2023 Hey Please answer the following questions in one paragraph for each question 1 In

2023 Nursing HEALTH CARE 442

Hey Please answer the following questions in one paragraph for each question 1 In 2023

Hey,

 

Please answer the following questions in one paragraph for each question:

 

1- In your own words explain your understanding of clinical integration and explain why it is important in the current healthcare environment?

 

 

2- Health care expenditures continue to rise in the USA.

 

(A)  Describe three of the factors that you think drive up health care costs?

(B)  Explain what you think an individual can do to have an impact on personal and overall health care costs?

 

 

Thank you

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2023 Hello i need a Good and Positive Comment related with this argument

2023 Nursing 6

Hello i need a Good and Positive Comment related with this argument 2023

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

 

Deactivated

 

Holly Borkowski 

 

1 posts

 

Re:Topic 1 DQ 1

 

According to Margaret Titler evidence-based practice (EBP) is the “conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions.” (Titler, 2008).  Best evidence includes evidence from randomized controlled trials, qualitative research, case reports, scientific principles, and expert opinion. When enough research evidence is available and random trials have been conducted then practice should be decided by the outcomes of research, clinical expertise and positive patient improvement. 

 


Examples of evidence-based practice are nurse-driven indwelling foley removal. Agency guidelines should include an indication for foley insertion along with indications for continued use.  Urinary tract infections (UTIs) are one of the leading healthcare-associated infections. The primary goal in the prevention of catheter-associated urinary tract infections (CAUTI) is to insert a Foley only when medically appropriate and remove a Foley when no longer medically appropriate.  Nurse-driven protocols have been shown to improve patient care, and as nurses are continually at the patient bedside, they are more aware as to when the Foley is no longer medically necessary. Our hospital has a CAUTI assessment team that evaluates the necessity of the Foley of each patient every day and removal of the Foley by the bedside nurse without a physician order if the Foley is no longer meeting medical necessity protocols.  

 


Another example of evidence-based practice would be the use of Curos Caps to prevent central venous catheter-related infections. According to the Centers for Disease Control and Prevention, “central line-associated bloodstream infections (CLABSIs) result in thousands of deaths each year and billions of dollars in added costs to the U.S. healthcare system” (Healthcare-associated Infections, 2016).A study cited by the Journal of the Association of Vascular Access reported “The implementation of the port protector cap system resulted in lower infection rates compared with an alcohol swab technique. Our results indicate that consistent use of the caps in tandem with strict compliance does influence CLABSI rates.” (Ramirez, Lee, & Welch, 2012).The use of Curos Caps (alcohol impregnated catheter hub cap) to cap off all open catheter hubs, IV line catheter hubs, and IV j-loops not in use significantly decreases CLABSI’s.  Our ICU did an audit for one month before use of Curos Caps and one month after implementation of Curos Caps. We found while not using Curos Caps the unit had 4 CLABSI infections and while using Curos Caps the unit had zero infections. The CLABSI prevention team used information from evidence based practice in addition to our own unit study and implemented Curos Caps to be used on all lines at all times.  

 


My nursing care changes daily with the studies provided by evidence based practice findings.  It is hard to teach an old dog new tricks and just becasue a nurse has been doing something for her whole career does not mean it is sound medical practice.  Evidence based practice needs to guide everything we do and when new tricks are learned they need to be implemented and adhered to in order to provide the best care to our patients and improve patient outcomes. 

 

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2023 Details Identify a research or evidence based article that focuses comprehensively on a

2023 Nursing Cardiovascular Diabetology

Details Identify a research or evidence based article that focuses comprehensively on a 2023

 

Details:

 

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

 

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

 

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

 

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

 

 

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2023 Public Health Emergencies Review the pdf documents How Prepared are Americans for Public Health Emergencies

2023 Nursing Public Health Emmergencies

Public Health Emergencies Review the pdf documents How Prepared are Americans for Public Health Emergencies 2023

Public Health Emergencies

 

Review the pdf documents, “How Prepared are Americans for Public Health Emergencies: Twelve Communities Weigh In” athttp://content.healthaffairs.org/content/23/3/201.full and “Emergency Preparedness from a Health Perspective: Preparing for Bioterrorism at the Federal, State and Local Levels,” by the National Health Policy Forum at http://www.nhpf.org/library/background-papers/BP_EmergPrep&Bioterr_10-01.pdf.

After reading the documents, answer the following questions:

Compare and contrast best practices illustrated here for public health organizations. Which recommendations did you find particularly compelling? Were there any that struck you as over- or under-emphasized?

Did you feel that the materials presented a blueprint for a comprehensive first response in the event of a public health emergency?

Are there any alternatives that you feel should have been included in either or both documents? What didn’t the communities account for in terms of public health emergencies.

Your response should be at least 4 paragraphs. And make sure your references are in APA format.

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