip, E., Sweeney, B., Houle, T. T., & Skelton, J. (2021). Stay in treatment: Predicting dropout from pediatric weight management study protocol. 
Contemporary Clinical Trials Communications
, 
22
. https://doi-org.ezp.waldenulibrary.org/10.1016/j.conctc.2021.100799 The Application of Data to Problem-Solving Nursing Essay

Imoisili, O. E., Lundeen, E. A., Freedman, D. S., Womack, L. S., Wallace, J., Hambidge, S. J., Federico, S., Everhart, R., Harr, D., Vance, J., Kompaniyets, L., Dooyema, C., Park, S., Blanck, H. M., & Goodman, A. B. (2021). Body Mass Index and Blood Pressure Improvements With a Pediatric Weight Management Intervention at Federally Qualified Health Centers. 
Academic Pediatrics
, 
21
(2), 312–320. 
https://doi-org.ezp.waldenulibrary.org/10.1016/j.acap.2020.11.026

Thompson, K. L., Chung, M., Handu, D., Gutschall, M., Jewell, S. T., Byham-Gray, L., & Parrott, J. S. (2019). The Effectiveness of Nutrition Specialists on Pediatric Weight Management Outcomes in Multicomponent Pediatric Weight Management Interventions: A Systematic Review and Exploratory Meta-Analysis. 
Journal of the Academy of Nutrition and Dietetics
, 
119
(5), 799–817. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jand.
2018.12.008

REPLY
 
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7 months ago

Tanaka Ruzvidzo 

Week 1 – Peer Response #1

COLLAPSE

 

7 months ago

Robin Moyers 
WALDEN INSTRUCTOR
 
MANAGER

RE: Discussion – Week 1

COLLAPSE

 

7 months ago

Tiffany Turner 

RE: Discussion – Week 1

COLLAPSE

 

7 months ago

Tanaka Ruzvidzo 

RE: Discussion – Week 1 Main Post

COLLAPSE

The Application of Data to Problem-Solving
 

Healthcare Scenario
 

The Healthcare scenario I have selected is a suicide risk assessment. Suicide has been on the rise, more so due to the Covid-19 pandemic The Application of Data to Problem-Solving Nursing Essay. Working in an in-patient setting I have seen this first-hand.  It is important therefore to quickly and accurately assess the risk of suicide on all patients coming into the hospital. According to Saab et. Al (2021), risk assessment is key to effective self-harm and suicide prevention and management. This needs to be done immediately during ER triage, on admission to a unit and as needed during their hospital stay depending on behaviors assessed. 
 

Data to be Accessed
 

A questionnaire can be developed to ask specific questions that will give guidance on how to proceed. Using informatics, an algorithm can be developed depending on the answers given that will direct course of action to be taken. Data that can be gathered include asking questions like suicide ideations, attempts, plan, depression etc. Data can also be gathered from others, like family members, friends, case workers, or anyone else.
 

Clinical Reasoning and Judgment
 

Depending on the algorithm the treating clinician then will put in a consultation for behavioral health to assess the patient. Behavioral health will then use the data gained from the assessment to decide if the patient is at high suicide risk and qualifies for their services or not. The Behavioral health clinician is trained to look at different things like nonverbal communication, body language as well as the patients’ responses to questions. This in addition to the data gained from the questionnaire can determine the next course of action. 
 

Application of Data
 

Once all the data is put together, it is like the pieces of a jigsaw puzzle coming together. Information gathered from ER triage, through to patient admission and during their stay is integrated to give a wholistic picture. “I
nformatics are a set of tools, and that the important use of informatics has to do with how you use those tools strategically” (Paone & Shevchik, 2017). 
Using the data gained they can decide whether the patient needs to be admitted to the behavioral unit, whether they will need outpatient counseling, or if they are not at risk and can be discharged to go home.
 Strategic use of the data is important to determine the way forward.
 

Conclusion
 

Data analyzed regarding suicide risk can be one step in alleviating this by ensuring early identification and assessment. This will ensure aid is quickly given to those that are most vulnerable and help reduce the rate of suicide. “Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved” (Sweeney, 2017). Thanks to informatics this is doable and can improve not only patient outcomes, but also enhance the quality of healthcare provided.
 

References
 

Paone, S., & Shevchik, G. (2017). 
Trends in Population Health
. 
YouTube
. YouTube. 
Public Health Informatics: “translating” knowledge for health
.
 

Saab, M. M., Murphy, M., Meehan, E., Dillon, C. B., O’Connell, S., Hegarty, J., Heffernan, S., Greaney, S., Kilty, C., Goodwin, J., Hartigan, I., O’Brien, M., Chambers, D., Twomey, U., & O’Donovan, A. (2021). Suicide and self-harm risk assessment: A systematic review of prospective research. 
Archives of Suicide Research
. https://doi-org.ezp.waldenulibrary.org/10.1080/13811118.2021.1938321
 

Sweeney, J. (2017). Healthcare Informatics. 
Online Journal of Nursing Informatics
, 
21
(1), 4–1.
 

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7 months ago

Tae Kim 

RE: Discussion – Week 1 Main Post

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Thank you for a great post, Tanaka. It is not only critical to assess the suicidal risk on admission, each shift, and as needed but also to utilize coping skills to intervene suicidal thoughts and attempts The Application of Data to Problem-Solving Nursing Essay.

Suicide is a serious issue that seems to keep growing despite prevention efforts. Suicides have increased by 24 percent in the past 20 years and now suicide is one of the top ten causes of death in the US. Not only is the problem growing there has been little progress over the last 50 years in understanding suicide and improving outcomes in at-risk individuals (Coppersmith et al., 2018). Identifying high-risk patients is difficult. RNs are considered “front-line” in suicide prevention because of their contact with patients but RNs rarely identify at-risk patients. Yet most people who do commit suicide had visited a healthcare provider within the previous month.  Part of the reason for failing to identify at-risk patients is that most RNs have little or no training on how to assess, treat, evaluate or refer a suicidal patient. RNs , therefore, feel ill-prepared and afraid to talk to patients about suicide (Bolster et al., 2015). Although PMHNPs are better trained and should be better able to identify at-risk patients, this may not necessarily be the case. One study in rural Kentucky indicated that nine of ten psychiatric nurses surveyed overestimated their ability to identify and treat persons with suicidal ideation (France, 2019).

Informatics offers significant opportunities in the effort to identify at-risk patients. One example is through the natural language processing of social media. Studies with natural language processing and machine learning have detected quantifiable signals around suicide attempts and how to design an automated system for estimating suicide risk among patients. The results could be used by those without specialized mental health training (e.g., primary care doctors) to identify at-risk patients. Although this is a potentially life-saving technology, there may be ethical and privacy implications. So far this technology has been used only for individuals who have “opted in” for analysis and intervention (Coppersmith et al., 2018) The Application of Data to Problem-Solving Nursing Essay.

References

Bolster, C., Holliday, C., O’Neal, G., & Shaw, M. (2015, January) Suicide assessment and nurses: What does the evidence show?  
The Online Journal of Issues in Nursing
, 
20
(1).  
https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No1-Jan-2015/Suicide-Assessment-and-Nurses.html

Coppersmith, G., Leary, R., Crutchley, P., & Fine, A. (2018).  Natural language processing of social media as screening for suicide risk.  
Biomedical Informatics Insights
, 10, 1 – 11.  https://journals.sagepub.com/doi/pdf/10.1177/1178222618792860

France, W. F. (2019).  
Psychiatric nurses’ knowledge of suicide prevention
.  [Dissertation, Walden University].  Walden Dissertation and Doctoral Studies Collection.  
https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8505&context=dissertations

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When a patient or member of their family is ill, injured, or suffering from any medical condition, they and their families rely on healthcare experts to help them recover. We may help, but we can also cause harm if we make key mistakes. As nurses, we must use whatever tools we have at our disposal to enhance our capacity to serve while reducing the possibility of making mistakes. This is a career that largely relies on information. That data must be valuable and meaningful. The characteristics of valuable and meaningful information include “accessibility, security, timeliness, accuracy, relevancy, completeness, flexibility, reliability, objectivity, utility, transparency, verifiability, and reproducibility” (McGonigle & Mastrian, 2017, p. 23).

We utilize informatics from the time a patient is admitted until they are discharged at the hospital where I am presently working. Patient identification mistake is one of the avoidable issues. If they have the same first or last name, they are emphasized with a distinct letter style. In a typical scenario we use Medical Record Numbers (MRNs), patient’s initials, picture identifications and Contact Serial Numbers (CSNs). Additionally, we ask the patient to identify their name, date of birth, and scan their ID bracelet before administering medication or performing any treatments. When we collect blood for type and cross match for transfusion, we utilize two RNs to verify the patient information and compare them to the EHR. Of course, we are worried that a mistake in identification might lead to incorrect treatment, which could have significant or even deadly implications.

Patient identification may appear to be a simple procedure, but it may be complicated and requires careful preparation and attention to minimize errors when the patient’s information is stored in electronic health records (EHRs). Although technology is important in this process, it cannot assure effective patient identification on its own. Staff also must be adequately trained (Office for the National Coordinator for Health Information Technology, 2016).

Nurse managers may use information systems in their decision-making process.  It is important that managers use EHR in determining how information is organized and categorized within the EHR.  Health informatics bridges the gap between technology and processes to increase productivity, enhance healthcare, improve treatment, and empower patients (Sweeney, 2017).  Serving on the frontline of health care, RNs and NPs should ensure their organization’s procedures minimize the risk of patient misidentification.  The Office for the National Coordinator for Health Information Technology (2016) provides a self-assessment guide that can assist in assessing an organization’s patient identification status.  RNs and NPs should have a role in setting priorities among recommended practices not yet addressed by the organization and ensure a plan is in place to maintain recommended practices already in place.  They should ensure resources are dedicated to make necessary improvements and minimize the highest priority patient identification-related safety risks introduced by the EHR The Application of Data to Problem-Solving Nursing Essay.

Nursing informatics will continue to grow and impact healthcare.  Knowledge development in healthcare doubled every century until 1900.  Now, however, it is estimated that knowledge will double every 18 months.  And the pace will only get faster.  The traditional way of developing procedures, protocols and care pathways often become obsolete and outdated between initiation and when they are finalized.  Best practices can change very quickly and nurses must keep up.  The only way to keep up is to integrate and embed the new knowledge in electronic records using algorithms and decision support systems (Nagle et al., 2017).

References

McGonigle, D., & Mastrian, K. G. (2018). 
Nursing informatics and the foundation of knowledge
 (4th ed.). Burlington, MA: Jones & Bartlett Learning

Nagle, L. M., Sermeus, W., Junger, Alain. (2017).  Evolving role of the nursing informatics specialist.  In J. Murphy, W. Goosen, &  P. Weber  (Eds.), 
Forecasting Competencies for Nurses in the Future of Connected Health
 (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF

Office for the National Coordinator for Health Information Technology (2016, September).  
General instructions for the SAFER self-assessment guides
.  https://www.healthit.gov/sites/default/files/safer_patient_identification.pdf

Sweeney, J. (2017, February). Healthcare informatics. 
Online Journal of Nursing Informatics (OJNI),
 
21
( 
1
).  https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=0&sid=6d52be0f-1109-4880-9113-9283e1b60660%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=128848047&db=rzh

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Goof insight Tae.  As useful as technology can be, health care professional need to continue to be vigilant.

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Hello Colleagues,

Currently, Information technology is a part of our daily life. IT is substantially involved in everyone’s life somehow for example, in school, work, personal life, or social aspects of our life as well. Nursing is also getting benefits from information technology. Nursing informatics is the integration of information technology with clinical nursing, management, and research as well (Darvish, et al; 2014). Since I am a new nurse only have experience of less than a year in nursing. I have never practiced nursing in paper format charting. I have heard that paper charting has a lot of problems and a high rate of medication errors in nursing and leading to reversible and irreversible events in healthcare The Application of Data to Problem-Solving Nursing Essay.

Since I have graduated, I have been working in a skilled nursing and long-term facility. I learned that informatics plays a significant role in all nursing specialties, but I could say that it has great importance in my workplace. As all my patients and residents are elderly have a lot of medical problems and especially, I would say the vast majority have dementia. These patients can’t remember their history, medical problems, and medications. The only source to get this information from is the Electronic Health Record. Informatics the EHR provides the maximum information to make a reasonable decision for the patients. Besides getting their health information we can also add and modify the plan of care, and they also access and update their demographic information.

A few weeks ago, I have been working as a float suspender/supervisor nurse over the weekend and floor nurse. One of the floor nurses came to me and asked about the Augmentin suspension for one of the very old residents who just came back from the hospital after being treated for sepsis and cellulitis there. I had work lately with the same resident and I do remember that she had already completed her Augmentin course a couple of days ago. I double-checked with the nurse and told her that she had completed oral antibiotics a couple of days ago. She was not sure, so I log in and showed her the orders and the last day of administration. Informatic the HER helped and prevented the medication error promptly. According to the Department of Health and Human Services, health information technology (HIT) helped in improving patient safety and quality of care (Paaske, et al; 2017). Patients and healthcare provider can access their records remotely rather than need a paper chart in the facility. According to the Center of Medicare & Medicaid Services (CMS), the meaningful use of informatics in healthcare reduces the patients’ harm and increases the reimbursement for the organization (Webb, 2021) The Application of Data to Problem-Solving Nursing Essay.

                       

                                                                            References

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. 
Global journal of health science
, 
6
(6), 11.

Paaske, S., Bauer, A., Moser, T., & Seckman, C. (2017). The benefits and barriers to RFID technology in healthcare. 
On-Line Journal of Nursing Informatics
, 
21
(2).

Webb, N. (2021 Nursing Informatics as Caring: A Literature Review. 
Online Journal of Nursing Informatics 

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Thank you Zulfiqar.  Your post leads me to a question…

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How could data collection on medication errors be used to prevent future errors?

Dr. Moyers

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Thank you Krisi and Dorothy.  Your post leads me to a question…

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How can data from an electronic health record serve to improve patient outcomes?

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Hi Dr Moyer,

            There are many ways by which data from EHR could serve to improve patient outcome. Data shared in an EHR could be life-saving when efficiently managed as it helps to provide history for an unresponsive patient or in a patient with allergies, it assists to select the right medication thereby improving the patient’s outcome (Steger, 2019). Patients’ outcome could also be improved when the clinicians through the EHR assess critically patient’s data as it concerns the current medication and such diseases as high blood pressure or diabetes. EHR has improved quality of care and patient’s safety through improvement in management, medication errors reduction, avoidance of unnecessary investigations, and has also improved patient and healthcare professional’ s communication and interactions (Manca, 2015) The Application of Data to Problem-Solving Nursing Essay. As point of care data are captured in the EHR, this informs the quality improvement projects and informative research, and the results invariably help to improve patient’s outcome.

Dorothy.

References

Manca, D. P. (2015). Do electronic medical records improve quality of care? Yes. 
Canadian family physician, 61
(10), 846–851.

Steger, A. (2019). How Electronic Health Records Can Improve Patient Care.  https://healthtechmagazine.net/article/2019/11/how-electronic-health-records-can- improve-patient-care-perfcon

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Hi Dorothy,

            You ask a great question! From personal experience, in a clinical setting previous documentation of injections and injectable medications can be traced back to provide safe patient care (Hoselton, 2021).  It allows the health professionals to ensure that there were no medical errors made. Also, as a triage nurse, I receive many calls from patients daily who are calling for advice. (Hoselton, 2021)  Sometimes the call is spent providing patient education on how to treat symptoms at home. Although, sometimes the call is spent advising the patient that they need to be seen in a clinical or hospital setting. Therefore, an electronic medical record can provide other professionals with information about the patient’s symptoms throughout a care system, include the emergency room. This is a beneficial way to review the patient’s status when symptoms first began because over time symptoms can worsen from when the call was made. Therefore, electronic medical records can provide crucial information about the patient within a health organization to provide safe and competent patient care (Hoselton, 2021).

 

Reference

 

Hoselton, K. (2021) Unpublished manuscript, Walden University.

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Kirsi Hoselton 

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Hi Tina,

            I enjoyed reading your post. I think that patient advocacy is an essential part of nursing. Patient advocacy provides essential and effective nursing care (Shirmohammad, Abbaszadeh, & Ahmadi, 2016). It is crucial for the nurse’s role to provide empathy and advocate for patients 
(Shirmohammad et al., 2016). The collection of data provides health professionals with crucial information to be able to identify areas where the patient needs assistance. You make a good point regarding family interviews and asking various questions. Interviewing families can create a larger picture of the patients’ home situation. This includes the identification of physical or emotional abuse. Therefore, family members can be a credible source to gathering more information ( Lang, Marvel, Sanders, Waxman, Beine, Pfaffly, & McCord, 2002).

            As a clinical nurse, there have been numerous times that I have had to advocate for my patients. Especially, during the pandemic. For instance, health care is overloaded right now with the rise of COVID on top of everyday medical conditions. This has caused care to be overloaded in clinical, urgent care, and hospital settings. With virtual care on the rise to educate and treat patients regarding their symptoms. There have been a few incidences I had to explain to providers why a patient should be examined and treated in the clinic setting.

Patient advocacy puts a patient first and identifies the patients’ needs for better wellbeing. Patients rely on those around them with medical knowledge. This leads to optimal patient outcomes The Application of Data to Problem-Solving Nursing Essay.

 

 

 

 

References

Lang, F., Marvel, K., Sanders, D., Waxman, D., Beine, K. L., Pfaff, C., & McCord, E. (2002, April 1). 
Interviewing when family members are present
. American Family Physician. https://www.aafp.org/afp/2002/0401/p1351.html.

 Shirmohammad, D., Abbaszadeh, A., & Ahmadi, F. (2016, June 11). 
Patient advocacy from the clinical nurses’ viewpoint: a qualitative study
. US National Library of Medicine National Institutes of Health Search database PMC Search term Search. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958925/.

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Thank you Chaquita.  Another example of how technology can serve to improve safety and patient outcomes.

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Tanaka Ruzvidzo 

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Dear Chaquita, I enjoyed reading about your healthcare scenario. This led me to think of the importance of timeliness in providing care. Due to nurse informatics, we have the use of electronic health records that enables us to chart patient information in real time. 
“Digital tools potentially offer opportunities to ensure that patients are directed to the most appropriate care for their needs within an optimised timeframe” (Dewsbury, 2019). 
 

The algorithms that result from data entered chart the next course of action. Additionally, possible diagnoses are derived enabling quick access to necessary services. For instance, something as critical as a patient having a stroke, allows clinicians to ask the right questions and depending on the answers will in the case of a Code Stroke enable speedy transportation to radiology. Sometimes critical decisions are extremely time sensitive and can be the difference between life and death. Nurse informatics has therefore bridged the gap in this regard. 
 

Sepsis is of national concern due to the number of deaths from this diagnosis. According to Shappell et Al (2020) 
EHR-based clinical surveillance is a promising new tool that may provide more reliable information on sepsis incidence and outcomes and thereby help drive further innovations and improvements in sepsis prevention, detection, and management. This will hopefully improve patient outcomes and become a tool that clinicians can rely on The Application of Data to Problem-Solving Nursing Essay.
 

References
 

Dewsbury, G. (2019). Use of information and communication technology in nursing services. 
British Journal of Community Nursing
, 
24
(12), 604–607. https://doi-org.ezp.waldenulibrary.org/10.12968/bjcn.2019.24.12.604
 

Shappell, C. N., Klompas, M., & Rhee, C. (2020). Surveillance Strategies for Tracking Sepsis Incidence and Outcomes. 
Journal of Infectious Diseases
, 
222
, S74–S83. 
https://doi-org.ezp.waldenulibrary.org/10.1093/infdis/jiaa102
 

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Hello Sophie,

I enjoyed your very informative post regarding catheter-associated urinary tract infections.  Catheter-associated urinary tract infection (CAUTI), which is caused by an indwelling urinary catheter, is a major cause of healthcare-associated infection (HAI) in the United States. Hospital systems are putting significant effort into CAUTI reduction initiatives as a result of the national focus on HAI reduction and how these infections severely impact patient outcomes (Purvis, et al., 2017).  CAUTI occurrences are thought to be preventable in 69 percent of cases; in 2009, the US Department of Health and Human Services supported nationwide initiatives to reduce CAUTI rates. Avoiding unnecessary catheterization and lowering catheterization duration are among the measures taken to reduce CAUTI rates (e.g., by using reminder systems to encourage catheter removal when the catheter is no longer indicated) (Letica-Krigel, et al., 2019). As Nurse leaders, we can analyze the data gathered and develop programs to reduce CAUTI through evidence based practice.

 

References

Letica-Krigel, A., Salmasian, H., Vawdrey, D., Youngerman, B., Green, R., Furuya, Y., . . . Perotte, R. (2019, February). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ journals, 9(2). doi:10.1136/bmjopen-2018-022137

Purvis, S., Kenendy, G., Knobloch, M., Marver, A., Marx, J., Rees, S., . . . Shirley, D. (2017, October/ December). Incorporation of Leadership Rounds in CAUTI Prevention Efforts. Journal of NUrsing Care Quality, 318-323. doi:10.1097/NCQ.0000000000000239

 

 

 

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Adam Hundley 

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​
Main post
 

The resources we accessed for module one were able to open my eyes to just how much informatics is playing a role in patient care and education. Understanding that informatics mixes technology and information to turn that into something anyone can use is the key to helping me understand the discipline (Laureate Education, 2018). Even after seeing all the information, my mind is still sort of processing and “waking up” to the subtleties which informatics has already meshed into the hospitals where I work. Healthcare and informatics integration are growing throughout the industry (Sweeney, 2017).  I do believe as humans we tend to attempt to streamline all activities related to work and will continue to integrate informatics into healthcare.
 

One incident I experienced within the last year quickly comes to my mind which could use some data collection and assimilation to direct future care and protocol. A patient in the ICU was extubated at about 1500 on a given day. This patient was in constant need of oral suctioning to clear their airway afterward. Due to a need for beds and to keep nurses in ratio, the patient was pushed out to the telemetry unit at 2000. The patient then coded early the next morning and eventually died a couple of months later after the doctors declared the anoxia from the code caused irreversible brain damage. The charge nurses argued with each other, one stating, “the protocol is to not transfer a patient until they have been extubated for twenty-four hours.” The other charge disagreed citing there was no such protocol.
 

Having looked a little at informatics, I wonder if data gathered from patients who have been extubated could lead to a policy regarding the appropriate time to keep in the ICU. Certain data could be collected such as the need for oral suctioning, level of consciousness/orientation, and oxygen needs including work of breathing. The staff could then look at the disposition of these patients and their outcomes. This could lead to a “score”, if you will, which could determine if the patient could be transferred after a given number of hours. After the protocol is in place, the data could continue to be monitored.
 

 

 

References
 

Laureate Education (Producer). (2018). What is Informatics? [Video file]. Baltimore, MD: Author.
 

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).
 

 

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The Application of data to problem-solving: The growing need for the development and advancement of nursing has resulted in seeking relevant data to help achieve this purpose in nursing. Nursing informatics is a practice within nursing that integrates the nursing science with several other analytical and information sciences to define, manage, identify and communicate information, knowledge, data, and wisdom within the nursing practice (HIMSS, 2021). One scenario that stands to benefit from access to data within nursing is patient satisfaction. Patient satisfaction data is engraved in patients’ opinions and ratings of nursing services offered in an institution and form an important pillar on which nursing has, over the years, been developed. While many healthcare institutions allow for collecting patient opinions on their satisfaction with the quality of services offered in these institutions, access to such data can help advance the nursing practice. For instance, such reviews form the core of a hospital’s directory information and are essential in managing patients, healthcare services, and public health services. They, therefore, form a crucial element of the decision making within a hospital and aid in problem-solving (Peak & Sinclair, 2002) The Application of Data to Problem-Solving Nursing Essay. The development and access to patient satisfaction data through a patient opinion database provides essential feedback about the services offered and is a source of recommendations on how service delivery can be improved in a hospital setting. As such, access to patient satisfaction data in nursing improves communication between patients and practitioners and can be an essential source of insights for improving the services offered (Nagle et al., 2017). Accordingly, patient satisfaction data improves the quality of an institution’s data by continuously reflecting current patient needs, thereby standing out as an essential tool for knowledge formation in a hospital. Through such opinions and feedbacks, a hospital’s management interacts with their clients and gets a deeper understanding of the quality of services they offer and what more could be done to improve these services. Therefore, access to patient satisfaction data is vital for the nursing profession and can facilitate problem-solving and knowledge formation within an institution. References: HIMSS. (2021). What is Nursing Informatics?. HIMSS. Retrieved 1 September 2021, from https://www.himss.org/resources/what-nursing-informatics. Peak, T., & Sinclair, S. V. (2002). Using customer satisfaction surveys to improve quality of care in nursing homes. Health and social work, 27(1), 75-79. Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics Competencies For Nurses In The Future Of Connected Health, 1-10. https://doi.org/doi:10.3233/978-1-61499-738-2-212

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What is reflection?  
How does it contribute to professional development?

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Ivo Ngosong 

RE: Discussion – Week 1

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7 months ago

Mercy Ambe Mbu 

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7 months ago

Annisha Mcgowan 

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7 months ago

Mercy Ambe Mbu 

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7 months ago

Tammy Rodgers 

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7 months ago

Mercy Ambe Mbu 

RE: Discussion – Week 1

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Hi Tammy,

I appreciate your response and insight. Thank you

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7 months ago

Paola Gaudioso 

RE: Discussion – Week 1

COLLAPSE

Mercy,

This was very interesting to me because I also work in an inpatient hospital and I have never used this scale. The hospital I work for is voluntary, but we still get patients that are violent.  I had to do some research to learn more about the tool. It seems that gathering information with in a 24 hour period can help predict how the patient will act on the unit (Sarver et al., 2019). Many psychiatric patients have violent tendencies and being able predict these behaviors can help the staffs on the units be aware of tendencies. Being able to track a patients behaviors in a system is helpful because unfortunately many psychiatric patients use hospitals frequently.

After a 5 year evaluation of charting the BVC it was found that there were 6 different behaviors that were predictive of violence and those were confusion, irritability, boisterousness, physical threats, verbal threats, and attacking objects (Almvik, 2003). After reading about the BVC scale it seems that this would be helpful in all inpatient hospitals to help with the revolving patients that come through. If staff is aware of patients and their behaviors they can decrease triggers and so forth. This would help decrease violence in the inpatient setting.

 Informatics plays a great role in this because the nurses can gather the information and do so much with it. The information can help decrease codes on the units and predict if more staff is needed. I know that in the hospital I work for all this would be extremely helpful to make sure our patients are receiving the best care possible.

References 

Almvik, R., Woods, P. (2003). Short-term risk prediction: the Brøset Violence Checklist. 
Journal of Psychiatric & Mental Health Nursing. 10
(2), 236-238.

Sarver, W. L., Radziewicz, R., Coyne, G., Colon, K., & Mantz, L. (2019). Implementation of the Brøset Violence Checklist on an Acute Psychiatric Unit. Journal of the American Psychiatric Nurses Association, 25(6), 476–486. https://doi.org/10.1177/1078390318820668

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7 months ago

Mercy Ambe Mbu 

RE: Discussion – Week 1

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Hi Paola.

Thank you for taking the time to respond and throwing more light to the BVC.

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7 months ago

Robin Moyers 
WALDEN INSTRUCTOR
 
MANAGER

RE: Discussion – Week 1

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Class,

Today is day 6. Make sure to have your three post in today.  We have had excellent discussions and sharing of information in data and the use of technology and informatics in nursing and healthcare.  Our next discussion thread will begin week 3 Module 2.  The Application of Data to Problem-Solving Nursing Essay

Dr. Moyers

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7 months ago

Tiffany Turner 

RE: Discussion – Week 1

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The Importance of Informatics within the Mental Health Community

Informatics plays such a large role in all areas of health care. Working for the Department of Mental Health allows me to provide care to people of various walks of life and also allows me to see the gaps within the healthcare system. I currently work for the aging population and many of my patients are not linked to Primary Care Providers. Approximately 40% of my patients believe their Psychiatric provides the same care as an Internist or Gerontologist. Therefore, many of my patients are not link to a PCP.  Informatics can integrate behavioral and physical health care needs to a community that lacks so much (Johnson & Meyer 2019). 

To integrate behavioral and physical health care informatics is vital (Cancer, 2011). Being able to collect the data on how many of those within the mental health care community is not linked to PCP would be the first data needed to be collected. This data would be collected by assessing each patient and/or caregiver being seen within the department rather or not they’re linked to a PCP. Upon collecting said data the needs of linkage to a PCP for out patients should be clearly define and thus policy changes should be developed to ensure patient are linked to PCP upon admission into the program. 

Nursing leaders can implement new polices in light of the data that would require staff to assess in coming patients for their last PCP appointment and PCP information. Many of the patients I provide care for are not in favor of doctor visits. Therefore, patients may not be forthcoming with PCP information which would require the initial screener to obtain the PCP contact information for verification. Overall, informatics provides critical information to providers, scientists and the pharmaceutical industry which leads to developing cutting edge advancements on how care is delivered within the health care system (Ranallo, et al, 2016). 

References

Cancer, J. (2011, August 17). 
THE ROLE OF INFORMATICS IN PROMOTING PATIENT-CENTERED CARE
. PMC. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146983/

Johnson, S. R., & Meyer, H. (2019). 
Behavioral health
. Modern Healthcare. 
https://www.modernhealthcare.com/reports/behavioral-health/

Ranallo, P. A., Kilbourne, A. M., Whatley, A. S., & Pincus, H. (2016). Behavioral health information technology: From chaos to clarity. 
Health Affairs
, 
35
(6), 1106–1113. 
https://doi.org/10.1377/hlthaff.2016.0013

REPLY
 
QUOTE
 
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  The Application of Data to Problem-Solving Nursing Essay

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

Week 8 Discussion Post

Evidence-based practice (EBP) information must be disseminated effectively to achieve the right outcome. The disseminated information should target a specific audience like the nursing staff, Techs, appropriate doctors, and support staff. For example, disseminating EBP information on fall risk assessment tools in the ED should be targeted to all ED staff that encounter the patient. Suggested dissemination strategies for success included formal staff training, mentorship, and collaboration (Jordan et al., 2018).  Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion Two dissemination strategies that I would use are educating and engaging the staff (Gallagher-Ford et al., 2012).

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Strategy to Educate the Players

It is essential to educate all the players involved in the implementation to disseminate EBP information effectively. Experts like Jordan et al. (2018) suggested that dissemination strategy includes formal training of the players involved in the implementation. For example, in-service training might be an excellent way to disseminate EBP information related to the use of new risk fall assessment tools. The information must be communicated clearly to avoid any misunderstanding of the new EBP Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.

There are several barriers to educating players on EBP information in the ED. The most cited barriers by healthcare experts include lack of time and competing demands (Jordan et al., 2018). Many nurses at my workplace find it challenging to make time for new training, especially face-to-face. Experts like Jordan et al. (2018) felt that scheduling training time and mentoring staff would help disseminate the EBP information to reduce these barriers. Other experts believe that fostering EBP within organizations requires robust infrastructure, including nursing leadership, and human and material resources can reduce some of the education barriers (Newhouse et al., 2007).

Strategy to Engage the Stakeholder

Experts like Gallagher-Ford et al. (2012) suggest using “Engaging the Stakeholder Strategy” as an effective way to disseminate information on evidence-based practice to use a new fall risk assessment tool in the Emergency Department. By doing so, the players can be better informed about the new EBP. “Engaging the Stakeholder Strategy” is crucial because it keeps the stakeholder inform and build their trust. I believe that the “Engaging the Stakeholder Strategy” effectively gets the buy-in from each stakeholder and makes implementation decisions a little easier. Also, each stakeholder can identify outcome measures. Gaining their buy-in can be helpful with planning implementation strategy (Ginex, 2018).

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion One cited barrier related to the “Engaging the Stakeholder Strategy” includes the resistance to changes (Ginex, 2018). Many experts like Ginex believe that Stakeholders are more comfortable without changes “because we’ve always done it this way” (Ginex, 2018). Ginex (2018) suggested that one way to overcome the barrier of resistance is to engage the appropriate player. Doing so builds trust and enables us to learn from each player’s experience and gain applicable input to implementing the new EBP.

Least Inclined Strategy

The preferred method that I would use to disseminate the EBP is face-to-face presentations or conferences. I believe that the face-to-face method is the most appropriate way of disseminating EBP information. The face-to-face approach facilitates interaction and instant feedback so that clarifications can be made. On the other hand, I would limit the electronic dissemination of EBP information. Betz et al. (2018) noted that one significant drawback to using electronic dissemination is the unresolve lack of clarity and not having immediate clarification when needed.

 

References

Betz, C. L., Smith, K. A., Melnyk, B. M., & Tassa, T. (2018). Disseminating evidence through presentations, publications, health policy briefs, and the media. In B. M. Melnyk, & E . Fineout-Overholt, Evidence-based practice in nursing & healthcare: A guide to best practice (4th Ed.). Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. 
American Journal of Nursing, 111(3), 54
. doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e

Ginex, P K. (2018). Overcome barriers to applying an evidence-based process for practice change. Retrieve from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change

Jordan, J., Coates, W. C., Clarke, S., Runde, D., Fowlkes, E., Kurth, J., & Yarris, L. (2018). The Uphill Battle of Performing Education Scholarship: Barriers Educators and Education Researchers Face. 
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 19(3), 619–629
. https://doi-org.ezp.waldenulibrary.org/10.5811/westjem.2018.1.36752

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C. & White, K. M. (2007). Organizational Change Strategies for Evidence-Based Practice. 
JONA: The Journal of Nursing Administration, 37(12), 552-557
. doi: 10.1097/01.NNA.0000302384.91366.8f.

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion instructions

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 9

Post
at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.

By Day 6 of Week 9

Respond
 to at least 
two
 of your colleagues 
on two different days
 by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

 

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion sample 2

Introduction

Evidence-based nursing practice is essential for proper patient care because it ensures improved patient outcomes and that health services are delivered effectively and efficiently. Sharing evidence-based practice results is necessary for implementation, and advocates for best care practices for patients (Williams & Cullen, 2018). Healthcare professionals have an ethical obligation related to researching and disseminating evidence-based practice (Milner, 2016). Spreading nursing knowledge is imperative to continue moving the nursing profession forward (Moyo, 2019). Sharing evidence-based information with others is beneficial and can help address unsatisfactory implementation in organizations. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion There are several different strategies for disseminating evidence-based practice within an organization. They should increase the reach and ability of fellow nurses and healthcare professionals to use and apply the evidence discussed. The following document will discuss a couple of different ways of disseminating evidence-based information, barriers that could arise, and how to overcome them so that they are effective.

Two Dissemination Strategies

Podium Presentations

The first dissemination strategy I would be most inclined to use is podium presentations. Podium presentations are a traditional way of sharing evidence-based practices and are oral presentations that educate audiences in a public manner. Podium presentations are used to educate healthcare staff and help disseminate information (Ross, Dlungwane & Van Wyk, 2019). Podium presentations convey knowledge by role-playing, modeling, feedback and assessment, and practical evidence to help healthcare professionals learn new information about evidencebased practices (Brukenthal, 2017). Podium presentations are a quick way to address a large group of people to ensure the information is delivered simultaneously. Research has shown that those who attend podium presentations have an improved understanding of the information shared and eventually incorporate it into practice (Brukenthal, 20171).

Unit-level presentations

The second dissemination strategy I would be most inclined to use is unit-level presentations. Unit-level presentations are already a familiar process to me, as I am on a unitbased council called Niche, and we frequently report to the unit. Unit-level presentations are useful in that they can also incorporate other means of dissemination as well, such as poster presentations, so you have multiple ways of sharing information just within this one modality. Posters are an invaluable communication tool to transmit learned knowledge to others (Moyo, 2019) Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion. Using them in conjunction with unit-level presentations is an efficient way to explain information. Unit-level presentations ensure evidence-based information is given directly to other healthcare professionals one is working with closely. Least Inclined Dissemination Strategy The dissemination strategy I would be least inclined to use is that of publication in peerreviewed journals. Peer-reviewed journals provide a trusted form of scientific information because the journal editors select the most vital evidence-based practice that can easily be implemented into an institution (Melnyk & Overholt, 2018). Peer-reviewed journals can reach a vast array of healthcare workers and share a lot of information all at once. However, writing and preparing for publication submission is time-consuming and, at times costly. Written papers can be reviewed for months, held before approval, which may delay disseminating research information at the proposed time. Delaying publication due to the quality check and submission process may slow down advances in medical knowledge and dissemination, mainly when the information addresses a recent health problem or disease or other issues relating to public health and safety Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.

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Two Barriers and Strategies to Overcome Them

The two identified dissemination strategies are not without their own barriers. Podium presentations pose the challenge of coming up with new presentations and public speaking limitations (Hicks, 2018). For example, a nurse who is not good at public speaking may not effectively present the EBP to the audience. Public speaking is not a skill that everyone possesses and can make it difficult to share information in this way. Additionally, a significant portion of healthcare providers do not attend podium presentations or decide not to participate, making its reach ineffective. However, to overcome these barriers, podium presentations must be supported with organizational commitment and administrative support to encourage and ensure their teams attend such an education program. Practicing before the podium presentation can be a way to organize thoughts properly and ensure the information is shared appropriately. Unit-level presentations pose the challenge of only reaching a small audience for the dissemination of information. Unit-level means that the data is only shared with immediate coworkers, not the hospital organization as a whole. Since we are in a technological age, one way of overcoming this barrier would be to have the unit-level presentation recorded. Once recorded, the information can be shared on a broader level, with other units, for example, to make the evidence-based information available to a broader audience.

Conclusion

Each type of dissemination strategy has positives and negatives, often decided by the structures within an institution and the nature of healthcare professionals found there. A strategy that works in one health care facility may or may not work in another facility. My recommendation would be to pair different strategies to increase dissemination effectiveness rather than relying on one approach. For example, the unit-level presentation paired with poster presentations because they are able to complement each other in the distribution of evidence= base practice. No matter the method, nurses and other healthcare professionals are obligated to continue education and disseminate knowledge (Milner, 2016).

 

References

Bruckenthal, P. (2017). From podium or poster to publication: Strategies for success. 
Pain Management Nursing,
 18(2), 64. 
https://doi.org/10.1016/j.pmn.2017.02.162

Hicks, R. (2018). Transforming a presentation to a publication. 
Journal of American association of Nurse Practitioners, 
27(9). 
https://doi.org/10.1002/2327-6924.12228

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

Milner, K. A. (2016). Sharing your knowledge
. Journal of Infusion Nursing
, 39(5), 297–305. 
https://doi.org/10.1097/nan.0000000000000188

Moyo, M. (2019). The 5 Cs for developing an effective poster presentation
. Journal of Radiology Nursing,
 38(3), 210–212.

Ross, A., Dlungwane, T., & Van Wyk, J. (2019). Using a poster presentation to assess large classes: A case study of a first-year undergraduate module at a South African university. BMC Medical Education, 19(1), 1-9. 
https://doi-org.ezp.waldenulibrary.org/10.1186/s12909-019-1863-9

Williams, J. & Cullen, L. (2018). Disseminating an evidence-based practice project as a poster. 
Journal of Perianesthesia Nursing
. https://doi.org/10.1016/j.jopan.2016.07.002

 

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion sample 3

The history of nursing’s foundational framework can be contributed to the ongoing progression of the healthcare profession . The collaboration of continued education, advancements in healthcare technology, and  evidence-based practice (EBP) is the tool that propels healthcare to improve quality of care and patient outcomes. Dissemination of EBP is the final process prior to implementation of new practice guidelines (Melnyk & Fineout 2018 pg. 539). As stated by Melnyk & Fineout (2018), sharing EBP requires a clear and compelling body of evidence that is tailored to the audience and stakeholders. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion Careful consideration of disseminating new information will promote utilization across the healthcare spectrum, ultimately  further advancing the delivery of care.

 

More Inclined Dissemination Strategy

One strategy for dissemination of EBP is presentations at an organizational level. As stated by Häggman-Laitila et al. (2016), lectures and didactic presentations are the most popular teaching tool. Presentations at an organizational level enables the engagement of audience members through relatable experiences or events .Presentations enables nurses to critically examine their own practices and understand the need for EBP (Häggman-Laitila et al., 2016). Sharing previous clinical issues establishes a collaborative effort to incorporate EBP into clinical practice. Lastly, presentations provide a visual representation of outcomes that can be achieved. Visual presentations can be detected in the form of graphs, tables, and charts. A combination of teaching methods is more likely to improve knowledge, skills, and attitudes (Häggman-Laitila et al., 2016). Exposure to hearing and visualizing new information can reinforce the important of how this practice can be adopted into current guidelines to improve outcomes for patients. Although there are great benefits two presentations at an organizational level there are also barriers. Drawbacks include limited staff attendance and the inability to recall lecture information due to information overload. To overcome presentation barriers leadership could have multiple presentation times to increase staff attendance and include a condensed version of the presentation in paper form Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.

Next, poster displays are easily accessible to introduce new teachings of EBP. Poster displays can be placed in various areas of the units for review of information. In previous experiences, visual representation posters are usually displayed in the bathroom, the break room, and in lounge areas. Repetitive visual representation of information reinforces understanding and creative thinking. Easily accessible information has a greater potential of reaching a wider audience thereby promoting discussions of how EBP applies to the current state of the unit and encouraging staff members to collaboratively determine how the new information can be implemented to improve patient outcomes. Barriers to poster displays include the inability to engage audience and the potential for posters to be misplaced or destroyed. Strategies to overcome obstacles for poster displays can include eye- catching graphics and laminating the posters to prevent damage.

Least Inclined Dissemination Strategy

Although journal publications or organizational journal clubs is the most common technique for dissemination of information, in my opinion it is the least likely way to share new information with the healthcare profession on a healthcare organizational level Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion. Journals are a great tool to introduce new practices and interventions due to the ability to provide supportive evidence. Next, journal clubs that are associated with an organization such as American Nurses Association (ANA) are the least likely method to share information, statistics show that less than 10% or nurses belong to an organization. Hurdles that impede journal publications and journal clubs as a great source of sharing information is inaccessibility. Additional obstacles of dissemination of EBP include  lack of time, unsupported attitude towards new information, nursing morale, and a lack of leadership or mentor involvement (Williams et al.,2016).

References 

Häggman-Laitila, A., Mattila, L.-R., & Melender, H.-L. (2016). Educational interventions on evidence-based nursing in clinical practice: A systematic review with qualitative analysis. 
Nurse Education Today
, 
43
, 50–59. https://doi-org.ezp.waldenulibrary.org/10.1016/j.nedt.2016.04.023

 

Melnyk, B. M., & Fineout-Overholt, E. (2018). 
Evidence-based practice in nursing & healthcare: A guide to best practice
(4th ed.). Philadelphia, PA: Wolters Kluwer. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

 

Williams, J. R., Caceda-Castro, L. E., Dusablon, T., & Stipa, M. (2016). Design, development, and evaluation of printed educational materials for evidence-based practice dissemination. 
International Journal of Evidence-Based Healthcare
, 
14
(2), 84–94. https://doi-org.ezp.waldenulibrary.org/10.1097/XEB.0000000000000072

.

Dissemination Strategies Discussion Essay

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP. Dissemination Strategies Discussion Essay

By Day 3 of Week 9

Post
 at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

By Day 6 of Week 9

Respond
 to at least 
two
 of your colleagues 
on two different days
 by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

 

Dissemination Strategies

 

“Evidence-Based Practice (EBP) is a problem-solving approach to making clinical, educational, and administrative decisions that combines the best available scientific evidence with the best available practical evidence.” (Newhouse et al., 2007, p. 556) Two dissemination strategies that I would utilize are unit-level presentations and posters. (Melnyk, 2018). In the emergency department (ED), we utilize unit-level presentations in the form of start of shift huddle. We have four daily huddles; this is where appropriate data is shared to improve clinical practice. Staff is gathered in a centralized location in the ED during huddle which allows information to be disseminated quickly. Leadership shares our department metrics, policies and procedures, and important updates critical to the day’s work. Staff are then given the chance to voice concerns, pose questions, and share any other data considered fundamental for practice. (Melnyk, 2018). The biggest barrier to this strategy is that information is giving verbally and missing the huddle or distractions during huddle means that someone may miss important information with this communication method. (Melnyk, 2018) Dissemination Strategies Discussion Essay. Ways to improve on this type of strategy is to move huddle to a private or less crowded area of the ED so there are less distractions or to follow up critical information with a written recap that can be reviewed at a later time. (Melnyk, 2018).

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Another strategy to disseminate information would be through the use of posters. Emergency departments can be hectic and fluid, therefore adapting to many changes at once is often necessary. (Melnyk, 2018). Medical staff work closely with one another to provide patient care. With poster presentations, the disseminated information only presents the most vital information related to a topic. It is visual and easy to read so the information can be learned and absorbed quickly. (Melnyk, 2018). Although, this is informal, it does allow continued interaction among colleagues. Recently, during huddle, a poster was presented with our new blood culture adapter devices. The poster included the steps for use of the new adapters, statistical information on the ED blood culture contamination, core measure standards, and proposed outcomes. The ED was able to change quickly to using the new device as it gave a visual presentation on where we were, what we needed to do, and what needed improvement. A month later, updated on the effectiveness of the new devices was provided via huddle with significant reductions in blood culture contamination rates in the ED. Barriers to this type of dissemination strategy is there that the poster could miss critical information, be too busy to read. (Melnyk, 2018). The content could be either to sparse for real value or contain too much information, or be placed in an area where no one sees it. There is also no way to confirm that all nurses learned the information or that the information was understood. Strategies to help with this can be to make sure that the presenter uses PowerPoint slides or clear graphics, sequencing the information to ensure that the poster is concise and easy to read in a visible area. (Melnyk, 2018). Additionally, the presenter should offer specific times to be available for questions and include ways for follow up to be provided, such as through email.

 

The highest level of care and the best patient outcomes can be obtained when provided in a compassionate and inclusive organizational culture. (Gallagher-Ford et al., 2011). Two dissemination strategies least included to use in the ED are podium presentations and community meetings. Both of these types of strategies are more formal and typically in a larger setting. (Melnyk, 2018) Dissemination Strategies Discussion Essay. From the perspective of working in the ED, it is difficult for a bigger group medical staff to step away to a large community meeting or to be available for a podium presentation. Usually, there may be one or two individuals who would attend this type of meeting, then would re-present the information in smaller, less formal gatherings, like at huddle. The disadvantage is that some of the scope of the evidence based-content is lost when re-presented and would not include the details like an overhead presentation or lengthy explanation of the issue. (Melnyk, 2018). There would also be no availability for questions and answers as the information would have been re-disseminated and the speaker would not know the content in detail.

 

 
References

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. 
American Journal of Nursing
, 
111
(3), 54–60. Retrieved April 27, 2021, from 
https://doi.org/10.1089/109744699315723

 

Melnyk, B. M. (2018). 20: Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, and the media. In E. Fineout-Overholt (Ed.), 
Evidence-based practice in nursing and healthcare
(4th ed ed., pp. 547–602). Wolters Kluwer Dissemination Strategies Discussion Essay.

 

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L., & White, K. (2007). Organizational Change Strategies for Evidence-Based Practice. 
JONA: Journal of Nursing Administration
, 
37
(12), 552–557. 
https://doi.org/doi: 10.1097/01.NNA.0000302384.91366.8f

 

 

 

Dissemination Strategies Discussion Essay sample 2

Main Discussion Post- Week 9

It takes a leader, or someone influenced by others to teach EBP material to improve outcomes and patient experience. I would describe myself as a transformational leader, who strives to build relationships with those who are learning as to improve work flow and moral (Melynk & Fineout-Overholt, 2018, pg. 335). Using Dissemination strategies to teach EBP research and theory, nurses provide person-centered care (Humbles & Jones, 2019). Two dissemination strategies I would use to explain widely cited EBP research are unit specific posters and podium presentations with a power point overview. I choose these dissemination strategies because they are frequently viewed, have short text and provide specifics related that specific research. Unit specific posters could have barriers such as limited space for information and being informal. Electronic posters such as those on a computer have greater benefits because text and pictures can be enlarged to show detail. Electronic posters also help with displaying information for a large group of people. For example, if I was given a educational speech in an auditorium, a paper poster would be difficult to use (Melynk & Fineout-Overholt, 2018, pg. 556). Two barriers associated with podium presentations if lack of time allowed for group questions. For example, there is limited interaction or feedback from the audience. The second barrier is lack of graphics or visual data. Visual learners need pictures and graphs to understand EBP research. For example, for podium speeches I would also use a power point for visual data and frequently asked questions.

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Two choices I would not like to use is media and peer-reviewed journals. According to Melynk & Fineout-Overholt (2018), a cost-versus-benefit analysis should be performed first. Other research analysts may deem your research invalid to protect their prior research. Peer-reviewed journals produce a large amount of information and although they are extremely useful in EBP research, the text is long and would require a lot of reading. According to Gallagher-Ford et al. (2011) EBP research used to engage in a project should include stakeholders and administration support Dissemination Strategies Discussion Essay. The EBP team should review the kick off meeting prior to conducting the kick off meeting to engage in EBP guidelines.

Resources

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx

Humbles, Patricia, PhD., R.N., & Jones, Sylvia, MSN/Ed, R.N., P.H.N. (2019). Faculty and students find a niche in scholarship: Teaching strategies to disseminate scholarly evidence-based practice projects. ABNF Journal, 30(4), 109-112. Retrieved from https://ezp.waldenulibrary.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fscholarly-journals%2Ffaculty-students-find-niche-scholarship-teaching%2Fdocview%2F2336263321%2Fse-2%3Faccountid%3D14872

Melynk, B. M. & Fineout-Overholt, E. (2018). Evidence-base practice in nursing & health care: A guide to best practice. (4th ed.). Philadelphia, PA: Wolters Kluwer Dissemination Strategies Discussion Essay

Discussion: Developing a Culture of Evidence-Based Practice

Evidence-Based Practice

Post at least two dissemination strategies you would be most inclined to use and explain why.

Dissemination strategies are intended to spread knowledge and the associated evidence on a wide scale within practice settings, locations and stakeholder networks. Discussion: Developing a Culture of Evidence-Based Practice They are intended to increase the motivation and ability to use and apply the information, and reach of the information. There are a range of dissemination strategies that nurses can apply based on the different communication platforms to include meetings, discussion forums, press releases, conferences, presentations, websites, journals, brochures, emails, posters, and social media. Each of these strategies is targeted at specific audiences although there are some that can reach multiple audiences, such as posters, press releases and social media, that can reach almost every person (Garcia-Dia, 2019).

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Explain which dissemination strategies you would be least inclined to use and explain why.

Emails are the least attractive dissemination strategy Discussion: Developing a Culture of Evidence-Based Practice. They are an instant form of communication. This strategy has the advantage of being fast thus enabling communication across long distances. Another advantage is that it can contain attachments and documents to clarify the message. Also, they are available and portable as they leverage smartphones that have become increasingly prevalent communication tools. Still, they present some disadvantages that make then a less desirable dissemination strategy. Firstly, they are vulnerable to loss if the server or hard-drive crashes. Secondly, they make it difficult to communicate emotions. Thirdly, email use is restricted by technology availability as only persons with emails can use them (Koutoukidis & Stainton, 2020) Discussion: Developing a Culture of Evidence-Based Practice.

Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Explain how you might overcome the barriers you identified.

The most attractive communication strategy is social media. Social media is the most prevalent means of communication in the modern world. This implies that using social media would ensure that the information reaches a large audience. In addition, this strategy has the advantage of generating conversation among the audience. Still, it creates a concern with its lack of privacy thus making it difficult to ensure that the communication remains within a specified audience. Still, this privacy barrier can be addressed by creating private pages that only has the targeted audience as the page members/users (Koutoukidis & Stainton, 2020) Discussion: Developing a Culture of Evidence-Based Practice.

References

Garcia-Dia, M. (2019). 
Project Management in Nursing Informatics
. Springer Publishing Company.

Koutoukidis, G., & Stainton, K. (2020). 
Tabbner’s Nursing Care: Theory and Practice
. Elsevier.

 

 

By Day 3 of Week 9

Post
 at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

 

Discussion: Developing a Culture of Evidence-Based Practice sample 2

The Agency for Health Care Research (AHRQ) defines dissemination as the targeted distribution of health information or practices to a specific public health or clinical practice audience to spread knowledge on the associated evidence-based practice (The Agency for Health Care Research, 2012). Nurses can achieve great results for their patients through evidence-based practice by sharing their experiences with colleagues and other health organizations. They can do this by conducting unit or organizational level presentations, podium, or poster presentations at local, regional, state, and national levels. As well as publications in peer-reviewed journals and professional newsletters.

Publication in peer-reviewed journals is the most likely strategy I will use in the dissemination of evidence-based practice. One of the reasons for choosing peer-reviewed journals is the rigorous and detailed review it undergoes by fellow experts in that field of study before it is published. This is to ensure that the final information released to the targeted audience is accurate and valid. Furthermore, the world now is more digitized, with approximately 51.4% of people having online access globally as of 2019 (Johnson, 2021). The ongoing coronavirus pandemic has also played a part with most people depending on the internet for information, one only needs an email and password to access my publication from the internet Discussion: Developing a Culture of Evidence-Based Practice.

The poster presentation is the other method I will use to disseminate evidence-based practice. The poster presentation is a type targeted, direct and precise communication strategy designed to reach more people at a particular time (Noar et al., 2009). For example, the world health organization has designed many posters to sensitize and educate the world on the dangers of coronavirus and how it can be prevented. This is advantageous to me because I can in turn design a poster on how to put on personal protective equipment and guide people on how to use and dispose of it after use. This can be achieved through social media platforms, such as Facebook, and mass media such as televisions and newspapers.

Nevertheless, oral podium presentations and community outreaches although they are also effective, I may least use them because of the ongoing pandemic. This is because patients or concerned groups may fail to attend in fear of contracting the coronavirus and also due to the government restrictions in place on the movement of people and public gatherings. I may use webinars and zoom meetings to substitute oral presentations but also, they are hindered by technical issues such as internet connectivity and disconnect between the speaker and audience.

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Although these publications are ranked as the best and poster presentation as the third-best dissemination tool in Evidence-based practices (Walling, n.d, p.5), publication in peer-review has got its disadvantages. They include a lack of time to submit and pursue the publication process, considering that I am a nurse who has full-time duties at the hospital. Secondly, during this pandemic, it is hard to find a co-author to collaborate with and do research with considering the government restrictions in place. Lastly, it takes approximately four years to allow for adequate time for a publication to appear in the literature (Chapman & Bakkum, 2017), which is a long period and makes the timeliness of information a problem. To mitigate the above barriers, I will try to create more time to follow up on my publication. This can be made possible by delegating some of my duties to my colleagues.

Poster presentation lacks flexibility, once published, a poster cannot be modified or edited. This calls for me as the maker to be keener and make sure that they are published to disseminate the evidence-based intervention they were intended for. Viewers also need to make an effort to take action compared to social media posts with links. This makes me enhance my reporting to elaborate on finer details of the poster for the audience to understand it (Gordon et al., 2013).

References

Bakkum, B., & Chapman, C. (2017). Barriers to peer-reviewed journal article publication of

abstracts presented at the 2006–2008 Association of Chiropractic Colleges Educational

Conference and Research Agenda Conference Meetings. 
Journal Of Chiropractic

             
Education
, 
31
(1), 20-26. 
https://doi.org/10.7899/jce-14-21

 

Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence |

Effective Health Care Program. Effectivehealthcare.ahrq.gov. (2012). Retrieved 24 April

2021, from 
https://effectivehealthcare.ahrq.gov/products/medical-evidence-

communication/research-protocol.

 

Gordon, M., Darbyshire, D., Saifuddin, A., & Vimalesvaran, K. (2013). Limitations of poster

presentations reporting educational innovations at a major international medical education

conference. 
Medical Education Online
, 
18
(1), 20498.

https://doi.org/10.3402/meo.v18i0.20498 Discussion: Developing a Culture of Evidence-Based Practice

 

Noar, S., Benac, C., & Hams, M. (2007). 
D
oes
 
Tailoring
 M
atter
?
 
M
eta 
A
nalytical
 R
eview
 
of

          
T
ailored 
P
rint 
 [Ebook] (p. 93) http://effectivehealthcare.ahrq.gov.

 

Noar, s., Harrington, N., & Aldrich, R. (2009). The role of message tailoring in the development

of persuasive health communication message. 
Annals of the International Communication

          Association, 33(1)73-133.

PICOT Questions in Nursing

The researchable question

The first step in doing evidence-based practice research is forming a researchable question. Questions that are too broad or too narrow can make your research difficult, if not impossible.

Clinical example:

Too broad
: How do you control infection?

This topic is so broad that you’d have difficulty wading through all of the results.

Too narrow
:
 
At the Johns Hopkins Neonatal Intensive Care Unit, what is the best way to control infection among Asian American babies born at 32 weeks?

This question is so specific that there probably hasn’t been anything published on that specific location regarding that specific population. PICOT Questions in Nursing.

Just right
: In the NICU, what is the effect of hand washing on infection control compared with hand sanitizers, over 6 months?

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Non-clinical example:

Too broad:
 Is heart disease experienced evenly by race?

This topic is so broad that you’d have difficulty wading through all of the results.  Also the wording in the question has to be more specific (use synonyms to include all possible versions) PICOT Questions in Nursing.  For instance, heart disease is better known in the literature as cardiovascular disease, so search both ways.

Too narrow: 
At the Johns Hopkins Intensive Care Unit, is the cardiovascular mortality rate in January different by race?

This question is so specific that there probably hasn’t been anything published on that specific location regarding that specific population. It can be only be determined by accessing the electronic medical records in the hospital and finding the rate. PICOT Questions in Nursing.

Just right: 
What is the impact of race (Black Americans versus White Americans) on long-term cardiovascular mortality after controlling for age and income in United States adults?

This question is just right because the variable name like “cardiovascular mortality” are descriptive and reflective of what is found in the literature. PICOT Questions in Nursing Additionally, there are some control variables included to make sure that even if each group of race had individuals with different ages or different incomes, this would not explain away the differences in cardiovascular mortality impacted by race.

PICOT and other models

PICOT is a mnemonic that helps you remember the key components of a well-focused question. It stands for:

P 
= Patient, Population or Problem

I
 = Intervention, Prognostic Factor, or Exposure

C
 = Comparison (optional)

O 
= Outcome

T 
= Time

PICOT examples:

Intervention/therapy

In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?

In the aged population, what is the effect of exercise programs on accidental falls, as compared with no exercise?

Etiology

Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?

Are adult smokers with a history of childhood asthma at increased risk of COPD compared to adult smokers with no history of asthma?

Diagnosis or diagnostic test

Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?

Is the Hemoglobin A1C test more accurate in diagnosing diabetes as compared with fasting blood sugar levels?

Prevention

For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

For people with type 2 diabetes, does zinc supplementation reduce the future risk of foot ulcers compared with placebo?

Prognosis/Predictions 

Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?

In adults with osteoarthritis, does low vitamin D levels in the bloodstream predict the rate of future hip fractures?

Meaning 

How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?

How do cancer patients diagnosed with alopecia perceive their self-esteem during and after chemotherapy?

 

PICOT Questions in Nursing – Public Health:

PICO(T) is commonly used to formulate research questions, sometimes referred to as ‘PI/ECO’ (Population/participants, Intervention/Exposure, Comparison, Outcome). The PI/ECO structure can be readily amended for different question types (
NHMRC Guidelines, 2019
). A simple example might be:

Population / participants: 
Non-institutionalized civilian residents of the United States

Intervention (or Exposure):
 Hypertension (or Low Socioeconomic Status)

Comparison: 
Respondents without hypertension

Outcomes:
 Cardiovascular disease or cardiovascular mortality

Types of studies: 
Cross-sectional, Longitudinal

Alternate Models:

PECO
 – Population | Environment | Comparison | Outcome

Very similar to PICO but looking at the effect of 
exposure 
to something e.g. smoky atmosphere

SPICE
 – Setting | Population | Intervention | Comparison | Evaluation

Another variant of PICO but this time including the 
setting
 (where? in what context?)

CIMO 
– Context | Intervention | Mechanisms | Outcome PICOT Questions in Nursing

A variant of PICO suitable for 
management and organization 
studies

ECLIPSE
 – Expectation | Client group | Location | Impact | Professionals | SErvice

Recommended for 
health policy/management
 searches

SPIDER 
– Sample | Phenomenon of Interest | Design | Evaluation | Research Type

Developed to create effective search strategies of qualitative and mixed-methods research – more specific than PICO/PECO PICOT Questions in Nursing

Search terms

Once you’ve developed your question, it’s time to find keywords or search terms that you can use in the Library databases to find articles relevant to your question. Remember that each article does not necessarily need to address ALL the aspects of your question PICOT Questions in Nursing.

To learn more about PICOT Questions in Nursing and selecting and combining appropriate search terms, please see our guides:

Keyword Searching: Keyword Search Strategy

Guide: Keyword Searching: Boolean