Case study
What do you do?
Do you change the documents?
Do you go back and confront your supervisor?
What is your decision and why did you make it?
What is your next course of action?
What other factors do you consider and what other actions do you take?
ANSWER ALL QUESTIONS
CASE ATTACHED BELOW
What ethical framework/Distributive Justice Theory best supports your decisions regarding the case and why?
Reply
A systematic review is a referred to as a detailed, systematic and transparent means of gathering, appraising and synthesizing evidence to answer a well-defined question. The hallmark of systematic reviews is that they seek to reduce bias at all stages of the review process and strive to gain reliable answers to probable research-oriented questions through the means of summarizing and collecting all the available valid proofs deemed to be empirical as they align with the previously stated eligible criterion (Gopalakrishnan, 2013). This type of review is often written by a panel of experts after reviewing all the information from both published and unpublished studies, which distinguishes it from traditional literature reviews that typically examine a much smaller set of research evidence and present it from a single author’s perspective.
A meta-analysis is a statistical procedure for combining numerical data from multiple separate studies. A meta-analysis should only ever be conducted in the context of a systematic review. The aim of a meta-analysis is to derive a conclusion with increased power and accuracy than what could not be able to achieve in individual studies. A meta-analysis is a systematic study in which therapeutic effectiveness is measured by calculating the weighted pooled estimate for treatments in at least two different research.
Basically a systematic review is a method used to describe trends in the research field by calculating how many studies have used certain research methodologies whereas a meta-analysis combines results from those studies in a new statistical framework to test hypotheses. Both methods can be used together, which is advantageous. However, well planned the systematic review or meta-analysis is, if the quality of evidence in the studies is low, the quality of the meta-analysis decreases and incorrect results can be obtained.
Gopalakrishnan, S., & Ganeshkumar, P. (2013). Systematic Reviews and Meta-analysis: Understanding the Best Evidence in Primary Healthcare. Journal of family medicine and primary care, 2(1), 9–14. https://doi.org/10.4103/2249-4863.109934
Ahn, E., & Kang, H. (2018). Introduction to systematic review and meta-analysis. Korean journal of anesthesiology, 71(2), 103–112. https://doi.org/10.4097/kjae.2018.71.2.103
reply2
Quantitative and Qualitative methods are both used to evaluate evidence. Qualitative research focuses in understanding a research query as a humanistic or idealistic approach (Pathak et al., 2013). Though quantitative approach is a more reliable method as it is based upon numeric and methods that can be made objectively and propagated by other researchers (Pathak et al., 2013). Qualitative method is used to understand people's beliefs, experiences, attitudes, behavior, and interactions (Pathak et al., 2013). It generates non-numerical data (Pathak et al., 2013). When combined with quantitative measures, qualitative study can give a better understanding of health-related issues (Pathak et al., 2013). The perspectives in clinical research should highlight advances in qualitative research as well, to optimize quality and utility of this method of research (Pathak et al., 2013). Qualitative research gives voice to the participants in the study, it permits the participants to share their experiences of the effects of the drug of interest. This can open our eyes to new aspects of the study and help modify the design of the clinical trial (Pathak et al., 2013). Qualitative study enhances the involvement of everyone related to the study, the researcher works on the social parameters in addition to the quantitative measures in the study. The subjects also have an empowering experience in the study (Pathak et al., 2013). They have an active role in the study and can voice their individual benefits and harms of the study, as well as, with qualitative methods, the relationship between the researcher and the participant is often less formal than in quantitative research (Pathak et al., 2013).
Pathak, V., Jena, B., & Kalra, S. (2013). Qualitative research. Perspectives in clinical research, 4(3), 192. https://doi.org/10.4103/2229-3485.115389
Analysis of Position Papers for Vulnerable Populations
Develop a 4–6-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
Position papers are a method to evaluate the most current evidence and policies related to health care issues. They offer a way for researchers to explore the views of any number of organizations around a topic. This can help you to develop your own position and approach to care around a topic or issue.
SHOW LESSThis assessment will focus on analyzing position papers about an issue related to addiction, chronicity, emotional and mental health, genetics and genomics, or immunity. Many of these topics are quickly evolving as technology advances, or as we attempt to push past stigmas. For example, technology advances and DNA sequencing provide comprehensive information to allow treatment to become more targeted and effective for the individual. However as a result, nurses must be able to understand and teach patients about the impact of this information. With this great power comes concerns that patient conditions are protected in an ethical and compassionate manner.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes.
Evaluate the evidence and positions of others that could support a team's approach to improving the quality and outcomes of care for a specific issue in a target population.
Evaluate the evidence and positions of others that are contrary to a team's approach to improving the quality and outcomes of care for a specific issue in a target population.
Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes.
Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy.
Explain a position with regard to health outcomes for a specific issue in a target population.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Competency Map
CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
Toggle DrawerContextPosition papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a master's-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require.
An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others' views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way.
Toggle DrawerQuestions to ConsiderAs you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
SHOW MORE
Toggle DrawerResourcesMSN Program Journey
The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way.
MSN Program Journey | Transcript.
Assessment Example
Assessment 1 Example [PDF].
SHOW LESSSuggested Resources
The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.
Assessment
Centers for Disease Control and Prevention. (2013). Community health assessment for population health improvement [PDF]. Retrieved from https://stacks.cdc.gov/view/cdc/20707
Vila Health: Resources for Topical Research | Transcript.
This interactive simulation will make the most sense if you view it after Vila Health: Health Challenges in Different Populations (listed under Pathophysiology, below).
Genetics and Genomics
Haeusermann, T., Greshake, B., Blasimme, A., Irdam, D., Richards, M., & Vayena, E. (2017). Open sharing of genomic data: Who does it and why? Plos ONE, 12(5), 1–15.
Wolf, S. M. (2017). The continuing evolution of ethical standards for genomic sequencing in clinical care: Restoring patient choice. Journal of Law, Medicine & Ethics, 45(3), 333–340.
Cheek, D. J., & Howington, L. (2017). Patient care in the dawn of the genomic age. American Nurse Today, 12(3) 16–22.
Lea, D. H. (2009). Basic genetics and genomics: A primer for nurses. The Online Journal of Issues in Nursing, 14(2). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No2May09/Articles-Previous-Topics/Basic-Genetics-and-Genomics.html
Pathophysiology
Vila Health: Health Challenges in Different Populations | Transcript.
This media piece should be viewed before Vila Health: Resources for Topical Research (listed under Assessment, above).
Population and Public Health
Edmonds, J. K., Campbell, L. A., & Gilder, R. E. (2016). Public health nursing practice in the Affordable Care Act era: A national survey. Public Health Nursing, 34(1), 50–58. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/phn.12286/full
Thew, J. (2016). What a nurse knows about population health. Retrieved from http://www.healthleadersmedia.com/nurse-leaders/what-nurse-knows-about-population-health
Course Resources and Templates
APA Style Paper Template [DOCX].
APA Style Paper Tutorial [DOCX].
APA Module
Guiding Questions: Analysis of Position Papers for Vulnerable Populations [DOC].
Nursing Masters (MSN) Research Guide.
Finding Position Papers.
Optional Resources
Position Papers
The following are examples of position papers. You may find these helpful throughout this assessment. Even if you are not writing on one of these topics, the following are good examples of the types of resources you should be looking for to support your work in this assessment.
Bryant, R., Porter, J. S., & Sobota, A. (2015). APHON/ASPHO policy statement for the transition of patients with sickle cell disease from pediatric to adult health care. Journal of Pediatric Oncology Nursing, 32(6), 355–359.
Chiang, J. L., Kirkman, M. S., Laffel, L. M. B., & Peters, A. L. (2014). Type 1 diabetes through the life span: A position statement of the American Diabetes Association. Diabetes Care, 37(7), 2034–2054. Retrieved from http://care.diabetesjournals.org/content/37/7/2034
The Society for Adolescent Health and Medicine. (2015). Position paper of the Society for Adolescent Health and Medicine: Medical management of restrictive eating disorders in adolescents and young adults. The Journal of Adolescent Health, 56(1), 121–125.
Jacobs, M., Alonso, A. M., Sherin, K. M., Koh, Y., Dhamija, A., & Lowe, A. L. (2013). Policies to restrict secondhand smoke exposure: American College of Preventive Medicine position statement. American Journal of Preventive Medicine, 45(3), 360–367.
Assessment InstructionsScenario
Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your team's work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering.
In your analysis you will note the team's initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population.
The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment:
You may use one of the issues and populations presented in the Vila Health: Health Challenges in Different Populations and Vila Health: Resources for Topical Research media pieces. For this approach, you may consider the population in the context of the Vila Health care setting, or translate it into the context in which you currently practice or have had recent experience.
You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories:
Genetics and genomics.
Sickle cell, asthma, multiple sclerosis, myasthenia gravis.
Immunity.
Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome.
Chronicity.
Arthritis, any type of cancer or lung or heart disease, obesity.
Addiction.
Abuse of alcohol, prescription drugs, tobacco, illegal substances.
Emotion and mental health.
Post-traumatic stress disorder (PTSD), depression, eating disorders, psychosis.
Note: If you choose the second option, contact the FlexPath faculty for your section to make sure that your chosen issue and population will fit within the topic areas for this course.
Instructions
For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Analysis of Position Papers for Vulnerable Populations Scoring Guide and Guiding Questions: Analysis of Position Papers for Vulnerable Populations to better understand how each grading criterion will be assessed.
Explain a position with regard to health outcomes for a specific issue in a target population.
Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
Evaluate the evidence and positions of others that could support a team's approach to improving the quality and outcomes of care for a specific issue in a target population.
Evaluate the evidence and positions of others that are contrary to a team's approach to improving the quality and outcomes of care for a specific issue in a target population.
Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
Additional Requirements
Length of submission: 4–6 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2–3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old.
APA formatting: Use the APA Style Paper Template linked in the Resources. An APA Style Paper Tutorial is also provided to help you in writing and formatting your analysis
Discussion
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion.
Book: Grand Canyon University. (Ed.). (2018). Pathophysiology: Clinical applications for client health.
URL:
https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php
Psychotherapy
Psychotherapy Evidence-Based Practice Movie Paper
Pick a movie that portrays a character or characters who is/are experiencing a psychological disorder/mental illness, such as one from the following list. Alternatively, pick a movie that portrays an example of a certain type of therapy, any therapy for example (Narrative Therapy, Feminist Therapy, Person-Centered Therapy, Solution Focused Therapy, GroupTherapy).
Note: Please, DO NOT CHOOSE ""Addiction Therapy""
Movies list:
Leaving Las Vegas
A Clockwork Orange
What’s Eating Gilbert Grape
Boys Don’t Cry
Benny and Joon
Girl Interrupted
Seven
Mad Love
Rain Man
Shine
A Beautiful Mind
Madness of King George
Fight Club
The Fisher King
One Flew over the Cuckoo’s Nest
Twelve Monkeys
Sybil
The Three Faces of Eve
Eating
The Silence of the Lambs
Pollock
Ordinary People
Analyze This/Analyze That
Final Analysis
Identity
The Great Gatsby
Watch the movie and then please do the following:
Write a very brief summary of the movie. Give me some clear evidence that you watched it.
Write a description of how the psychological disorder and/or the therapy that was portrayed.
Research and include evidence based practice related to the disorder/therapy portrayed.
Write a critical analysis of how accurate or inaccurate you found the portrayal of the disorder/therapy. Show evidence of your knowledge of the psychological disorder/mental illness or the type of therapy (i.e. include information from class or the text).
Guidelines:
Your total paper should be 6 pages in length, typed, and double-spaced. Use APA format.
Free of plagiarism (TURNITIN assignment)
Background: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse, and I work in a Psychiatric Hospital
Community and health practice
Trace the history school health practice.
Mention and explain school health scope of services
Explain and differentiate faith community nursing from community health nursing.
Mention and discuss various models of faith in the community
INSTRUCTONS
APA style with references and in-text citations.
A minimum of 3 evidence-based references no older than 5 years must be used.
A minimum of 800 words not to exceed 1,000 are required without counting the first and last page
CHILD ABUSE AS A HEALTH ISSUE
In week 4 you will prepare for your ethical and cultural inquiry paper. I have created an outline to follow that requires you to specifically reflect on the evolution of the injustice in a comprehensive way. In the Origin of Injustice section, you will be including a background and discussing several causes of your injustice. In the Money Power and Control section you need to find an organization that benefits from maintain policies that contribute to the injustice. In the cultural section you need to focus on one societal norm that prevents changes. You will also need to find a specific bill or law that impacts your population. Finally, in the ethics section you will need to include concrete evidence that the profession of nursing has an obligation to be active patient advocate in protecting your population from the injustice that goes beyond bedside care. In this discussion board I would like you to come up with an outline that includes the specific topic you will discuss for each section.
Origin of Injustice
Background: what you will focus on here
Causes: list out the causes you will discuss (you may have more than 1)
Money power and control: what organization are you going to focus on and how do they maintain power?
Legislation: what bill will you discuss?
Culture: what social norm will you discuss?
Ethical Obligation: what is concrete evidence you will use to support the claim nurses have an obligation to help your population related to this injustice
Evidence-Informed Public Health and Knowledge Management Strategies
Evidence-informed decision-making (EIDM) involves the incorporation of the best available evidence from a systematically collected, appraised, and analyzed body of knowledge” (Liebowitz, Schieber, and Andreadis, 2010). Academic libraries are argued to be considered knowledge management tools.
Tasks:
Using the South University Online Library or the Internet, research healthcare IT and their standards. Based on your research on a current Public Health issue and understanding, respond to the following:
Defend and argue your position on the role that academic libraries such as South University Online Library play as Knowledge Management Tools.
Identify and describe the desired results of your library research on a current public health issue.
Assess the process and identify the gaps in the key terms used to find the desired data and information.
Describe and discuss if the principles of knowledge management can close the gaps in the lack of data and information.
Develop a strategy to engage the right people and technology to assist in finding the necessary data and information and convert it to knowledge.
Formulate a summary of the new knowledge you have gained from at least three research articles related to the current public health issue researched
community health nursing
Create an infographic teaching tool for the community educational project. View these links on how to create infographics:
https://www.visme.co/make-infographics/
http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspx
http://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht
Submit an 8 X 11.5 color (one page Word or pdf. document) infographic teaching tool for your chosen community. Please also submit a reference page in APA format with at least two references you used as sources for the information on the infographic.
Essay
To prepare:
Review your state’s process for obtaining prescriptive authority and associated fees (Georgia)
Review the DEA website and review the process for obtaining a DEA number and associated fees.
Review and select one of the following case studies and analyze the provider information:
Case Study One: Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic as a nurse practitioner in a small town. She will be working with one physician at one site.
Case study Two: James, FNP-BC, works with a physician who specializes in pain control. He works in several clinics in the large urban city where he practices as nurse practitioner.
Write 1 to 2 pages
Post a brief summary of the case study you selected and an explanation of the appropriate prescriptive authority and DEA registration process needed for the case study you selected. Then, explain the safe prescribing practices that these providers should use for these settings.
Reference
Buppert, C. (2015). Prescribing. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (199-204). Burlington, MA: Jones & Bartlett.
U.S. Department of Justice (n.d.). Drug Enforcement Administration: Office of Diversion Control. Retrieved from http://https://www.dea.gov/ops/diversion.shtml
Required Media
Fisher, A. S. (2015, June 5). Medical Records: What Must Be Included from a Legal Standpoint? [Video file]. Retrieved from https://www.youtube.com/watch?v=euhoL62YsSk
