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The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020,Discuss two barriers that might hold nursing practice from achieving this goal,

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Throughout the course, you will be asked to participate in the discussion forums each week. You’ll notice that each week there is a DQ1 and a DQ2. You will need to respond to DQ1 by Wednesday of each week and DQ2 by Friday of each week. For these, I am looking for a substantive post, which is at least 2 good paragraphs. There is no minimum word count. Make sure that the first post in the thread is your response to the main DQ. Make sure you answer all components of the DQ.

 

You will also need to have at least 4 replies to your classmates which (including the main responses to DQ1 and DQ2) would give you a total of at least 6 posts per week for the discussion forum. Your replies should be at least a short paragraph and should add new information or insight to the topic. You should post on three separate days during the week! Sometimes I post extra questions to liven up the discussion and you can reply to these which will also count towards your participation.

ASSIGNMENT

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal, and suggest ways in which identified barriers may be addressed.

Interpretation of Common Diagnostic Labs in Pediatric Primary Care

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No plagiarism Please. Template will need references and intext citations. 

Please read instructions carefully to ensure maximum grade. 

Applying Current Evidence Based Practice Guidelines 

 

Assignment: Interpretation of Common Diagnostic Labs in Pediatric Primary Care

Nurse practitioners routinely order labs for a variety of reasons. Some labs are recommended as part of a certain wellness check. Some labs are tested at birth and repeated at regular intervals. Many labs are ordered to rule in or rule out a diagnosis or just to add to an objective data base along with physical examination, vital signs, image studies, etc. Some of the labs can be done at the point of care (POC) such as an Accu-Check®. Most all labs require a venous blood sample but may require different additives that are in the collection tube. Other samples include arterial blood, urine, sputum, spinal fluid, or exudate.

You will find the “Unit 7 Assignment Template” that you will use to complete this Assignment. It is organized to include information about a common lab test that you will be completing in pediatric primary care.

Please fill in the requested information.

  • attachment

    MN581_Unit7AssignmentTemplate.docx
  • attachment

    MN581_Unit7AssignmentGradingRubric.xlsx

Explain how multidisciplinary collaboration can affect clinical decision making.

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No plagiarism will be checked with turnitin.

APA style, font 12, double spaced with headers.

Will need Title page, content 3 full double spaced  pages in length, plus Reference page. Total of 5 pages. Remember that discussion of each topic requires citations that are current

(less than 5 years old 2014-2018) and relevant.

This assignment is a formal paper. This includes: APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list.

The paper must demonstrate independent ideas and conclusions.  At a minimum, the following topics must be well articulated in the paper.

Please refer to the grading rubric for how your paper will be graded.

Please use headings while answering the questions below.  

  • 1. Explain how multidisciplinary collaboration can affect clinical decision making.
  • 2. Discuss how collaboration can lead to improved patients
  • 3 Discuss how lack of collaboration can lead to poor patient outcomes.
  • 4. Identify three barriers to professional collaboration among healthcare professionals
  • 5. What are the five best ways to promote professional collaboration in pediatric primary care?
  • 6. How can the nurse practitioner encourage and support collaboration among the patient, family, caregivers, and healthcare professionals?

 

How would you evaluate the outcomes?

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Evaluation of Outcomes

As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.

To prepare:

  • The course text, Translation of Evidence into      Nursing and Health Care Practice, provides a list of questions that should      be considered when planning for evaluation. See page 239 for this list of      questions.
  • Review the Learning Resources focusing on the      various evaluation frameworks presented. Select a framework and determine      how you would evaluate the outcomes you identified in the Week 9      Discussion (see week 9 discussion in the file area).
  • Based on the possible results of your      evaluation, envision new practice guidelines you would develop.
  • What new standards of care might this lead to?

By tomorrow Wednesday 10/30/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS (see attached files) below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion [see week 9 discussion in the file area]).

2) How would you evaluate the outcomes? Support your response with evidence from the literature.

3) What new practice guidelines would you create based on your evaluation of those outcomes?

4) Discuss any new standards of care that would be appropriate based on the new practice guidelines.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      17, “Data Management and Evaluation of Translation” (see attached file)

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months