NR451-13805 Week 6 Assignment: Evidence-Based Practice Change Process

PurposeThe purpose of this assignment is:To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.The information from the ‘Illustration’ part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project.Course OutcomesThis assignment enables the student to meet the following course outcomes:CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO#2)CO8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates and communities. (PO#8)DirectionsPlease do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.Please review the infographic as way to guide you in getting started with your assignment:Developing an Assignment with Integrityÿ(Links to an external site.)View aÿshort tutorial with tips for completing this assignment:Evidence-Based Practice Change Process Assignment Tutorialÿ(Links to an external site.)or by reading thetranscriptÿ(Links to an external site.).Download theEBP Change Process formÿ(Links to an external site.)during Week 1. The use of this specific form is REQUIREDIdentify a clinical topic and related nursing practice issue you think needs to be changed.Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).Work on a portion of the process each week, as the illustration unfolds.Best PracticesPlease reach out to your instructor for feedback or assistance with your PICOT question as needed.Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.Please see the grading criteria and rubrics on this page.Please use your browser’s File setting to save or print this page.Scholarly Sources and CitationsPlease cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!**Academic Integrity**Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.RubricWeek 6: EBP Change Process Assignment Grading RubricWeek 6: EBP Change Process Assignment Grading RubricCriteriaRatingsPts. This criterion is linked to a Learning OutcomeSelected Systematic ReviewA systematic review from the CCN Library databases was selected, identified, and was appropriate for the selected nursing change process.25.0 ptsOne systematic review from the CCN Library databases was identified and was clearly appropriate.22.0 ptsA systematic review was selected from the CCN Library databases and was mostly appropriate for a nursing change process.20.0 ptsA systematic review was selected from the CCN Library databases and was fairly appropriate for a nursing change process.10.0 ptsA systematic review was selected, but not from the CCN Library databases and/or was not appropriate for this assignment.0.0 ptsNo systematic review selected or used.25.0 ptsThis criterion is linked to a Learning OutcomeStar Point 1 (Discovery)The topic, nursing practice issue, rationale and scope of the problem were clearly identified and described.25.0 ptsStar Point 1 elements in the first column were thoroughly addressed.22.0 ptsStar Point 1 elements in the first column were mostly well addressed.20.0 ptsStar Point 1 was missing one element in the first column or one lacked detail.10.0 ptsStar Point 1 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 1 was not completed.25.0 ptsThis criterion is linked to a Learning OutcomeStar Point 2 (Summary)The NURSING practice problem, NURSING related PICOT question, a systematic review from any database in the Chamberlain Library, and other optional references, evidence summary, strength, and solutions, are listed and described.35.0 ptsStar Point 2 elements in the first column were thoroughly addressed.31.0 ptsStar Point 2 elements in the first column were mostly well addressed.28.0 ptsStar Point 2 was missing one element in the first column or one lacked detail.13.0 ptsStar Point 2 was missing more than one element in the first column and others lacked detail. or were inappropriate.0.0 ptsThe ACE Star Model Star Point 2 was not completed.35.0 ptsThis criterion is linked to a Learning OutcomeStar Point 3 (Translation)Care standards, practice guidelines, or protocols; stakeholders and their roles and responsibilities; the nursing role; rationale for including certain stakeholders, and cost analysis plan are addressed.35.0 ptsStar Point 3 elements in the first column were thoroughly addressed.31.0 ptsStar Point 3 elements in the first column were mostly well addressed.28.0 ptsStar Point 3. was missing one element in the first column or one lacked detail.13.0 ptsStar Point 3 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 3 was not completed.35.0 ptsThis criterion is linked to a Learning OutcomeStar Point 4 (Implementation)Permission process, education plan, timeline, measurable outcomes, forms, resources, and stakeholder meetings, are addressed.35.0 ptsStar Point 4 elements in the first column were thoroughly addressed.31.0 ptsStar Point 4 elements in the first column were mostly well addressed28.0 ptsStar Point 4 was missing one element in the first column or one lacked detail.13.0 ptsStar Point 4 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 4 was not completed.35.0 ptsThis criterion is linked to a Learning OutcomeStar Point 5 (Evaluation)Reporting results, process and next steps are addressed.35.0 ptsStar Point 5 elements in the first column were thoroughly addressed.31.0 ptsStar Point 5 elements in the first column were mostly well addressed28.0 ptsStar Point 5 was missing one element in the first column or one lacked detail.13.0 ptsStar Point 5 was missing more than one element in the first column and others lacked detail.0.0 ptsThe ACE Star Model Star Point 5 was not completed.35.0 ptsThis criterion is linked to a Learning OutcomePresentationInformation was presented clearly and thoughts were well organized and logical.20.0 ptsInformation was presented clearly and thoughts were well organized and logical throughout.18.0 ptsInformation was presented clearly and thoughts were mainly organized and logical throughout.16.0 ptsInformation was presented clearly and thoughts were somewhat organized and logical throughout.8.0 ptsInformation was not consistently clear and/or was not consistently organized and logical.0.0 ptsInformation was disorganized and difficult to understand.20.0 ptsThis criterion is linked to a Learning OutcomeMechanics/APAThe systematic review and any other scholarly resources were properly listed in APA format.The writing includes error free grammar and spelling, and complete sentence structure.15.0 ptsExcellent mechanics and APA formatting with minimal errors in grammar, spelling, and sentence structure.13.0 ptsGood mechanics and formatting considering the elements listed in the first column12.0 ptsFair mechanics and formatting considering the elements listed in the first column6.0 ptsPoor mechanics and formatting considering the elements listed in the first column0.0 ptsVery poor mechanics and formatting such that information is difficult to read.15.0 ptsThis criterion is linked to a Learning OutcomeAssignment Form Used0.0 pts0 points deductedCorrect assignment form used0.0 pts22.5 points (10%) deductedIncorrect form used resulting in point deduction0.0 ptsThis criterion is linked to a Learning OutcomeLate Deduction0.0 pts0 points deductedSubmitted on time0.0 ptsNot submitted on time – Point deduction1 day late =11.25 deduction; 2 days=22.5 deduction; 3 days=33.75 deduction; 4 days =45 deduction; 5 days = 56.25 deduction; 6 days =67.5 deduction; 7 days =78.75 deduction; Score of 0 if more than 7 days late0.0 pts

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journal

Journal/Overview -The journal document should be 3-4 pages in length. No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.Refer to the journal submission you completed in Unit 1 and reflect on the following:Topic: The use of pharmacology in advanced practice.How has your knowledge of pharmacology changed?Do you find yourself thinking about medication use in your current employment differently? Why or why not?Explain how your appreciation of the advanced practice role changed or did not change?How do you envision using the knowledge from this course in your future advanced practice role?

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Systematic Review, Meta-analysis, Clinical Practice Guidelines and Protocols

M2: Lesson 7 – DiscussionCreate an original posting with a minimum of 250-300 words.Please respond to one (1) of your classmates with a minimum of 100 words.Back up your arguments with reliable evidence.ViewGrading RubricSystematic Review, Meta-analysis, Clinical Practice Guidelines and ProtocolsInstructions:Search and locate one systematic review or practice guideline in your topic of interest (Include the citation).Evaluate the following:The systematic review or practice guideline relies primarily on studies conducted in the last five years.The review provides support for the importance of the studyThe authors have use primary, rather than secondary sources.Studies are critically examined and reported objectivelyThe systematic review or practice guideline is organized so that a logical unfolding of Ideas is apparent that supports the need for the reviewThe systematic review or practice guideline ends with a summary of the most important knowledge.To begin the discussion, click on the “Create Thread” link above.

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Nursing assignment

about 2 pagesreferences from the last 5 yearssee attacheddue Wednesday 5pm eastern time

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Article Analysis 2

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.Complete an article analysis for each using the “Article Analysis: Part 2” template.Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

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week 2 discussion

Initial Post InstructionsFor the initial post, pick two (2) of the leading causes of the American Revolution.The Proclamation Act of 1763The Navigation ActsThe Stamp ActThe Declaratory ActThe Townsend ActThe Boston MassacreThe Coercive ActsThen, address the following for your selections:Analyze the cause and effect of two acts passed by the British Parliament on British North America. Which of your two selections do you consider the most significant and why?Examine and explain the significance of the Declaration of Independence to the development of the American Revolution.

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Discussion Post

The scenario:You work for Seattle Grace Mercy West Hospital as a nurse on the pulmonary unit. You have been asked to create patient education handouts for a variety of pulmonary disorders. After you gather the information to put in the handout, you will ask your peers for feedback on the information.Step 2 Select a pulmonary disorder that you would like to learn about and, if necessary, research the pathophysiology of the disorder.Step 3 Your first task is to describe the pathophysiology of the disorder that you will include in the patient handout. This should be followed by common signs and symptoms of the disorder. Be sure to cover the pathophysiology of the disorder in terms a patient (or his or her caregiver) would be able to understand. Be sure to cite all sources you use and provide a reference using proper APA formatting.

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Discussion

I NEED A RESPONSE FOR THIS ASSIGNMENT2 REFERNCESDiscussion: Prescribing for Older Adults and Pregnant WomenIn this discussion, we select a specific vulnerable population of either pregnant women or older adults.  The population chosen is older adults.  DSM-5 will be used to describe the disorder.  The disorder selected was Dementia.  Dementia, also referred to as major neurocognitive disorder, is a severe impairment in memory, judgment, orientation, and cognition (Sadock, Sadock & Ruiz, 2015).  of all patients with dementia, 50 to 60 percent have the most common type known as Alzheimer’s disease (Sadock, Sadock, & Ruiz, 2015).  According to the American Psychiatric Association (2013), the criteria for Dementia in their book “Diagnostic and Statistical Manual of Mental Disorders (DSM-5).  The criteria for Dementia are as followed:A.  Evidence of significant cognitive decline.  This decline must be measure from previous levels of performance in one or more of the designated cognitive domains.  These domains are social cognition, perceptual-motor, complex attention, executive function, language, and learning and memory.B.  The cognitive decrease or deficits for the individual inhibits the individuals’ daily activities and independence (American Psychiatric Publishing, 2013).C.  The noted cognitive deficits are not just associated with delirium (American Psychiatric Publishing, 2013).D.  The deficits in cognition are not explained by other mental health disorders (American Psychiatric Publishing, 2013).According to Sadock, Sadock & Ruiz (2015), When prescribing psychotropic medication for geriatric patients, the general rule is to begin with the lowest dose possible to achieve the desired therapeutic outcome.  A proverb in geriatric medicine regarding the use of drugs is: Start low, go slow (Sadock, Sadock & Ruiz, 2015).  In case the patient has exhibited all these characteristics.  Drug therapy is the most common and most successful treatment for Dementia.  The five most common drugs are Donepezil, Galantamine, Rivastigmine, and Tacrine.  The selected FDA-approved drug is Rivastigmine, classified acetylcholine enzyme inhibitor, cholinesterase inhibitor & cognitive enhancer (Stahl, 2017).  The off-label drug I would use is Selegiline, a selective type B monoamine oxidase (MAO) inhibitor (Stahl, 2017).  It works by irreversibly inhibiting MAO-A and MAO-B from breaking down norepinephrine, serotonin, and dopamine, which boost noradrenergic, serotonergic, and dopaminergic neurotransmission (Stahl, 2017).  Selegiline can also enhance the action of levodopa in Parkinson’s disease which a few weeks of starting the dose.  Drug-related side effects include headaches, insomnia, diarrhea, dry mouth, dizziness, dyskinesia, confusion, hallucination.  In elderly adults using Selegiline, caution should be made, and the patient should be observed for postural changes in blood pressure or orthostatic hypotension, resulting in falls.  It is commonly prescribed for major depressive disorder, but some studies have found that it helps slow the advance of Dementia (Sadock, Sadock, and Ruiz, 2015)Alternatives to traditional drug therapy are dietary changes that increase healthy foods such as blueberries, turmeric, and avocados that have been linked to slowing cognitive decline cognition (The top five dementia medications for seniors, 2021).  Exercise that produces hormones known to battle the disorder.  It has been found that individuals who exercise produce brain-derived neurotrophic factors that improve cognition (The top five dementia medications for seniors, 2021).  The risk assessment for Dementia should include family history.  Dementia has a significant genetic element to the risk of developing Dementia.  The second assessment is a quick verbal fluency test call the Mini-Cognitive Assessment instrument. Those with abnormal results should have a formal cognitive test.The use of Rivastigmine has pros and cons. The side effects are some of the cons. The side effects are nausea, vomiting, loss of appetite, stomach pain, constipation, diarrhea, headache, dizziness, and fatigue (Stahl, 2017).  In some cases, the individual could overdose by taking too many pills.  In addition, some people have more severe side effects such as aggressive behavior or more life-threatening and dangerous side effects, including rare seizures or rare syncope (Stahl, 2017).There is a clinical guideline for Dementia.  Decline Partnership Center (2016) provides guidelines to care based on evidence-based practices evaluated in a systematic review.  It states that the diagnosis should only be given after a comprehensive assessment. A thorough laboratory workup must be performed during the patient evaluation to detect reversible causes and provide the patient and family with a definitive diagnosis (Sadock, Sadock, & Ruiz, 2015).  Recurrent cognitive assessment and review of medication are needed to ensure the effectiveness of the treatment regimen.  According to Shaji et al. (2019), guidelines measures also include management of delirium superimposed on dementia, management of multi-morbidity, prevention of falls, the need to link with community outreach services, and use of diagnosis instruments.ReferencesAmerican Psychiatric Association (2013).  Diagnostic and Statistical Manual of Mental Disorders DSM-5 (5th ed).  Arlington, VA. American Psychiatric Publishing.Decline Partnership Center (2016).  Clinical Guidelines and Principles of Care for People with Dementia.  Retrieved from https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdfSadock, B. J., Sadock, V. A., Ruiz P. (2015).  Kaplan & Sadock’s Synopsis of Psychiatry Behavioral Science/Clinical Psychiatry (11th ed).  Philadelphia, PA: Lippincott Williams & Wilkins.Stahl, S. M. (2017). Stahl’s essential psychopharmacology prescriber’s guide (6th ed.). Cambridge University Press.Shaji, K. S., Sivakumar, P. T., Rao, G. P., & Paul, N. (2018). Clinical Practice Guidelines for Management of Dementia. Indian journal of psychiatry, 60(Suppl 3), S312–S328. https://doi.org/10.4103/0019-5545.224472The top five dementia medications for seniors. AssistedLiving.org. (2021, June 15). https://www.assistedliving.org/the-top-five-dementia-medications/#treating_dementia.Vallerand, A. H., Sanoski, C. A., Deglin, J. H., & Mansell, H. G. (2015). Davis’s drug guide for nurses. Philadelphia, PA: F.A. Davis

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Synthesis Paper – US English Grammar Proficiency needed

Overview: Synthesis PaperYou have been reflecting on changes you have undergone since beginning this program in each of your Journal entries in this course. Now you will synthesize those reflections, plus any other insights into a paper articulating your RN to BSN educational journey. You will use your module Journal entries as well as examples from other RN BSN courses to construct the Synthesis paper.ObjectivesSynthesis Paper in a reflective activity comprised of your experience in the RN BSN program.You will address your experiences before the RN BSN program, you as a lifelong learner, you in the continuum of novice to expert in the professional nursing role, an account of your role transition to a professional nurse, and an evaluation of the program.The Synthesis Paper will reflect your understanding and use of APA format and scholarly writing.The following rubric will be used to grade the Synthesis Paper. The paper has 6 sections:IntroductionBefore RN-BSN ProgramLifelong LearningNovice to ExpertSynthesis of Role Transition to Professional NursingEvaluationThe paper must have title page, reference page, plus no more than 4 pages that address the 6 sections of the paper outlined in the grading rubric.So with the title page, 4 pages for the body of the paper, and the reference page, the Synthesis Paper must not be more than 6 total pages using 12-point Times Roman font.The first 2 grading criteria noted in the rubric below apply to all sections of the paper. APA format, scholarly writing, grammar and spelling are graded in each section. Use Spell Check and Grammar Check!In-text citations are required to support each section when you discuss the RN BSN courses or the program. Points will be deducted if this information is not detailed and referenced in the document and on the reference page. References need to be evidence-based if you choose to reference literature instead of information in RN BSN courses.InstructionsStudy the rubric to determine the expectations for each section of the paper. Notice that you are required to cite at least one research article or specific RN-BSN course topic or activity for each section. Locate and record citations for articles you may want to reference, and skim the articles to review the contents. Create an outline that incorporates your main ideas into each section. Follow the outline and the rubric to write a rough draft. You may want to draft your paper by hand, or you might prefer to ?type as you go,? editing and making changes both during and after writing the draft.Your final document should include a title page, all 6 sections of the paper as identified in the grading rubric, and a reference page. Including title and reference pages the paper is not to exceed 6 pages. Part of scholarly writing is to be concise in your writing. The Coach is instructed to grade the title page, the first 4 pages of the body of the paper, and the reference page. If the Synthesis Paper is longer than 6 total pages points may be deducted based on grading rubric sections that were not addressed in the allotted 6 pages.The title page should be formatted according to UT Arlington College of Nursing format or you may use the title page APA 6th Edition format.Your writing should be in first person, and is expected to include opinions and personal statements, but have a professional tone. It should flow as a narrative, mostly chronological description your progression through the program including your reflections on specific nursing courses and reflections throughout the program.Be sure to include a final page titled ?References,? and cite your references in correct APA formats. Reference list will include any RN-BSN courses or activities in APA format.Each section must contain 3-4 well constructed, grammatically correct sentences supported by citations and references (APA 6th Edition Format) as appropriate. Ensure that your writing is informative and interesting, not redundant.After your write your paper, set it aside and review it again several hours later or the next day. Read it from an objective viewpoint to see if it flows and makes sense. If not, make necessary changes. Have someone else proofread your paper both for content and grammatical accuracy is a vital step. Read your paper out loud before submitting it. Hearing yourself read your own written words can find those last minute mistakes or incomplete thoughts before you submit the paper for grading.Reflections Paper and Journal attached to provide background information.Rubric attached to show how points will be awarded for information included in the paper.

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Interprofessional Org Leader.Wk2Assgn

Please follow the instructions and rubric points carefully. Thanks.

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