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2023 Need a response to this essay APA format 1 5 pages with 3 references Week 10 Discussion Weighing the Evidence Summary

2023 Nursing FOR SURAYA ONLY

Need a response to this essay APA format 1 5 pages with 3 references Week 10 Discussion Weighing the Evidence Summary 2023

Need a response to this essay APA format 1.5 pages with 3 references

 

Week 10 Discussion:  Weighing the Evidence

Summary of Research Article Selected

                The article by Ahmad & Grimes is a systematic review of the published research examining the effects of asthma self-education for school-age children on number of school days missed, emergency department visits, and hospital visits (2011).  The systematic review is at the pinnacle of the hierarchy of levels of evidence, giving the strongest evidence coming from careful synthesis of multiple studies (Polit & Beck, 2017).  The review contains a question that is clearly defined, uses a Health Promotion Model theoretical framework, well-defined inclusion criteria, and a wide sample size. 

Data and Results

                By analyzing the data and study design, the value and informativeness of this systemic review can be determined (Bernd, du Prel, & Blettner, 2009).  The systematic review included nine studies with one common purpose, which was to provide education to children with asthma in order to increase their knowledge of asthma and ultimately improve their self-care (Ahmad & Grimes, 2011).  The majority of the studies were randomized controlled experiments, with target populations ranging from 18 to over 900 children showing a strong sample size (Ahmad & Grimes, 2011).  The reviewed studies analyzed differences in the students’ preintervention and postintervention measurements, with the most common follow-up interval being 12 months (Ahmad & Grimes, 2011).  The researchers concluded that school-based asthma education programs substantially improve school attendance for students with asthma, but it is unclear whether these programs can decrease the frequency of emergency department visits and hospitalizations (Ahmad & Grimes, 2011). 

Weaknesses of Analysis and Alternate Interpretation of Data

                The review states that the biggest weakness of the studies is that asthma severity was not accounted for, which dictates a child’s treatment course and frequency of attacks (Ahmad & Grimes, 2011).  This makes it difficult to compare a child who only occasionally needs a rescue inhaler with physical exertion to a child who takes several maintenance medications with a more frequent occurrence of attacks.  An alternate interpretation of the data could be that the asthma education provided is reduced emergency department visits, but perhaps the children were taken to their primary care provider or an urgent care, rather than the ED.  This would demonstrate a decrease in the number of ED visits recorded, while the children are still being seen for asthma in a different care setting.  Additional research into the frequency at which children take asthma medications and medication compliance could provide further insight into the impact asthma severity has on missed school days and ED visits. 

References

Ahmad, E. & Grimes, D.  (2011).  The effects of self-management education for school-age children on asthma morbidity:  A systematic review.  The Journal of the School Nursing, 27(4), 282-292. 

Bernd, R., du Prel, J.B., & Blettner, M.  (2009).  Study design in medical research:  Part 2 of a series on the evaluation of scientific publications.  Deutsches Aerzteblatt International, 106(11), 184-189.  Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695375/pdf/Dtsch_Arztebl_Int-106-0184.pdf

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

 

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2023 Assignment 1 Application Best Practices For over 20 years the Women s Health Initiative WHI

2023 Nursing Assignment 1: Application – Best Practices

Assignment 1 Application Best Practices For over 20 years the Women s Health Initiative WHI 2023

Assignment 1: Application – Best Practices

For over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.

By Day 7 of Week 11

To Prepare:

Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study.

Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.

Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.

Consider whether the best practices in the article you selected should be used in clinical practice.

To Complete:

Write a 2- to 3-page paper that addresses the following:

Describe the disorder you selected from the Women’s Health Initiative study.

Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected.

Compare the best practices presented in the WHI study to the current best practices presented in the article. Explain how the differences in best practices might impact women’s health.

 

Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.

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2023 This week we will be discussing how organizations can improve quality In the past the state regulating agencies have attempted

2023 Nursing HCS 451 Week 1 Discussion- McLaughlin and Kaluzny’s Continuous Quality Improvement in Health Care (4th ed.), Ch. 1

This week we will be discussing how organizations can improve quality In the past the state regulating agencies have attempted 2023

This week we will be discussing how organizations can improve quality.  In the past, the state regulating agencies have attempted to mandate quality, but does that work?  Can you legislate quality, or is quality a part of the organizational culture?  In Missouri, long term care facilities must receive a “certificate of need” before building or opening a new facility.  Many believe that this process protects poor providers by requiring those who wish to open facilities to prove that there is “need” in the area where the facility will be built or developed.  The certificates are not approved unless the other providers in the community are above 90% census levels no matter what the reputation or quality of the provider.  In my open, this antiquated process limits the free market and competition.  What are your thoughts?  I also believe that competition is a better way to manage quality than attempting to legislate quality.  Poor providers will not be in business if there are other options of a higher quality. Does that make sense?

 

 

 

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2023 Case Study on Biomedical Ethics in the Christian Narrative Write a 1 200 1 500 word analysis of Case Study Healing

2023 Nursing A-plus Writer Case Study on Biomedical Ethics in the Christian Narrative

Case Study on Biomedical Ethics in the Christian Narrative Write a 1 200 1 500 word analysis of Case Study Healing 2023

Case Study on Biomedical Ethics in the Christian Narrative

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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