Advocating for New Practice Approaches Through Policy

“I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.”
—Florence Nightingale

Through the policy process, nurses can put their feelings—as well as their experiences and expertise—into actions that create results. In this course, you have been honing your skills for critically assessing evidence with the purpose of improving practice and developing new practice approaches. As a DNP-prepared nurse, you can influence health care outcomes at the population or aggregate level. Leading policy development to address health care concerns is a vital way to achieve this.

For the past several weeks, you have been focusing on a health care issue of interest to you for your EBP Project. For this Discussion, consider how you could lead policy development in support of a proposed evidence-based practice approach that addresses that issue and is designed to promote quality.

Reference: Nursing Schools. (2012). 100 entertaining and inspiring quotes for nurses. Retrieved from http://www.nursingschools.net/blog/2010/06/100-entertaining-inspiring-quotes-for-nurses/

To prepare: Select one of the new practices approaches you      developed for the Week 6 Discussion (See attached file) Review the Ridenour and Trautman (2009) and      Stokowski et al. (2010) articles listed in the Learning Resources. Assess      the strategies for engaging in the policy process. Consider the barriers to using evidence to      affect changes in health care policy discussed in the course text. Brainstorm ideas for leading policy development      related to your suggested practice approach, as well as ideas for      addressing those barriers.

By tomorrow Wednesday 10/10/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references (see attached file) from the list of REQUIRED READINGS below. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Identify your proposed practice approach in the first line of your posting (See my PIICOT question below).

2) How would you lead policy development for your selected issue?

3) What strategies could you use to overcome barriers you may encounter while engaging policy makers? (Select three or more strategies to focus on in your posting.) 

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer. Chapter      4, “Translation of Evidence to Improve Clinical Outcomes” Chapter      5, “Translation of Evidence for Improving Safety and Quality” Chapter 7, “Translation of Evidence      for Health Policy” (See attached file)

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3. (see attached file).

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45. (see attached file).

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1 (see attached file).

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966 (see attached file).

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

Due tomorrow 10/10/18 by 12:00 pm noon. Thanks!

This is an in depth Cardiology/ Endocrine case study

Please read all the information provided in the word document.

There are 9 questions that must be answered based on the given information.

In APA format 

Research the range of contemporary issues teenagers face today. In a 1000word paper, choose one issue (besides teen pregnancy)and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1.  Describe the contemporary issue and explain what external stressors are associated with this issue.

2.  Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient.

3.  Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.

4.  Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

Prepare this assignment according to the guidelines found in the APA Style, NO PLAGIARISM, 5 APA REFRENCES WITHIN THE LAST 5 YEARS.

 

1. Classify each of the following as an element, a compound, or a mixture

a. Milk

b. Diamond (pure carbon)

c. Pure water (H2O)

d. Sea water

e. Air

2. Identify each of the following as solid, liquid, or gas.

a. Ice

b. Air in a tire

c. hot tea in a cup

d. A bar of gold

e. water in a shower

3. Identify each of the following as a physical or chemical change.

a. Melting ice

b. Wood burns in wood stove

c. Wood is chopped for the fire place

d. In contact with the air, a copper pipe becomes green

e. When a bar of zinc is submerged in hydrochloric acid, a gas bubbles form this mixture

4. Classify the following mixtures as homogenous or heterogeneous

a. Tea

b. sugar completely dissolved in water

c. Water with sand

d. Steel (a mixture of iron and carbon)

e. Air

5. Give the period and group numbers for each of the following

a. Chlorine

b. Calcium

c. Helium

d. Copper

e. Sulfur

f. Xenon

6. Write the name and symbol of the elements with the following atomic number

a. 11

b. 17

c. 30

d. 24

e. 6

f. 34

g. 19

h. 26

7. For the following atoms determine the number of protons, neutrons, and electrons.

a. 23Na

b. 35Cl

c. 78Rb

d. 14C

e. 32S

8. Place the following elements in order of increasing atomic size

a.  Ca, Ra, Be, Sr, Mg

b. Ge, Fe, Cr, Mo, Br

9. Classify the following elements as alkali metal, alkali earth metal, transition element or a halogen

a. Rb

b. I

c. Fe

d. Be

e. Au

f.  F

10. Write the group number and electron arrangement for each of the following

a. Phosphorus

b. Nitrogen

c. Magnesium

d. Aluminum

e. Chlorine Submission status

  

Choosing a Theory or Model for Program Planning

 Selecting an appropriate theory or model for program planning is an important part of the process. As you examine the theories and models presented in the Learning Resources, bear in mind that some theories/models may not be appropriate given the problem you have selected. How will you determine which one is most relevant for your problem and target population? You are encouraged to use this Discussion forum as a venue for deliberation with your colleagues.
 

To prepare:

  Bring      to mind the problem you identified in Week 2. Review      the information in this week’s Learning Resources. Consider the various      theories and models that are used in program planning. Which one(s) do you      think might be appropriate for your problem? Why? Be prepared to support      your response. What      field developed this theory or model? Examine the literature and consider      how it has been applied in fields other than nursing.

 

By tomorrow Monday 12/10/18 17:oo, write a 550 words essays in APA format with a minimum of 3 scholarly references, At least one of the references must come from the course textbook (see attached file). Include the headers as numbered below

Post a cohesive scholarly response that addresses the following:

1) Describe the theory or model most appropriate to your problem (Breast Cancer in African American Women in the USA). Justify the choice of your theory/model as it relates to your problem. (see attached file)

2) What field developed this theory or model? Briefly describe how it has been applied in fields other than nursing and explain how it has been appropriately applied within nursing. Provide at least one example from the literature to support your response.

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

Chapter 6, “The Importance and Use of Theories in Health Education and Health Promotion” (See attached file).

The authors describe various theories, noting that theories are not universally applicable to every program.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

Chapter 2, “The Contribution of Theory to Program Planning” (See attached file).

This chapter examines the application of theory in program planning.

Berhane, A., Biadgilign, S., Berhane, A., & Memiah, P. (2015). Male involvement in family planning program in Northern Ethiopia: An application of the Transtheoretical model. Patient Education and Counseling 98, 469–475

Kroelinger, C.D., Rankin, K. M., Chamgers, D.A., Diez Roux, A.V., Huges, K., & Grigorescu, V. (2014). Using the principles of complex systems thinking and implementation sceice to enhance maternal and child health program planning and delivery. Maternal Child Health Journal, 18, 1560–1564. doi 10.1007/s10995-014-1586-9

Silverman, B., Champney, J., Steber, S., & Zubritsky, C. (2015). Collaborating for consensus: Considerations for convening Coalition stakeholders to promote a gender-based approach to addressing the health needs of sex workers. Evaluation and Program Planning 51,17–26 doi.org/10.1016/j.evalprogplan.2014.12.002

Smith, T.L., Barlow, P.b., Peters, J.M., & Skolits, G.J. (2015). Demystifying reflective practice: Using the DATA model to enhance evaluators’ professional activities. Evaluation and Program Planning, 52, 142–147.

Optional Resources

Hulton, L. J. (2007). An evaluation of a school-based teenage pregnancy prevention program using a logic model framework. Journal of School Nursing, 23(2), 104–110.

This article describes the use of the logic model to develop, implement, and evaluate a nursing intervention in a school setting.

Johnson, S. S., Driskell, M., Johnson, J. L., Prochaska, J. M., Zwick, W., & Prochaska, J. O. (2006). Efficacy of a transtheoretical model-based expert system for antihypertensive adherence. Disease Management, 9(5), 291–301.

This article introduces the use of the transtheoretical model and stages of change as applied to interventions aimed at medication adherence for patients with hypertension.

Rogers, L. Q., Shah, P., Dunnington, G., Greive, A., Shanmugham, A., Dawson, B., & Courneya, K. S. (2005). Social cognitive theory and physical activity during breast cancer treatment. Oncology Nursing Forum, 32(4), 807–815.

The social cognitive theory is utilized to examine associations with physical activity in breast cancer patients. This article posits that the social cognitive theory can be used as a mediator for intervention evaluation with this population.

W. K. Kellogg Foundation. (2004). Using logic models to bring together planning, evaluation, and action: Logic model development guide. Battle Creek, MI: W. K. Kellogg Foundation. Retrieved from http://www.wkkf.org/resource-directory/resource/2006/02/wk-kellogg-foundation-logic-model-development-guide.

This report offers a guide for the use of the logic model in program planning and outcome-oriented evaluation for nonprofit projects.