Evidence-Based Practice
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Paper Writing Service - HelpWriting.net ✅ Evidence-Based Practice The incorporation of evidenced based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,...show more content...The research process includes an intent, design, timeline, setting, measurable outcomes, and a plan for dissemination of the finding. The purpose of the research is to generate knowledge or validate existing knowledge. Being able to identify the significance of these factors in different evidence based practices will help the practitioner evaluate whether that information is relevant to that population of care or individual. Understanding the research process will help the clinician understand the purpose of the investigation, if the results are valid, why the results are important, and if the results will improve patient outcomes (Arndt Netsch, 2012). A quality improvement (QI) project involves data guided activities with short timelines to improve health care delivery systems (Arndt Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in Get more content on HelpWriting.net
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You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
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Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
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For decades now, evidence based practice is believed to improve quality patient care in health care where there are practiced. Maximum efforts has been put to eliminate traditional way of doing things and embrace new methodologies (Saunders, Vehviläinen-Julkunen & Stevens, 2016). Concerns have been raised towards improving knowledge and skills in respect to evidence for efficient clinical outcome. Lack of EBP knowledge has bring a lot of challenges in our organization thus hindering its implemented. This has influenced integration of sources of evidence in clinical decision making where clinical expertise, clinical context, patients outcomes and values as well as best research are included in the process of decision-making.
There is increased demand to create culture that promotes exploration of critical inquiry and availability of evidence as an important aspect to be incorporated in our daily nursing practice in the organization. Clinical inquiry in nursing follows five EBP processes including ask, gather, appraise, act, evaluate and disseminate. Learning these steps helps to support the capacity of nurses. According to Mick (2017), the first process to clinical inquiry is developing a clinical question, followed by gathering and evaluating evidence obtained. After finding a satisfactory evidence, actions should be taken for its implementation and dissemination and examining outcome.
Reference.
Saunders, H., Vehviläinen-Julkunen, K., & Stevens, K. R. (2016). Effectiveness of an education
intervention to strengthen nurses’ readiness for evidence-based practice: a single-blind
randomized controlled study. Applied Nursing Research, 31, 175-185.
Mick, J. (2017). Call to action: How to implement evidence-based Nursing
practice. Nursing2019, 47(4), 36-43.
REPLY2
As discussed in week one, the significance of evidence-based practice (EBP) in providing safe and quality health care cannot be relegated. In fact, EBP has been endorsed in research and practice as a method that obtains the highest level of care for patients, reduces the cost of health care, reduces medical errors and injuries, and encourages individual and professional advancement for nurses and other health professionals because it encourages research and educational progression. Accordingly, Black et al (2015) concluded that providing research training opportunities to nurses is a worthwhile strategy for health care facilities seeking to promote EBP for the purpose of empowering nurses and consistently ensuring safe and quality health care.
Studies have shown that several issues or factors are implicated in achieving evidence-based nursing practice (e. g. Mahmoud and Abdelrasol, 2019; Solomons and Spross, 2011). Some of these factors include inadequate time to read literature, intense workload, shortage of staff qualified in EBP, and shortage of nursing faculties to inculcate the knowledge of EBP in nurses. Despite the presence of a couple of qualified RNs, the issue of inte.
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How does your facility incorporate EBP in a clinical setting to promote patient outcomes? Do you have recommendations on how your facility can improve its use of EBP?
My facility incorporates evidence-based practice in the clinical setting in a resourceful manner in order to promote patient outcomes. The institution integrates clinical expertise, the best research evidence and patient values in the decision making process to foster the implementation of evidence based practice. In this endeavor, the facility also encourages patients to bring their personal preferences, unique concerns, values and expectations in order to ensure that the clinicians have a heighted understanding of their pertinent medical issues and provide patient-centered care that meets the distinct needs of the patients.
According to
Polit & Beck (2011),
through the practice of EBP, the healthcare facility can be in a better position to ascertain the effects of therapy, the prognosis of diseases, the utility of diagnostic tests as well as the etiology of disorders. It is worth mentioning that my facility follows various steps in implementing the EBP practices. These steps include assessing the patient, asking clinical questions derived from the patient’s case, acquiring the evidence through searching appropriate resources and then appraising the evidence for its applicability and validity. The other steps usually include integrating the evidence with patient preferences, clinical expertise and applying it to practice. The institution also encourages all practitioners to evaluate their performance with the patient as a yardstick for determining the effectiveness of the EBP process.
Although the facility has registered notable success in its EBP initiatives, various recommendations can help it to improve on these processes. One of such proposals is to aim at creating and sustaining strong nurse-client relationships
(Majid, Foo, & Luyt, 2011)
. This can enable the practitioners to have a better understanding of the patient’s unique values and preferences, all of which are fundamental components of EBP practice. The leaders of the facility should also serve as positive role models through advocating, embracing and communicating the benefits of EBP to other employees in the organization. Ultimately, this will help to create a culture that supports the adoption and implementation of evidence-based practice across the entire healthcare establishment
(Polit & Beck, 2011)
.
References
Majid, S., Foo, S., & Luyt, B. (2011). Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers.
Journal of the Medical Library Association, 99
(3), 229–236. Retrieved June 10, 2015, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/
Polit, D., & Beck, C. (2011).
Nursing Research: Generating and Assessing Evidence for Nursing Practice
(9 ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
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This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of the Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)
Determine fit, feasibility, and appropriateness of the result for your practice setting.
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The PDSA model is a great tool that provider can use to establish a ground rule in order to implement a change that is needed at the workplace. An action plan in this instance is the strategy that will be used to make the implemented change successful. Per Mennella and Balderrama, (2017), the component of the PDSA in which
P
: will be the planning phase, which is where the leader put the plan into action by establishing goals, identifying the cause of the problem, what needs to be done in this instance: increase communication, which starts by gather information.
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Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
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In 250-500 words, summarize and reflect upon the following:
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· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
For decades now, evidence based practice is believed to improve qual.docx
For decades now, evidence based practice is believed to improve quality patient care in health care where there are practiced. Maximum efforts has been put to eliminate traditional way of doing things and embrace new methodologies (Saunders, Vehviläinen-Julkunen & Stevens, 2016). Concerns have been raised towards improving knowledge and skills in respect to evidence for efficient clinical outcome. Lack of EBP knowledge has bring a lot of challenges in our organization thus hindering its implemented. This has influenced integration of sources of evidence in clinical decision making where clinical expertise, clinical context, patients outcomes and values as well as best research are included in the process of decision-making.
There is increased demand to create culture that promotes exploration of critical inquiry and availability of evidence as an important aspect to be incorporated in our daily nursing practice in the organization. Clinical inquiry in nursing follows five EBP processes including ask, gather, appraise, act, evaluate and disseminate. Learning these steps helps to support the capacity of nurses. According to Mick (2017), the first process to clinical inquiry is developing a clinical question, followed by gathering and evaluating evidence obtained. After finding a satisfactory evidence, actions should be taken for its implementation and dissemination and examining outcome.
Reference.
Saunders, H., Vehviläinen-Julkunen, K., & Stevens, K. R. (2016). Effectiveness of an education
intervention to strengthen nurses’ readiness for evidence-based practice: a single-blind
randomized controlled study. Applied Nursing Research, 31, 175-185.
Mick, J. (2017). Call to action: How to implement evidence-based Nursing
practice. Nursing2019, 47(4), 36-43.
REPLY2
As discussed in week one, the significance of evidence-based practice (EBP) in providing safe and quality health care cannot be relegated. In fact, EBP has been endorsed in research and practice as a method that obtains the highest level of care for patients, reduces the cost of health care, reduces medical errors and injuries, and encourages individual and professional advancement for nurses and other health professionals because it encourages research and educational progression. Accordingly, Black et al (2015) concluded that providing research training opportunities to nurses is a worthwhile strategy for health care facilities seeking to promote EBP for the purpose of empowering nurses and consistently ensuring safe and quality health care.
Studies have shown that several issues or factors are implicated in achieving evidence-based nursing practice (e. g. Mahmoud and Abdelrasol, 2019; Solomons and Spross, 2011). Some of these factors include inadequate time to read literature, intense workload, shortage of staff qualified in EBP, and shortage of nursing faculties to inculcate the knowledge of EBP in nurses. Despite the presence of a couple of qualified RNs, the issue of inte.
Develop Care Practices Discussion.pdf
1. The document discusses developing care practices for patients with dementia using the PICO(T) framework. It focuses on whether a non-pharmacological intervention (person-centered care) is more effective than pharmacological approaches in managing agitation.
2. Two models of person-centered care intervention are examined: an individualized intervention model and a care staff-directed model. Studies found the individualized model had better outcomes in reducing agitation.
3. The findings suggest person-centered care that addresses the underlying causes of agitation can be more effective than pharmacological approaches which only treat symptoms.
How does your facility incorporate EBP in a clinical setting to prom.docx
How does your facility incorporate EBP in a clinical setting to promote patient outcomes? Do you have recommendations on how your facility can improve its use of EBP?
My facility incorporates evidence-based practice in the clinical setting in a resourceful manner in order to promote patient outcomes. The institution integrates clinical expertise, the best research evidence and patient values in the decision making process to foster the implementation of evidence based practice. In this endeavor, the facility also encourages patients to bring their personal preferences, unique concerns, values and expectations in order to ensure that the clinicians have a heighted understanding of their pertinent medical issues and provide patient-centered care that meets the distinct needs of the patients.
According to
Polit & Beck (2011),
through the practice of EBP, the healthcare facility can be in a better position to ascertain the effects of therapy, the prognosis of diseases, the utility of diagnostic tests as well as the etiology of disorders. It is worth mentioning that my facility follows various steps in implementing the EBP practices. These steps include assessing the patient, asking clinical questions derived from the patient’s case, acquiring the evidence through searching appropriate resources and then appraising the evidence for its applicability and validity. The other steps usually include integrating the evidence with patient preferences, clinical expertise and applying it to practice. The institution also encourages all practitioners to evaluate their performance with the patient as a yardstick for determining the effectiveness of the EBP process.
Although the facility has registered notable success in its EBP initiatives, various recommendations can help it to improve on these processes. One of such proposals is to aim at creating and sustaining strong nurse-client relationships
(Majid, Foo, & Luyt, 2011)
. This can enable the practitioners to have a better understanding of the patient’s unique values and preferences, all of which are fundamental components of EBP practice. The leaders of the facility should also serve as positive role models through advocating, embracing and communicating the benefits of EBP to other employees in the organization. Ultimately, this will help to create a culture that supports the adoption and implementation of evidence-based practice across the entire healthcare establishment
(Polit & Beck, 2011)
.
References
Majid, S., Foo, S., & Luyt, B. (2011). Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers.
Journal of the Medical Library Association, 99
(3), 229–236. Retrieved June 10, 2015, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/
Polit, D., & Beck, C. (2011).
Nursing Research: Generating and Assessing Evidence for Nursing Practice
(9 ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Discussion Question 2
Ho.
Partial and Incremental PCMH Practice Transformation: Implications for Qualit...
Experience of BCBS Michigan in Building medical homes
Based on the observed relationships for partial implementation,full implementation of the PCMH model is associated with a 3.5 percent higher quality composite score, a 5.1 percent higher preventive composite score, and $26.37 lower per member per month medical costs for adults. Full PCMH implementation is also associated with a 12.2 percent higher preventive composite score, but no reductions in costs for pediatric populations. Incremental improvements in PCMH model implementation yielded similar positive effects on quality of care for both adult and pediatric populations but were not associated with cost savings for either population.
Conclusions. Estimated effects of the PCMH model on quality and cost of care
appear to improve with the degree of PCMH implementation achieved and with incremental improvements in implementation.
Evaluation
The document discusses various ways to evaluate the effectiveness of advanced practice nurses (APNs) through research. It notes that while some early research found APNs provided safe, effective, and cost-efficient care, more ongoing research is still needed. Specifically, more documentation is required on APN contributions, outcomes, quality of care provided, and how APNs work with other healthcare providers.
University Home Calendar Maps .docx
University: Home | Calendar | Maps
Site
University
Star Model Research
The Star Model provides a focal point for evidence-based practice activities, including education and interdisciplinary research projects. Projects and investigations are concentrated on two objectives: (a) basic and professional level workforce development for EBP; and (b) the study of the processes and outcomes within evidence-based quality improvement. We study evidence synthesis, translation of evidence into practice, and healthcare provider and organizational change. A short description of representative projects and research follows. Current Research TopicsList of TopicsStar Model Translational Research
This ongoing program expands and tests a model for understanding evidence-based practice. The study of EBP is essentially the study of transforming knowledge produced through primary studies and moving it through adoption into clinical decision-making.
Using the Star Model as a framework, our program of translational research investigates phenomena associated with EBP, including summarizing evidence, clinical guideline development and uptake, organizational culture, and outcome measures. The initial project in this timely program of research was Evaluation of Systematic Reviews Published in Nursing Literature: A Replication, that pointed to the need for more rigorous systematic reviews in nursing. Subsequent projects investigate factors associated with uptake of clinical practice guidelines, innovation, and system culture change.
Top of TopicsStar Model of Knowledge Transformation
Developed in 2004, the Star Model is configured as a simple 5-point star; and it explains how knowledge is transformed at five major stages, starting from primary research, and continuing through the stages of evidence summary, translation, integration, and evaluation. This model places nursing’s previous scientific work within the context of EBP and is proving useful for examining the EBP process, roles in EBP, and research methods with which to investigate EBP.
Adopted by scores of hospitals across the nation as part of their journey to excellence, the Star Model forms a foundation for developing workforce competencies, organizing projects, and employing EBP in clinical settings. Influenced by Imogene King, we continue to evolve the Star Model as a theory, combining concepts of knowledge transformation with elements of communication, mutual goal setting, and systems theory.
Top of TopicsImprovement Science Research Network
While quality improvement activities are highly encouraged in acute care settings, hospitals and improvement scientists are not well connected. Th.
Stetler model ppt latif sir (2)
1) The document discusses using the Stetler model of evidence-based practice to guide a quality improvement intervention aimed at addressing provider behavior related to guidelines for treating community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections.
2) The intervention included an educational program for providers to raise awareness about appropriately prescribing antibiotics according to clinical guidelines.
3) Evaluation found the education increased provider knowledge and improved guideline-concordant prescribing for 43% of patients, showing the Stetler model provided an effective framework for integrating research into practice.
Introduction to Evidence-Based Practice
This document provides an introduction to evidence-based practice (EBP) for nurses. It defines EBP as incorporating the best available scientific evidence, clinical expertise, and patient preferences. The document notes that while EBP is crucial for improving quality of care, only 15% of current nursing practice is scientifically validated. Barriers to EBP include limited time and lack of skills/confidence to implement it. The document recommends regular education programs to teach nurses how to find, evaluate, and apply research evidence through the five steps of EBP. Implementing EBP can empower nurses and improve patient outcomes, clinical excellence, and job satisfaction.
Practicum Evaluation Summary Essay.docx
The student completed a practicum at the Orlando VA Medical Center developing and implementing an educational program for nursing staff on caring for veterans with PTSD. The goals were to assess nursing staff needs, develop a teaching program using evidence-based research, and evaluate its effectiveness in improving veteran quality of life. The program was well-received and led to positive outcomes on nursing knowledge. The experience enhanced the student's skills as a nurse educator and provided opportunities for professional advancement.
Evidence Based Practice
This document discusses evidence-based nursing and its evolution over time. It provides definitions of key terms like evidence-based medicine and evidence-based nursing practice. It also summarizes several models that have been developed to help implement evidence-based practice, including the Stetler Model, Iowa Model, and Star Model. The stages of knowledge transformation in the Star Model are also briefly outlined.
MADLENARTICLES
This document provides a performance appraisal for Dr. Zamfirova, an internal medicine physician. It summarizes research on different methods used to evaluate physician performance, including appointment length, clinical performance assessments using composite measures, a physician's capacity for change, and compensation based on RVUs. The research presented acknowledges there are many factors that influence performance evaluations and no single measure can accurately capture a physician's overall quality of care.
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
The document discusses evidence-based practice and the importance of integrating different types of evidence beyond just scientific research. It argues that evidence-based practice requires the expert judgment and knowledge of experienced clinicians, not just research evidence. True evidence-based practice considers both research findings as well as clinical expertise and patient preferences. The Iowa Model of evidence-based practice is presented as a framework to guide the implementation of evidence into clinical practice through identifying problems or knowledge triggers, forming teams, reviewing and critiquing research, and piloting changes.
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
The document discusses evidence-based practice and the importance of integrating different types of evidence beyond just scientific research. It argues that evidence-based practice requires the expert judgment and knowledge of experienced clinicians, not just research evidence. True evidence-based practice involves synthesizing knowledge from various sources, including research findings as well as clinical expertise. The Iowa Model of evidence-based practice is presented as a framework to help implement changes based on the best available evidence.
Respond Using references, identity the research result that .docx
Respond
Using references, identity the research result that you could use in your practice setting.
This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of the Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)
Determine fit, feasibility, and appropriateness of the result for your practice setting.
I can see that using certain information from the study that show a positive association on the outcome of the problem will surely take precedence in what I need to accomplish by using EBP to make change. The following four factors from the study put together the general idea that providers can use when they need to increase communication in the practice setting. Knowing these facts will help put the focus on the importance of what matter to patients. Per Ya-huei and Hung-Chang (2019), these factors are: “1- perception of trust and receptivity, 2- patient-centered information giving, 3- rapport building, and 4- facilitation of patient involvement+ (p. 7, 8). Knowing the focus area will help put into perspective the change process and will have a better chance to succeed. As stated in the result of the study the number of subjects were enough to deduct that the study can be used as evidence to make change in the workplace.
Using Plan-Do-Study-Act (PDSA), outline an action plan.
The PDSA model is a great tool that provider can use to establish a ground rule in order to implement a change that is needed at the workplace. An action plan in this instance is the strategy that will be used to make the implemented change successful. Per Mennella and Balderrama, (2017), the component of the PDSA in which
P
: will be the planning phase, which is where the leader put the plan into action by establishing goals, identifying the cause of the problem, what needs to be done in this instance: increase communication, which starts by gather information.
D
: that is where the leader start doing, so after talking to partic.
Similar to Evidence-Based Practice (19)
Harvard style research paper nursing evidenced based practice
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By administering assessments and analyzing the results, targeted a
By administering assessments and analyzing the results, targeted a
For decades now, evidence based practice is believed to improve qual.docx
For decades now, evidence based practice is believed to improve qual.docx
How does your facility incorporate EBP in a clinical setting to prom.docx
How does your facility incorporate EBP in a clinical setting to prom.docx
Partial and Incremental PCMH Practice Transformation: Implications for Qualit...
Partial and Incremental PCMH Practice Transformation: Implications for Qualit...
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
Grantham University Wk 11 Evidence Based Nursing Practice Discussion Question...
Respond Using references, identity the research result that .docx
Respond Using references, identity the research result that .docx
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Freedom comes from Old...show more content...Works Cited
Freedom. Etymonline.com. Online Etymology Dictionary. Web. 26 Sept. 2013.
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Vacations In California
Many people will go on vacations to get away from their own lives and take a break from work, stress, and giving them time to relax. When someone goes on vacation, they have a lot to plan and many things to do. Another reason why people go on vacation is for the scenery. Most places people go to for vacation is something they do not have in their own town or near them, so most of the time people go to places that are out of their comfort zone. San Francisco, California tourism reached record numbers in 2015, welcoming a total of 24.6 million visitors for an increase of 2.7 percent from 2014. (Woodlard) San Francisco, is one of the largest cities in California, and has a lot to offer.
European explorers first arrived at the site of present day San Francisco in 1775. (Ebscohost) While Europeans were there, they discovered the Ohlone people, who lived primarily off of what the ocean provided. San Francisco was mapped later on, in the year, Although Spanish Explorers had already found and named the territory, it was later mapped in 1775. The Presidio was built in 1776, which was used as a Spanish Military post. Presidio was named Yerba Buena ( Good Herb ). San Francisco was named as a city in 1850. The Presidio is still standing today, and is currently the oldest structures standing in San Francisco.
On January 24 1848, the Gold Rush started, which gave a significant increase in population.The Golden Gate Bridge is also one of the most photographed objects in the world.
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Darden Property
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Darden Property
What is law? Law is a set of rules that are laid down by the state and backed up by enforcement (Reed, Pagnattaro, Cahoy, Shedd, and Morehead, 2013, p.6). These set of rules were made to take away the diversity amongst people. Laws are a set of guidelines that are to be followed by every citizen. Under each law, people are required to be treated equally regardless of any differences that may appear amongst a group of people. The law applies to everyone, including the law maker and the law enforcement. Under the rule of law, laws that are made generally and equally apply group; they apply to all or most members of society and they apply to various groups in the same way (Reed, Pagnattaro, Cahoy, Shedd, and Morehead, 2013, p..7). What does it mean to say that Darden has property in the land? That the hunter has property in himself? Property is something that is owned and ownership; or in law it means the right to turn to public authorities like the police or the courts to help keep others from interfering with what you own (Reed, Pagnattaro, Cahoy, Shedd, and Morehead, 2013, p.8). Property prevents another person from taking something that they do not own. The statement Darden has property in the land means the Darden has resources within land that it owns....show more content... James Madison wrote that property in its larger and juster meaning...embraces everything to which a man many attach value and have a right....[A] man has property in his opinions and free communication of them...In a word, as a man is said to have a right to his property, he may be equally said to have property of his rights (Reed, Pagnattaro, Cahoy, Shedd, and Morehead, 2013, p.
Essay On Chicago School
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Essay On Chicago School
In this essay I will critically assess the contribution of the Chicago school. I will open this essay by briefly describing the Chicago school and the conditions in which it arose. I will then look at the context within criminology in witch the Chicago School emerged; I will do this by looking at the dominating criminological theories that existed before the Chicago school. Furthermore I will discuss the influence Emile Durkheim and Ernest Simmel made to the Chicago school theories. I will follow by describing and critically assessing the contributions made by some of the key Chicago School thinkers, Robert Park, Ernest Burgess, Clifford Shaw and Henry McKay, Edwin Sutherland and Robert Merton. This essay will be concluded by assessing the...show more content...The dominant theories in Criminology preceding the Chicago school were classical criminological and positivist theories of crime.
The classical school of criminology dates back to the enlightenment in the early 18th century. Philosopher s Jeremy Bentham and Cesare Beccaria, focused their interest on the system of criminal justice and penology, they suggested that crime is a product of human nature and rational humans possess free will, therefore have the ability to control their actions. (Carrabine et al, 2004, chap. 3)
This perspective emerged as an alternative to the old barbaric system of capital punishment and was concerned with generating a criminal justice system which was more reasonable. This theory was not concerned with the individual causes of crime but instead focused on the law enforcement and legal procedure. Classical criminologists believe that laws are constructed to demonstrate that no
Long Bones Essay
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Long Bones Essay
Skeletisation of a dead body has made identification of the remains trickier. As humans, we become accustomed to recognise others from outer body appearances, not their insides. However, it is well established that morphological and metric changes occur on certain bones through a human s lifetime (e.g. Pelvis: Phenice, 1969, Skull: Meindl and Lovejoy, 1985, Long bones: France, 1998) making identification possible. To complicate matters, morphological and metric changes can differ within and between human population groups due to intrinsic and extrinsic factors (DiGangi and Moore, 2012). An example of this is nutritional deficiency, which effects males more than females and causes reduced sexual dimorphism (Ross, Baker and Falsetti, 2003). Recently, there has been a global trend to establish population specific standards for identification due to such variation. Compared to America, much of Europe and other areas have not had as much opportunity to conduct research on modern populations,...show more content...Epiphyseal (growth plates) fusion (Krogman and İşcan, 1986), dental eruption and wear (Ubelaker, 1989; Buikstra and Ubelaker, 1994), cranial suture (elastic tissue that connects the bones of the skull) closure (Meindl and Lovejoy, 1985), features of the pelvis such as the pubic symphysis (Todd, 1921a, 1921b; Brooks and Suchey, 1990) and auricular surface (Lovejoy et al. 1985b) are some examples of commonly used methods for age determination. Other features of the pelvis such as the morphology of the subpubic region (Phenice, 1969) are a commonly used method for sex determination. Morphology and metrics of the skull, including the mandible, have been beneficial in d
What Is The Turning Point Of Ramanujan
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What Is The Turning Point Of Ramanujan
HIS TURNING POINT:
Ramanujan s entry into the port trust in 1912 may well be considered as the turning point in his career. It was the beginning of the appreciation of his scholarships and researches in Mathematics. Ramanujan, disappointed at the lack of recognition, had bemoaned to a friend that he was probably destined to die in poverty like Galileo. This was not to be.
When not so occupied, he would squat on the front porch oh his house, made writing on a large slate across his lap. For all the noisy activity on the street, he inherited an island of serenity. His wife would later recall that before going to work in the morning and when he came home in the evening, he would work on mathematics. Sometimes, he would stay up till 6 am, then slept for three hours then go off to his work for office. Those who knew him on those days described him as friendly and gregarious, always full offun. Even his lack of social sensitivity conferred on him as an innocence and sincerity, so that people could not help but like him.
Ramanujan was quit lucky to have a number of people working around him with training in mathematics. The chief accountant of the port trust, S. Narayana Rao, was a mathematician and also a founder member of Mathematical Society. Impressed by Ramanujan s mathematical powwerness, Rao supported his research work. The life of Ramanujan, in the words of C.P. Snow, is an admirable story, and one which offers credit on early everyone . Dr. Walker, a good mathematician
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The Apology Of Socrates Essay Examples
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The Apology of Socrates Essay examples
Socrates is at the age of seventy and appearing in a law court for the first time. For the people of Socrates time is accusing Socrates, for miss leading the youth corrupting them and boasting about being wise, causing him to become very unpopular. Socrates says to the jury I am going to speak the whole truth, for it is me by myself that I have to defend. He says my accusers are many and I don t know them, they say, you should be careful not be deceived by an accomplished speaker like me (Cohen, Curd, Reeve, 2000). The accuser goes on to say that Socrates is accomplished speaker; Socrates starts to praise them, because their lies are so good well put together, that Socrates himself is almost convinced but then he says that they do not...show more content...This made Socrates very unpopular. As a result of this investigation, gentleman of the jury, I acquired much unpopularity, of a kind that is hard to deal with and is a heavy burden; many slanders came from these people and a reputation for wisdom, for in each case the bystanders thought that I myself possessed the wisdom that I proved that my interlocutor did not have (Cohen, et al., 2000).
Socrates says that the young men follow me, but not on my account they try to imitate what I say, which causes their fathers to be angry with me. Socrates says I have been accused of corrupting the youth, but I say Meletus is guilty of such things. For it is Meletus who does not believe in the gods of the city and corrupting the youth, Socrates and Meletus start to argue about the rights and wrongs of the law. Socrates proves his point by saying that Meletus contradicts himself, for he say that Socrates
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Evidence-Based Practice
- 1. Evidence-Based Practice The incorporation of evidenced–based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,...show more content... The research process includes an intent, design, timeline, setting, measurable outcomes, and a plan for dissemination of the finding. The purpose of the research is to generate knowledge or validate existing knowledge. Being able to identify the significance of these factors in different evidence–based practices will help the practitioner evaluate whether that information is relevant to that population of care or individual. Understanding the research process will help the clinician understand the purpose of the investigation, if the results are valid, why the results are important, and if the results will improve patient outcomes (Arndt & Netsch, 2012). A quality improvement (QI) project involves data–guided activities with short timelines to improve health care delivery systems (Arndt & Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt & Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in Get more content on HelpWriting.net