Translating Evidence into Clinical Practice

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Translating Evidence into Clinical Practice
Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.  Why should we, as healthcare providers, use evidence-based practice?  Evidence-based practice benefits: •Leads to highest quality care and patient outcomes •Reduces health care costs •Reduces geographic variations in the delivery of care •Increases healthcare provider empowerment and role satisfaction •Reduces healthcare provider turnover rate •Increases reimbursement from 3rd party payers •Reduces complications and payment denials •Meets the expectation of an informed public  Include 3 evidence-based articles to support your work that are less than 3 years old.  Before finalizing your work, you should: •be sure to read the Assignment description carefully (as displayed above); •consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and •utilize spelling and grammar check to minimize errors.  Your writing Assignment should: •follow the conventions of Standard English (correct grammar, punctuation, etc.); •be well ordered, logical, and unified, as well as original and insightful; •display superior content, organization, style; and •use APA 6th Edition format as outlined in the APA Progression Ladder.

Substance Misuse

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Substance Misuse
1. Why is the subject of workplace health and safety of concern to nurses?
How are these concepts related to patient safety and patient outcomes?
2. What action is suggested when you are faced with an angry or hostile coworker?
3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?
4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work?
5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.
6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety?
• Latex allergies
• Needlestick injuries
• Violence
3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.”
Which concepts discussed in these sections are particularly important to the beginning RN? Why?
4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.
• Substance abuse among nurses
• Emergency preparation
• Quality of work life within the organization
15

Explain possible strategies for overcoming the limitations of the secondary data

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ASSIGNMENT on a PUBLIC HEALTH Research Proposal

WEEK 5 Assignment:
Week 5: Secondary Analysis of Archived Data
Consider the scenario from the Week 4 Introduction. Imagine once again that you are a public health professional attempting to gather data to help answer a research question. Is there a link between diabetes and vision problems within the Taos Pueblo population in New Mexico? You decide to mail a written survey to this target population. The survey includes questions on diet, exercise, health and vision problems, and other related variables. What might threaten the validity of these self-reported data? What other types of secondary archived data sets might be helpful to you and your organization in answering your research question? What might you need to consider in terms of the validity and integrity of these data sets?
This week, you examine possible threats to the validity and integrity of self-reported data, as well as the benefits and limitations of self-reported data. You explore strategies for overcoming the limitations of secondary data. In addition, you explore the process for conducting a secondary analysis of archived data (SAAD) based on evaluating identified data sets for validity and integrity.
SDA/SAAD involves manipulation of raw data to answer a unique research question (one not previously answered by the originators of the datafile,  not just gleaning information from a report (which represents descriptive statistics) or a website or peer reviewed article.   If you took these courses, you may revisit your notes and coursework on SDA/SAAD from these courses as a refresher and to assist you in completing the assignments on SDA/SAAD for this course.

Students will:

· Evaluate threats to validity of self-reported data
· Analyze benefits and limitations of secondary data
· Apply strategies to overcome limitations of secondary data
· Evaluate data sets for validity and integrity
· Analyze processes for determining data set integrity.
·
· In addition to collecting data through archived databases, researchers often employ qualitative or quantitative studies to collect information directly from individuals within a target population. This is called self-reported data, and it may be prospective or retrospective. It might seem that the individuals taking a survey about their own health would have the most valid data on the subject. But is this true? What aspects of self-reported data might threaten validity??
RESOURCES/REQUIRED READINGS:
1)Smith, A. K., Ayanian, J. Z., Covinsky, K. E., Landon, B. E., McCarthy, E. P., Wee, C. C., & Steinman, M. A. (2011). Conducting high-value secondary dataset analysis: An introductory guide and resources. Journal of General Internal Medicine, 26(8), 920–929.
HERE is the LINK to this Resource article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3138974/
2) Look at the following links databases
Centers for Disease Control and Prevention. (2011). About the National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/about.htm
Centers for Disease Control and Prevention. (2015). Accessing data from the National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data_access/index.htm
Centers for Disease Control and Prevention. (2012b). Public-use data files and documentation. Retrieved from http://www.cdc.gov/nchs/data_access/ftp_data.htm
Centers for Disease Control and Prevention. (2012c). Surveys and data collection systems. Retrieved from http://www.cdc.gov/nchs/surveys.htm
Centers for Disease Control and Prevention. (2013c). SMART: BRFSS city and county data and documentation. Retrieved from http://www.cdc.gov/brfss/smart/smart_data.htm
Centers for Disease Control and Prevention. (2014a). Behavioral risk factor surveillance system. Retrieved from http://www.cdc.gov/brfss/
Centers for Disease Control and Prevention. (2014b). National Survey of Family Growth. Retrieved from http://www.cdc.gov/nchs/nsfg.htm
Grady, D. G., Cummings, S. R., & Hulley, S. B. (2013). Designing Clinical Research (4th Edition). Wolters Kluwer. Retrieved July 25, 2015, from http://freecontent.lww.com/wp-content/uploads/2015/09/Chapter-13-Research-Using-Existing-Data.pdf
Inter-University Consortium for Political and Social Research. (n.d.). ICPSR: Find and analyze data. Retrieved December 31, 2014, from http://www.icpsr.umich.edu/icpsrweb/ICPSR/
Kornegay C, Segal JB. Selection of Data Sources. In: Velentgas P, Dreyer NA, Nourjah P, et al., editors. Developing a Protocol for Observational Comparative Effectiveness Research: A User’s Guide. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Jan. Chapter 8. Retrived from: http://www.ncbi.nlm.nih.gov/books/NBK126195/
Partners in Information Access for the Public Health Workforce. (n.d.). Health data tools and statistics. Retrieved December 31, 2014, from http://phpartners.org/health_stats.html#National%20Public%20Health%20Data%20Sets
Substance Abuse and Mental Health Data Administration. (n.d.). Substance abuse and mental health data archive. Retrieved December 31, 2014, from http://www.icpsr.umich.edu/icpsrweb/SAMHDA/download
U.S. Department of Health and Human Services. (n.d.). National Center for Chronic Disease Prevention and Health Promotion—NCCDPHP Centers for Disease Control and Prevention. Retrieved December 31, 2014, from http://healthfinder.gov/FindServices/Organizations/Organization.aspx?code=HR0069
Assignment: Final Project: Stage II—Secondary Analysis of Archived Data (SAAD)
Data sets often are compiled for the purposes of original research or recordkeeping. Researchers, such as those in the field of public health, may choose to do their own original research. This prospective research might be quantitative or qualitative. It might take the form of self-reported surveys or many other types of research.
However, not all researchers have the time or the budget to conduct their own thorough research. Instead, they might have to use preexisting data. However, not all databases are collected for research purposes. The data may have been collected for recordkeeping. Either way, researchers might find such databases germane to their own research and research questions. This fresh analysis of existing data in order to answer a research question is considered secondary analysis of archived data (SAAD). A SAAD is a retrospective study and is usually quantitative; however, there is a trend to conduct SAADs with qualitative archived data.
Three essential questions about the database relating to study feasibility must be answered before proposing or initiating a SAAD:
1. Will I have access to the data to conduct the analysis? (Some databases are in the public domain, whereas others are privately owned and require that permission be obtained from the owner to use.)
2. Does the database include the variables of interest for my study? (Are the variables that I want to explore or analyze actually included in the data set?)
3. Can the validity and integrity of the data be verified?
For this week’s Assignment, from the Learning Resources or your own research, identify local and national health-related data sources related to your Final Project. You may use data that are maintained and collected by a community based organization but that have not been analyzed. You may use any available data set to which you have access. You are also free to use any statistical software with which you are familiar.
Submit a 2- to 3-page paper in which you:
· Explain how the data set relates to your Final Project.
· Evaluate the data set for validity and integrity. Explain whether the data are valid and reliable and justify your response.
· Explain possible strategies for overcoming the limitations of the secondary data.
· Explain the process for selecting a data set and determining its integrity. Provide a rationale for your answer.
Support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style and ensure that your in-text citations and reference list are correct.
Here is MY CHOSEN TOPIC (Obesity In ADULTS rural West Virginia) and I attached My Annotated Bibliography I have already done on the topic last week.
As you can see below I chose BRFSS, as my dataset for Obesity and you must address all the Assignment Instrcuct. onObesity in ADULTS and BRFSS dataset; therefore you must address these points ON MY OBESITY in ADULTS rural WV and on BRFSS dataset:
Submit a 2- to 3-page paper in which you:
· Explain how the data set relates to your Final Project (See above for my TOPIC and DATASET)
· Evaluate the data set for validity and integrity. Explain whether the data are valid and reliable and justify your response.
· Explain possible strategies for overcoming the limitations of the secondary data.
· Explain the process for selecting a data set and determining its integrity. Provide a rationale for your answer.
I want you to design the Assignment in this way: YOU copy paste each title point REQUESTED ABOVE in the Assignment and you address it under the title in few paragraphs; example:
Explain how the data set relates to your Final Project—.>You address this under this title in 1-2 paragraphs
Evaluate the data set for validity and integrity. Explain whether the data are valid and reliable and justify your response.—.> You address this under this title in few paragraphs
Explain possible strategies for overcoming the limitations of the secondary data– You address this under this title in few paragraphs
Explain the process for selecting a data set and determining its integrity. Provide a rationale for your answer– You address this under this title in few paragraphs

PATIENT TEACHING PLAN

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Running head: PATIENT TEACHING PLAN 1
TYPE YOUR SHORTENED TITLE 4


Type Your Title

Your Name

Chamberlain College of Nursing

NR305 Health Assessment

Term Month and Year

Type Your Title Here

Type your introduction here and delete these instructions (one paragraph). The introduction should be interesting and capture the reader’s attention. Provide a brief introduction to your paper. Briefly state one preventable disease your adult participant is at risk for developing, and introduce one modifiable risk factor. Discuss the purpose of your paper. The purpose statement of the paper should be related to developing a patient teaching plan.

Note: See the APA file in Course Resources for additional writing resources such as the APA Annotated Paper and the Chamberlain Guidelines for Writing Professional Papers.

Preventable Disease Overview

Describe (in one to two paragraphs) the preventable disease you identified in the introduction. Include signs and symptoms, how it is diagnosed, and physical assessment findings associated with the disease. Discuss how you identified that your adult participant is at risk for this disease. Use your textbook or another outside scholarly source to support your information. Cite your source and include a complete reference on the reference page.

Evidence Based Intervention

Choose and describe one evidence based intervention related to the modifiable risk factor you have introduced (one to two paragraphs). Describe this intervention in detail, and provide rationale for your intervention. Utilize at least one scholarly peer-reviewed journal article. List short term and long term goals you have for your participant related to this intervention. Note: You must summarize and analyze the information from your sources in your own words. Avoid direct quotations. Remember to include proper citations.

Implementation: Teaching Plan

Discuss in this section what methods you will use to teach your participant how to implement the intervention (one to two paragraphs). Be specific about what you will be asking them to do. Describe any resources you would provide to the participant to help them understand and be successful.

Evaluation

Describe (in one paragraph) at least one method you would use to evaluate whether your intervention was effective. Discuss how you would revise your plan if it proved to be unsuccessful.

Summary

End with a summary and conclusion (one paragraph). In one well-developed paragraph, summarize important points from the body of your paper and reiterate what you hope to accomplish by implementing this intervention. End with a concluding statement.

Note: No matter how much space remains on the page, the references always start on a separate page (insert a page break after the conclusion so that the references will start on a new page).

References

Type your references in alphabetical order here using the hanging indents set up here. Include all references cited in your paper. This must include one scholarly peer-reviewed journal article that was discussed above. Also reference the professional organization you discussed (a URL link is not sufficient) and the text if you discussed it above. See your APA Manual and the resources in your APA folder in Course Resources for reference formatting.

Jarvis, C. (2016). Physical examination & health assessment (7th ed.). St. Louis, MO: Saunders/Elsevier.