Topics and Questions We Can Help You To Answer:
Paper Instructions:

Select the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state's policies on access to contraception and abortion for women with insurance and those without.
What are the state's infant and maternal mortality rates? 
Discuss the possible relationship between these factors. 

Topics and Questions We Can Help You To Answer:
Paper Instructions:

This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2016). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.

Please discuss the following points in your Practicum Discussion:

Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

Hyperthyroidism

Review the underlying
cause of the disorder (i.e., chromosome makeup, hormone insensitivity), the hormones
and endocrine tissues involved, symptoms of the disorder (physical, mental, social), and
treatments if applicable. As this is a course focused on Hormones and Behavior, please
be sure to discuss how the hormones involved relate to the symptoms and treatment for
the disorder

I. Background of the disorder (3 points)
a. Prevalence
b. Gender differences
II. Underlying cause of the disorder (2 points)
III. Hormones and endocrine tissues involved (5 points)
IV. Symptoms of the disorder (2 points)
V. Treatments if applicable (2 points)
VI. APA Referencing / Reference Page (1 poin

Topics and Questions We Can Help You To Answer:
Paper Instructions:

Topic: Pharmacotherapeutics of Gastrointestinal Disorders

For the diagnosis of gastroesophageal reflux disease (GERD), write a legal prescription for a medication used to treat GERD.

Be sure your prescription includes all patient information, provider information, medication information as well as any special instructions to the patient.

Furthermore, write a 250 word paper to describe the pharmacokinetics and pharmacodynamics of the drug as well as specific patient education about the chosen drug.

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
How to Submit:

Submit your Assignment to the unit 3 Assignment Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, select the unit dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

A major skill that is learned in this course is how to critically read and appraise nursing research articles according to the guideline found in your textbook. The purpose for appraising an article is to critically evaluate the research process followed by the author(s) of the assigned article. This is an information-intensive, time-intensive process that is not learned overnight. To demonstrate your skill at appraising an article, you will complete this open-book assignment.

Here's how you should approach completing this week’s assignment to begin appraising an article:

1. First, do your assigned reading in Gray, Grove, and Sutherland (2017) each week. This will introduce you to the critique skills you will need for the week.

2. Skim the entire instructor assigned research article that has been posted on CANVAS in Module 1 Reading and on the assignment for you so that you will have an idea of what it is about. For this week, re-read carefully the introduction/literature review /theoretical framework and methods sections of the article again.

3. Print the Research Article Appraisal, Part One Assignment and find the best answer to each question based on your Gray, Grove, and Sutherland (2017) assigned readings and on what you have read in the instructor assigned research article.

4. Some of the questions in the critique assignment below will seem unfamiliar to you. Look up key terms from the question in your textbook. Some examples of these terms might be problem statements, hypotheses, or variables. You can also look in Chapter 18 for an example of a critical appraisal of a quantitative research article.

5. You will write a formal paper for this assignment using the paper guideline found below, including APA, citations, and reference page. Do not leave the questions in the paper, do not use a template for this paper. Once completed, upload your assignment to the assignment submission link by the time and date listed on the Course Schedule.

6. Feedback will be provided after all assignments for this week have been entered for credit. 

Article : https://doi.org/10.1016/j.apnr.2016.04.003 

Research Appraisal, Part One

Introduction:

Qualifications of the authors are noted as found in the article (did educational preparation and clinical experience of the author[s] support qualification to conduct the study?). (3 pts) The title is discussed in terms of the type of study, variables, and population. (3 pts) All elements included in the abstract discussed: purpose, design, sample, interventions and key results if applicable. (3 pts) Cited appropriately. (1 pt)

Literature Review:

dentifies and discusses clinical problem and evidence of significance to nursing. (4 pts) More than one major topic in the background. (4 pts) Are the sources current? (2 pts) Discussion of primary and secondary sources? (one example ) (2 pts) Were the articles used in the ROL appraised give examples (was a summary noted of the artcles)? (4 pts) Was a gap in the literature addressed? (4 pts)


Research Problem, Purpose, Research Questions/Hypotheses:

Identify the research problem of the study. (3 pt) Identify the study purpose. Does the purpose clearly address a gap in nursing knowledge (research problem) identified in and supported by the ROL? (3 pts) If there are research questions and/or hypotheses, identify them and discuss whether they follow from the research problem and purpose? (3 pts) State whether each of these were implied or explicitly stated. (1 pt)

Theoretical Framework:

Adequate description of the framework. (3 pts) Is it implicit or explicit? (1 pt) List the important concepts within the framework. (2 pts) Gives at least one example of a relationship among two of the concepts (2 pts). Identifies if there is a map or model in the article (2 pts)

Variables:

Major variables are identified. (4 pts) Correct variable labels (IV, DV, RV) (4 pts) Discussion of how the variables are defined conceptually and operationally based on previous research and/or theories. (4) List the demographic variables. (4 pts) Discussion of extraneous variables from authors perspective found in the study (this is not your opinion) (4 pts)

Research Design:

Correct design type was selected. (4 pts) Explanation of how the design type matches the study’s objective, question, or hypotheses. (1 pt) Explanation of how the design type provides a means to examine the study’s purpose. (1 pts) Describe the study procedures (including recruitment, screening for eligibility, consent, timing & method of measurement of demographic & key study variables, and intervention if applicable). (5 pts) Was the description of the study clear enough to be replicated? (1 pt) Describe the groups, how were they assigned (if applicable). (4 pts )Were the extraneous variables identified and controlled (not your opinion, but what the author says) (2 pts) What are the limits to generalizability (external validity). (2 pts)

This criterion is linked to a Learning Outcome Writing Style & Format:

The paper will be a 6-10 pages of text, double-spaced, excluding title page and reference list. Pages in excess of 10 will not be graded. Use professional and orderly presentation of ideas (full sentences, precision, clarity, format, grammar, spelling, & punctuation) with appropriate citation of sources. It is expected that the use of quotations will be limited, no more than two quotations per paper (1 point will be deducted for each quote over the limit). Use the APA guidelines and the General Guidelines for Papers in N5366 throughout this paper. Up to 0.5 points will be deducted for each grammar, spelling, punctuation, or format error. Content errors will be greater point deduction.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

IS THE CRY IT OUT METHOD SAFE OR UNSAFE FOR BABIES TO FALL ASLEEP?


First Argument
Present the best argument on one side of the issue. (approximately 150 words)
Express your argument in standard form, with the premises listed one by one above the conclusion.

Defense for First Argument
Support the first argument as well as you can, using academic sources to demonstrate the truth of key premises. You may also choose to clarify the meaning of key premises and to explain how your reasoning supports the conclusion (approximately 250 words).

Opposing Argument
Present the best argument on the other side of the issue (approximately 150 words).
Express your argument in standard form.

Defense of Opposing Argument
Support the opposing argument as well as you can, using academic sources to demonstrate the truth of key premises. You are welcome as well to clarify the meaning of premises and/or to explain the reasoning further (approximately 250 words).

Analysis of the Reasoning (approximately 350 words)
Evaluate the quality of each argument, addressing whether key premises are true and whether the conclusion logically follows from them.
Analyze arguments for any fallacies committed or for any biases that may influence either side. Do you feel that one argument makes a much stronger case than the other and why? (There is no need to “take sides,” only to assess the quality of the arguments.)
Support your analysis with scholarly sources.

Conclusion (approximately 150 words)
Provide a brief conclusion and summary of your issue and how it can best be addressed by critical thinkers.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

MN551-3: Examine the pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan.

Topic: Educational Brochure

Design a trifold educational brochure, that will be used to educate the community, about one of the following topics:

hypertension
hypercholesterolemia
heart failure
artherosclerosis
pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan
Brochure Contents

Two evidenced-based web sites or journal articles as a reference
Risk factors
Possible consequences
Prevention strategies
Treatment modalities
Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above)
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary
utilize spelling and grammar check to minimize errors.
follow the conventions of Standard American English (correct grammar, punctuation, etc.)
be well ordered, logical, and unified, as well as original and insightful
display superior content, organization, style, and mechanics
use APA 6th Edition format.

To see your assignment instructions and grading rubric, go to Course Resources / Grading Rubrics.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

Your patient is a 52-year-old female who presents with a complaint of epigastric pain and burning for the past 6 months. The patient states that the burning and pain improves slightly if she takes Tums over the counter. The patient also states that she has taken over-the-counter famotidine, however, still continues with epigastric pain on a daily basis.

Assessment

Her examination shows mild abdominal bloating. Her vital signs are a BP of 110/74, Pulse of 72, Respirations of 18 and Temperature of 98.2. As the provider you ordered an H. Pylori breath test which was positive.

Part 1:

What medications would you prescribe to treat the H. Pylori and why did you choose this treatment plan?
How long would have the patient remain on the treatment prescribed?
What are the possible side effects of the medications prescribed?
What education would you provide to the patient regarding both H. Pylori and the treatment plan?
Part 2:

If the patients H. Pylori breath test had been negative, how would the treatment plan have been different, had the patient been diagnosed with GERD?

Topics and Questions We Can Help You To Answer:
Paper Instructions:

Develop a nursing philosophy statement to reflect your beliefs
about nursing, its scope and focus. Relate to the four metaparadigms:
man, health, environment and nursing.
Determine where you are in your nursing career, the area of
nursing of interest and outline your journey to this particular point in your career
(Please use Pat Benner’s Stages of Nursing Experience). 
Finally, describe career goals and objectives and a trajectory or
timeline for accomplishment. All three parts of this assignment should be completed
within 10 - 15 pages using APA format.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public's perception of nursing? Describe ways to educate the general public on the professional nurse's role and scope of nursing within a changing health care system.

Topics and Questions We Can Help You To Answer:
Paper Instructions:

Research critique paper Students will choose a topic/ patient situation from the provided list in the course. Students should format a PICO question based on the chosen scenario to guide the search. The PICO question should be included in the introduction to the paper to indicate the problem that the student will address. Students will search the Wellehan Library for evidence based articles based upon the chosen topic. These articles will be used to create a table of evidence. The paper should consist of a thorough review of the literature with the table of evidence used as an appendix. Students should also include a discussion on how the literature can be applied to the patient situation using the information in the Greenhalgh text. The paper should be set up in paragraph format and flow smoothly.
The PICO question is : In female obese patients with PCOS is gastric bypass surgery a better/healthier choice compared to diet and exercise for weight loss

You should have an introduction to the paper that includes your PICO question. You can include a paragraph on what was done for the search strategy. Then the next part should be a summary of the articles used- this summary should include the results and any limitations of the study. The next section should be the application of what you researched to the chosen scenario patient. Be as detailed and descriptive as possible. Then you should have a conclusion to sum everything up. 
You also need to have a strong PICO to guide your research. Otherwise you can easily get off track. Remember the PICO is:
P- population
I- intervention
C- comparison
O- outcome

Topics and Questions We Can Help You To Answer:
Paper Instructions:


Statistics and Quality Methods

Competency
Apply statistics to different quality methods in healthcare.
Course Scenario
Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:
* Emergency room services
* Intensive care
* Surgical care
* Obstetrics
* Diagnostic services
* Some rehabilitation therapies
* Inpatient pharmacy services
* Geriatric services and
* Consumer physician referral services
Recently, the CEO has been hearing complaints from both patients and staff. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and satisfactorily resolve them.
Scenario Continued
Your CEO has requested that you provide employee training on Quality Improvement. You have done an initial survey of patient satisfaction, and the CEO has asked you to explain how the data will be analyzed, using this initial data.
Given the variety of complaints coming from both employees and patients, it is critical for everyone to understand the importance of conducting the survey and obtaining solid data.
Question    Great
5    Good
4    OK
3    Fair
2    Poor
1    No Response    Total
Facility and Convenience                            
Hours of Operations    10    17    3    0    10    0    40
Convenience of location    10    15    5    3    3    4    40
Cleanliness    11    14    8    4    3    0    40
Waiting time in reception area    9    16    0    4    11    0    40
Comfort while waiting    20    10    5    5    0    0    40
Staff                            
Explained procedure    17    9    8    0    6    0    40
Questions answered    11    15    7    2    3    2    40
Friendly and helpful    21    5    5    7    2    0    40
Knowledgeable and professional    6    21    4    3    3    0    40
Modesty respected    12    14    8    0    6    0    40
Confidentiality respected (HIPAA)    10    10    14    5    1    0    40
Overall Satisfaction                            
Overall impression of visit    30    0    5    3    2    0    40
Willingness to return    31    0    9    0    0    0    40
Likelihood of referring to others    32    0    4    3    1    0    40
Respondents were also asked about their wait times. Here is the data on wait times:
Number responding    Wait time before being checked in at Reception
4    10 minutes
16    15 minutes
8    20 minutes
12    25 minutes
Number responding    Wait time before being seen by a healthcare professional
2    10 minutes
6    15 minutes
10    20 minutes
22    25 minutes
Instructions
You are to create an agenda for the training and a memo with bullet points to present the statistical analysis of the initial data. The memo should include an explanation of each of the statistical results. In particular, you should be able to explain what the results mean to the facility.
Determine the percentages of the following:
* Percent who responded with a 5 (Great) on "Overall impression of the visit"
* Percent who responded with a 2 (Fair) or 1 (Poor) on "Overall impression of the visit"
* Percent who responded with a 5 (Great) on "Willingness to return"
* Percent who responded with less than 5 on "Willingness to return"
* In the area of "Facility and Convenience," which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?
* In the area of "Staff," which indicator had the highest percentage of 5 (Great) responses? Which had the lowest?
What is the mean waiting time in the reception area?
What is the mean waiting time to see a healthcare professional?
Microsoft Word has many memo templates. In your memo, be sure to address each statistical analysis and what it means to the facility. Why ask these questions? How could the data be used for quality improvement?
NOTE - APA formatting, and proper grammar, punctuation, and form required.
An agenda can set the tone for a meeting. It is an important tool to ensure meetings are staying on track and meeting all of the objectives. Create a detailed meeting agenda for a meeting you will hold with your supervisor and fellow department heads discussing your findings (Hint: Microsoft Word has many agenda templates).
Make sure to include the following in the agenda:
* Explain each statistical example
* How that data would be used
* The majority of the agenda should be focused on data analysis and its use in QI plans