1.Read through the different cases presented ion the power point and
and answer al the questions following each case study while paying
attention to slides 5, 6, 7, 9, 15, 21 and 28.

2. write an SBAR to any two patients from the power point. presented.

Write a QSEN journal on any two of the following

• Safety
• Evidence-Based Practice
• Informatics

Module 13 Discussion: Qualitative Research: Analysis, Trustworthiness, and Integrity

This week we are continuing to explore qualitative research. We are looking at analysis of qualitative studies and also what makes the research trustworthy. Again, these aspects of qualitative research are very different from quantitative studies.

Use our qualitative research article that from last week.

Cummings, J. (2011). Sharing a traumatic event: The experience of the listener and the storyteller within the dyad. Nursing Research, 60(6), 386–392. https://doi.org/10.1097/NNR.0b013e3182348823 (Links to an external site.)

We will “divide and conquer” again this week. There are sets of questions below, answer according about our shared Cummings (2011) article.

Special population: African Americans and the criminal justice system.

The paper must be in APA Style 7. It should utilize 12 pt. Times New Roman font with 1 inch margins all the way around. The paper should also be 10-12 pages in length including the cover page, abstract and any reference pages.

Throughout the semester you have focused on your chosen “special population” along with a specific social issues such as, health care disparities, adequate housing, unemployment, inadequate education, the criminal justice system, or voting suppression.

You have created survey questions and completed an annotated bibliography of scholarly articles related to your topic. Making use of your annotated bibliography and content learned throughout the course, you will create a summary and recommendation paper that outlines a hypothetical research project. You do not need to carry out the project, but you will complete the following in detail:

I. Introduction

• Identify your specific population and social issue of focus. Provide a summary of the current data (statistics) related to your population and the social issue.
• In this section, you are sharing the problem you would like to research. The introduction is your opportunity to convince the reader that your topic is worthy of research. You will use references (that will be expanded upon in the literature review) to explain the problem.

II. Literature Review

• Integrate what is known about your population based upon prior research. Summarize and synthesize findings from prior research with this population and tell the reader what has already been established.  **Use the resources from your Annotated Bibliography.
• Specifically identify what you have learned about your population based on your review of both qualitative and quantitative research.  
• Explain how the qualitative and quantitative literature complement one another in helping you to understand how your concerns and/or specific issues may relate to your population of interest. 
• Qualitative / Quantitative Survey Instruments:
  • Provide a brief summary of the information you hope to gather from members of your population, via this survey instrument.
  • Provide a bulleted list of 5-7 qualitative and quantitative research questions you would ask members of the identified population which would allow you to gather the data you need to complete your study. (From the Week 3 assignment).

III. Summary of Population’s Needs and Strengths

• Based on the literature review, identify a need for an intervention on the micro, mezzo, or macro level (pick one).
• Explain: Why is this population in need of a targeted intervention? In what ways are they vulnerable, or how could their lives be improved by an intervention?
• Identify the strengths and resources of this population.

IV. Proposed Intervention

• Make a recommendation for a specific intervention(s). The intervention can be in the form of an evidenced-based clinical tool, the addition of a program or service, a staff training, or an agency policy or social macro-level policies.
• Explain your rationale for selecting this intervention based on the literature that you reviewed. 
• Describe how this intervention/s could be carried out. In other words, what should be done and how could it be done?
• Address how the proposal is culturally sensitive to the needs of their population.
• (Students can use their internship setting, their employment setting and/or or another setting as a frame of reference or utilize a macro lens).

V. Evaluation of Proposed Intervention

• Describe how you would evaluate the impact of the intervention you discussed in item IV. How would you know if the intervention was successful?
• Describe briefly the type of research design you would use to evaluate the intervention.
• Describe how you would select a sample to represent the population of interest (sampling strategy).
• Describe how you would select or develop one or more instruments that are reliable and valid (instrumentation/measurement). 
• Explain how you would ensure that your plan would reflect culturally informed and ethical approaches to evaluation. 

Requirements

• 12 pt. Times New Roman Font
• 1-inch margins
• 10-12 pages in length including your cover page, abstract and any reference pages
• Include at least 7 -10 scholarly articles
• APA style (7th edition)
• Demonstrate professional writing (proper grammar, correct spelling, free from typos).

I’m studying and need help with a Nursing question to help me learn.

You are the registered nurse supervisor in a skilled nursing facility. Most of the direct patient care is provided by licensed vocational nurses (LVNs)/licensed practical nurses (LPNs) and nurse’s aides. It is an extremely busy day, and there is a great deal of work to be done. Several times today, you have found one of the LVNs/LPNs taking long breaks in the lounge or chatting socially at the front desk despite the unmet needs of many patients. On those occasions, you have clearly delegated work tasks and timelines to her. Several hours later, you follow up on the delegated tasks and find that they were not completed. When you seek out the LVN/LPN, you find that she went to lunch without telling you or the aide. You are furious at her apparent disregard for your authority.

DQ: What are possible causes of the LVN/LPN’s failure to follow up on delegated tasks? How will you deal with this LVN/LPN? What goal serves as the basis for your actions? Justify your choice with rationale.

Paper Assignment Article Critique in Health Sciences Please find the Paper for the article critique in the attached files. Critical analysis of journal article summary The critique should be of 1.5 pages with a text of no more than 500 words excluding references with a font of Times New Roman and size of 12. The line spacing should be 1.5. The purpose of writing a critique is to assess the quality of work carried out by others and also for having a better understanding. The critical analysis of a journal article requires a critical reading and writing. The students may use the following sample questions whichever applicable as basic guidelines for critiquing a journal article in health sciences: Ten questions to ask when critically appraising a research article: 1. Is the study question relevant? 2. Does the study add anything new? 3. What type of research question is being asked? 4. Was the study design appropriate for the research question? 5. Did the study methods address the most important potential sources of bias? 6. Was the study performed according to the original protocol? 7. Does the study test a stated hypothesis? 8. Were the statistical analyses performed correctly? 9.Do the data justify the conclusions? 10. Are there any conflicts of interest?

Write a letter to the editor of an academic or professional journal. The length and format of the letter is dictated by USE THE AMERICAN JOURNAL OF NURSING REQUIREMENTS. Follow guidelines such as the appendix at the end of the document I have included, you may look up further info on the AJN. I have included a sample, and my assessment 2. Please adjust it to meet requirements of the editorial letter according to all criteria.

MUST INCLUDE:

Evaluate the current state of the quality of care and outcomes for a specific issue in a target population.

• Based on the data that you used to identify your chosen issue in Assessment 1, what is the current state of the quality of care and outcomes?
• To what degree does the current state of the quality of care and outcomes need to be improved?
• How does the current performance compare to any relevant benchmarks?
• How does the current performance adversely impact the health of the target population?

Analyze how the current state of the quality of care and outcomes for a specific issue in a target population necessitates health policy development and advocacy.

• How does the current state of the quality of care and outcomes related to your chosen issue and target population illustrate the need for improvements?
  • Why do you consider policy development and advocacy necessary?
  • How will developing a health policy help to improve the quality of care and outcomes related to your chosen issue and target population?
  • Why is advocating for health policy development necessary to drive improvement
  • Justify why a developed policy will be vital in improving the quality of care and outcomes for a specific issue in a target population.
     ·        Why will your proposed policy (from Assessment 2) be vital in improving the quality of care and outcomes related to your chosen issue and target population?  o   How will your proposed policy help drive improvements?  §  What evidence or best-practices supports this? How does the evidence provide support?
  • Advocate for policy development in other care settings with regard to a specific issue in a target population.
     ·        Why is it important that policy development focused on your chosen issue and target population take place in care environments and settings beyond that for which you proposed the policy?  o   How will wider development of policies help to drive improvements related to your chosen issue and target population?  o   Ideally, what is the end result of wider policy development and implementation?

Analyze the ways in which interprofessional aspects of a developed policy will support efficient and effective achievement of desired outcomes for the target population. 

• What are the relevant interprofessional aspects of your policy?
  • How will these interprofessional aspects support efficient achievement of your desired outcomes for your target population?
  • How will these interprofessional aspects support effective achievement of your desired outcomes for your target population?
  • Communicate in a professional and persuasive manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
     ·        Is your writing clear and professional?  ·        Is your writing free from errors?  ·        Is your writing persuasive?  ·        Does your submission conform to the format and length requirements of your chosen journal?

Topic:

Solution to Childhood Obesity

Description

Problem/Solution Essay Topic ESOL  0054 Writing   Solution to Childhood Obesity                Childhood obesity is a serious condition that affects children and adolescents.  A child is considered obese if his or her weight is above the normal weight of the 95th percentile for children of the same age and sex, according to the child’s BMI (Body Mass Index).  Many children who are obese become obese adults, especially if one or both parents are obese.  Childhood obesity can lead to physical and emotional problems that may be hard to overcome.  However, childhood obesity and its destructive consequences can be ameliorated if we can find the culprits that lead to obesity.             In a multi-paragraph essay (introduction, body paragraphs, and conclusion), delineate the problem of childhood obesity by explaining the causes and effects of childhood obesity and then write two paragraphs proposing some solution(s) to alleviate the problem of childhood obesity.

Please create a power point presentation :

APA style

References Needed

A minimum of 15 slides excluding Introduction and reference page that includes :

1- Definition of topic.

2- Studies Statistics: Incidence / Mortality rate

3- Risk Factors

4- Sign / symptoms

5- Diagnostic test

6- Treatment

7- One major diagnosis

8- Two differential Diagnosis ( with ICD 10 )

Topic : Vulva , vaginal disorders ,Pelvic Inflammatory Disease , ectopic pregnancy and infertility .

Case Study Scenario

Chief Complaint

A.C., is a 61-year old male with complaints of shortness of breath.

History of Present Illness

A.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternal chest pain. The event was preceded with complaints of fatigue and increasing dyspnea for 3 months, for which he did not seek care. He was evaluated by cardiology and underwent a successful and uneventful angioplasty prior to discharge. Despite the intervention, the shortness of breath has not improved. Since starting cardiac rehabilitation, he feels that his breathlessness is worse. The cardiologist has requested that you, his primary care provider, evaluate him for further work-up. Prior to today, his last visit with your practice was 3 years ago when he was seen for acute bronchitis and smoking cessation counseling.

Past Medical History?

• Hypertension?
• Hyperlipidemia?
• Atherosclerotic coronary artery disease
• Smoker

Family History

• Father deceased of acute coronary syndrome at age 65
• Mother deceased of breast cancer at age 58.?
• One?sister, alive, who is a 5 year breast cancer survivor.
• One son and one daughter with no significant medical history.?

Social History

• 35 pack-year smoking history; he has cut down to one cigarette at bedtime following his cardiac intervention.?
• Denies alcohol or recreational drug use?
• Real estate agent??

Allergies

• No Known Drug Allergies?

Medications

• Rosuvastatin?20 mg?once daily by mouth?
• Carvedilol 25 mg twice daily by mouth
• Hydrochlorothiazide 12.5 mg once daily?by mouth
• Aspirin 81mg daily by mouth

Review of Systems

• Constitutional: Denies fever, chills or weight loss. + Fatigue.
• HEENT: Denies nasal congestion, rhinorrhea or sore throat.??
• Chest: + dyspnea with exertion. Denies productive cough or wheezing. + Dry, nonproductive cough in the AM.
• Heart: Denies chest pain, chest pressure or palpitations.
• Lymph: Denies lymph node swelling.

General Physical Exam??

• Constitutional: Alert and oriented male in no apparent distress.??
• Vital Signs:?BP-120/84, T-97.9 F, P-62, RR-22, SaO2: 93%?
• Wt. 180?lbs.,?Ht.?5’9″

HEENT?

• Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva.?
• Ears: Tympanic membranes intact.?
• Nose: Bilateral nasal turbinates without redness or swelling. Nares patent.?
• Mouth: Oropharynx clear. No mouth lesions. Dentures well-fitting.?Oral mucous membranes dry.?

Neck/Lymph Nodes?

• Neck supple without JVD.?
• No lymphadenopathy, masses or carotid bruits.?

Lungs?

• Bilateral breath sounds clear throughout lung fields. + Bilaterally wheezes noted with forced exhalation along with a prolonged expiratory phase. No intercostal retractions.

Heart?

• S1 and S2 regular rate and rhythm, no rubs or murmurs.?

Integumentary System?

• Skin cool, pale and dry. Nail beds pink without clubbing. ?

Chest?X-Ray?

• Lungs are hyper-inflated bilaterally with?a flattened?diaphragm. No effusions or?infiltrates.

Spirometry

PredictedPre-bronchodilator% PredictedPost-bronchodilator% PredictedChange

FVC (L)

5.64

5.23

93

5.77

102

9%

FEV1 (L)

4.57

2.92

64

3.01

66

2%

FEV1/FVC (%)

81

56

69

52

64

-5%

TLC

5.5

6.9

125

6.9

125

0%

Case Study Questions

Pathophysiology & Clinical Findings of the Disease

1. Are the spirometry results consistent with obstructive or restrictive pulmonary disease? What is the most likely pulmonary diagnosis for this patient?
2. Explain the pathophysiology associated with the chosen pulmonary disease.
3. Identify at least three subjective findings from the case which support the chosen diagnosis.
4. Identify at least three objective findings from the case which support the chosen diagnosis.

Management of the Disease

*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.

1. Classify the patient’s disease severity. Is this considered stable or unstable?
2. Identify two (2) “Evidence A” recommended medication classes for the treatment of this condition and provide an example (drug name) for each.
3. Describe the mechanism of action for each of the medication classes identified above.
4. Identify two (2) “Evidence A” recommended non-pharmacological treatment options for this patient.