tools that provides an overview of the roles of health care professionals in a communitybased care coordination (CCC) program

 

No matter what type of shock the patient has, perfusion is impaired resulting in decreased blood flow to all areas of the body. Create a concept map describing the physiological effects on each body system. Include the signs and symptoms the nurse would expect to see as a result. You should include a minimum of 3 references. Include a reference page in APA format.                                                                           Rubric

     

Criteria

 

Describe the effects of decreased   blood flow to each body system

 

List the signs and symptoms the   nurse would see as a result of the decreased blood flow in each system

 

APA Reference Page

Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

 

From the National Health Information Infrastructure (NHII) legislation of the 1990s to current day Health Information Technology for Economic and Clinical Health (HITECH) legislation and the health information technology, the NHII continues to evolve, but at a more rapid pace. Part of that evolution has included not only the public and private health infrastructure development between the health providers, CDC, and the states but also many nongovernment partners, such as the commercial MEDLINE Plus, the Agency for Healthcare Quality and Research (AHQR), and many more. Consider the NHII’s evolution and its achievements over the last two decades and share your understanding of its many components and how they work together to provide greater access to health information. How is that information used to build healthier communities What are the key drivers in the evolution of the NHII? How do you envision the NHII will evolve and function in the coming years?

You may review the following resources: Cusack, C. M., Hripcsak, G., Bloomrosen, M., Rosenbloom, S. T., Weaver, C. A., Wright, A., . . . Mamykina, L. (2013). The future state of clinical data capture and documentation: A report from AMIA’s 2011 policy meeting. Journal of the American Medical Informatics Association, 20, 134–140. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555335/pdf/amiajnl-2012-001093.pdf Agency for Healthcare Research and Quality. (n.d.). National guideline clearinghouse. Retrieved from http://www.guideline.gov/ CDC. (2013). National notifiable diseases surveillance system (NNDSS): Data collection and reporting. Retrieved from http://wwwn.cdc.gov/nndss/script/DataCollection.aspx U.S. Department of Health and Human Services. (n.d.). The national health information infrastructure (NHII): Site index. Retrieved from http://aspe.hhs.gov/sp/nhii/siteindex.html U.S. Department of Health and Human Services. (n.d.). Health information privacy: HITECH act enforcement interim final rule. Retrieved from  http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html HealthIT.gov (n.d.). Retrieved from http://www.healthit.gov/

Submission Details: Write your response in a minimum of 300–400 words, providing relevant references. Apply APA standards to citation of sources. Respond to at least two students’ postings. By the due date assigned, respond to the assigned discussion question and submit your responses to the appropriate topic in the Discussion Area. By the end of the week , review and respond to at least two of your classmates’ postings. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Start a New Thread
 

  

Application 2: Laying the Foundation for New Approaches to Practice

As frequently noted in the literature, there is often a gap between research evidence and practice. This is not a new phenomenon; however, with the rapid growth of knowledge, it is essential that nurses hone their ability to identify this gap, determine best practices based on the evidence, and then apply this evidence to practice through the development of new approaches. In order for that to transpire, nurses must be skilled in leading change efforts so that adoption of new practice approaches can be successful.

For your EBP Project in Week 2 (Application 1 [SEE ATTACHED FILES] ), you identified an issue in your practicum setting in which the outcome is different from what would be expected according to the research literature. This week continue to explore current research literature looking for new evidence to address the problem. In addition, you build on the work you began in this week’s Discussion and select an evidence-based practice model ( The Iowa Model of Evidence-Based Practice to Promote Quality Care” Or you can use the Johns Hopkins Model) and change theory (USE THE THEORY OF PLANNED BEHAVIOR) or framework that will support your efforts.

To prepare for Application 2 address the following: How      current is the science underlying the practices related to your EBP      Project issue? Consider      possible causes of the difference in outcomes from what would be expected      according to the research literature. Evaluate      the effect the EBP Project issue is having in practice. Using      the Walden Library and other credible sources, locate current research      evidence of new practices that are effective in addressing the issue. Use      the GRADE model presented in the      Guyatt et al. (2011) article to evaluate the research evidence (see      attached file for the article)

The full Application 2 is due by Day 5 of this week. Instructions for how to prepare for previous sections of this Application have been provided in Week 4.

To complete:

Write a 3- to 5-page paper, in APA format with a minimum of 6 scholarly references. PLEASE CITE OFTEN. include the following level one headers as numbered below:

1) Introduction

2) A brief summary of the currency of the science underlying the practices used to address your EBP Project issue

3) Possible causes of the difference in outcomes from what would be expected according to the research literature

4) The effect the EBP Project issue is having in practice

5) Current research evidence on new practices for addressing the EBP Project issue

6) A summary of the evidence-based practice model (including models from other disciplines as appropriate) and/or change theory or framework you will utilize to systematically integrate new approaches to practice to address the issue

7) Summary

PLEASE FOLLOW THE EXACT FORMAT IN THE GRADING RUBRIC. WRITE THE HEADERS EXACTLY AS IN THE GRADING RUBRIC AND ADD AN INTRODUCTION AND SUMMARY. INSERT MY PIICOT QUESTION IN THE BEGINNING OF THE PAPER. Please do not go       over 5 pages. Being concise, but scholarly       and well-cited is a skill. Make sure each word is needed and refrain from       using unnecessary verbiage.  CITE OFTEN
Use       level 1 APA headers for each component of the assignment! See assignment       directions and grading rubric for components graded and note the items in       blue should be your headers. 
You will need a theory to guide your work. For more information on theories… (for mine, please use the theory of       planned behavior that you chose on the first assignment).
You will need to EBP model to frame your course-related (6410) EBP project EBP models give you steps       for proceeding in a logical manner. I would recommend you look up the       following article to help you. Schaffer, M. A.,  Sandau, K. E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: Overview and practical applications.  Journal of Advanced Nursing, 69(5), 1197-1208.  doi:10.1111/j.1365-2648.2012.06122.x        (see attached article)

P.S. I’M ATTACHING THE PREVIOUS PAPER TO HELP REFRESH YOUR MEMORY AND ALSO SEE THE CORRECTIONS THE PROFESSOR MADE SO THAT YOU DON’T REPEAT THE SAME MISTAKES. I DIDN’T GET A GOOD GRADE ON THAT PAPER, PLEASE PAY CAREFUL ATTENTION TO EACH AND EVERY INSTRUCTION HERE. I NEED AN ‘A’ ON THIS PAPER TO MAKE UP THE FIRST ONE.

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

REQUIRED READINGS

  

Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.

Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).

Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).