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.
Clinical Journal of Oncology Nursing • Volume 18, Number 2 .docxbartholomeocoombs
Clinical Journal of Oncology Nursing • Volume 18, Number 2 • Evidence-Based Practice 157
The Iowa Model of Evidence-Based Practice to Promote
Quality Care: An Illustrated Example in Oncology Nursing
Carlton G. Brown, PhD, RN, AOCN®, FAAN
Evidence-based practice (EBP) improves the quality of patient care and helps control
healthcare costs. Numerous EBP models exist to assist nurses and other healthcare
providers to integrate best evidence into clinical practice. The Iowa Model of Evidence-
Based Practice to Promote Quality Care is one model that should be considered. Using
an actual clinical example, this article describes how the Iowa Model can be used
effectively to implement an actual practice change at the unit or organizational level.
Carlton G. Brown, PhD, RN, AOCN®, FAAN, is the director of Professional Services at the Oregon Nurses
Association in Tualatin. The author takes full responsibility for the content of the article. The author did not
receive honoraria for this work. No financial relationships relevant to the content of this article have been
disclosed by the author or editorial staff. Brown can be reached at [email protected], with copy to
editor at [email protected]
Key words: evidence-based practice; research; decision making
Digital Object Identifier: 10.1188/14.CJON.157-159
N
urses understand that evidence-
based practice (EBP) improves the
quality of patient outcomes while
controlling the cost of healthcare (Mel-
nyk, Fineout-Overholt, Gallagher-Ford, &
Kaplan, 2012). But even in the year 2014,
barriers and roadblocks exist to imple-
menting EBP at the bedside or chair side.
The Institute of Medicine estimated that
it takes more than 17 years to implement
a research finding into clinical practice
(Institute of Medicine, 2001). Although
research may exist that should be trans-
lated into practice, the time it takes to
deliver these research-based interventions
to patients takes too long. In their study
of 1,054 RNs, Melnyk et al. (2012) discov-
ered that although nurses value EBP, they
required education, access to information,
and time to implement EBP into daily prac-
tice. Nurses and other healthcare provid-
ers want their practice based in evidence,
but they also acknowledge the barriers
of lack of education and time to actually
implement and use EBP.
EBP is a problem-solving approach to
clinical decision making that integrates
the best evidence from well-designed
studies with a clinician’s expertise along
with patients’ preferences and values
(Melnyk et al., 2012). Numerous EBP
models are available to help nurses orga-
nize and systematically track progress in
implementing evidence into practice, in-
cluding the Stetler Model of Research Uti-
lization (Stetler, 2001), the Iowa Model of
Evidence-Based Practice to Promote Qual-
ity Care (hereafter referred to as the Iowa
Model) (Titler et al., 2001), and the Johns
Hopkins Nursing Model (Newhouse, Dear-
holt, Poe, Pugh, &.
Reply1
Re: Topic 1 DQ 2
Topic 1 DQ 2
The inclusion of evidence-based practice provides nurses with the scientific research and experience to make a comprehensive decision. The practice enables the nurses to re-evaluate the risks and only adopt the best mechanism to ensure an improved patient outcome. Patients are also able to receive the best available outcomes. It is very advisable to move the nursing practice to be evidence-based to ensure that there is patient-centered care that is safe, inclusive, and effective. However, there have been barriers towards this progress since only 15% of U.S practice is evidence-based. One of the barriers which have led to lagging behind in adopting evidence-based practice is nurse shortage. Evidence-based practice requires massive documentation and research together with increased testing and experience. This requires a large human resource which is not available due to nurse shortage across the united states (Stavor et al., 2017). This has acted as a barrier towards the goal of moving practice to evidence-based. The government should employ more nurses and also dedicate some of the workforces specifically to matters to do with shifting traditional caregiving to EBP.
The second barrier is unsupportive administration. Research indicates that over 70% of nurses know about evidence-based practice, but the barriers to the practice in a clinical setting make it hard for them to adopt it. To move practice to EBP requires active collaboration from all stakeholders and more so from the administration of the healthcare setting. However, most administrations have been termed as unsupportive for the move due to the challenges of resources involved in the move. EPB presents a huge cost in the beginning due to its data requirements. However, it is able to reduce the cost of healthcare by 35% after its implementation. Lack of support from the management makes it hard to move nursing practice to EBP in a clinical setting since it’s a collaborative activity that requires dedicated and goal-oriented leadership (Duncombe, 2018). Policies and regulations should be created which force the push to enable the administration of various healthcare to have no otherwise but to comply in the shift.
References
Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital.
JONA: The Journal of Nursing Administration
,
47
(1), 56-61.
Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice.
Journal of Clinical Nursing
,
27
(5-6), 1216-1226.
Reply 2
aur
1 posts
Re: Topic 1 DQ 2
As unprecedented development in the diagnosis, treatment, and long-term management of disease bring Americans closer than ever to the promise of personalized health care, we are faced with similarly unprecedented c.
Week 2 The Clinical Question77 unread replies.2525 replies..docxcockekeshia
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
Clinical Journal of Oncology Nursing • Volume 18, Number 2 .docxbartholomeocoombs
Clinical Journal of Oncology Nursing • Volume 18, Number 2 • Evidence-Based Practice 157
The Iowa Model of Evidence-Based Practice to Promote
Quality Care: An Illustrated Example in Oncology Nursing
Carlton G. Brown, PhD, RN, AOCN®, FAAN
Evidence-based practice (EBP) improves the quality of patient care and helps control
healthcare costs. Numerous EBP models exist to assist nurses and other healthcare
providers to integrate best evidence into clinical practice. The Iowa Model of Evidence-
Based Practice to Promote Quality Care is one model that should be considered. Using
an actual clinical example, this article describes how the Iowa Model can be used
effectively to implement an actual practice change at the unit or organizational level.
Carlton G. Brown, PhD, RN, AOCN®, FAAN, is the director of Professional Services at the Oregon Nurses
Association in Tualatin. The author takes full responsibility for the content of the article. The author did not
receive honoraria for this work. No financial relationships relevant to the content of this article have been
disclosed by the author or editorial staff. Brown can be reached at [email protected], with copy to
editor at [email protected]
Key words: evidence-based practice; research; decision making
Digital Object Identifier: 10.1188/14.CJON.157-159
N
urses understand that evidence-
based practice (EBP) improves the
quality of patient outcomes while
controlling the cost of healthcare (Mel-
nyk, Fineout-Overholt, Gallagher-Ford, &
Kaplan, 2012). But even in the year 2014,
barriers and roadblocks exist to imple-
menting EBP at the bedside or chair side.
The Institute of Medicine estimated that
it takes more than 17 years to implement
a research finding into clinical practice
(Institute of Medicine, 2001). Although
research may exist that should be trans-
lated into practice, the time it takes to
deliver these research-based interventions
to patients takes too long. In their study
of 1,054 RNs, Melnyk et al. (2012) discov-
ered that although nurses value EBP, they
required education, access to information,
and time to implement EBP into daily prac-
tice. Nurses and other healthcare provid-
ers want their practice based in evidence,
but they also acknowledge the barriers
of lack of education and time to actually
implement and use EBP.
EBP is a problem-solving approach to
clinical decision making that integrates
the best evidence from well-designed
studies with a clinician’s expertise along
with patients’ preferences and values
(Melnyk et al., 2012). Numerous EBP
models are available to help nurses orga-
nize and systematically track progress in
implementing evidence into practice, in-
cluding the Stetler Model of Research Uti-
lization (Stetler, 2001), the Iowa Model of
Evidence-Based Practice to Promote Qual-
ity Care (hereafter referred to as the Iowa
Model) (Titler et al., 2001), and the Johns
Hopkins Nursing Model (Newhouse, Dear-
holt, Poe, Pugh, &.
Reply1
Re: Topic 1 DQ 2
Topic 1 DQ 2
The inclusion of evidence-based practice provides nurses with the scientific research and experience to make a comprehensive decision. The practice enables the nurses to re-evaluate the risks and only adopt the best mechanism to ensure an improved patient outcome. Patients are also able to receive the best available outcomes. It is very advisable to move the nursing practice to be evidence-based to ensure that there is patient-centered care that is safe, inclusive, and effective. However, there have been barriers towards this progress since only 15% of U.S practice is evidence-based. One of the barriers which have led to lagging behind in adopting evidence-based practice is nurse shortage. Evidence-based practice requires massive documentation and research together with increased testing and experience. This requires a large human resource which is not available due to nurse shortage across the united states (Stavor et al., 2017). This has acted as a barrier towards the goal of moving practice to evidence-based. The government should employ more nurses and also dedicate some of the workforces specifically to matters to do with shifting traditional caregiving to EBP.
The second barrier is unsupportive administration. Research indicates that over 70% of nurses know about evidence-based practice, but the barriers to the practice in a clinical setting make it hard for them to adopt it. To move practice to EBP requires active collaboration from all stakeholders and more so from the administration of the healthcare setting. However, most administrations have been termed as unsupportive for the move due to the challenges of resources involved in the move. EPB presents a huge cost in the beginning due to its data requirements. However, it is able to reduce the cost of healthcare by 35% after its implementation. Lack of support from the management makes it hard to move nursing practice to EBP in a clinical setting since it’s a collaborative activity that requires dedicated and goal-oriented leadership (Duncombe, 2018). Policies and regulations should be created which force the push to enable the administration of various healthcare to have no otherwise but to comply in the shift.
References
Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital.
JONA: The Journal of Nursing Administration
,
47
(1), 56-61.
Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice.
Journal of Clinical Nursing
,
27
(5-6), 1216-1226.
Reply 2
aur
1 posts
Re: Topic 1 DQ 2
As unprecedented development in the diagnosis, treatment, and long-term management of disease bring Americans closer than ever to the promise of personalized health care, we are faced with similarly unprecedented c.
Week 2 The Clinical Question77 unread replies.2525 replies..docxcockekeshia
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
EBP is a systemic interconnecting of scientifically generated evidence with the tacit knowledge of the expert practitioner to achieve a change in a particular practice for the benefit of a well-defined client/ patient group.
At the end of this presentation you will be able to:
Define evidence-based practice
Describe process & outline steps of EBP
Understand PICO elements & search strategy
Identify resources to support EBP
The focus of this presentation is nursing practice, although it is still of value to physicians and other health care professionals.
Evidence based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients/clients.
Integration of the best research evidence with clinical expertise and patient values and using the best available research findings “to make clinical decisions that are most effective and beneficial for patients.
- It is a movement away from always doing things in the way in which we were taught and from decisions based on personal opinion. It requires that we look for and appraise research evidence to inform decisions about tests, treatments, patterns of practice, and policy.
Ask Converting information needs into clear questions
Acquire Seeking evidence to answer those questions
Appraise Evaluate the evidence for its validity and usefulness.
Apply Integrating findings with clinical expertise, patient needs, applying the finding.
Assess Evaluating performance.
EVIDENCE-BASED PRACTICE IN NURSING.docxHaraLakambini
-Evidence-based Practice in Nursing
-Steps of Evidence-Based Practice
-Hierarchy of Evidence | Quantitative Questions
-Elements of Evidence-Based Practice
-Nursing Research
-Types of Research
-Rights of Human Subject
-Comparison of Nursing Process with Research Process Table
-Performance Improvement in Nursing
-Examples of Performance Improvement Models
-Relationship between Evidence-Based Practice, Research, and Performance Improvement
-Similarities and Differences among Evidence-Based Practice, Research, and Performance Improvement
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
Original ArticleThe Establishment of Evidence-BasedPract.docxgerardkortney
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes,.
I had started the paper but have no time to finish.Please help.docxfideladallimore
I had started the paper but have no time to finish.Please help
Craft a research question on the topic you selected in your first discussion question post. Then locate at least five articles from peer-reviewed journals that pertain to your question that will be used to write the introduction section of your research proposal.
Submit these five citations in the form of an APA-style reference page. Under each citation, write one paragraph summarizing the main points of the article. As you read your articles, keep the following questions at hand; these will help you generate the information about each article.
What were the topic/research questions being investigated?
How was the study conducted (participants, materials, procedure, etc.)?
What did the results reveal?
How might these methodological considerations affect the research findings and the conclusions drawn from them?
How does this article fit in with your paper? How did it influence your own ideas about your paper?
Based on your reading of the literature, what do you expect to find?
Include a hypothesis and a title page for your submission.
Submit your paper to the M1: Assignment 3 Dropbox by Wednesday, March 11, 2015. All written assignments and responses should follow APA rules for attributing sources.
EYEWITNESS TESTIMONY AND MISINFORMATION EFFECT
Premature experiments of the results of preeminent questions disclosed a number of ways an eyewitness testimony can possibly be altered and how the misinformation effect can modify their statements. This Loftus experiment is where people are shown a series of films about a car accident and given different information to attempt their success in changing their testimony. The “misinformation effect” documented by Loftus is one of the best-known and most influential findings in psychology (
Loftus, Miller, & Burns, 1978).
What was the speed the vehicles were going when they wrecked into each other? The individuals that viewed the films of the accidents were asked a series of questions, which provoked excessive guesses at the speed the car was going, untrue claims of witnessing broken glass, or if the other car was hit or bumped rather than being crushed (Loftus & Palmer, 1974). Later studies indicated that misleading questions caused numerous amounts of alterations in the reports of the eyewitnesses. For instance, Loftus (1977) had people watch the film of the accident including a green vehicle then later revealed misleading questions that the car was blue hypothetically. These people were subsequently asked to choose the color of the car they witnessed; they shifted the color reaction in the modification of the misinformation effect by choosing a blue-green color, an inclination that wasn’t recognized in research competitors. As a result, numerous deluded competitors stated a color that was a mixture of the before and after accident evidence (Belli, 1988). Competitors could have been persuaded to disclose all of the inform.
I have 3 posts from class I need someone to read them and ague which.docxfideladallimore
I have 3 posts from class I need someone to read them and ague which is to (RESPOND) With 120 words and 2 references each . I have attached an assignment to help you respond. read it and read each post to ague well.
Post 1
Jennifer: While a crisis can certainly occur at any time of day or night do you think it is more dangerous or damaging during normal working hours versus after the normal working hour?
Post 2
A crisis this can happen anytime of the day whether it's after working hours or normal business hours. But also when an emergency occurs, they need to communicate is immediate. Because if the business operations are disrupted, the customers they will want to know what the impacted will be. Also they will also need to notify the local government officials because they will want to know what is going on with their community. Also the families and also the employees they would also like some information on what is going on. Even the neighbor that live beside the facility they also need to know some information and the reason why is because if they are threatened by the incident.
I really don't think that you would want to blow the issue out of proportion or don't let anyone else. Also if the media happens to contact you before you have had a chance to asses the situation and decide on a response, just let them know when you expect to have the information also honor your own deadline.
The employee a key stakeholder group with which to communicate Corporate crisis this can cause immense pressure and also uncertainty for any affected company and also it's employees. So in order to prevent the rumors, false information and also unfounded allegations all external as well as internal stakeholders they have to be communicated with.
If you don't prepare, you can and will incur more damages. Also when looking at existing crisis management related plans while conducting a vulnerability audit (the first step in crisis preparedness), also this is what I found is the failure to address the many communication issued related to crisis disaster response.
Post 3
Crisis can occur at any time of day. Before a crisis, successful communication will depend on the preparations made long before the crisis occurs. A crisis is a series of unforeseen events that launch a group, team or an organization into a downward organizational spiral, a crisis situation incorporates a surprise, a threat to high priority goals, and a restricted amount of time available for response. Crisis is not limited to any size or type, it doesn’t confine itself to any particular policy area, it jumps from one field to another uncovering issues and combining them into unforeseen mega-threats, and it is an embedded vulnerability that emerges, fades, mutates and strikes again. There is no warning when it happens. (Bland, 2013).
Currently, crisis communication is more of a discipline in public relations and corporate communications (Frandsen & Johansen, 2011.
More Related Content
Similar to How does your facility incorporate EBP in a clinical setting to prom.docx
EBP is a systemic interconnecting of scientifically generated evidence with the tacit knowledge of the expert practitioner to achieve a change in a particular practice for the benefit of a well-defined client/ patient group.
At the end of this presentation you will be able to:
Define evidence-based practice
Describe process & outline steps of EBP
Understand PICO elements & search strategy
Identify resources to support EBP
The focus of this presentation is nursing practice, although it is still of value to physicians and other health care professionals.
Evidence based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients/clients.
Integration of the best research evidence with clinical expertise and patient values and using the best available research findings “to make clinical decisions that are most effective and beneficial for patients.
- It is a movement away from always doing things in the way in which we were taught and from decisions based on personal opinion. It requires that we look for and appraise research evidence to inform decisions about tests, treatments, patterns of practice, and policy.
Ask Converting information needs into clear questions
Acquire Seeking evidence to answer those questions
Appraise Evaluate the evidence for its validity and usefulness.
Apply Integrating findings with clinical expertise, patient needs, applying the finding.
Assess Evaluating performance.
EVIDENCE-BASED PRACTICE IN NURSING.docxHaraLakambini
-Evidence-based Practice in Nursing
-Steps of Evidence-Based Practice
-Hierarchy of Evidence | Quantitative Questions
-Elements of Evidence-Based Practice
-Nursing Research
-Types of Research
-Rights of Human Subject
-Comparison of Nursing Process with Research Process Table
-Performance Improvement in Nursing
-Examples of Performance Improvement Models
-Relationship between Evidence-Based Practice, Research, and Performance Improvement
-Similarities and Differences among Evidence-Based Practice, Research, and Performance Improvement
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
Original ArticleThe Establishment of Evidence-BasedPract.docxgerardkortney
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes,.
Similar to How does your facility incorporate EBP in a clinical setting to prom.docx (20)
I had started the paper but have no time to finish.Please help.docxfideladallimore
I had started the paper but have no time to finish.Please help
Craft a research question on the topic you selected in your first discussion question post. Then locate at least five articles from peer-reviewed journals that pertain to your question that will be used to write the introduction section of your research proposal.
Submit these five citations in the form of an APA-style reference page. Under each citation, write one paragraph summarizing the main points of the article. As you read your articles, keep the following questions at hand; these will help you generate the information about each article.
What were the topic/research questions being investigated?
How was the study conducted (participants, materials, procedure, etc.)?
What did the results reveal?
How might these methodological considerations affect the research findings and the conclusions drawn from them?
How does this article fit in with your paper? How did it influence your own ideas about your paper?
Based on your reading of the literature, what do you expect to find?
Include a hypothesis and a title page for your submission.
Submit your paper to the M1: Assignment 3 Dropbox by Wednesday, March 11, 2015. All written assignments and responses should follow APA rules for attributing sources.
EYEWITNESS TESTIMONY AND MISINFORMATION EFFECT
Premature experiments of the results of preeminent questions disclosed a number of ways an eyewitness testimony can possibly be altered and how the misinformation effect can modify their statements. This Loftus experiment is where people are shown a series of films about a car accident and given different information to attempt their success in changing their testimony. The “misinformation effect” documented by Loftus is one of the best-known and most influential findings in psychology (
Loftus, Miller, & Burns, 1978).
What was the speed the vehicles were going when they wrecked into each other? The individuals that viewed the films of the accidents were asked a series of questions, which provoked excessive guesses at the speed the car was going, untrue claims of witnessing broken glass, or if the other car was hit or bumped rather than being crushed (Loftus & Palmer, 1974). Later studies indicated that misleading questions caused numerous amounts of alterations in the reports of the eyewitnesses. For instance, Loftus (1977) had people watch the film of the accident including a green vehicle then later revealed misleading questions that the car was blue hypothetically. These people were subsequently asked to choose the color of the car they witnessed; they shifted the color reaction in the modification of the misinformation effect by choosing a blue-green color, an inclination that wasn’t recognized in research competitors. As a result, numerous deluded competitors stated a color that was a mixture of the before and after accident evidence (Belli, 1988). Competitors could have been persuaded to disclose all of the inform.
I have 3 posts from class I need someone to read them and ague which.docxfideladallimore
I have 3 posts from class I need someone to read them and ague which is to (RESPOND) With 120 words and 2 references each . I have attached an assignment to help you respond. read it and read each post to ague well.
Post 1
Jennifer: While a crisis can certainly occur at any time of day or night do you think it is more dangerous or damaging during normal working hours versus after the normal working hour?
Post 2
A crisis this can happen anytime of the day whether it's after working hours or normal business hours. But also when an emergency occurs, they need to communicate is immediate. Because if the business operations are disrupted, the customers they will want to know what the impacted will be. Also they will also need to notify the local government officials because they will want to know what is going on with their community. Also the families and also the employees they would also like some information on what is going on. Even the neighbor that live beside the facility they also need to know some information and the reason why is because if they are threatened by the incident.
I really don't think that you would want to blow the issue out of proportion or don't let anyone else. Also if the media happens to contact you before you have had a chance to asses the situation and decide on a response, just let them know when you expect to have the information also honor your own deadline.
The employee a key stakeholder group with which to communicate Corporate crisis this can cause immense pressure and also uncertainty for any affected company and also it's employees. So in order to prevent the rumors, false information and also unfounded allegations all external as well as internal stakeholders they have to be communicated with.
If you don't prepare, you can and will incur more damages. Also when looking at existing crisis management related plans while conducting a vulnerability audit (the first step in crisis preparedness), also this is what I found is the failure to address the many communication issued related to crisis disaster response.
Post 3
Crisis can occur at any time of day. Before a crisis, successful communication will depend on the preparations made long before the crisis occurs. A crisis is a series of unforeseen events that launch a group, team or an organization into a downward organizational spiral, a crisis situation incorporates a surprise, a threat to high priority goals, and a restricted amount of time available for response. Crisis is not limited to any size or type, it doesn’t confine itself to any particular policy area, it jumps from one field to another uncovering issues and combining them into unforeseen mega-threats, and it is an embedded vulnerability that emerges, fades, mutates and strikes again. There is no warning when it happens. (Bland, 2013).
Currently, crisis communication is more of a discipline in public relations and corporate communications (Frandsen & Johansen, 2011.
I have 4 chapters worth of Operations Management homework.It needs.docxfideladallimore
I have 4 chapters worth of Operations Management homework.
It needs to be done in excel, and needs to be screenshotted.
The instructions are listed on the site.
I can give my password and username to log in to the system if you could do the work.
It needs to be done by the 17th.
.
i have 3 papers due on Thursday for my philosophy class. The papers .docxfideladallimore
i have 3 papers due on Thursday for my philosophy class. The papers can be about any current event or any topic but MUST be relateble to at least 2 of the following philosophers beliefs:
Hobbes
Locke
Rousseu
Rawls
Charles Mills
I will give you the readings which the support must come from
.
i have 2 test on Tuesday at 3 pm and i have another one at 430 it.docxfideladallimore
i have 2 test on Tuesday at 3 pm and i have another one at 4:30
it will be open book test so i can take a pic for the Q and send it to you so you can help me to answer it.
if you can help me to do it plz let me know.
the subject is one is Investment Prin fin
the second one is Financial Mgmt
.
i have 2 assignmets will be today 1- Focus on Web Design IIT.docxfideladallimore
i have 2 assignmets will be today
1-
Focus on Web Design II
This assignment is part of the module
MODULE 4: BASICS OF VISUAL DESIGN
and hasn't been unlocked yet.
Completion Prerequisites
The following requirements need to be completed before this page will be unlocked:
MODULE 4: BASICS OF VISUAL DESIGN
============
2-
Effective Logo Design
This assignment is part of the module
MODULE 4: BASICS OF VISUAL DESIGN
and hasn't been unlocked yet.
Completion Prerequisites
The following requirements need to be completed before this page will be unlocked:
MODULE 4: BASICS OF VISUAL DESIGN
=======
deadline : 5 hours from
i don't want to waist my time i need a good review and can do it on time
.
I got a scholarship to study civil engineering so they asked me to w.docxfideladallimore
I got a scholarship to study civil engineering so they asked me to write a 500-700 word essay on my career objectives, goals and major intrests or any pertinent biological information. No need for a refrences or citations.
*Please no copy and paste as it will be submitted in turn it in
*Please write it in a simple way as I am not a native speaker
.
I composed an experiment with different materials (metals and non-me.docxfideladallimore
I composed an experiment with different materials (metals and non-metals) near an electrically charged object. Do you think all types of materials would intreract with the charged object, or only certain types of materials, or none of them? if only certain types, what types do you think would interact?
.
I have 5 page paper due tomorrow. Basically its a concert report so .docxfideladallimore
I have 5 page paper due tomorrow. Basically its a concert report so I will provide notes and stuff and the guidelines. I am only looking to work with someone who has high reputation with very little low rating assignment in their history. I also plan on working with the person long term since I have many more assignment so this is like a test assignment.
.
I choose Energy source of Human This is my topic.You have to put.docxfideladallimore
I choose Energy source of Human This is my topic.
You have to put work cited first and after that you have to write 150 words summary wath two qoutstions market from the essay and after that you have to write your opinion for gust one or two lines. After that you have to write Two questions about that summery no yes or no. You can choose two questions of How, What,Where, Why, When. this is my order. No quesation no and yes. I do not want that. You have to read this essay I will put to you because you have to read this resoerc. You have to put two of Qoutation mark. said "............................................" with page number , and second he said, "......................................." with his last name and page number.
No quesation no and yes. I do not want that.
I took these information from my college website and you have to read it.
English 2 Annotation 3 Energy Sources
Works Cited
Mohanty, Manoranjan. "New Renewable Energy Sources, Green Energy Development and Climate Change." Management of Environmental Quality 23.3 (2012): 264-74. ProQuest. Web. 29 Sep. 2014.
New renewable energy sources,
green energy development and
climate change
Implications to Pacific Island countries
Manoranjan Mohanty
Faculty of Business and Economics, University of the South Pacific, Suva, Fiji
Abstract
Purpose – The aim of the paper is to examine the renewable energy resources for enhancing a green
energy development in the face of energy crisis and climate change, and to explore the prospects for
“new” renewable energy sources and the green energy initiatives taken in the Pacific Island countries
(PICs).
Design/methodology/approach – The data were collated from a wide variety of sources including
policy documents, road maps, reports, research articles on renewable and green energy sources.
The methodology adopted was primarily a qualitative one based on a “content analysis”.
Findings – The findings reveal that increasing emphases have been given recently to “new”
renewable and green energy sources in the Pacific Island countries as mitigation and adaptation
strategies to fuel crisis and climate change. PICs have taken a wide range of green energy initiatives
including “biomass”, solar, wind and other non-traditional renewable energy sources and bio-fuels
development. Prospects for coconut, copra and palm-oil based bio-fuels do exist in many PICs.
Opportunities for ethanol bio-fuels also exist especially in Fiji.
Practical implications – Renewable and green energy sources are of practical implications to PICs.
There is, however, a greater need for framing sound energy policies by the PICs.
Originality/value – The author has brought out clear linkages between climate change and green
energy development and analyzed the importance of new renewable energy sources, especially in PICs.
The paper has higher policy relevance and it is of great value in the context of sustainable energy
development in PICs.
Keywords Climate change, .
I am wiiling to pay $10.00 I just need these discussion questions an.docxfideladallimore
I am wiiling to pay $10.00 I just need these discussion questions answered short but yet complete and understandable please cite your responses
Premodern Humans
What evidence suggests that Neandertals deliberately buried their dead?
Do you think the fact that they buried their dead is important? Why?
How would you interpret this behavior ( remem-bering that Neandertals were not identical to us)?
Genus Homo
Conventional wisdom has been that A. habilis was the first maker of stone tools and that this accomplishment merits its inclusion in the genus Homo.
Does the conventional wisdom fit the current evidence?
Is it likely that australopithecines were the first tool users?
What mental qualities are needed to make tools? How does understanding the making of tools help us understand the lives of the people who originally made them?
.
I am taking a class its the managing information and databse i am lo.docxfideladallimore
I am taking a class its the managing information and databse i am looking someone to write 7 page about it.
We have many options to choose about topic . Topics are in the file you can check.
You have to choose from those topics you can choose two of them and write it if they are related each other
.
I am trying to teach my dog Fido to sit. Everytime he sits, I give h.docxfideladallimore
I am trying to teach my dog Fido to sit. Everytime he sits, I give him a cookie. Before I can get the behavior perfectly every time, Fido wanders off and jumps in the nearby lake. What happened here?
a. I have become negatively reinforcing to my dog
b. hexperiences sitting as punishment
c. he has become satiated on dog cookies
d. none of the above.
I believe it's "d" but am not sure
Phil notes that Dave until recently has been able to wear shoes for short periods of time. However, Dave's phobia has gotten worse lately. Phil thinks that
a. Dave's father has been around when Dave has been wearing shoes
b. removing his shoes reduces Dave's anxiety
c. removing his shoes is reinforcing to Dave
d. All of the above
I believe it's "d" but am not certain.
Thank you
.
I am trying to do use two bluetooth modules to control an LEDs. I a.docxfideladallimore
I am trying to do use two bluetooth modules to control an LEDs. I am using HC05 as master and another as slave. I can get the two bluetooth module to pair up and communicate with one another using a serial communication in the Arduino IDE. Now what I want to do is to use a push pins to turn on and off an LEDs. Here is my set up for the loop and void set up. I attached also the code that I am using for the bluetooth.
=============================================================
void loop()
{
if(digitalRead(left_arrow_pin) == HIGH)
{
// seems like left arrow button was pressed
// so we clear all the pixels first
clear_all_pixels();
// and then we show the left arrow
left_arrow();
}
else if(digitalRead(right_arrow_pin) == HIGH)
{
// seems like right arrow button was pressed
// so we clear all the pixels first
clear_all_pixels();
// and then we show the right arrow
right_arrow();
}
else if(digitalRead(stop_sign_pin) == HIGH)
{
// seems like stop sign button was pressed
// so we clear all the pixels first
clear_all_pixels();
// and then we show the stop sign
stop_sign();
}
}
====================================================================
void setup()
{
//setting the button pins we defined above as inputs
pinMode(left_arrow_pin, INPUT);
pinMode(right_arrow_pin, INPUT);
pinMode(stop_sign_pin, INPUT);
//initializing the led strip
strip.begin();
strip.show();
}
.
i am taking camp 1 online I need some one to help me with itthe p.docxfideladallimore
i am taking camp 1 online I need some one to help me with it
the price down is not for the work you will do
Bartonline
I. GENERAL COURSE INFORMATION
Course Number:
ENGL 1204
Course Title:
English Composition I
Course Description:
An approach to purposeful writing stressing self-expression through written communication by logical presentation of ideas with emphasis on content, organization, and mechanics.
II. CLASSROOM POLICY
Students and faculty of Barton Community College constitute a special community engaged in the process of education. The college assumes that its students and faculty will demonstrate a code of personal honor that is based upon courtesy, integrity, common sense, and respect for others both within and outside the classroom.
The college reserves the right to suspend a student for conduct that is detrimental to the college’s educational endeavors as outlined in the college catalog.
Plagiarism on any academic endeavors at Barton Community College will not be tolerated. Learn the rules of, and avoid instances of, intentional or unintentional plagiarism.
Anyone seeking an accommodation under provisions of the Americans with Disabilities Act should notify Student Support Services.
III. COURSE AS VIEWED IN THE TOTAL CURRICULUM
English Composition I is an approved general education course at Barton Community College, which can be used to fulfill degree requirements as a fundamental course acceptable as general education credit towards any degree (A.A., A.S., A.G.S., or A.A.S degree).
This course transfers well and may be used to help fulfill credit and course requirements for general education at most if not all Kansas Regents’ institutions. General education requirements vary among institutions, and perhaps even among departments, colleges or programs within an institution. Also, these requirements may change from time to time and without notification. The students shall assume the responsibility to obtain relevant information from intended transfer institutions during their tenure at Barton County Community College to ensure that they enroll in the most appropriate set of courses for the transfer program. Most will not accept this course unless the student earns a C or better. Transfer equivalencies are located online at this website:
http://www.bartonccc.edu/transfer
The learning outcomes and competencies detailed in this syllabus meet, or exceed the learning outcomes and competencies specified by the Kansas Core Outcomes Project for this course, as sanctioned by the Kansas Board of Regents.
IV. ASSESSMENT OF STUDENT LEARNING / COURSE OUTCOMES and
V. COURSE COMPETENCIES
Barton Community College assesses student learning at several levels: institutional, program, degree and classroom. The goal of these assessment activities is to improve student learning. As a student in this course, you will participate in various assessment activities. Results of thes.
I am responsible for this one bullet that is highlighted in pink as .docxfideladallimore
I am responsible for this one bullet that is highlighted in pink as well as the type of multimedia tool. It should be put in a slide.
Historical Perspective project: Medicare/Medicaid
You are employed by the local government and you have been assigned to work with a team in educating the health care consumers of your community about Medicare or Medicaid. You and your team have been tasked with creating a multimedia tool that will be made available at any local government office with this information.
For example, choose from the following:
Presentation-Powerpoint
Brochure
Video/Documentary
Another medium approved by your instructor
Discuss the health and societal issues that impacted the development of the Medicare/Medicaid health care policy.
What was the objective to be accomplished in forming a policy of Medicare/Medicaid?
Identify the various stakeholders involved in the creation of this policy.
Focus on a level of government (Federal, State or local) and the role and function it had in the process of implementing the policy.
Submit
your assignment for grading.
.
I am new to this site.. I was on Student of Fortune until they clo.docxfideladallimore
I am new to this site.. I was on Student of Fortune until they closed. I was a A+ tutor.. I have received my Bachelor’s degree in Social and Criminal Justice and Law Enforcement Administration. I have taken many different courses and I have written many papers.
I know APA and Plagiarism free...... I am now working on my Master’s Degree and getting my Paralegal certification. I can help you out with some work if you would like. I can be 100% trusted…
.
I am looking for you to go a bit deeper in Section Three, and work t.docxfideladallimore
I am looking for you to go a bit deeper in Section Three, and work to select a quote that really helps to prove the point you are making. Part of showing you can use evidence is not just the citation, which you have down, but that you can select and position the evidence to make your point more clear or more powerful. I need two direct incites.
.
I am looking for a Power Point Presentation about ISIS ,,, Including.docxfideladallimore
I am looking for a Power Point Presentation about ISIS ,,, Including Simple information for example: how did the Islamic state became a country and what they do, how many areas they are taking control, etc. ,, and every information that is related to ISIS ... I just want it 20 to 25 slides with your own ideas and make it simple .
.
I am looking for 75 words a piece for each questions1. What d.docxfideladallimore
I am looking for 75 words a piece for each questions
1.
What do we do about interest groups?
Are they all bad?
In Federalist #10 - James Madison famously discusses this issue.
This is a very challenging reading but pretty standard in American Gov't Classes.
After reading discuss this text's impact on your understanding of interest groups.
2. What specifically do you think should be changed to mitigate the negative consequences of interest groups while maintaining the positive impacts that they have had?
If you are against interest groups in general, what other mechanism should people have to collectively engage our political system?
.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
ESC Beyond Borders _From EU to You_ InfoPack general.pdf
How does your facility incorporate EBP in a clinical setting to prom.docx
1. 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)
2. . 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
How can you use EBP in your practice? Discuss some
impediments to creating a program of nursing research in your
clinical environment.
Identify and discuss strategies for promoting EBP in your
practice.
In my practice, I can find innovative ways of using EBP to
improve the treatment outcomes of patients and ensure that I
promote my professional growth. As a first step of using the
EBP, I will strive to ensure that I fully utilize and evaluate
published research in the various aspects of operational and
3. clinical processes. I will also conduct research projects related
to the field of healthcare and share the knowledge from these
projects with other nurses in the facility as well as nurses in
other external organizations. Apart from looking at quality
improvement data, research findings and other types of
evaluation data, I will also strive to rely on expert opinion for
identifying methods of improvement. The expert opinions can
come from colleagues in the facility, particularly those with a
wealth of experience in clinical issues
(Atkinson, Turkel , & Cashy, 2008)
.
Nonetheless, I must admit that there are various impediments to
creating a program of nursing research in my clinical
environment. One of these impediments stems from the heavy
workload subjected to employees in the facility. This workload,
which is a result of high turnover rates in the organization,
denies practitioners the valuable time that they can use to
engage in research and evaluate the effectiveness of their
findings. Another major impediment to creating a program of
nursing research at my clinical environment comes from the
lack of financial resources.
Levin, Marren, & Lauder (2010) contend that
these resources are necessary for sustaining a long-term
research project and guaranteeing its success. Furthermore,
inability to comprehend statistical terms coupled with lack of
time and inadequate understanding of jargons used in most
research articles can pose some barriers to creating a program
of nursing research in healthcare establishments
(Majid et al., 2011)
.
Various strategies can aid to promote EBP in my practice. As
Majid et al. (2011)
vividly point out, in order to ensure that the nursing research
program becomes a success and fosters appropriate EBP
practices, there will be need for conducting periodic EBP
training and encouraging mentorship especially by those nurses
4. who have vast experience in the evidence-based practices. Other
viable alternatives include encouraging enculturation of
research infrastructure, expanding journal clubs to the various
nursing units and establishing nursing research councils that can
foster the implementation of EBP in the healthcare
establishment
(Levin, Marren, & Lauder, 2010)
.
References
Atkinson, M., Turkel , M., & Cashy, J. (2008). Overcoming
Barriers to Research in a Magnet Community Hospital.
Journal of Nursing Care Quality, 23
(4), 362 - 368. Retrieved June 10, 2015, from
http://www.nursingcenter.com/journalarticle?Article_ID=81574
6
Levin, R., Marren, J., & Lauder, B. (2010). Evidence-Based
Practice Improvement Merging 2 Paradigms.
J Nurs Care Qual, 25
(2), 117–126. Retrieved June 10, 2015, from
http://ohiohospitals.org/OHA/media/Images/Patient%20Safety%
20and%20Quality/Documents/39Weeks/Evidence-Based-
Practice-Improvement-Model-1.pdf
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/
second peer
Clinical research is not the same as evidenced based practice.
Clinical research is "any kind of research that involves patients
and ranges from case reports and case series" where the
reviewer, uses a retrospective study of their own outcomes.
5. (Neumayer, 2006). The obstacles include time constraints, lack
of support staff, reward or recognition, potential impact on the
patient-doctor relationship, loss of professional autonomy,
incompatibility of protocol with daily practice and problems
with the consent procedure (Hebert, 2005). Clinical trials also
are expensive and take several years to complete (Neumayer,
2006). Evidence based research is a process that includes
"collecting, processing and implementing research findings to
improve clinical practice, the work environment or patient
outcomes (Chrisman, 2014). Another great concern is protecting
the vulnerable, which are "populations who are at risk of
being misused in the course of medical research, either by
coercion or a lack of knowledge or understanding" (Park,
2008).
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?
The facility for which I work has begun to use encourage and
promote the use of evidence based research. We have nurses
that participate in different associations that return with
information from other facilities that have made changes for the
benefit of patient outcomes and have proof that it has worked.
Because journals and articles are researched with the evidence
that supports better patient outcomes, my facility has continued
to use this method. As recent as yesterday, I was participating
in a hospital wide meeting where we are discussing what each
department is implementing to promote patient outcomes. In
my specific department, we have started the task of safety for
the patients and for the staff, This is due the fact that there
have been some incidences where police have been involved and
reports were filed on behalf of patients and the staff. In this
meeting, while there are employees, we also have upper
management who encourage us to work on the project and have
offered us use of libraries and studies where we can continue to
research. Management specifically stated that evidence based
research is more likely to be received and implemented over any
6. other type of research. This is encouraging to many staff,
because it allows us to learn, research and make a better
environment for our patients and our fellow coworkers.
Thankfully, my department not only has support from
management but was offered additional evidence from one
manager who had implemented safety measures at a previous
facility.
How can you use EBP in your practice?
Our facility is working on becoming obtaining a magnet status
and projects that are implemented must be evidence based.
Discuss some impediments to creating a program of nursing
research in your clinical environment.
Patient selection would be an impediment in nursing research in
our clinical environment, because we are in the ER and our
population is continues to be open ended and rotating. We also
have the problem with our population of being inconsistent,
with care, medications and follow up. Another problem would
be obtaining consent. Many people are concerned about the
integrity of confidentiality and may not desire to participate.
Timing is another issue, it takes time to gather and collect
information, time and money and finance to complete and
process the statistics and we need staff. As we currently are,
we work shifts that lack an appropriate amount of nurses and
therefore must close sections, losing nurses to help in research
would further create a deficit in patient care.
Identify and discuss strategies for promoting EBP in your
practice.
Our shared governance committee meets at regularly scheduled
intervals and we report to corporate managers regarding our
progress. This is being used now, as a way to provide upper
management with options that we suggest that can be
implemented such as safety measures. This also unites us as a
department and a company with a common goal, improving
patient outcomes. Management gets to hear us provide them
with proof of suggestions that we believe will work and we are
dedicated to trying in order to solve solutions and provide better
7. care.
References
Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014)
Exploring evidence-based practice research. Nursing made
Incredibly Easy, 12(4), 8-12.
doi:10.1097/01.NME.0000450295.93626.e7
Hebert-Croteau, N., Brisson, J., Lemaire, J., & Latreille, J.
(2005). The benefit of participating to clinical research.
Breast Cancer Research and Treatment, 91
(3), 279-81. doi:http://dx.doi.org/10.1007/s10549-005-0320-0
Neumayer, L. (2006). Clinical Research.
The American Journal of Surgery, 192
(2), 264. doi:http://dx.doi.org/10.1016/j.amjsung.2006.05.005
Park, S.S., & Grayson, M.H. (2008). Clinical research:
Protection of the "vulnerable"?
Journal of Allergy and Clinical Immunology, 121
(5), 1103-1107. doi:http://dx.doi.org/10.1016/j.jaci.2008.01.014