Tag: Nursing

  • [Solved] Health Promotion Assignement 5

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    – 2 years ago **files (2)** – ## Guidefordiabetrs.docx – ## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx **## Guidefordiabetrs.docx** The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-bas…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## Guidefordiabetrs.docx

    – ## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx

    **## Guidefordiabetrs.docx**

    The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems for

    **Diabetes Mellitus**

    **Your study guide must include:**

    · Definition, etiology

    · Occurrence/epidemiology

    · Clinical presentation

    · Diagnostic testing

    · Differential diagnosis

    · Non-pharmacological and pharmacological management and follow up

    Include resources and guidelines used for the elaboration of the study guide. Use the template.

    APA style 7th edition

    Attached is the template

    **## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

    | | | | | |
    | — | — | — | — | — |
    | Intussusception |
    | What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
    | Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
    | Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
    | Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
    | Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
    | 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
    | Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
    | Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
    | Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
    | References |
    | Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

    **## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

    | | | | | |
    | — | — | — | — | — |
    | Intussusception |
    | What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
    | Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
    | Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
    | Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
    | Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
    | 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
    | Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
    | Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
    | Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
    | References |
    | Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

    **## Guidefordiabetrs.docx**

    The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems for

    **Diabetes Mellitus**

    **Your study guide must include:**

    · Definition, etiology

    · Occurrence/epidemiology

    · Clinical presentation

    · Diagnostic testing

    · Differential diagnosis

    · Non-pharmacological and pharmacological management and follow up

    Include resources and guidelines used for the elaboration of the study guide. Use the template.

    APA style 7th edition

    Attached is the template

    **## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

    | | | | | |
    | — | — | — | — | — |
    | Intussusception |
    | What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
    | Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
    | Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
    | Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
    | Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
    | 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
    | Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
    | Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
    | Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
    | References |
    | Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

    **## Guidefordiabetrs.docx**

    The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems for

    **Diabetes Mellitus**

    **Your study guide must include:**

    · Definition, etiology

    · Occurrence/epidemiology

    · Clinical presentation

    · Diagnostic testing

    · Differential diagnosis

    · Non-pharmacological and pharmacological management and follow up

    Include resources and guidelines used for the elaboration of the study guide. Use the template.

    APA style 7th edition

    Attached is the template

    **## GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx**

    | | | | | |
    | — | — | — | — | — |
    | Intussusception |
    | What is it? | Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
    | Etiology | The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:<br>· Who have abdominal or intestinal tumors or masses<br>· Who have appendicitis |
    | Occurrence/Epidemiology | Children less than 3 years old, can also occur in older children, teenagers, and adults.<br>· Intussusception occurs more often in boys than girls. |
    | Clinical Presentation <br>_(subjective and physical examination)_ | Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable. | Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
    | Diagnostic Testing | X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. | Ultrasound: ‘Target Sign’<br>also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. | Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
    | 3 Differential Diagnosis <br>_(include difference between each differential diagnosis & the main diagnosis)_ | Intussusception:<br>Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. | Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.<br> <br>**No jelly like stool** | Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea<br> <br>**No jelly like stool** | Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.<br> <br>**No jelly like stool or masses.** |
    | Non-Pharmacologic Management | There are currently no nonpharmacological treatments. |
    | Pharmacologic Management | May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). <br>Antibiotics if infection present<br>Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created. |
    | Follow Up | With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
    | References |
    | Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from <br>[http://emedicine.medscape.com/article/930708-overview#a1](http://emedicine.medscape.com/article/930708-overview)<br>Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from <br>[https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s](https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s)<br>Epocrates. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from <br>[https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis](https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis)<br>Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |

  • [Solved] WK 8 RESP 2 EPID

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## WK8DISEPID.docx **## WK8DISEPID.docx** Systematic Reviews and Meta-Analyses ![A person in white protective suit and goggles looking at a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-8-resp-2-epid) Systematic reviews are an …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## WK8DISEPID.docx

    **## WK8DISEPID.docx**

    Systematic Reviews and Meta-Analyses

    ![A person in white protective suit and goggles looking at a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-8-resp-2-epid)

    Systematic reviews are an umbrella term for a number of different review designs, all with specific goals (e.g., identify scope of available research or gaps, reduce bias, statistically combine and analyze results from multiple studies). They differ from basic literature review articles that qualitatively summarize the literature on a topic and do not necessarily have inclusion or exclusion criteria.

    Epidemiological meta-analyses are quantitative types of systematic reviews, in which summary measures of exposure–outcome associations are calculated based on the results of a selection of existing studies. In other words, a meta-analysis statistically combines the results from multiple studies, with the goal of calculating more precise measures, increasing sample size, or reducing bias in the combined results. The goal of meta-analysis is to obtain a more robust understanding of the relationship between an exposure and a health outcome than could be obtained from a single study. While meta-analyses are considered to be strong research designs because of their formal, statistical characteristics, they are not without weakness or critics. For instance, existing studies included in a meta-analysis may have strengths and limitations of their own.

    For this Discussion, you examine the validity and strengths and limitations of systematic reviews and meta-analyses in epidemiological research.

    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/155998/modules/items/6259934)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-8-learning-resources?module_item_id=6259934)

    · Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F. (2018).
    [The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: A systematic review and meta-analysisLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F1474515117721561).
    _European Journal of Cardiovascular Nursing_,
    _17_(1), 6–22. https://doi.org/10.1177/1474515117721561

    · Seidler, A. L., Hunter, K. E., Cheyne, S., Berlin, J. A., Ghersi, D., & Askie, L. M. (2020).
    [Prospective meta-analyses and Cochrane's role in embracing next-generation methodologiesLinks to an external site.](https://doi.org/10.1002/14651858.ED000145).
    _Cochrane Database of Systematic Reviews_,
    _10_, ED000145. https://doi.org/10.1002/14651858.ED000145

    · Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021).
    [The PRISMA 2020 statement: An updated guideline for reporting systematic reviewsLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS0895435621000731%3F).
    _Journal of Clinical Epidemiology_,
    _134_, 178–189. https://doi.org/10.1016/j.jclinepi.2021.03.001

    · Haidich, A. B. (2010).
    [Meta-analysis in medical researchLinks to an external site.](https://www.hippokratia.gr/images/PDF/14Sup1/699.pdf).
    _Hippokratia, 14_ (Suppl. 1), 29–37. https://www.hippokratia.gr/images/PDF/14Sup1/699.pdf

    · Melnyk, B. M., Kelly, S. A., Stephens, J., Dhakal, K., McGovern, C., Tucker, S., Hoying, J., McRae, K., Ault, S., Spurlock, E., & Bird, S. B. (2020).
    [Interventions to improve mental health, well-being, physical health, and lifestyle behaviors in physicians and nurses: A systematic reviewLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1177%2F0890117120920451).
    _American Journal of Health Promotion_,
    _34_(8), 929–941. https://doi.org/10.1177/0890117120920451

    · Siddaway, A. P., Wood, A. M., & Hedges, L. V. (2019).
    [How to do a systematic review: A best practice guide for conducting and reporting narrative reviews, meta-analyses, and meta-synthesesLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fwww.annualreviews.org%2Fdoi%2Fabs%2F10.1146%2Fannurev-psych-010418-102803).
    _Annual Review of Psychology_,
    _70_, 747–770. https://doi.org/10.1146/annurev-psych-010418-102803

    [Previous](https://waldenu.instructure.com/courses/155998/modules/items/6259927)

    [Next](https://waldenu.instructure.com/courses/155998/modules/items/6259937)

    To prepare:

    · Review the studies and articles provided in the Learning Resources. Consider the strengths and limitations of systematic reviews and meta-analyses. Make sure you are clear on the difference between the two approaches.

    By Day 3 of Week 8

    **Post** a brief summary of your informed opinion regarding the validity of the use of systematic reviews
    **and** meta-analyses in epidemiological research. Include
    **at least two** strengths or limitations of each technique. Provide evidence from
    **at least one** of the articles in the Learning Resources to support and justify your position.

    By Day 6 of Week 8

    **Post** substantive responses to
    **at least two** colleagues
    **on two different days** who expressed a differing view to your own in their initial post. Include information from the Learning Resources in your responses as appropriate. You may expand on your peer’s posting with additional insight and resources about meta-analyses, ask a question to further the Discussion, or offer polite disagreement or critique, supported with evidence. You may also make a suggestion or comment that guides or facilitates the Discussion.

    RESPOND TO THIS DISCUSSION POST

    Simon

    Systematic reviews and Meta-analyses

    Systematic reviews and meta-analyses are regarded as gold standards in evidence-based epidemiological research due to their structured methodology and comprehensive synthesis of available data. However, other types of literature reviews—such as narrative reviews, scoping reviews, and rapid reviews—also contribute meaningfully to the research landscape, each with distinct strengths and limitations.

    **Systematic reviews** use predefined protocols to identify, appraise, and synthesize all relevant studies on a specific topic. One strength is their rigorous and reproducible approach, which minimizes bias and enhances the credibility of the findings (Page et al., 2021). Another strength is their ability to provide a high level of evidence that can guide clinical practice and policymaking. However, systematic reviews are often time-consuming and resource intensive. They also depend heavily on the quality of the included studies—poor-quality inputs can lead to unreliable conclusions (Haidich, 2010).

    **Meta-analyses** build on systematic reviews by statistically combining data from multiple studies. Their strengths include increased statistical power and the ability to detect small but clinically significant effects (Haidich, 2010). They also help in generalizing findings across diverse populations. Limitations include heterogeneity between studies (differences in populations, interventions, or outcomes), which can complicate interpretation. Additionally, meta-analyses can be skewed by publication bias or inclusion of low-quality studies (Seidler et al., 2020).

    The study by Driscoll et al. (2018) exemplifies how a systematic review and meta-analysis can produce compelling evidence—in this case, the association between nurse-to-patient ratios and patient outcomes in acute care settings. The review’s robust methodology and statistical synthesis allowed the authors to conclude that better staffing is associated with improved patient outcomes, which is valuable for healthcare planning and workforce policy.

    Besides systematic reviews and meta-analyses,
    **narrative reviews** are another common type. These are more flexible and provide a broad overview of a topic, often including expert opinions. While they are useful for theory development or exploring emerging areas, they are more susceptible to author bias due to the lack of a standardized methodology (Grant & Booth, 2009).

    **Scoping reviews** aim to map the existing literature on a topic and identify key concepts, gaps, and types of evidence available. They are particularly useful in areas with emerging evidence or interdisciplinary research. However, scoping reviews typically do not assess the quality of the included studies or provide detailed synthesis, limiting their utility for evidence-based practice (Munn et al., 2018).

    In conclusion, while systematic reviews and meta-analyses offer a high level of evidence and are integral to epidemiological research, other types of reviews also serve valuable purposes depending on the research objective. Each type has its strengths and limitations, and the choice of review should align with the goals, resources, and maturity of the research topic.

    **References**

    Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F. (2018). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: A systematic review and meta-analysis.
    _European Journal of Cardiovascular Nursing, 17_(1), 6–22.
    [https://doi.org/10.1177/1474515117721561Links to an external site.](https://doi.org/10.1177/1474515117721561)

    Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies.
    _Health Information & Libraries Journal, 26_(2), 91–108. https://doi.org/10.1111/j.1471-1842.2009.00848.x

    Haidich, A. B. (2010). Meta-analysis in medical research.
    _Hippokratia, 14_(Suppl. 1), 29–37.
    [https://www.hippokratia.gr/images/PDF/14Sup1/699.pdfLinks to an external site.](https://www.hippokratia.gr/images/PDF/14Sup1/699.pdf)

    Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach.
    _BMC Medical Research Methodology, 18_, 143. https://doi.org/10.1186/s12874-018-0611-x

    Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.
    _Journal of Clinical Epidemiology, 134_, 178–189.
    [https://doi.org/10.1016/j.jclinepi.2021.03.001Links to an external site.](https://doi.org/10.1016/j.jclinepi.2021.03.001)

    Seidler, A. L., Hunter, K. E., Cheyne, S., Berlin, J. A., Ghersi, D., & Askie, L. M. (2020). Prospective meta-analyses and Cochrane's role in embracing next-generation methodologies.
    _Cochrane Database of Systematic Reviews, 10_, ED000145.
    [https://doi.org/10.1002/14651858.ED000145Links to an external site.](https://doi.org/10.1002/14651858.ED000145)

    ## image1.jpeg

    **## WK8DISEPID.docx**

    Systematic Reviews and Meta-Analyses

    ![A person in white protective suit and goggles looking at a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-8-resp-2-epid)

    Systematic reviews are an umbrella term for a number of different review designs, all with specific goals (e.g., identify scope of available research or gaps, reduce bias, statistically combine and analyze results from multiple studies). They differ from basic literature review articles that qualitatively summarize the literature on a topic and do not necessarily have inclusion or exclusion criteria.

    Epidemiological meta-analyses are quantitative types of systematic reviews, in which summary measures of exposure–outcome associations are calculated based on the results of a selection of existing studies. In other words, a meta-analysis statistically combines the results from multiple studies, with the goal of calculating more precise measures, increasing sample size, or reducing bias in the combined results. The goal of meta-analysis is to obtain a more robust understanding of the relationship between an exposure and a health outcome than could be obtained from a single study. While meta-analyses are considered to be strong research designs because of their formal, statistical characteristics, they are not without weakness or critics. For instance, existing studies included in a meta-analysis may have strengths and limitations of their own.

    For this Discussion, you examine the validity and strengths and limitations of systematic reviews and meta-analyses in epidemiological research.

    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/155998/modules/items/6259934)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-8-learning-resources?module_item_id=6259934)

    · Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F. (2018).
    [The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: A systematic review and meta-analysisLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F1474515117721561).
    _European Journal of Cardiovascular Nursing_,
    _17_(1), 6–22. https://doi.org/10.1177/1474515117721561

    · Seidler, A. L., Hunter, K. E., Cheyne, S., Berlin, J. A., Ghersi, D., & Askie, L. M. (2020).
    [Prospective meta-analyses and Cochrane's role in embracing next-generation methodologiesLinks to an external site.](https://doi.org/10.1002/14651858.ED000145).
    _Cochrane Database of Systematic Reviews_,
    _10_, ED000145. https://doi.org/10.1002/14651858.ED000145

    · Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021).
    [The PRISMA 2020 statement: An updated guideline for reporting systematic reviewsLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS0895435621000731%3F).
    _Journal of Clinical Epidemiology_,
    _134_, 178–189. https://doi.org/10.1016/j.jclinepi.2021.03.001

    · Haidich, A. B. (2010).
    [Meta-analysis in medical researchLinks to an external site.](https://www.hippokratia.gr/images/PDF/14Sup1/699.pdf).
    _Hippokratia, 14_ (Suppl. 1), 29–37. https://www.hippokratia.gr/images/PDF/14Sup1/699.pdf

    · Melnyk, B. M., Kelly, S. A., Stephens, J., Dhakal, K., McGovern, C., Tucker, S., Hoying, J., McRae, K., Ault, S., Spurlock, E., & Bird, S. B. (2020).
    [Interventions to improve mental health, well-being, physical health, and lifestyle behaviors in physicians and nurses: A systematic reviewLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1177%2F0890117120920451).
    _American Journal of Health Promotion_,
    _34_(8), 929–941. https://doi.org/10.1177/0890117120920451

    · Siddaway, A. P., Wood, A. M., & Hedges, L. V. (2019).
    [How to do a systematic review: A best practice guide for conducting and reporting narrative reviews, meta-analyses, and meta-synthesesLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https%3A%2F%2Fwww.annualreviews.org%2Fdoi%2Fabs%2F10.1146%2Fannurev-psych-010418-102803).
    _Annual Review of Psychology_,
    _70_, 747–770. https://doi.org/10.1146/annurev-psych-010418-102803

    [Previous](https://waldenu.instructure.com/courses/155998/modules/items/6259927)

    [Next](https://waldenu.instructure.com/courses/155998/modules/items/6259937)

    To prepare:

    · Review the studies and articles provided in the Learning Resources. Consider the strengths and limitations of systematic reviews and meta-analyses. Make sure you are clear on the difference between the two approaches.

    By Day 3 of Week 8

    **Post** a brief summary of your informed opinion regarding the validity of the use of systematic reviews
    **and** meta-analyses in epidemiological research. Include
    **at least two** strengths or limitations of each technique. Provide evidence from
    **at least one** of the articles in the Learning Resources to support and justify your position.

    By Day 6 of Week 8

    **Post** substantive responses to
    **at least two** colleagues
    **on two different days** who expressed a differing view to your own in their initial post. Include information from the Learning Resources in your responses as appropriate. You may expand on your peer’s posting with additional insight and resources about meta-analyses, ask a question to further the Discussion, or offer polite disagreement or critique, supported with evidence. You may also make a suggestion or comment that guides or facilitates the Discussion.

    RESPOND TO THIS DISCUSSION POST

    Simon

    Systematic reviews and Meta-analyses

    Systematic reviews and meta-analyses are regarded as gold standards in evidence-based epidemiological research due to their structured methodology and comprehensive synthesis of available data. However, other types of literature reviews—such as narrative reviews, scoping reviews, and rapid reviews—also contribute meaningfully to the research landscape, each with distinct strengths and limitations.

    **Systematic reviews** use predefined protocols to identify, appraise, and synthesize all relevant studies on a specific topic. One strength is their rigorous and reproducible approach, which minimizes bias and enhances the credibility of the findings (Page et al., 2021). Another strength is their ability to provide a high level of evidence that can guide clinical practice and policymaking. However, systematic reviews are often time-consuming and resource intensive. They also depend heavily on the quality of the included studies—poor-quality inputs can lead to unreliable conclusions (Haidich, 2010).

    **Meta-analyses** build on systematic reviews by statistically combining data from multiple studies. Their strengths include increased statistical power and the ability to detect small but clinically significant effects (Haidich, 2010). They also help in generalizing findings across diverse populations. Limitations include heterogeneity between studies (differences in populations, interventions, or outcomes), which can complicate interpretation. Additionally, meta-analyses can be skewed by publication bias or inclusion of low-quality studies (Seidler et al., 2020).

    The study by Driscoll et al. (2018) exemplifies how a systematic review and meta-analysis can produce compelling evidence—in this case, the association between nurse-to-patient ratios and patient outcomes in acute care settings. The review’s robust methodology and statistical synthesis allowed the authors to conclude that better staffing is associated with improved patient outcomes, which is valuable for healthcare planning and workforce policy.

    Besides systematic reviews and meta-analyses,
    **narrative reviews** are another common type. These are more flexible and provide a broad overview of a topic, often including expert opinions. While they are useful for theory development or exploring emerging areas, they are more susceptible to author bias due to the lack of a standardized methodology (Grant & Booth, 2009).

    **Scoping reviews** aim to map the existing literature on a topic and identify key concepts, gaps, and types of evidence available. They are particularly useful in areas with emerging evidence or interdisciplinary research. However, scoping reviews typically do not assess the quality of the included studies or provide detailed synthesis, limiting their utility for evidence-based practice (Munn et al., 2018).

    In conclusion, while systematic reviews and meta-analyses offer a high level of evidence and are integral to epidemiological research, other types of reviews also serve valuable purposes depending on the research objective. Each type has its strengths and limitations, and the choice of review should align with the goals, resources, and maturity of the research topic.

    **References**

    Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F. (2018). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: A systematic review and meta-analysis.
    _European Journal of Cardiovascular Nursing, 17_(1), 6–22.
    [https://doi.org/10.1177/1474515117721561Links to an external site.](https://doi.org/10.1177/1474515117721561)

    Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies.
    _Health Information & Libraries Journal, 26_(2), 91–108. https://doi.org/10.1111/j.1471-1842.2009.00848.x

    Haidich, A. B. (2010). Meta-analysis in medical research.
    _Hippokratia, 14_(Suppl. 1), 29–37.
    [https://www.hippokratia.gr/images/PDF/14Sup1/699.pdfLinks to an external site.](https://www.hippokratia.gr/images/PDF/14Sup1/699.pdf)

    Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach.
    _BMC Medical Research Methodology, 18_, 143. https://doi.org/10.1186/s12874-018-0611-x

    Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.
    _Journal of Clinical Epidemiology, 134_, 178–189.
    [https://doi.org/10.1016/j.jclinepi.2021.03.001Links to an external site.](https://doi.org/10.1016/j.jclinepi.2021.03.001)

    Seidler, A. L., Hunter, K. E., Cheyne, S., Berlin, J. A., Ghersi, D., & Askie, L. M. (2020). Prospective meta-analyses and Cochrane's role in embracing next-generation methodologies.
    _Cochrane Database of Systematic Reviews, 10_, ED000145.
    [https://doi.org/10.1002/14651858.ED000145Links to an external site.](https://doi.org/10.1002/14651858.ED000145)

    ## image1.jpeg

  • [Solved] WEEK 7RE

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    #1 Elliot, R. (2025) state nurses have a crucial role in advocating for change at various levels to improve healthcare and the nursing profession. Participating in organizations like the American Nurses Association (ANA) or state-level nursing associations provides a collective voice to lobby policy…

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    #1

    Elliot, R. (2025) state nurses have a crucial role in advocating for change at various levels to improve healthcare and the nursing profession. Participating in organizations like the American Nurses Association (ANA) or state-level nursing associations provides a collective voice to lobby policymakers, develop policy agendas, and advocate for nurses' interests and patient care standards. These organizations often have dedicated government affairs teams that work on behalf of nurses. On a local level nurses can join community-based organizations focused on specific health issues such as maternal health, substance abuse to advocate for local policy changes and resource allocation. On a state level joining state nursing associations will actively lobby state legislatures on issues affecting nursing practice, patient safety, and healthcare funding. Communicating with state representatives and senators about pending healthcare legislation and sharing the impact on nurses and patients. Sharing information with candidates about the importance of specific healthcare legislation, such as S.891- Bipartisan Health Care Act (Pending Bill), and how it would impact their constituents. This can involve meetings, letters, and providing data and personal stories (2025).

    Does understanding a candidate's stance on health and healthcare matter? Absolutely. Understanding a candidate's position on health and healthcare is crucial for several reasons. Healthcare legislation directly affects how nurses provide care, the resources available, and the policies that govern their practice. Elected officials make decisions that shape the overall health and well-being of the population they serve. By understanding a candidate's stance, nurses can make informed decisions when voting and advocate for candidates who will support policies that promote quality patient care, a strong nursing workforce, and a healthy society (Han, 2020).

    An activist is a person who believes strongly in political or social change and takes part in activities such as public protests, lobbying, campaigning, or other forms of advocacy to make that change happen. The role of a nurse as an activist involves leveraging their professional knowledge, ethical obligations, and trusted position in society to advocate for policies and changes that improve patient care, public health, and the nursing profession itself. A nurse activist uses their unique perspective and skills to be a catalyst for positive change in healthcare and society, recognizing that their role extends beyond direct patient care to encompass broader issues of health, well-being, and social justice (Han, 2020).

    #2

    As nurses, we hold a unique and powerful voice in advocating for healthcare changes. We can make a difference in many wonderful ways, such as participating in policy discussions, joining professional organizations, and engaging with our communities (Mason et al., 2020). Becoming politically active is as simple as attending and sharing our thoughts at city council or county health board meetings. Many organizations, such as the American Nurses Association, offer great support for healthcare advocacy and work to push legislation forward. Additionally, it's important to host or participate in public forums and town halls, which are great opportunities to educate the public about critical healthcare issues.

    Nurses can advocate for healthcare legislation during elections by educating voters about candidates' positions on health-related issues, participating in voter registration drives aimed at healthcare workers and patients, and utilizing social media platforms like Instagram and Twitter to raise awareness of healthcare issues and promote political engagement (Turale et al., 2019).   I believe it's important for us as nurses to understand the candidate’s views on health and healthcare. When we vote with knowledge, we can help ensure that those we elect prioritize health equity and patient safety and advocate for nurses (NLN, 2020). This truly matters because it impacts funding, staffing ratios, and access to care. Plus, it shapes policies around mental health and reproductive health while also influencing the working conditions for nurses and the overall quality of care we provide (Robert Wood Johnson Foundation, 2018).

    An activist is an individual who endeavors to effectuate social or political change, frequently through organized initiatives such as protests, campaigns, or public educational efforts (Florell, 2021).  Nurse activists combine their clinical expertise with civic participation to contribute to advancing the healthcare system toward a more just and equitable direction. A nurse activist advocates for social justice within the healthcare sector and undertakes measures to enhance working conditions, patient safety, and access to care. They raise awareness concerning issues such as health disparities, racial inequities, and access to mental health services. Furthermore, nurse activists may engage in lobbying, education, or community organizations to promote health policy reforms (Cruz et al., 2020).

    – 2 years ago

  • [Solved] Week 7 tiff

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    Executive Solution Overview

    Week 7 tiff – 2 years ago **files (1)** – ## Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF **## Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF** NU 700 Assignment: Unit 7 – KTA Part 3 Evaluation Measures Instructions: Utilize the template to provide responses to each pro…

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    Assignment Prompt & Instructions

    Week 7 tiff

    – 2 years ago

    **files (1)**

    – ## Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF

    **## Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF**

    NU 700 Assignment: Unit 7 – KTA Part 3 Evaluation Measures

    Instructions: Utilize the template to provide responses to each prompt. Please do not include a cover/title page for the assignment.

    NAME OF

    STUDENT:

    Part 1: Questions

    Questions: Type Answers in the Spaces below
    1. Describe the practice problem you

    identified for the Unit 4 assignment
    (with in-text citation)

    2. Provide a brief overview of the alternate
    intervention you identified for the Unit 5
    assignment (with in-text citations)

    3. Provide a succinct Aim Statement for the
    improvement process you would launch
    for implementing your identified
    alternate intervention. Use the link below
    to access IHI Worksheet to guide
    creation of this succinct (one line)
    statement.
    https://www.ihi.org/sites/default/files/2023-
    11/IHITool_Aim-Statement-Worksheet.pdf

    4. Discuss who will be involved in the
    improvement process, and why. Utilize a
    minimum of one resource to support this
    discussion (in-text citation).

    5. What measure(s) will you utilize to
    evaluate the outcome of implementing
    your identified alternate intervention?
    Provide a rationale why you
    selected/identified the measure(s). Use

    [https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf)

    [https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf)

    the link below to access IHI’s resource on
    Improvement Measures.
    https://www.ihi.org/how-improve-model-
    improvement-establishing-measures

    6. What is your desired outcome from
    implementing your alternate
    intervention?

    Part 2: APA Reference List

    Please provide a minimum of 3 APA references that correspond with citations within the table. Use APA format.

    References

    [https://www.ihi.org/how-improve-model-improvement-establishing-measures](https://www.ihi.org/how-improve-model-improvement-establishing-measures)

    [https://www.ihi.org/how-improve-model-improvement-establishing-measures](https://www.ihi.org/how-improve-model-improvement-establishing-measures)

    **## Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF**

    NU 700 Assignment: Unit 7 – KTA Part 3 Evaluation Measures

    Instructions: Utilize the template to provide responses to each prompt. Please do not include a cover/title page for the assignment.

    NAME OF

    STUDENT:

    Part 1: Questions

    Questions: Type Answers in the Spaces below
    1. Describe the practice problem you

    identified for the Unit 4 assignment
    (with in-text citation)

    2. Provide a brief overview of the alternate
    intervention you identified for the Unit 5
    assignment (with in-text citations)

    3. Provide a succinct Aim Statement for the
    improvement process you would launch
    for implementing your identified
    alternate intervention. Use the link below
    to access IHI Worksheet to guide
    creation of this succinct (one line)
    statement.
    https://www.ihi.org/sites/default/files/2023-
    11/IHITool_Aim-Statement-Worksheet.pdf

    4. Discuss who will be involved in the
    improvement process, and why. Utilize a
    minimum of one resource to support this
    discussion (in-text citation).

    5. What measure(s) will you utilize to
    evaluate the outcome of implementing
    your identified alternate intervention?
    Provide a rationale why you
    selected/identified the measure(s). Use

    [https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf)

    [https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf](https://www.ihi.org/sites/default/files/2023-11/IHITool_Aim-Statement-Worksheet.pdf)

    the link below to access IHI’s resource on
    Improvement Measures.
    https://www.ihi.org/how-improve-model-
    improvement-establishing-measures

    6. What is your desired outcome from
    implementing your alternate
    intervention?

    Part 2: APA Reference List

    Please provide a minimum of 3 APA references that correspond with citations within the table. Use APA format.

    References

    [https://www.ihi.org/how-improve-model-improvement-establishing-measures](https://www.ihi.org/how-improve-model-improvement-establishing-measures)

    [https://www.ihi.org/how-improve-model-improvement-establishing-measures](https://www.ihi.org/how-improve-model-improvement-establishing-measures)

  • [Solved] Week 7 peds discussion and tables

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    Complete 5 tables using APA format and evidence practice Complete case study and answer all 3 questions using APA format Due in 12 hours – [\ \ Week7DiscussionPartIPEDS.docx](https://www.sweetstudy.com/files/week7discussionpartipeds-docx "Week7DiscussionPartIPEDS.docx") – 2 years ago

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    Assignment Prompt & Instructions

    Complete 5 tables using APA format and evidence practice

    Complete case study and answer all 3 questions using APA format

    Due in 12 hours

    – [\
    \
    Week7DiscussionPartIPEDS.docx](https://www.sweetstudy.com/files/week7discussionpartipeds-docx "Week7DiscussionPartIPEDS.docx")

    – 2 years ago

  • [Solved] Trans wk8assign

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    – Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery. – Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provi…

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    Assignment Prompt & Instructions

    – Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
    – Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
    – Identify and select 4 peer-reviewed research articles from your research.

    – 2 years ago

  • [Solved] Roch unit 8

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    Roch unit 8 – 2 years ago **files (1)** – ## UNIT8DISCUSSION.docx **## UNIT8DISCUSSION.docx** UNIT 8 DISCUSSION Instructions: For each of the learning objectives, provide an analysis of how the course supported each objective. 1. Discriminate among the mechanisms of action for the major classes of …

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    Assignment Prompt & Instructions

    Roch unit 8

    – 2 years ago

    **files (1)**

    – ## UNIT8DISCUSSION.docx

    **## UNIT8DISCUSSION.docx**

    UNIT 8 DISCUSSION

    Instructions:

    For each of the learning objectives, provide an analysis of how the course supported each objective.

    1. Discriminate among the mechanisms of action for the major classes of drugs/medications

    2. Critique evidence that supports proposed pharmacotherapeutic protocols for appropriateness of application across the lifespan

    3. Integrate the teaching-learning needs of clients across the lifespan when proposing pharmacotherapies

    4. Propose prescriptive therapies for selected clients evaluating safety factors while utilizing knowledge of how current health status, age, gender, culture, genetic factors, ethical concerns and prescriptive authority impact decision making

    Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

    Provide evidence (citations and references) to support your statements and opinions.

    All references and citations should in APA format.

    This Unit 8 discussion post does not require any peer responses and must be submitted by Tuesday at 11:59am (noon) of week 8.

    Estimated time to complete: 1 hour

    **## UNIT8DISCUSSION.docx**

    UNIT 8 DISCUSSION

    Instructions:

    For each of the learning objectives, provide an analysis of how the course supported each objective.

    1. Discriminate among the mechanisms of action for the major classes of drugs/medications

    2. Critique evidence that supports proposed pharmacotherapeutic protocols for appropriateness of application across the lifespan

    3. Integrate the teaching-learning needs of clients across the lifespan when proposing pharmacotherapies

    4. Propose prescriptive therapies for selected clients evaluating safety factors while utilizing knowledge of how current health status, age, gender, culture, genetic factors, ethical concerns and prescriptive authority impact decision making

    Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

    Provide evidence (citations and references) to support your statements and opinions.

    All references and citations should in APA format.

    This Unit 8 discussion post does not require any peer responses and must be submitted by Tuesday at 11:59am (noon) of week 8.

    Estimated time to complete: 1 hour

  • [Solved] Roch headache

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    Roche headache – 2 years ago **files (1)** – ## HEADACHES1-4.docx **## HEADACHES1-4.docx** nstructions: For each scenario, please provide the following: • Identify the type of headache • Write your specific prescription(s) for the patient. (This must include the medication name, dose, route, and fre…

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    Assignment Prompt & Instructions

    Roche headache

    – 2 years ago

    **files (1)**

    – ## HEADACHES1-4.docx

    **## HEADACHES1-4.docx**

    nstructions:
    For each scenario, please provide the following:
    • Identify the type of headache
    • Write your specific prescription(s) for the patient. (This must include the medication
    name, dose, route, and frequency as well as any special instructions that apply as you
    would include when writing a prescription).
    • Provide a rationale for your treatment plan.
    • Describe the patient education you would provide in relation to your treatment plan.
    • Support your plan and education for each scenario with a minimum of two scholarly
    references.

    Scenario 1:
    Ms. Jane Carter is a 28-year-old female who presents for evaluation of headaches. She
    is slightly pale and appears sensitive to the bright lights in the consultation room on exam. She
    reports “I’ve been getting these really bad headaches, and they are making it difficult to
    complete by work.”
    Ms. Carter reports experiencing headaches intermittent since she was a teenager, but
    they are more frequent in the last six months. She is experiencing 4 to 5 headaches a month
    that are lasting from 24 to 48 hours each. The headaches are generally on the right side of her
    head and feel like a severe throbbing sensation which she rates as 8 out of 10 pain. She
    occasional has nausea and notices she is too sensitive to light and noise to continue to work.
    She states her visions seems odd and she will sometimes see zigzag lines in her vision for about
    30 minutes before the headaches begin. She has tried Tylenol, ibuprofen and Excedrin over the
    counter without adequate relief. She is not currently taking any other medications.

    Scenario 2:
    Ms. Emily Parker is a 38-year-old female who presents for evaluation of recurring
    headaches. Ms. Parker appears alert but mildly fatigues and reports “I’ve been getting dull
    headaches almost every day which are very annoying.”
    Ms. Parker has a history of mild to moderate headaches for the past six months that
    occur on four to 5 days per week and typically last for three to four hours. She describes the
    headaches as bilateral and starting at the back of the head, radiating to the forehead. The
    headaches are a dull, pressing headache with a sensation of something tightening around her
    head that she rates as a 5 out of 10 pain. She has tried acetaminophen over the counter when

    they come on, but this doesn’t seem to help. She does usually feel better if she can rest in a
    quiet room for an hour, but her job does not always allow her to do this.

    Scenario 3:
    Mr. James Thompson is a 46-year-old male who presents for evaluation of headaches.
    He reports “I’ve been having chronic difficulty with headache, and they seem to be getting
    worse.”
    Mr. Thompson has a past medical history of hypertension and a myocardial infarction at
    the age of 29. He is currently taking losartan 50mg daily, verapamil SR 100mg daily, Carvedilol
    25mg twice daily, Atorvastatin 40mg at bedtime and topiramate 50mg twice daily.
    Mr. Thompson reports a history of headaches past 20 years and a previous diagnosis of
    migraines. He is currently taking topiramate 50mg twice daily for headache prevention, but
    reports that in the last four months the headaches have increased in frequency to four to five
    headaches per month and he has been taking Excedrin migraine OTC without relief. The
    headaches are described as a painful throbbing and pressure over the left temple and he rates
    them at a 9 out of 10 pain. The headaches tend to last for 12 to 24 hours at a time. His
    neurologic exam in the office is normal today.

    Scenario 4:
    Mr. Michael Davis is a 41-year-old male who presents to the clinic for evaluation of
    severe headaches. Mr. Davis appears distressed and exhausted and he is pacing in the exam
    room and occasionally rubbing his right temple. He reports “I’ve been having these horrible
    headaches on and off for the past few weeks. The come out of nowhere and feel like someone
    is stabbing me in the eye.”
    Mr. Davis describes a two-week history of severe headaches occurring one to two times
    daily lasting for about 45 minutes to an hour each time. The headaches started up abruptly
    after a two-year headache-free period. He describes them as strictly unilateral, centering
    around his right eye and temple with excruciating, sharp, burning pain. They are severe and he
    rates them at 10 out of 10 pain. He also experiences some redness of the eye, watering of the
    eye and runny nose when the symptoms occur. Nothing seems to help when the headaches
    come on, though he’s tried Tylenol and ibuprofen. He has no other past medical history

    **## HEADACHES1-4.docx**

    nstructions:
    For each scenario, please provide the following:
    • Identify the type of headache
    • Write your specific prescription(s) for the patient. (This must include the medication
    name, dose, route, and frequency as well as any special instructions that apply as you
    would include when writing a prescription).
    • Provide a rationale for your treatment plan.
    • Describe the patient education you would provide in relation to your treatment plan.
    • Support your plan and education for each scenario with a minimum of two scholarly
    references.

    Scenario 1:
    Ms. Jane Carter is a 28-year-old female who presents for evaluation of headaches. She
    is slightly pale and appears sensitive to the bright lights in the consultation room on exam. She
    reports “I’ve been getting these really bad headaches, and they are making it difficult to
    complete by work.”
    Ms. Carter reports experiencing headaches intermittent since she was a teenager, but
    they are more frequent in the last six months. She is experiencing 4 to 5 headaches a month
    that are lasting from 24 to 48 hours each. The headaches are generally on the right side of her
    head and feel like a severe throbbing sensation which she rates as 8 out of 10 pain. She
    occasional has nausea and notices she is too sensitive to light and noise to continue to work.
    She states her visions seems odd and she will sometimes see zigzag lines in her vision for about
    30 minutes before the headaches begin. She has tried Tylenol, ibuprofen and Excedrin over the
    counter without adequate relief. She is not currently taking any other medications.

    Scenario 2:
    Ms. Emily Parker is a 38-year-old female who presents for evaluation of recurring
    headaches. Ms. Parker appears alert but mildly fatigues and reports “I’ve been getting dull
    headaches almost every day which are very annoying.”
    Ms. Parker has a history of mild to moderate headaches for the past six months that
    occur on four to 5 days per week and typically last for three to four hours. She describes the
    headaches as bilateral and starting at the back of the head, radiating to the forehead. The
    headaches are a dull, pressing headache with a sensation of something tightening around her
    head that she rates as a 5 out of 10 pain. She has tried acetaminophen over the counter when

    they come on, but this doesn’t seem to help. She does usually feel better if she can rest in a
    quiet room for an hour, but her job does not always allow her to do this.

    Scenario 3:
    Mr. James Thompson is a 46-year-old male who presents for evaluation of headaches.
    He reports “I’ve been having chronic difficulty with headache, and they seem to be getting
    worse.”
    Mr. Thompson has a past medical history of hypertension and a myocardial infarction at
    the age of 29. He is currently taking losartan 50mg daily, verapamil SR 100mg daily, Carvedilol
    25mg twice daily, Atorvastatin 40mg at bedtime and topiramate 50mg twice daily.
    Mr. Thompson reports a history of headaches past 20 years and a previous diagnosis of
    migraines. He is currently taking topiramate 50mg twice daily for headache prevention, but
    reports that in the last four months the headaches have increased in frequency to four to five
    headaches per month and he has been taking Excedrin migraine OTC without relief. The
    headaches are described as a painful throbbing and pressure over the left temple and he rates
    them at a 9 out of 10 pain. The headaches tend to last for 12 to 24 hours at a time. His
    neurologic exam in the office is normal today.

    Scenario 4:
    Mr. Michael Davis is a 41-year-old male who presents to the clinic for evaluation of
    severe headaches. Mr. Davis appears distressed and exhausted and he is pacing in the exam
    room and occasionally rubbing his right temple. He reports “I’ve been having these horrible
    headaches on and off for the past few weeks. The come out of nowhere and feel like someone
    is stabbing me in the eye.”
    Mr. Davis describes a two-week history of severe headaches occurring one to two times
    daily lasting for about 45 minutes to an hour each time. The headaches started up abruptly
    after a two-year headache-free period. He describes them as strictly unilateral, centering
    around his right eye and temple with excruciating, sharp, burning pain. They are severe and he
    rates them at 10 out of 10 pain. He also experiences some redness of the eye, watering of the
    eye and runny nose when the symptoms occur. Nothing seems to help when the headaches
    come on, though he’s tried Tylenol and ibuprofen. He has no other past medical history

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    – 2 years ago **files (3)** – ## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf – ## cf_example_applying_library_research_skills1.pdf – ## Assignment2instructions.docx **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf** Assessment 02 – Applying Rese…

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    – 2 years ago

    **files (3)**

    – ## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf

    – ## cf_example_applying_library_research_skills1.pdf

    – ## Assignment2instructions.docx

    **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf**

    Assessment 02 – Applying Research Skills

    For this assessment, you will research best practices related to a current health care
    problem. Your selected problem or issue may be utilized again in a future assessment.
    Before you complete the instructions detailed in the courseroom, first select one of the
    following health care problems or issues:

    • Mental Health Stigma
    o Description: Many individuals with mental health conditions face stigma and

    discrimination, which can prevent them from seeking help and receiving
    appropriate care. This stigma can be perpetuated by societal attitudes, lack of
    awareness, and misinformation about mental health.

    o Interventions: Public awareness campaigns, mental health education in schools,
    workplace mental health programs, peer support groups, policy changes to
    protect individuals with mental health conditions, and training for healthcare
    providers on mental health issues.

    o Keywords: Mental health awareness, stigma reduction, mental health education,
    peer support, mental health policy, workplace mental health, mental health
    training, mental health services, mental health advocacy.

    • Chronic Disease Management
    o Description: Managing chronic diseases such as diabetes, hypertension, and

    heart disease can be challenging due to the need for ongoing medical care,
    lifestyle changes, and medication adherence. Poor management of chronic
    diseases can lead to complications and reduced quality of life.

    o Interventions: Patient education programs, chronic disease self-management
    workshops, telehealth for regular monitoring, integrated care models, community
    health programs, mobile health applications, and support for lifestyle changes
    such as diet and exercise.

    o Keywords: Chronic disease management, patient education, self-management,
    telehealth, integrated care, community health, mobile health, lifestyle changes,
    chronic disease prevention, chronic disease support.

    After you have selected one of the problems/issues from the list above, return to the detailed
    instructions in the courseroom to complete your assessment.

    1

    **## cf_example_applying_library_research_skills1.pdf**

    1

    Applying Library Research Skills

    Your Name

    Capella University

    NURS-FPX4000: Developing a Nursing Perspective

    Instructor Name

    Month, Year

    2

    Healthcare Disparities

    Healthcare disparities among individuals from low socio-economic status (SES) have been a

    persistent issue, requiring attention and intervention from healthcare professionals, especially nurses.

    This paper aims to provide an overview of the topic's professional relevance to nursing. The process of

    article selection through library databases assessing the credibility of selected articles and an annotated

    bibliography of three peer-reviewed journal articles, highlighting key findings related to healthcare

    disparities for those with low SES is the focus of this paper. The paper concludes with reflections on the

    learnings derived from developing an annotated bibliography on this critical healthcare issue.

    Professional Relevance

    Nurses play a crucial role in addressing healthcare disparities, particularly for individuals from low

    SES. The social determinants of health, such as income, education, and living conditions, significantly impact

    health outcomes. Nurses, being at the forefront of patient care, must be equipped with the knowledge

    and skills to recognize, address, and advocate for vulnerable populations. Understanding healthcare

    disparities allows nurses to provide culturally competent care, contribute to policy changes, and engage

    in community-based interventions to improve health equity.

    Article Selection Process

    To compile relevant literature on healthcare disparities for individuals with low SES, a systematic

    approach to article selection is essential. Through the Capella Library, I was able to utilize various

    databases, such as PubMed and CINAHL. I limited my search by using appropriate key terms. Key terms

    included 'healthcare disparities,' 'low socio-economic status,' 'access to healthcare,' and 'nursing

    interventions.' I also used Boolean operators (AND, OR, NOT) to enhance the search results. Filtering

    results to peer-reviewed articles ensured the reliability and academic rigor of the selected literature. I

    also limited the search to articles published within the past three years to ensure they were current.

    3

    Assessing Credibility

    Evaluating the credibility of selected articles is important. Criteria for credibility assessment

    include examining the author's qualifications, the source's reputation, and the presence of a peer-review

    process. Reviewing the methodology, data sources, and potential biases within the articles is crucial. The

    use of reputable journals, academic institutions, and established researchers enhances the credibility of the

    selected articles, ensuring the information is evidence-based and reliable.

    Annotated Bibliography

    Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on health

    outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91.

    https://doi.org/10.1111/hex.12487

    This longitudinal study examines the relationship between low socioeconomic status (SES) and

    limited public transportation. Limited financial resources often hinder access to private

    transportation, making it difficult for vulnerable populations to reach healthcare facilities promptly.

    Reliable and affordable public transportation can help ensure individuals can attend medical

    appointments, access preventive care, and adhere to treatment plans.

    Lack of transportation can lead to delayed or missed healthcare appointments, exacerbating

    health issues and contributes to disparities in health outcomes (Garcia et al., 2023). Public

    transportation not only facilitates timely access to healthcare services but also promotes

    preventive care, reducing the burden on emergency services. Reliable public transportation

    enhances overall community health by connecting individuals to resources such as pharmacies,

    grocery stores, and community centers.

    4

    Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic

    review. Journal of Health Equity, 8(2), 112-125. https://doi.org/10.2228.235.84

    Conducting a systematic review, this article investigates the challenges low SES individuals face in

    accessing primary care services. The findings underscore the need for policy changes to enhance

    healthcare access. Nurses can use this information to advocate for structural changes and

    contribute to the development of inclusive healthcare systems. One of the main interventions

    discussed in this article is the use of telemedicine to help expand healthcare services,

    particularly in remote areas, allowing individuals to be able to meet their providers virtually and

    not be hindered by the lack of transportation available to them (Jones et al., 2022). The article

    discusses how with telemedicine there are additional needs such as technology and internet

    connectivity which will need to be addressed as many with low SES are not able to afford the

    bandwidth needed for visual telemedicine meetings with their provider.

    Smith, A., & Johnson, B. (2021). Bridging the gap: Nursing interventions for low SES populations. Journal

    of Nursing Research, 25(3), 45-58. https://doi.org/10.11232.dd0

    This article explores various nursing interventions aimed at addressing healthcare disparities in

    low SES populations. The study emphasizes the importance of culturally competent care and

    community engagement. The authors highlight successful strategies implemented by nurses in

    diverse settings, offering insights into best practices for promoting health equity. The

    interventions apply to areas such as transportation, assistance with prescriptions, and tele-

    health options (Smith & Johnson, 2021). The sample was a small sample in a rural area of West

    Virgina, but the interventions should be applicable to more areas including urban areas.

    The primary intervention this article discusses in the need for financial assistance programs

    and sliding scale fees to help make healthcare more affordable. The article also discusses the

    5

    need for financial assistance in areas such as affordable housing, education, and job assistance

    programs to facilitate individuals to be able to better care for themselves and their families.

    Reflections on Developing the Annotated Bibliography

    Developing the annotated bibliography provided valuable insights into the multifaceted nature

    of healthcare disparities for individuals with low SES. It highlighted the importance of interdisciplinary

    research and collaboration in addressing these disparities. I learned more about how healthcare

    disparities for individuals from low SES are a critical concern requiring the attention and action of

    healthcare professionals, particularly nurses. The process of creating an annotated bibliography and

    using a systematic article selection process along with assessing the credibility of selected literature, will

    assist me not only with this topic, but as I continue to research new topics during my education and

    professional careers.

    6

    References

    Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on

    health outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91.

    https://doi.org/10.1111/hex.12487

    Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic

    Review. Journal of Health Equity, 8(2), 112-125. https://doi.org/10.2228.235.84

    Smith, A., & Johnson, B. (2021). Bridging the gap: Nursing interventions for low SES populations. Journal of

    Nursing Research, 25(3), 45-58. https://doi.org/10.11232.dd0

    **## Assignment2instructions.docx**

    Assignment 2

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Expand All

    ### **Introduction**

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    ### **Overview**

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    ### **Prepare**

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    ### **Write Your Paper**

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    ### **Academic Requirements**

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    ### **Competencies Measured**

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    · Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of healthcare.

    · Summarize a healthcare problem or issue, including describing its professional relevance.

    · Describe the process for selecting academic peer-reviewed journal articles relevant to a healthcare problem or issue being researched.

    · Summarize what was learned from developing an annotated bibliography as it relates to the topic and the ability to use the annotated bibliography process for future assessments.

    · Competency 2: Apply scholarly information through critical thinking to solve problems in the field of healthcare.

    · Assess the credibility and relevance of information sources.

    · Summarize academic peer-reviewed journal articles using the annotated bibliography organizational format.

    · Competency 5: Write for a specific audience, in an appropriate tone and style, in accordance with Capella writing standards.

    · Produce text with minimal grammatical, usage, spelling, and mechanical errors.

    · Apply APA formatting to in-text citations and references

    **## Assignment2instructions.docx**

    Assignment 2

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Expand All

    ### **Introduction**

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    ### **Overview**

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    ### **Prepare**

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    ### **Write Your Paper**

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    ### **Academic Requirements**

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    ### **Competencies Measured**

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    · Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of healthcare.

    · Summarize a healthcare problem or issue, including describing its professional relevance.

    · Describe the process for selecting academic peer-reviewed journal articles relevant to a healthcare problem or issue being researched.

    · Summarize what was learned from developing an annotated bibliography as it relates to the topic and the ability to use the annotated bibliography process for future assessments.

    · Competency 2: Apply scholarly information through critical thinking to solve problems in the field of healthcare.

    · Assess the credibility and relevance of information sources.

    · Summarize academic peer-reviewed journal articles using the annotated bibliography organizational format.

    · Competency 5: Write for a specific audience, in an appropriate tone and style, in accordance with Capella writing standards.

    · Produce text with minimal grammatical, usage, spelling, and mechanical errors.

    · Apply APA formatting to in-text citations and references

    **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf**

    Assessment 02 – Applying Research Skills

    For this assessment, you will research best practices related to a current health care
    problem. Your selected problem or issue may be utilized again in a future assessment.
    Before you complete the instructions detailed in the courseroom, first select one of the
    following health care problems or issues:

    • Mental Health Stigma
    o Description: Many individuals with mental health conditions face stigma and

    discrimination, which can prevent them from seeking help and receiving
    appropriate care. This stigma can be perpetuated by societal attitudes, lack of
    awareness, and misinformation about mental health.

    o Interventions: Public awareness campaigns, mental health education in schools,
    workplace mental health programs, peer support groups, policy changes to
    protect individuals with mental health conditions, and training for healthcare
    providers on mental health issues.

    o Keywords: Mental health awareness, stigma reduction, mental health education,
    peer support, mental health policy, workplace mental health, mental health
    training, mental health services, mental health advocacy.

    • Chronic Disease Management
    o Description: Managing chronic diseases such as diabetes, hypertension, and

    heart disease can be challenging due to the need for ongoing medical care,
    lifestyle changes, and medication adherence. Poor management of chronic
    diseases can lead to complications and reduced quality of life.

    o Interventions: Patient education programs, chronic disease self-management
    workshops, telehealth for regular monitoring, integrated care models, community
    health programs, mobile health applications, and support for lifestyle changes
    such as diet and exercise.

    o Keywords: Chronic disease management, patient education, self-management,
    telehealth, integrated care, community health, mobile health, lifestyle changes,
    chronic disease prevention, chronic disease support.

    After you have selected one of the problems/issues from the list above, return to the detailed
    instructions in the courseroom to complete your assessment.

    1

    **## cf_example_applying_library_research_skills1.pdf**

    1

    Applying Library Research Skills

    Your Name

    Capella University

    NURS-FPX4000: Developing a Nursing Perspective

    Instructor Name

    Month, Year

    2

    Healthcare Disparities

    Healthcare disparities among individuals from low socio-economic status (SES) have been a

    persistent issue, requiring attention and intervention from healthcare professionals, especially nurses.

    This paper aims to provide an overview of the topic's professional relevance to nursing. The process of

    article selection through library databases assessing the credibility of selected articles and an annotated

    bibliography of three peer-reviewed journal articles, highlighting key findings related to healthcare

    disparities for those with low SES is the focus of this paper. The paper concludes with reflections on the

    learnings derived from developing an annotated bibliography on this critical healthcare issue.

    Professional Relevance

    Nurses play a crucial role in addressing healthcare disparities, particularly for individuals from low

    SES. The social determinants of health, such as income, education, and living conditions, significantly impact

    health outcomes. Nurses, being at the forefront of patient care, must be equipped with the knowledge

    and skills to recognize, address, and advocate for vulnerable populations. Understanding healthcare

    disparities allows nurses to provide culturally competent care, contribute to policy changes, and engage

    in community-based interventions to improve health equity.

    Article Selection Process

    To compile relevant literature on healthcare disparities for individuals with low SES, a systematic

    approach to article selection is essential. Through the Capella Library, I was able to utilize various

    databases, such as PubMed and CINAHL. I limited my search by using appropriate key terms. Key terms

    included 'healthcare disparities,' 'low socio-economic status,' 'access to healthcare,' and 'nursing

    interventions.' I also used Boolean operators (AND, OR, NOT) to enhance the search results. Filtering

    results to peer-reviewed articles ensured the reliability and academic rigor of the selected literature. I

    also limited the search to articles published within the past three years to ensure they were current.

    3

    Assessing Credibility

    Evaluating the credibility of selected articles is important. Criteria for credibility assessment

    include examining the author's qualifications, the source's reputation, and the presence of a peer-review

    process. Reviewing the methodology, data sources, and potential biases within the articles is crucial. The

    use of reputable journals, academic institutions, and established researchers enhances the credibility of the

    selected articles, ensuring the information is evidence-based and reliable.

    Annotated Bibliography

    Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on health

    outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91.

    https://doi.org/10.1111/hex.12487

    This longitudinal study examines the relationship between low socioeconomic status (SES) and

    limited public transportation. Limited financial resources often hinder access to private

    transportation, making it difficult for vulnerable populations to reach healthcare facilities promptly.

    Reliable and affordable public transportation can help ensure individuals can attend medical

    appointments, access preventive care, and adhere to treatment plans.

    Lack of transportation can lead to delayed or missed healthcare appointments, exacerbating

    health issues and contributes to disparities in health outcomes (Garcia et al., 2023). Public

    transportation not only facilitates timely access to healthcare services but also promotes

    preventive care, reducing the burden on emergency services. Reliable public transportation

    enhances overall community health by connecting individuals to resources such as pharmacies,

    grocery stores, and community centers.

    4

    Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic

    review. Journal of Health Equity, 8(2), 112-125. https://doi.org/10.2228.235.84

    Conducting a systematic review, this article investigates the challenges low SES individuals face in

    accessing primary care services. The findings underscore the need for policy changes to enhance

    healthcare access. Nurses can use this information to advocate for structural changes and

    contribute to the development of inclusive healthcare systems. One of the main interventions

    discussed in this article is the use of telemedicine to help expand healthcare services,

    particularly in remote areas, allowing individuals to be able to meet their providers virtually and

    not be hindered by the lack of transportation available to them (Jones et al., 2022). The article

    discusses how with telemedicine there are additional needs such as technology and internet

    connectivity which will need to be addressed as many with low SES are not able to afford the

    bandwidth needed for visual telemedicine meetings with their provider.

    Smith, A., & Johnson, B. (2021). Bridging the gap: Nursing interventions for low SES populations. Journal

    of Nursing Research, 25(3), 45-58. https://doi.org/10.11232.dd0

    This article explores various nursing interventions aimed at addressing healthcare disparities in

    low SES populations. The study emphasizes the importance of culturally competent care and

    community engagement. The authors highlight successful strategies implemented by nurses in

    diverse settings, offering insights into best practices for promoting health equity. The

    interventions apply to areas such as transportation, assistance with prescriptions, and tele-

    health options (Smith & Johnson, 2021). The sample was a small sample in a rural area of West

    Virgina, but the interventions should be applicable to more areas including urban areas.

    The primary intervention this article discusses in the need for financial assistance programs

    and sliding scale fees to help make healthcare more affordable. The article also discusses the

    5

    need for financial assistance in areas such as affordable housing, education, and job assistance

    programs to facilitate individuals to be able to better care for themselves and their families.

    Reflections on Developing the Annotated Bibliography

    Developing the annotated bibliography provided valuable insights into the multifaceted nature

    of healthcare disparities for individuals with low SES. It highlighted the importance of interdisciplinary

    research and collaboration in addressing these disparities. I learned more about how healthcare

    disparities for individuals from low SES are a critical concern requiring the attention and action of

    healthcare professionals, particularly nurses. The process of creating an annotated bibliography and

    using a systematic article selection process along with assessing the credibility of selected literature, will

    assist me not only with this topic, but as I continue to research new topics during my education and

    professional careers.

    6

    References

    Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on

    health outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91.

    https://doi.org/10.1111/hex.12487

    Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic

    Review. Journal of Health Equity, 8(2), 112-125. https://doi.org/10.2228.235.84

    Smith, A., & Johnson, B. (2021). Bridging the gap: Nursing interventions for low SES populations. Journal of

    Nursing Research, 25(3), 45-58. https://doi.org/10.11232.dd0

    **## Assignment2instructions.docx**

    Assignment 2

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Expand All

    ### **Introduction**

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    ### **Overview**

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    ### **Prepare**

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    ### **Write Your Paper**

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    ### **Academic Requirements**

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    ### **Competencies Measured**

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    · Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of healthcare.

    · Summarize a healthcare problem or issue, including describing its professional relevance.

    · Describe the process for selecting academic peer-reviewed journal articles relevant to a healthcare problem or issue being researched.

    · Summarize what was learned from developing an annotated bibliography as it relates to the topic and the ability to use the annotated bibliography process for future assessments.

    · Competency 2: Apply scholarly information through critical thinking to solve problems in the field of healthcare.

    · Assess the credibility and relevance of information sources.

    · Summarize academic peer-reviewed journal articles using the annotated bibliography organizational format.

    · Competency 5: Write for a specific audience, in an appropriate tone and style, in accordance with Capella writing standards.

    · Produce text with minimal grammatical, usage, spelling, and mechanical errors.

    · Apply APA formatting to in-text citations and references

    **## nurs-fpx4000-assessment-02-supplement-applying-research-skills-A.pdf**

    Assessment 02 – Applying Research Skills

    For this assessment, you will research best practices related to a current health care
    problem. Your selected problem or issue may be utilized again in a future assessment.
    Before you complete the instructions detailed in the courseroom, first select one of the
    following health care problems or issues:

    • Mental Health Stigma
    o Description: Many individuals with mental health conditions face stigma and

    discrimination, which can prevent them from seeking help and receiving
    appropriate care. This stigma can be perpetuated by societal attitudes, lack of
    awareness, and misinformation about mental health.

    o Interventions: Public awareness campaigns, mental health education in schools,
    workplace mental health programs, peer support groups, policy changes to
    protect individuals with mental health conditions, and training for healthcare
    providers on mental health issues.

    o Keywords: Mental health awareness, stigma reduction, mental health education,
    peer support, mental health policy, workplace mental health, mental health
    training, mental health services, mental health advocacy.

    • Chronic Disease Management
    o Description: Managing chronic diseases such as diabetes, hypertension, and

    heart disease can be challenging due to the need for ongoing medical care,
    lifestyle changes, and medication adherence. Poor management of chronic
    diseases can lead to complications and reduced quality of life.

    o Interventions: Patient education programs, chronic disease self-management
    workshops, telehealth for regular monitoring, integrated care models, community
    health programs, mobile health applications, and support for lifestyle changes
    such as diet and exercise.

    o Keywords: Chronic disease management, patient education, self-management,
    telehealth, integrated care, community health, mobile health, lifestyle changes,
    chronic disease prevention, chronic disease support.

    After you have selected one of the problems/issues from the list above, return to the detailed
    instructions in the courseroom to complete your assessment.

    1

    **## cf_example_applying_library_research_skills1.pdf**

    1

    Applying Library Research Skills

    Your Name

    Capella University

    NURS-FPX4000: Developing a Nursing Perspective

    Instructor Name

    Month, Year

    2

    Healthcare Disparities

    Healthcare disparities among individuals from low socio-economic status (SES) have been a

    persistent issue, requiring attention and intervention from healthcare professionals, especially nurses.

    This paper aims to provide an overview of the topic's professional relevance to nursing. The process of

    article selection through library databases assessing the credibility of selected articles and an annotated

    bibliography of three peer-reviewed journal articles, highlighting key findings related to healthcare

    disparities for those with low SES is the focus of this paper. The paper concludes with reflections on the

    learnings derived from developing an annotated bibliography on this critical healthcare issue.

    Professional Relevance

    Nurses play a crucial role in addressing healthcare disparities, particularly for individuals from low

    SES. The social determinants of health, such as income, education, and living conditions, significantly impact

    health outcomes. Nurses, being at the forefront of patient care, must be equipped with the knowledge

    and skills to recognize, address, and advocate for vulnerable populations. Understanding healthcare

    disparities allows nurses to provide culturally competent care, contribute to policy changes, and engage

    in community-based interventions to improve health equity.

    Article Selection Process

    To compile relevant literature on healthcare disparities for individuals with low SES, a systematic

    approach to article selection is essential. Through the Capella Library, I was able to utilize various

    databases, such as PubMed and CINAHL. I limited my search by using appropriate key terms. Key terms

    included 'healthcare disparities,' 'low socio-economic status,' 'access to healthcare,' and 'nursing

    interventions.' I also used Boolean operators (AND, OR, NOT) to enhance the search results. Filtering

    results to peer-reviewed articles ensured the reliability and academic rigor of the selected literature. I

    also limited the search to articles published within the past three years to ensure they were current.

    3

    Assessing Credibility

    Evaluating the credibility of selected articles is important. Criteria for credibility assessment

    include examining the author's qualifications, the source's reputation, and the presence of a peer-review

    process. Reviewing the methodology, data sources, and potential biases within the articles is crucial. The

    use of reputable journals, academic institutions, and established researchers enhances the credibility of the

    selected articles, ensuring the information is evidence-based and reliable.

    Annotated Bibliography

    Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on health

    outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91.

    https://doi.org/10.1111/hex.12487

    This longitudinal study examines the relationship between low socioeconomic status (SES) and

    limited public transportation. Limited financial resources often hinder access to private

    transportation, making it difficult for vulnerable populations to reach healthcare facilities promptly.

    Reliable and affordable public transportation can help ensure individuals can attend medical

    appointments, access preventive care, and adhere to treatment plans.

    Lack of transportation can lead to delayed or missed healthcare appointments, exacerbating

    health issues and contributes to disparities in health outcomes (Garcia et al., 2023). Public

    transportation not only facilitates timely access to healthcare services but also promotes

    preventive care, reducing the burden on emergency services. Reliable public transportation

    enhances overall community health by connecting individuals to resources such as pharmacies,

    grocery stores, and community centers.

    4

    Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic

    review. Journal of Health Equity, 8(2), 112-125. https://doi.org/10.2228.235.84

    Conducting a systematic review, this article investigates the challenges low SES individuals face in

    accessing primary care services. The findings underscore the need for policy changes to enhance

    healthcare access. Nurses can use this information to advocate for structural changes and

    contribute to the development of inclusive healthcare systems. One of the main interventions

    discussed in this article is the use of telemedicine to help expand healthcare services,

    particularly in remote areas, allowing individuals to be able to meet their providers virtually and

    not be hindered by the lack of transportation available to them (Jones et al., 2022). The article

    discusses how with telemedicine there are additional needs such as technology and internet

    connectivity which will need to be addressed as many with low SES are not able to afford the

    bandwidth needed for visual telemedicine meetings with their provider.

    Smith, A., & Johnson, B. (2021). Bridging the gap: Nursing interventions for low SES populations. Journal

    of Nursing Research, 25(3), 45-58. https://doi.org/10.11232.dd0

    This article explores various nursing interventions aimed at addressing healthcare disparities in

    low SES populations. The study emphasizes the importance of culturally competent care and

    community engagement. The authors highlight successful strategies implemented by nurses in

    diverse settings, offering insights into best practices for promoting health equity. The

    interventions apply to areas such as transportation, assistance with prescriptions, and tele-

    health options (Smith & Johnson, 2021). The sample was a small sample in a rural area of West

    Virgina, but the interventions should be applicable to more areas including urban areas.

    The primary intervention this article discusses in the need for financial assistance programs

    and sliding scale fees to help make healthcare more affordable. The article also discusses the

    5

    need for financial assistance in areas such as affordable housing, education, and job assistance

    programs to facilitate individuals to be able to better care for themselves and their families.

    Reflections on Developing the Annotated Bibliography

    Developing the annotated bibliography provided valuable insights into the multifaceted nature

    of healthcare disparities for individuals with low SES. It highlighted the importance of interdisciplinary

    research and collaboration in addressing these disparities. I learned more about how healthcare

    disparities for individuals from low SES are a critical concern requiring the attention and action of

    healthcare professionals, particularly nurses. The process of creating an annotated bibliography and

    using a systematic article selection process along with assessing the credibility of selected literature, will

    assist me not only with this topic, but as I continue to research new topics during my education and

    professional careers.

    6

    References

    Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on

    health outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91.

    https://doi.org/10.1111/hex.12487

    Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic

    Review. Journal of Health Equity, 8(2), 112-125. https://doi.org/10.2228.235.84

    Smith, A., & Johnson, B. (2021). Bridging the gap: Nursing interventions for low SES populations. Journal of

    Nursing Research, 25(3), 45-58. https://doi.org/10.11232.dd0

    **## Assignment2instructions.docx**

    Assignment 2

    Create a written assessment, including an annotated bibliography section, to document your research on a healthcare problem or an issue faced by current healthcare organizations.

    Expand All

    ### **Introduction**

    In your professional life, you will need to find credible evidence to support your decisions and plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing healthcare environment. Being adept at research helps you find the information you need. This assessment gives you practice with that skill by having you research a healthcare problem or issue faced by current healthcare organizations.

    ### **Overview**

    You will select a current healthcare problem or issue from the provided options for this assessment. Research your topic, and develop a written assessment, which includes an annotated bibliography to document your resources.

    **Reminder:** You will use your selected problem or issue again in upcoming assessments. The purpose of this assessment is to ensure you know how to research topics and find credible references to use in your assessments. Part of the assessment is an annotated bibliography. The purpose of an annotated bibliography is to document a list of research references, along with key information about each; the detail about the reference is the
    _annotation_. Developing this annotated bibliography will create a foundation of knowledge about your chosen problem or issue.

    ### **Prepare**

    Conduct research in the Capella library to find a total of three scholarly, peer-reviewed journal articles in relation to a selected healthcare problem or issue presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource.
    **You must select your healthcare-related issue or problem from the topic areas** presented in this resource.

    **Important Note:** Conduct a library search as needed. Review the
    [BSN Nursing Program Library Research Guide](https://capellauniversity.libguides.com/BSN) for assistance. Be sure to review journal articles published within the past three to five years.

    ### **Write Your Paper**

    Write a 3–5 page paper in which you include the following:

    #### **Topic Identification**

    Select one of the healthcare problems or issues presented in the
    [**Assessment 02 Supplement: Applying Research Skills [PDF]**](https://courseroom.capella.edu/courses/43407/files/7662283?wrap=1)

    Download Assessment 02 Supplement: Applying Research Skills [PDF]

    resource. Write a brief overview of the healthcare problem or issue. In your overview:

    · Summarize the healthcare problem or issue, including describing its professional relevance.

    · Describe your interest in the problem or issue.

    · Describe any professional experience you have with this topic.

    #### **Discussion of Research**

    Discuss your research and selection process for each of the three journal articles you have chosen to include in your annotated bibliography.

    · Describe your process of applying library research skills to identify the journal articles relevant to the healthcare problem or issue you are researching.

    · Identify the keywords you used to select the articles.

    · Describe the criteria you used to select the resources, including the names of the databases you used.

    · What was the process like to locate relevant articles?

    · Assess the credibility of the information sources.

    · Determine whether each resource is from an academic, peer-reviewed journal.

    · Determine whether the publication is current (published within the last 3–5 years).

    · Determine whether information in the academic peer-reviewed journal article is still relevant.

    · Assess the relevance of the information sources.

    · Explain how the healthcare problem or issue is addressed in each source.

    · Discuss what kind of contribution each resource provides.

    #### **Annotated Bibliography**

    Summarize each of the three current academic, peer-reviewed journal articles you chose, using the annotated bibliography organizational format. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

    · List each full reference in APA format, followed immediately by its annotation.

    · Present your three current, annotated references in alphabetical order, according to the reference citation.

    · Double-space each reference and format it with a hanging indent.

    · Provide the full APA reference citation, including the author, date, title, publisher or publication, and any additional information required by APA style.

    · Write the annotation (summary) for each citation in paragraph form, using approximately 150 words (or 1–3 paragraphs) for each citation. Make sure to cite the article in your summary. Include the following components for each annotation:

    · Identify the purpose of the article.

    · Summarize the article.

    · Include the conclusions and findings of the article.

    #### **Summary**

    In a separate paragraph or two at the end of the paper, summarize what you learned from the process of developing the annotated bibliography.

    ### **Academic Requirements**

    Your academic writing is expected to conform to the following requirements:

    ·
    **Writing:** Produce text with minimal grammar, usage, spelling, and mechanical errors.

    ·
    **Sources:** Integrate into text appropriate use of current scholarly sources, evidence, and citation style. Use the
    [Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) guidelines provided. Cite the reference in its summary.

    ·
    **Formatting:** Include a title page and reference page, Times New Roman, 12 point.

    ·
    **Length:** Complete no more than 3–5 typed, double-spaced pages, in addition to the title page and reference page.

    ·
    **References:** Although you are citing your three scholarly or academic peer-reviewed journal articles within the Annotated Bibliography section of this paper, be sure to also list your citations on a reference page at the end of your paper, along with any other resources you may have included.

    **Example assessment:** You may use the
    [Assessment 2 Example [PDF]](https://courseroom.capella.edu/courses/43407/files/7662279/download) to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

    Submit your paper as an attached Microsoft Word document.

    ### **Competencies Measured**

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    · Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of healthcare.

    · Summarize a healthcare problem or issue, including describing its professional relevance.

    · Describe the process for selecting academic peer-reviewed journal articles relevant to a healthcare problem or issue being researched.

    · Summarize what was learned from developing an annotated bibliography as it relates to the topic and the ability to use the annotated bibliography process for future assessments.

    · Competency 2: Apply scholarly information through critical thinking to solve problems in the field of healthcare.

    · Assess the credibility and relevance of information sources.

    · Summarize academic peer-reviewed journal articles using the annotated bibliography organizational format.

    · Competency 5: Write for a specific audience, in an appropriate tone and style, in accordance with Capella writing standards.

    · Produce text with minimal grammatical, usage, spelling, and mechanical errors.

    · Apply APA formatting to in-text citations and references