Tag: Care Plans

  • [Solved] WK 10 RESP. DATA

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    – a year ago **files (1)** – ## WK10DISDATA.docx **## WK10DISDATA.docx** Putting It Together How might the use of qualitative and quantitative methods serve to provide answers for researchers regarding the challenges associated with articles provided this week? What can qualitative data provide that…

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    – a year ago

    **files (1)**

    – ## WK10DISDATA.docx

    **## WK10DISDATA.docx**

    Putting It Together

    How might the use of qualitative and quantitative methods serve to provide answers for researchers regarding the challenges associated with articles provided this week? What can qualitative data provide that quantitative data cannot, and vice versa? How might a mixed methods approach fill in the gaps to provide a clearer understanding of the problem and potential solutions?

    For this Discussion, reflect on an issue or problem outlined in the provided articles. Consider the relationship to a practice-focused question and the use of both qualitative and quantitative research methods and designs. Explore how these two methods might work well together. Consider how a mixed methods approach supports evidence-based practice.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/157739/modules/items/6373995)

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).
    _Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model & guidelines_ (4th ed.). Sigma Theta Tau International Honor Society of Nursing.

    · Chapter 6, “Evidence of Appraisal: Research” (pp. 254–260)

    · Bangura, F. (2024).
    [Development and evaluation of a nurse practitioner–directed intentional rounding strategy, and its impact on decreasing falls in a veterans long-term care facilityLinks to an external site.](https://www.proquest.com/pqdtglobal1/dissertations-theses/development-evaluation-nurse-practitioner/docview/2954139015/sem-2?accountid=14872) (Publication No. 30991997) [Doctoral dissertation, Wilmington University]. ProQuest Dissertations and Theses Global.

    · Khoja, A., & Moosa, L. (2023).
    [Impact of tailored interventions for patient safety (TIPS) to reduce fall rates\
    Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=163143819&site=eds-live&scope=site&custid=s6527200). MEDSURG Nursing, 32(2), 89–93.

    · Tzeng, H.-M., & Yin, C.-Y. (2017).
    [A multihospital survey on effective interventions to prevent hospital falls in adults\
    Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=126865180&site=eds-live&scope=site&custid=s6527200). Nursing Economics, 35(6), 304–313.

    #### [**Required Resources for Topic: Quality Improvement Project Assignment Options**](https://waldenu.instructure.com/courses/157739/pages/week-10-learning-resources?module_item_id=6373995)

    · Frazier, M. C. (2023).
    [_Examining the lived experience of secondary traumatic stress in emergency room nurses: A mixed methods study_ Links to an external site.](https://www.proquest.com/pqdtglobal1/dissertations-theses/examining-lived-experience-secondary-traumatic/docview/2919214242/sem-2?accountid=14872) (Publication No. 30816304) [Doctoral dissertation, Saint Louis University]. ProQuest Dissertations and Theses Global.

    · Karamichos, S. (2023).
    [_The professional identity of the nurse practitioner: A mixed methods study_ Links to an external site.](https://www.proquest.com/pqdtglobal1/dissertations-theses/professional-identity-nurse-practitioner-mixed/docview/2848659726/sem-2?accountid=14872) (Publication No. 30634134) [Doctoral dissertation, Oklahoma City University]. ProQuest Dissertations and Theses Global.

    · Medina, M. (2024).
    [_Implementing motivational interviewing to improve medication adherence: A staff education project_ Links to an external site.](https://scholarworks.waldenu.edu/dissertations/15450) (Publication No. Order No. 30992260) [Doctoral dissertation, Walden University]. ProQuest Dissertations and Theses Global. https://scholarworks.waldenu.edu/dissertations/15450

    · Rampersad, M. (2023).
    [_Oncology nurses, compassion fatigue and general health: A mixed-methods study_ Links to an external site.](https://scholarworks.waldenu.edu/dissertations/11819). Walden University.

    **To prepare:**

    · Read and view the Learning Resources.

    By Day 3 of Week 10

    **Post** a response to the following prompts:

    · Evaluate a DNP QI project that used a mixed methods approach (choose from the list).

    · What was the relationship to the practice-focused question to the use of the quantitative and the qualitative results? (one paragraph)

    · What was the effectiveness of each? (one paragraph)

    By Day 6 of Week 10

    **Read** a selection of your colleagues’ posts and
    **respond** to
    **at least two** of your colleagues on
    **two different days** by expanding upon their reflections, making connections to your perceptions, and offering additional insights.

    **CLASS**

    In this discussion, you will reflect on an issue or problem outlined in the provided articles. Consider the relationship to a practice-focused question and the use of both qualitative and quantitative research methods and designs. Explore how these two methods might work well together. Consider how a mixed methods approach supports evidence-based practice.

    Our interactive discussion addresses the following learning objectives:

    · Analyze a research study and use it to consider a design for an evidence-based practice project

    **Post** a response to the following prompts:

    · Evaluate a DNP QI project that used a mixed methods approach (choose from the list in the Weekly Resources).

    · What was the relationship to the practice-focused question to the use of the quantitative and qualitative results? (one paragraph)

    · What was the effectiveness of each? (one paragraph)

    We encourage you to read the question carefully to answer all aspects presented.

    RESPOND TO THIS DISCUSSION POST

    **BIMPE**

    **Putting It Together**

    **Evaluate a DNP QI project that used a mixed methods approach**

              Frazier (2023) used a mixed methods research design to investigate secondary traumatic stress (STS) in emergency room (ER) nurses using both quantitative and qualitative methods. The study is important for understanding the personal experiences of ER nurses and the effects of STS and how they cope with it. The mixed methods design provides a comprehensive view of STS. The study is highly relevant for developing interventions to support ER nurses which is supported in the study by Salameh et al. (2023). The study could inform Quality Improvement (QI) initiatives to improve nurse well-being, but it was limited by a small sample size that reduces generalizability. Self-reported data may have biased the results and the lack of longitudinal data makes it hard to assess long-term effects. The implications for practice suggest that ER nurses should be provided with support programs and coping strategies. The results can be used to inform QI projects aimed at reducing STS and improving nurse retention and patient care. The study provides important insights for both research and practice in healthcare settings. The results demonstrated the critical need for organizations to develop strategies against STS, which was based on the research design that was used.

    The research design provided a solid foundation for the results with critical requirement for organizations to develop strategies against STS. An EBP project could be developed to create and evaluate a structured support intervention for emergency nurses who are at risk of STS.

    **What was the relationship to the practice-focused question to the use of the quantitative and the qualitative results**

             The practice-focused question in this study was on the ways in which secondary traumatic stress affects emergency nurses and how it affects them in their personal and professional lives, and to develop interventions or support systems to help them. The quantitative results allowed the measurement of STS levels among nurses which provided statistical evidence about its prevalence and severity in this high-stress environment. While quantitative result was used to measure the prevalence and severity of STS symptoms using standardized tools. The qualitative results provided detailed insights into nurses' personal experiences which showed how their work affected their emotions and mental state and what methods they used to cope, this exploring the lived experiences of nurses, including how they perceive, and are impacted by STS.

    **What was the effectiveness of each?**

            The quantitative results were able to measure STS occurrence and related risk factors, but the qualitative results offered detailed information about nurses’ individual experiences and emotional responses to their work. Wasti et al. (2022) stated the relevance of a mixed method of research with each quantitative and qualitative research methods addressing different types of questions in a research study. The relevance of mixed-methods approach directly supports the practice-focused question by offering both statistical evidence in quantitative research to quantify the problem and narrative insights in qualitative design to inform tailored interventions, education, or policy.

    References

    Frazier, M. C. (2023).
    _Examining the lived experience of secondary traumatic stress in emergency room nurses: A mixed methods study_ (Publication No. 30816304) [Doctoral dissertation, Saint Louis University]. ProQuest Dissertations and Theses Global.​

    Wasti, S. P., Simkhada, P., Van Teijlingen, E., Sathian, B., & Banerjee, I. (2022). The growing importance of mixed-methods research in health.
    _Nepal Journal of Epidemiology_,
    _12_(1), 1175-1178.
    [https://doi.org/10.3126/nje.v12i1.43633Links to an external site.](https://doi.org/10.3126/nje.v12i1.43633)

    Salameh, B., Daibes, A. G., & Qaddumi, J. (2023). Assessing the prevalence, predictors, and consequences of secondary traumatic stress among emergency nurses in Palestine during the COVID-19 pandemic.
    _SAGE Open Nursing_,
    _9_.
    [https://doi.org/10.1177/23779608231207224](https://doi.org/10.1177/23779608231207224)

    **## WK10DISDATA.docx**

    Putting It Together

    How might the use of qualitative and quantitative methods serve to provide answers for researchers regarding the challenges associated with articles provided this week? What can qualitative data provide that quantitative data cannot, and vice versa? How might a mixed methods approach fill in the gaps to provide a clearer understanding of the problem and potential solutions?

    For this Discussion, reflect on an issue or problem outlined in the provided articles. Consider the relationship to a practice-focused question and the use of both qualitative and quantitative research methods and designs. Explore how these two methods might work well together. Consider how a mixed methods approach supports evidence-based practice.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/157739/modules/items/6373995)

    · Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).
    _Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model & guidelines_ (4th ed.). Sigma Theta Tau International Honor Society of Nursing.

    · Chapter 6, “Evidence of Appraisal: Research” (pp. 254–260)

    · Bangura, F. (2024).
    [Development and evaluation of a nurse practitioner–directed intentional rounding strategy, and its impact on decreasing falls in a veterans long-term care facilityLinks to an external site.](https://www.proquest.com/pqdtglobal1/dissertations-theses/development-evaluation-nurse-practitioner/docview/2954139015/sem-2?accountid=14872) (Publication No. 30991997) [Doctoral dissertation, Wilmington University]. ProQuest Dissertations and Theses Global.

    · Khoja, A., & Moosa, L. (2023).
    [Impact of tailored interventions for patient safety (TIPS) to reduce fall rates\
    Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=163143819&site=eds-live&scope=site&custid=s6527200). MEDSURG Nursing, 32(2), 89–93.

    · Tzeng, H.-M., & Yin, C.-Y. (2017).
    [A multihospital survey on effective interventions to prevent hospital falls in adults\
    Links to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=126865180&site=eds-live&scope=site&custid=s6527200). Nursing Economics, 35(6), 304–313.

    #### [**Required Resources for Topic: Quality Improvement Project Assignment Options**](https://waldenu.instructure.com/courses/157739/pages/week-10-learning-resources?module_item_id=6373995)

    · Frazier, M. C. (2023).
    [_Examining the lived experience of secondary traumatic stress in emergency room nurses: A mixed methods study_ Links to an external site.](https://www.proquest.com/pqdtglobal1/dissertations-theses/examining-lived-experience-secondary-traumatic/docview/2919214242/sem-2?accountid=14872) (Publication No. 30816304) [Doctoral dissertation, Saint Louis University]. ProQuest Dissertations and Theses Global.

    · Karamichos, S. (2023).
    [_The professional identity of the nurse practitioner: A mixed methods study_ Links to an external site.](https://www.proquest.com/pqdtglobal1/dissertations-theses/professional-identity-nurse-practitioner-mixed/docview/2848659726/sem-2?accountid=14872) (Publication No. 30634134) [Doctoral dissertation, Oklahoma City University]. ProQuest Dissertations and Theses Global.

    · Medina, M. (2024).
    [_Implementing motivational interviewing to improve medication adherence: A staff education project_ Links to an external site.](https://scholarworks.waldenu.edu/dissertations/15450) (Publication No. Order No. 30992260) [Doctoral dissertation, Walden University]. ProQuest Dissertations and Theses Global. https://scholarworks.waldenu.edu/dissertations/15450

    · Rampersad, M. (2023).
    [_Oncology nurses, compassion fatigue and general health: A mixed-methods study_ Links to an external site.](https://scholarworks.waldenu.edu/dissertations/11819). Walden University.

    **To prepare:**

    · Read and view the Learning Resources.

    By Day 3 of Week 10

    **Post** a response to the following prompts:

    · Evaluate a DNP QI project that used a mixed methods approach (choose from the list).

    · What was the relationship to the practice-focused question to the use of the quantitative and the qualitative results? (one paragraph)

    · What was the effectiveness of each? (one paragraph)

    By Day 6 of Week 10

    **Read** a selection of your colleagues’ posts and
    **respond** to
    **at least two** of your colleagues on
    **two different days** by expanding upon their reflections, making connections to your perceptions, and offering additional insights.

    **CLASS**

    In this discussion, you will reflect on an issue or problem outlined in the provided articles. Consider the relationship to a practice-focused question and the use of both qualitative and quantitative research methods and designs. Explore how these two methods might work well together. Consider how a mixed methods approach supports evidence-based practice.

    Our interactive discussion addresses the following learning objectives:

    · Analyze a research study and use it to consider a design for an evidence-based practice project

    **Post** a response to the following prompts:

    · Evaluate a DNP QI project that used a mixed methods approach (choose from the list in the Weekly Resources).

    · What was the relationship to the practice-focused question to the use of the quantitative and qualitative results? (one paragraph)

    · What was the effectiveness of each? (one paragraph)

    We encourage you to read the question carefully to answer all aspects presented.

    RESPOND TO THIS DISCUSSION POST

    **BIMPE**

    **Putting It Together**

    **Evaluate a DNP QI project that used a mixed methods approach**

              Frazier (2023) used a mixed methods research design to investigate secondary traumatic stress (STS) in emergency room (ER) nurses using both quantitative and qualitative methods. The study is important for understanding the personal experiences of ER nurses and the effects of STS and how they cope with it. The mixed methods design provides a comprehensive view of STS. The study is highly relevant for developing interventions to support ER nurses which is supported in the study by Salameh et al. (2023). The study could inform Quality Improvement (QI) initiatives to improve nurse well-being, but it was limited by a small sample size that reduces generalizability. Self-reported data may have biased the results and the lack of longitudinal data makes it hard to assess long-term effects. The implications for practice suggest that ER nurses should be provided with support programs and coping strategies. The results can be used to inform QI projects aimed at reducing STS and improving nurse retention and patient care. The study provides important insights for both research and practice in healthcare settings. The results demonstrated the critical need for organizations to develop strategies against STS, which was based on the research design that was used.

    The research design provided a solid foundation for the results with critical requirement for organizations to develop strategies against STS. An EBP project could be developed to create and evaluate a structured support intervention for emergency nurses who are at risk of STS.

    **What was the relationship to the practice-focused question to the use of the quantitative and the qualitative results**

             The practice-focused question in this study was on the ways in which secondary traumatic stress affects emergency nurses and how it affects them in their personal and professional lives, and to develop interventions or support systems to help them. The quantitative results allowed the measurement of STS levels among nurses which provided statistical evidence about its prevalence and severity in this high-stress environment. While quantitative result was used to measure the prevalence and severity of STS symptoms using standardized tools. The qualitative results provided detailed insights into nurses' personal experiences which showed how their work affected their emotions and mental state and what methods they used to cope, this exploring the lived experiences of nurses, including how they perceive, and are impacted by STS.

    **What was the effectiveness of each?**

            The quantitative results were able to measure STS occurrence and related risk factors, but the qualitative results offered detailed information about nurses’ individual experiences and emotional responses to their work. Wasti et al. (2022) stated the relevance of a mixed method of research with each quantitative and qualitative research methods addressing different types of questions in a research study. The relevance of mixed-methods approach directly supports the practice-focused question by offering both statistical evidence in quantitative research to quantify the problem and narrative insights in qualitative design to inform tailored interventions, education, or policy.

    References

    Frazier, M. C. (2023).
    _Examining the lived experience of secondary traumatic stress in emergency room nurses: A mixed methods study_ (Publication No. 30816304) [Doctoral dissertation, Saint Louis University]. ProQuest Dissertations and Theses Global.​

    Wasti, S. P., Simkhada, P., Van Teijlingen, E., Sathian, B., & Banerjee, I. (2022). The growing importance of mixed-methods research in health.
    _Nepal Journal of Epidemiology_,
    _12_(1), 1175-1178.
    [https://doi.org/10.3126/nje.v12i1.43633Links to an external site.](https://doi.org/10.3126/nje.v12i1.43633)

    Salameh, B., Daibes, A. G., & Qaddumi, J. (2023). Assessing the prevalence, predictors, and consequences of secondary traumatic stress among emergency nurses in Palestine during the COVID-19 pandemic.
    _SAGE Open Nursing_,
    _9_.
    [https://doi.org/10.1177/23779608231207224](https://doi.org/10.1177/23779608231207224)

  • [Solved] Element

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    In-depth study guidance and analytical solution covering Element.

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  • [Solved] Element

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    How to present subjective and objective data to find a common diagnostic in a 45 year old woman. – a year ago

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    How to present subjective and objective data to find a common diagnostic  in a 45 year old woman.

    – a year ago

  • [Solved] Lorem

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    Case study – a year ago **files (1)** – ## M93Week8discussion.docx **## M93Week8discussion.docx** **M93 Week 8 discussion** A 72-year-old female patient is brought to the clinic by her daughter for her annual wellness exam. Her daughter reports that over the past year, the patient’s memory and physi…

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    Case study

    – a year ago

    **files (1)**

    – ## M93Week8discussion.docx

    **## M93Week8discussion.docx**

    **M93 Week 8 discussion**

    A 72-year-old female patient is brought to the clinic by her daughter for her annual wellness exam. Her daughter reports that over the past year, the patient’s memory and physical mobility have declined. The daughter requests that you test her mother for Alzheimer’s. Explain how you would assess this patient, state your top 3 differential diagnoses, and describe your initial treatment plan.

    Due: Monday, May 7th

    Length: A minimum of 250 words, not including references

    Citations: At least one high-level scholarly reference in APA from within the last 5 years

    **Please use medical evidence-based literature or guidelines**

    **## M93Week8discussion.docx**

    **M93 Week 8 discussion**

    A 72-year-old female patient is brought to the clinic by her daughter for her annual wellness exam. Her daughter reports that over the past year, the patient’s memory and physical mobility have declined. The daughter requests that you test her mother for Alzheimer’s. Explain how you would assess this patient, state your top 3 differential diagnoses, and describe your initial treatment plan.

    Due: Monday, May 7th

    Length: A minimum of 250 words, not including references

    Citations: At least one high-level scholarly reference in APA from within the last 5 years

    **Please use medical evidence-based literature or guidelines**

  • [Solved] Nursing homework

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  • [Solved] Weekly Clinical Experience 7

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    **Describe your clinical experience for this week.** **must be on geriatric patient** – **Did you face any challenges, any success? If so, what were they?** – **Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differentia…

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    **Describe your clinical experience for this week.**

    **must be on geriatric patient**

    – **Did you face any challenges, any success? If so, what were they?**
    – **Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.**
    – **Mention the health promotion intervention for this patient.**
    – **What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?**
    – **Support your plan of care with the current peer-reviewed research guideline.**

    **Submission Instructions:**

    – **Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.**

    – a year ago

  • [Solved] Case 6

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    **Mrs. P. is an 80-year-old woman recently discharged from a 24-hour observation stay at the hospital after being diagnosed with acute bronchitis. She has a history of heart failure, hypertension, osteoarthritis, GERD, and hyperlipidemia. She has no history of smoking. While in the hospital she was …

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    **Mrs. P. is an 80-year-old woman recently discharged from a 24-hour observation stay at the hospital after being diagnosed with acute bronchitis. She has a history of heart failure, hypertension, osteoarthritis, GERD, and hyperlipidemia. She has no history of smoking. While in the hospital she was prescribed doxycycline, prednisone 15 mg to taper, and a tiotropium inhaler. Her current list of daily medications prior to hospitalization includes metoprolol succinate 12.5 mg, pantoprazole 40 mg, atorvastatin 10 mg, lisinopril 10 mg, furosemide 40 mg, potassium chloride 20 meq bid, acetaminophen 650 mg bid for pain and tramadol 25 mg as needed. She lives alone but will reside temporarily with her daughter while she recovers. Her discharge report indicated resolving bronchitis, no exacerbation of heart failure, and stable arthritic pain. Today she reports 1 week after discharge with her daughter for a primary care appointment, and they both were concerned about the number of medications she was prescribed and wanted her medications reviewed. In further review, she was found to have lost weight over the past 6 months of 5 lbs and her current BMI is 25. She states that the weight loss may be due to a change to a healthier diet and reducing sodium as instructed. She also reports no symptoms of GERD for the past 6 months and minimal arthritic pain because of regular use of acetaminophen and daily walking in the halls of her independent living facility. Upon examination her lungs are clear to auscultation and no evidence of lower extremity edema.**

    **Discuss the following:**

    **1) In reviewing her medication list and current symptoms and clinical signs, which**

    **medication could the nurse practitioner consider de-prescribing.**

    **2) Once the patient has completed the prednisone taper, which medication could the nurse**

    **practitioner begin to reduce given the patient’s reported symptoms.**

    **3) Given the absence of an exacerbation of heart failure and compliance with a reduced**

    **sodium diet, what other medication(s) adjustments could the nurse practitioner consider at**

    **this time.**

    **Submission Instructions:**

    – **Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.**

    – a year ago

  • [Solved] practical nursing

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  • [Solved] practical nursing

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  • [Solved] Discussion Post

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