Category: Nursing

Choose a quantitative nursing study from a journal that uses a t-test. Refer to the list of acceptable
journals provided in the Getting Started section. The initial posting should be a statement of your point of view on the question, supported by the required readings. Be sure to address the questions found in this guidance.
Use these 5 questions for all subsequent weeks w/ quantitative studies.
Critical Elements for Evaluation of Quantitative Data Analysis:
1. How do the data analyses address each objective, question, or hypothesis?
2. What statistical analyses are included in the research report?
3. Are the data analysis procedures appropriate to the type of data collected?
4. How are the results presented in an understandable way?
5. How are tables and figures used to synthesize and emphasize certain
You may use one that you recommend; please choose an easy-to-understand article. Thank you.

Respond to each reply with APA 7th ed format include one in-text citation for each response. sources 5 years old or more recent.
Reply from Erika
In the context of patient education, how can nurse practitioners effectively communicate the importance of recognizing the stages of infection and seeking prompt medical attention in the event of symptoms or potential exposure to infectious agents while also addressing common misconceptions or fears related to infectious disease?
Educating patients are important part of providing quality patient care. It is important that nurse practitioners explain and provide a clear and simple instructions regarding their plan of care. In this instance, it would be communicating the importance of recognizing the signs and symptoms of infections. Effectively communicating to the patients what type of signs and symptoms to expect can prevent further complication from the infection. It is important to avoid medical jargon so that patient understands their treatment plan and make informed decisions and actively participate in their care. For example, instruct patient to look for fever, chills, redness, warmth, drainage, or swelling at the site of the infection. Providing visual aids such as charts, diagram, or brochure may further allow patient’s understanding of the concept. After providing the instruction, verify that the patient understood the concept using the teach-back method.
It is also important to acknowledge any concerns that patient may have in order to build trust. Nurse practitioners also need to consider any cultural or religious beliefs. Patient will be more compliant when they trust their provider who shows sincere concern for their well-being.

Reply from Patricia
Nurse Practitioners: Educating Patients on Infection Awareness
Nurse practitioners should be empathetic during communication and create a supportive environment when teaching patients about infections. Nurse practitioners should first focus on the stages of infection. Teaching patients to recognize the early warning signs such as redness, swelling, and pain (Garcia et al., 2022). Always emphasize how the first signs can progress if not addressed. Providing patients with visual aids and written materials will help the patient remember the concepts and have a reference point at home. Additionally, it may incite engagement and interaction with the patient.
Being attentive to misconceptions and fears is an essential aspect of patient education. Many patients adhere to false information about infections, such as believing that all infections will resolve with time, without antibiotics, or that any antibiotic can cure any type of infection. Nurse practitioners can eliminate misconceptions by providing evidence-based information. For instance, explaining that while some infections might resolve independently, others could become severe if not treated appropriately is important. Additionally, clarifying that antibiotics are ineffective against viral and fungal infections and stresses the importance of accurate diagnosis and personalized treatment.
NPs also need to acknowledge fears regarding seeking care or potential exposure. This systematic review by Gonzalez and Guerrero (2023) explores how fear of receiving a severe diagnosis influences patients’ health-seeking behaviors. The publication highlights that such fears can lead to delays in seeking medical care, avoidance of screenings, and reluctance to engage in health services, which can negatively affect health outcomes. The authors emphasize teaching patients that it is always better to seek medical attention rather than wait for the infection to worsen.
Reply form Kristen,
Your post provides a clear and insightful discussion on the use of the Systems Development Life Cycle (SDLC) in managing Electronic Health Records (EHRs) within the Promoting Interoperability Program (PIP). I agree with your point that SDLC can help ensure that EHR systems are not only functional but also sustainable, enabling improvements in patient care and decision-making. Your use of Fennelly et al. (2020) underscores the importance of SDLC in creating healthy, adaptable health informatics systems that respond to the needs of end users, which is critical to EHR success. Your mention of the role of end-user involvement and training ensues the effectiveness of EHR systems. Too often, EHR implementations fail when healthcare providers aren’t adequately trained or when the system is not designed with their needs in mind. Integrating end-user feedback into each SDLC phase could prevent some of these issues, ensuring that EHR systems remain user-friendly and flexible.
One area that could further imporove is emphasizing the importance of ongoing monitoring and evaluation throughout the SDLC. The dynamic nature of healthcare means that EHR systems need to evolve continuously, and having a well-structured SDLC can facilitate these necessary updates to maintain compliance with PIP requirements and interoperability standards. A repititious approach, focusing on feedback loops, could further enhance the success of EHR systems in clinical settings. Your post highlights the critical role SDLC plays in developing high-quality EHR systems, and I appreciate your thorough analysis and your post.
Reference
Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., Lawlor, F., & O’Hare, N. (2020). Successfully Implementing a National Electronic Health record: a Rapid Umbrella Review. International Journal of Medical Informatics, 144(104281). https://doi.org/10.1016/j.ijmedinf.2020.104281Links to an external site.
Reply from Alma
Do you believe the industry followed best practices in the use of SDLC as rapid adoption of EHRs occurred across the nation? If not, why not?
SDLC stands for Systems Development Life Cycle. This model’s steps are “planning, analysis, design, development, testing, implementation, and maintenance” (Intellectsoft, 2023). In theory, this model can be used to implement EHR improvements successfully. However, the current format does not use the best practices due to the industry’s desire for speed rather than efficiency. SDLC was implemented swiftly, causing many locations to skip comparisons of programs that would most benefit them and their team. The following failure came in the cost-efficient incentive. Many EHR programs were selected due to the budget available. In some instances, this meant that proper training and education on the new system did not meet the standards, hindering the potential many systems could have had. This lack of support has led to staff being undertrained to manage the new EHR systems. What should make things more efficient is ultimately creating chaos and resentment within the workplace.

i need to respond to this post from a peer. It has to be 800 Words at least.
Once again, I didn’t realize how much IT equipment we are using on a
daily basis. After writing my initial post, I realized I forgot to
mention Vocera (fancy walkie talkie / portable panic button), pneumatic
tube system, and our patient registration system… I’m sure there’s
more, too!
Cerner / CIS – Electronic health recordNursing is one of the primary populations to utilize this resource
I
have a tough time providing recommendations on making CIS more nursing
friendly. I know there are a million version of CIS based on what the
hospital subscribe to and the location. For example, as a clinical
instructor on a Med Surg floor, CIS looks much different than it does
when I work in the ER. I think it is good enough in each area I work in
and gets the job done without any huge problems, in my opinion.
Applications
including Lexicomp, UpToDate, Scribble- most up to date information on
medications, diagnoses and treatment guidelines, and facility policiesThe
information within lexicomp, up to date, and scribble directly affects
how nurses care for the patients in the ER. We use these tools as a
point of reference to guide our own care when working autonomously, and
to cross reference when reviewing orders and the plan of care.
I
find lexicomp and uptodate very user friendly. Scribble, our policy
platform, is really difficult to use. You would think that you could
type in “DKA” and the “Care for Children in Diabetic Ketoacidosis”
policy would flag, but the search is not that sensitive. I have printed a
few of the policies that I use frequently just because they are
difficult to find. The issue with this is that 1. Not everyone will
print the policies so the problem is not solved for the majority and 2.
If the policy is updated, I won’t have the most current information.
TigerConnect- secure texting app for healthcare workersNursing
utilized this application to communicate with many other disciplines,
including doctors, nurses, PA / NP, pharmacy, crisis clinicians, social
work, the chaplin, and more.
I
actually really like this application. It auto deletes messages after
30 days so I feel secure with that. It is very easy to search for
people, and the app will share their name and role so you know it’s the
right person. You can send an urgent message that will trigger an alarm
sound to get the recipients attention. The app is available on computer
or mobile phone. Overall it is user friendly and I like using it.
SunQuest lab printers- application for printing labels for lab specimens Many
places in the hospital, phlebotomy does all of the blood draws. In the
ER, nursing does blood draws. We also use this label printer for things
like temporary labels for rapid POC covid swabs and for POC urine
testing.
The application
itself isn’t too bad, but the printers often need to be reset or
reconnected to the computer, which can be frustrating.
Phillips monitors and Zoll monitors- monitor and defibrillatorsNursing
utilizes monitors for both intermittent vitals as well as continuous
monitoring. They are portable so we can monitor a patient during a
transport. Nursing is managing the monitor probably about 80% of the
time.
I prefer Phillips
monitors to Zoll monitors just because it is what I’m most used to. I
have also used a LifePak when I worked as an EMT and really liked those
as well. I like that LifePak and Zoll have more options for documenting
and timestamping interventions, where the Phillips don’t provide that in
my experience.
Strattus Interpreter Services- application to access medical interpreters in numerous languagesNursing utilizes interpreter services all day every day to communicate with patients and families.
The
app is very slow and often disconnects. In the emergency department, we
cannot afford to lose the connection. The app is run from an iPad, but
most of the time the iPad is not plugged back in and the device has a
low battery.
Microsoft
Teams / Outlook / Zoom for meetings- team is used for communication
among groups, outlook is used for email and for calendars, and zoom is
used for meetings, such as committee meetings, staff meetings, and
interviewsTeams,
Outlook, and Zoom are used by nursing to communicate. I don’t
necessarily think these services were created with the nurse in mind,
but they do work well in a corporate setting, like a hospital.
I
think these are generally user friendly and fine. I think the calendar
could be better for nursing staff but overall I have no issues.
Dynamap- automatic vitals cart with display screenDynamaps are used very frequently by nursing or nursing support staff and were definitely designed with nurses in mind.
Similar
to the Strattus, these machines are rarely ever plugged in, which means
the battery is always low. This can be frustrating and really slow down
the pace of work. They do not have that much storage on them, so we
have to restock the disposable items like BP cuff and SpO2 probes often.
The buttons work well and are pretty self explanatory.
Glucometer, Clinitek, and i-STAT machine- point of care lab testing equipmentMuch like the Dynamap, POC testing machines are designed to be used by nurses and are functional for our needs.
The
glucometers and iSTAT are easy to use. Clinitek for POC urine testing
is a great tool but sometimes causes documentation issues due to the
scanning process. To use the machine, the user must scan their badge.
Next you must scan the patient’s barcode two times. Then you must scan
the urine test strip barcode. Often times users will accidentally scan
the wrong barcode and this results in charting errors.
Alaris and Baxter- IV pumpsThese
pumps were designed for use by nursing and definitely created with
nurses in mind. Nursing using IV pumps daily, sometimes multiple at a
time to deliver safe and appropriate medication dosing.
Sometimes
our pumps have issues like low battery, needing to be calibrated, or
just won’t turn on. They are frequently checked by the equipment
management folks, which is helpful. It is frustrating when there is an
issue or malfunction with a pump, especially in the event of an
emergency where the medication delivery cannot be delayed.
Pyxis
(medication and supply)- locked cabinet storing medications and
supplies that help to track and charge inventory to patientsPyxis was designed for use by nurses in order to dispense medication and supplies while also maintaining appropriate inventory.
The
pyxis in the ER is automatically set to override. This is because I
cannot always wait until someone is registered and that information
crosses over from the computer into the pyxis and then ask a provider
for an order, wait for that to be entered and also cross over into the
pyxis. If a patient shows up in triage in anaphylaxis, we don’t have
time to go through all of those steps before pulling epinephrine. I need
to be able to pull the medication immediately. Other places, like the
med surg floor where I teach clinical, does not operate on override, and
sometimes it does take a while for medications to appear in the
patient’s medication list on the pyxis.

Assessment Descriiption
PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting a population of focus.
The purpose of this assignment is to complete your PICOT for your selected nursing practice problem. Refer to the Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem assignment from Topic 1 to complete this assignment. If your nursing practice problem or PICOT required revision, include those revisions in this assignment. The final PICOT you develop in this assignment will provide the framework for developing your evidence-based practice project proposal. Use the “PICOT Final” template to complete this assignment.
Refer to “Evidence-Based Practice Project Proposal – Assignment Overview,” located in Class Resources, for an overview of the evidence-based practice project proposal assignments.
You are required to cite four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Attachments
NUR-550-RS3-EBP PICOT Final.docx

This course is Community Nursing
Please fill out the boxes with the answers for each topic. Use the templates I attached/provided.
1. pregnancy and childbirth
2. mental health and mental disorders
3. sexually transmitted infections
4. sleep
5. workforce
6. settings and systems: schools
7. health behaviors: drug and alcohol abuse
8. settings and systems: environmental health

This assignment aims to provide the student the opportunity to demonstrate competency in performing the psychiatric mental health nurse practitioner role in a safe environment.
Submission Instructions:
To complete this assignment, address the following criteria:
The Abstract should include the following content:
A Project Title. This should be placed towards the top of the abstract, including the author’s name and university affiliation.
An Introduction/Background section. This should highlight the problem addressed in a brief literature review with citations and your hypothesis or hypotheses.
The Purpose section: The abstract states the objectives of this inquiry relative to the overall evidence-based literature review on this topic.
The Methods/Search Strategy section. An overview of how you studied your primary source(s): Describe the evidence-based solution. How was it developed? Include the theoretical framework (if applicable). Identify databases searched and inclusion/exclusion criteria. A literature flow diagram must be uploaded to this assignment.
The Results The abstract describes the search, the number of studies included, and the level of evidence.
The Synthesis of Evidence The abstract briefly describes the synthesis of the evidence, including significant trends and notable gaps.
The Implications for Practice section. The abstract includes recommendations for advanced psychiatric nursing practice, advanced psychiatric nursing education, or future research based on the review and synthesis of the evidence.
Body/Text should be typed single-spaced and 350-500 words. The abstract should not exceed one (1) page.
A References section. Ensure your references include at least seven references with four primary research articles. Primary articles describe studies in which the authors collected the data themselves. References must be in the current APA format. If you cannot fit seven or more references into your abstract, you should provide the references separately as an attached Word document.
For assistance with the current APA formatting, please contact BrainFuse Online Tutoring link in Canvas or visit the STU library at https://www.stu.edu/library/ Links to an external site.
For tips on writing an abstract, visit this webpage Links to an external site.
The presentation should include the following content
Describe each section of your abstract in 7-10 minutes.
I will attach grading rubric.

To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)
Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.
Part 1: Legislation Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Explain how the social determinants of income, age, education, or gender affect this legislation.
Describe how you would address the opponent to your position. Be specific and provide examples.
At least 2 outside resources and 2-3 course specific resources are used

Week 3 Discussion Board: Asthma Informational Postcard
Please post your informational postcard related to Asthma after reviewing this week’s content. Postcards have a:
1) Front side that shares via pictures, drawings and/or words to help make a point.
2) Back side used to communicate to a specific person or audience.
Think of postcards you have received and how they communicated a specific point. Postcards can encourage, educate, remind, and share.
Use the Postcard Assignment and Grading Rubric document attached in content. Grading rubric for assignment below.

Revision is needed along with proper APA format and more scholarly written paragraphs. Attached is paper and more information. Sources should be 5 years or less

The disease for this assignment is a patient with breast cancer.
Note: Answer the questions based on the Rebrick that is attached.