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

2023 Nursing p3

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

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

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Sarah Hagedorn 

 

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Re:Topic 4 DQ 1

 

When it comes to the workplace that I am currently in and have only been in for eight months, which is LDRP, I have only come across death in the case of fetal demises and that has only happened twice. I would like to think that I can accept death, but it is difficult when it involves the life of an innocent fetus. The first time that I experienced a fetal demise it took a lot to keep myself together long enough to make it out of the patients’ room before completely breaking down. I was fortunate that my director was willing to let me talk to her about the experience afterwards and I think that made the whole situation a lot easier for me to handle. Prior to starting my job in labor and delivery I had experienced death of older adults during clinical rotations in hospitals but I do not think that it has made accepting it any easier for the department I am in. I know that at some point there will be a moment when a mother codes or a newborn codes and does not make it and I am not sure how I will be able to handle myself in that situation, but fortunately we have a very close tight knit group of nurses on our unit that are always there for one another, even when things get rough

 

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2023 this assignment you will select your final topic using the information you prepared in

2023 Nursing Help me

this assignment you will select your final topic using the information you prepared in 2023

this assignment, you will select your final topic using the information you prepared in the Identification of Research Topics assignment and create a literature review. To complete this assignment, do the following:

Select one of the three topics from the Identification of Research Topics assignment.

Utilizing the GCU library, locate three additional articles that will complement and support your specific topic of interest.

In a 1,500-2,000-word paper, utilizing the research process, (refer to your text, Understanding Research) include the following:

  1. An introduction to the topic.
  2. An explanation of how the literature review is used in research.
  3. A discussion of the ethical considerations for data collection.
  4. An explanation of what the data reveals in terms of statistical analysis.
  5. An evaluation of whether there is enough information to make a decision on the effectiveness of the specific study.
  6. A summary of the conclusions from the literature review.
  7. Topic: failure to label patients specimens 

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Topic you can choose whichever one Substandard Patient Care or Health Care Delivery Paper

2023 Nursing 3rd assignment

Topic you can choose whichever one Substandard Patient Care or Health Care Delivery Paper 2023

Topic you can choose whichever one

Substandard Patient Care or Health Care Delivery Paper

 

Submit a 1,050-1,400-word paper, with a minimum of two references, discussing a personal or professional experience with substandard patient care or health care delivery. Describe what happened and how it relates to quality care.

 

APA, 12 pt TIMES NEW ROMAN

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2023 Need a response to this discussion 3 pages long APA format 3 references 1 from Walden University Library Willing to

2023 Nursing FOR SURAYA ONLY

Need a response to this discussion 3 pages long APA format 3 references 1 from Walden University Library Willing to 2023


Need a response to this discussion 3 pages long APA format 3 references 1 from Walden University Library.  Willing to pay 15 dollars

 

 

Introduction

In the healthcare profession, it is very important that decision making is evidence based. For a decision to be evidence based the question must be clearly articulated, you must search for relevant evidence and you much choose the evidence of highest quality (Robeson, Dobbins, DeCorby, Tirilis, 2010. Pg.1). “A crucial first step in EBP involves converting information needs into well-worded clinical questions that can be answered with research evidence (Polit & Beck, 2017. Pg. 31).”

PICOT

The PICOT guidelines are questions that help clinicians discover the answers to their research (Walden Student Center for Success, 2012). With these guidelines in mind I formulated the question “Is the daily use of CHG for all pediatric inpatients who have no allergy to CHG associated with a lower incidence of bacterial infection in these same patients?” The P in the acronym stands for population or patients, in the case the characteristics of the population would be all patients who are staying in the hospital, especially for an extended period or those who have risk factors such as central lines. The I stands for the intervention, which would be the daily chlorahexadine baths. This intervention would help reduce the risk of hospital acquired infections such as MRSA or c diff. Comparison is the next step and is what the C stands for. In this case the comparison of the effectiveness of daily CHG baths would be compared to not doing CHG baths. The O stands for outcomes that we would hope to see, which would be a decrease in hospital acquired infections. The T is the last and final letter and stands for time. In my hospital, the study was conducted over a three-month period to see if we saw a decrease in our hospital acquired infections. Using evidence based research I will find the conclusion to this question.

 

Evidence Based Research

            When conducting research, it is very important to have filtered information and unfiltered information. “Filtered information is information that has been appraised for quality and clinical relevance (Hierarchy of Evidence Pyramid).” Filtered information includes systematic review, critically appraised topics and critically appraised individual articles (Hierarchy of Evidence Pyramid). “Unfiltered information is evidence that has not necessarily been appraised for quality. This information tends to come from primary sources (Hierarchy of Evidence Pyramid).” Unfiltered information includes randomized controlled trials, cohort studies, case-controlled studies and expert opinion (Hierarchy of Evidence Pyramid).

            When searching the Walden Database for articles on my PICOT question, I used the search terms “CHG Bath,” “CHG Bath in Pediatric Patients,” and “Reducing infection using CHG Bath.” The first article I found multiple studies done on multiple patients with bone marrow transplants. The purpose of the study was to see if bathing them daily with CHG would decrease the acquired infections, which it did. This article would be considered a systemic review because it had multiple resources and multiple studies. When searching for critically appraised topics it was very difficult to find one that had a cohort study that had to do with CHG baths, there were some articles about other ways to reduce infection, but none that involved CHG.  

            The next article I found falls under the topic of expert opinion, in the case the expert opinion came from the nurses. In this study done in 2017, they interviewed nurses, nurse’s aides and nurse managers. They found that all interviewed did find a decrease in infection when CHG baths were used, however many times the nurses did not have time to administer the baths.

Research Advice

            I think that when conducting a search for evidence base practice it is important to stay open minded and patient. Staying open minded will help you think of different search terms that may yield different search results. It is also important to be patient while searching so that you can stay focused and weed out the unwanted results.

References

Laureate Education (Producer). 2012g). Hierarchy of evidence pyramid. Baltimore, MD:Author

Musuuza, J. S., Roberts, T. J., Carayon, P., & Safdar, N. (2017). Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences. BMC Infectious Diseases, 17(1)

Polit, D.F., & Beck C.T. (2017). Nursing research: Generating and assessing evidence for

nursing practice (10Th ed.). Philadelphia, PA: Wolters Kluwer

Robeson, P., Dobbins, M., DeCorby,K., &Tirillis, D. (2010). Facilitating access to pre-processed research evidence in public health. BMC Public Health,10,95.

Rosselet, R., Termuhlen, A., Skeens, M., Garee, A., Laudick, M., & Ryan-Wenger, N. (2009). CH

 

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