Category: Nursing

Below I have two posts (parts 1 and 2). Please provide a response to each and follow the rubric. Minimum 200 words each with reference (WITHIN THE LAST 5 YEARS).
Your response to your peer by extending, refuting/correcting, or adding additional nuance to their posts. The response must enhance the discussion, and the use of scholarly resources is required (text or any article from a nursing journal or government cite). (NO WEBSITES ALLOWED)
Each student will reply with a meaningful and substantial post to two group uploads(parts 1 and 2). This assignment is worth 10 points, so please demonstrate effort and understanding in each section of the rubric below for your reply posts. Introduction1
PICOT Question.5
PICOT Question Outcome.5
Article 12
Article 22
Relevance of your 2 Selected Outcomes for Practice1
Data Collection Measures1
References1
Reply post on-time1
Total = 10 points
PART 1 Introduction
Diabetes patients must continuously monitor their blood sugar levels to avoid extremes that might lead to fatalities. Type 1 diabetes patients require continuous monitoring because it helps them regulate their diet, medication, or physical exercise since they are significant triggers. Increasing rates of obesity have sparked the rate at which teenagers have diabetes recently, hence the need to ensure they can effectively monitor their blood sugar levels. There are various blood sugar monitoring methods, including Continuous Glucose Monitoring (CGM), finger sticks, and using a glucose meter. The two articles provide supporting information about the PICOT Outcome, revealing that CGM improves time in target, HbA1C, and glycemic control in teenagers compared to standard blood glucose monitoring methods (SBMG) like finger sticks. Type of PICOT Question
Intervention
PICOT Question
In teenagers with Type 1 diabetes, what is the effect of Continuous Glucose Monitoring (CGM), compared to the finger stick method, on better blood glucose control?
PICOT Question Outcome
CGM is more effective in monitoring adolescents with Type 1 diabetes because it provides unlimited data and does not rely on the number of times the patient is willing to prick their fingers. It can provide real-time and offline data that the patient can download later. Since it allows for data within short intervals, it detects temporal trends in glucose levels, which is impossible to monitor through finger sticks. Besides, CGM is more desirable because it is less painful, considering it uses sensors instead of needles to remove blood to measure glucose levels. Therefore, CGM is more effective in providing unlimited, accurate, and discrete data among teenagers with Type 1 diabetes.
Article 1
The article by Laffel et al. aims to determine CGM’s effect on glycemic control among adolescents with Type 1 diabetes. Most adolescents and young adults with Type 1 diabetes are not keen on monitoring their glycemic, with only 17% of them attaining the standard target of less than 7.5% and 14% attaining less than 7% (Laffel et al., 2020). The study revealed that CGM significantly improves glycemic control compared to standard methods like finger sticks. Laffel et al. (2021) describe the outcome as a change in Hemoglobin A1c (HbA1C) from baseline to 26 weeks, which they measured through samples from 153 participants. The measure is reliable because it used adolescent data and focused on glycemic metrics relevant to CGM and had a 95% confidence interval. The study is valid because it was a randomized trial with all groups treated and analyzed the same.
Article 2
Thabit et al.’s article proposed that using the CGM system would be more effective in controlling glycemic levels among adolescents compared to Self -Monitoring Blood Glucose (SMBG). According to the study’s findings, CGM use among young people with Type 1 diabetes reduces time to target and lowers HbA1C levels compared to SMBG. When employing CGM instead of SBMG, the time in target increased by 11.1%, and the hemoglobin level dropped by 0.76% (Thabit et al., 2020). The article’s measures are reliable because they produce outcomes relevant to the effectiveness of CGM in controlling HbA1C and glycemic levels among adolescents and has a confidence interval of 95%. The study is valid because it was a randomized crossover trial, which reduces bias, and had specific criteria for selection to reduce the chances of other factors causing the results.
Relevance of 2 Selected Outcomes for Practice
The articles produce relevant results to the PICOT question and healthcare profession because they provide facts about the effectiveness of CGM in monitoring diabetes elements compared to SBMG in teenagers and young adults, which is the target population of our PICOT question. Hemoglobin and glycemic levels among teenagers are significant factors that physicians and caregivers consider during treatment. Since the articles reveal that CGM is more effective in controlling Type 1 diabetes among teenagers and young adults, they directly relate to the PICOT Outcome.
Data Collection Measures
Healthcare practitioners can implement practice change by creating a communication plan and encouraging CGM sensor-wearing among teenagers with Type 1 diabetes. They can collect data that will facilitate the transition by analyzing sample results from prior patients with Type 1 diabetes and how often they discuss their blood glucose with their physician. They can also survey the number of patients using CGM instead of SBMG and use the result to create awareness of sensor wear. Patients and physicians can also easily review data on glucose levels to ensure proper insulin amounts are prescribed and have confidence in keeping or changing the dosages.
References
Laffel, L. M., Kanapka, L. G., Beck, R. W., Bergamo, K., Clements, M. A., Criego, A., DeSalvo, D. J., Goland, R., Hood, K., Liljenquist, D., Messer, L. H., Monzavi, R., Mouse, T. J., Prahalad, P., Sherr, J., Simmons, J. H., Wadwa, R. P., Weinstock, R. S., Willi, S. M., & Miller, K. M. (2020). Effect of continuous glucose monitoring on glycemic control in adolescents and young adults with type 1 diabetes. JAMA, 323(23), 2388. https://doi.org/10.1001/jama.2020.6940Links to an external site.
Thabit, H., Prabhu, J. N., Mubita, W., Fullwood, C., Azmi, S., Urwin, A., Doughty, I., & Leelarathna, L. (2020). Use of Factory Calibrated Real-Time Continuous Glucose Monitoring Improves Time in Target and Hba1c in a Multiethnic Cohort of Adolescents and Young Adults with Type 1 Diabetes: The Millennials Study. https://doi.org/10.2337/figshare.12616208
PART 2
Introduction:
Attention Deficit Hyperactivity Disorder (ADHD) is a health condition that mainly affects teens and children. However, it can continue into adulthood (Dalsgaard, 2013). According to WebMD (2017), ADHD is a common disorder in children. It adversely affects daily life and makes children encounter difficulties in paying attention and control their impulses. Most of the children diagnosed with ADHD record poor academic performance due to their poor concentration in schools. Moreover, they experience low self-esteem and have problems forming relationships. Some of the symptoms of this disorder include listening to problems, forgetting daily activities, daydreaming, low self-esteem, impulsiveness, mood swings, and depression (Tosto et al., 2015). Most parents with a child diagnosed with ADHD have difficulties in deciding what treatment is best for their child.
PICOT Question:
Type of PICOT Question: Interventional
PICOT Question: In children diagnosed with ADHD, how does the implementation of holistic nursing care for interventions, such as behavioral and cognitive therapy, as well as teaching relaxation techniques like deep breathing exercises, and guided imagery, compare to medication-based treatment in improving attention span and assisting parents in making informed decisions about their children’s treatment options?
PICOT Question Outcome:
To identify behavioral and cognitive therapy, such as deep breathing exercises and guided imagery compared to medication-based treatment in improving the attention span of children with ADHD.
Article 1: The first article we chose is titled, “Parents’ priorities and preferences for treatment of children with ADHD: Qualitative inquiry in the MADDY study.” The purpose of this study was to investigate how parents’ perceptions on treatment preferences and priorities are influenced by their experiences of raising a kid with ADHD in the family. The study employed a phenomenological qualitative design. Parents of ADHD patients who were participating in a multisite randomized controlled experiment underwent semi-structured interviews. The article addressed the picot topic by addressing the query regarding the type of ADHD treatment that parents would choose for their kids.
The author’s conceptual outcome was that parents, regardless of demographic disparities between sites, expressed similar experiences and identified comparable impediments, preferences, and priorities for ADHD therapies. Families wanted access to family-centered, multimodal treatments for ADHD. Twenty-three parents were interviewed to determine the operational outcome. The average age of the kids was 9.6 years (SD: 1.8 years); 78% of them were boys; and 48% had never been given ADHD medication. From the analysis, two main themes were discernible. ‘Impact of ADHD on families within and outside the house’ was topic 1, and its subthemes were reconfiguring the family life’, ‘trial-and-error of adjustments at school’, and responding to social demands to fit in’. Finding the “right fit” with experts and treatments and issues influencing inequitable access to treatments were the two subthemes under the topic 2 enabling appropriate and accessible treatments for families.
Measurements of validity and reliability are not applicable for this study. However, the study, may serve to guide healthcare services and policy to better support families with children who have ADHD. Parents want a wider variety of ADHD treatment options and more support from healthcare professionals to examine these alternatives because some kids may not respond well to medications. Care could be improved by comprehending and focusing on families’ actual experiences. The results of this study show that systemic adjustments to the healthcare and educational systems are necessary to meet the needs of kids with ADHD. Article 2: The second article, “Behavioral treatments effective for children with ADHD,” explored behavioral interventions. The purpose of this study was to determine whether behavioral interventions, based on rater reports, are successful for lowering the symptoms of attention-deficit hyperactivity disorder (ADHD), as well as behavioral issues and impairment. The meta-analysis examined individual participant data, including information from behavioral intervention randomized controlled trials. This study sought to answer our picot question regarding the accessibility of behavioral therapy for ADHD. The conceptual outcome was based on a total of 62 papers that were eligible, for which the researchers received 23 datasets. Two additional studies that had not yet been published at the time of the initial rise were added for consideration last year. With a mean age of 8.78 years, the 25 trials examined included 2,885 participants (1,936 intervention, 949 control). Parent was usually always the primary reporter in the research. Teacher ratings were only used to one school-based research treatment. Bias agreement risk was significant. Few studies had their trials preregistered, therefore almost all had selective reporting. Interventions aimed at altering children’s and teenagers’ behavior, such as boosting desirable behaviors and reducing undesirable behaviors, were described as behavioral interventions in the author’s conceptual outcome. Also employing therapeutic (cognitive) behavioral methods that follow the concept of mediated treatments. The use of (cognitive) behavioral interventions targeted specifically at the child or teenager, such as behavioral skills training or (cognitive) behavioral therapy. The results of the study showed that behavioral treatments, such as behavioral skills training or (cognitive) behavioral therapy, reduced the symptoms of ADHD, behavioral issues, and overall impairment, with CD and adolescent single parenthood serving as the main moderators.
IPDMA technique was utilized as a measurement instrument to detect behavioral intervention effects and modifiers of outcomes for symptoms of ADHD, ODD, CD, and global impairment in children and adolescents with ADHD for validity and reliability. Parents (for parent-based interventions) and teachers (for school-based interventions) provided the reports that were most relevant to the implementation of the treatment, respectively. Where possible, the researchers used impacts on blinded measures and looked at the potential applications of variables that are frequently used in clinical practice.
Relevance for Practice: Both of these articles are crucial for ADHD patients. They both present research on techniques that support the treatment of ADHD. The results can be measured and are an important component of an investigator’s evaluation. Both of them contribute to the PICOT question on the factors that aid in the treatment of ADHD. The first article examines several strategies and parents’ preferences; it does not favor one strategy over another but rather focuses on multimodal therapies. The second article only discusses behavioral therapies and why people choose them. To assist our ADHD patients, it is important for nurses to be knowledgeable about various therapies and approaches. Not every patient responds well to treatment. Additionally, not every patient’s response to a treatment is the same. Everyone is unique, so we need to know, based on research, what will benefit our patient. Data Collection Measures: The understanding of and receptivity to non-pharmaceutical, alternative treatment alternatives for ADHD among healthcare professionals and educators would be helpful. Data collection measures would involve coordinating care across healthcare and education, as well as a family-centered, multimodal approach to ADHD treatment. support for parents of kids with ADHD in making decisions about ADHD treatments from healthcare professionals and schools. In order to lessen the stigma attached to the disease, healthcare professionals and educational institutions should be informed about the requirements of kids with ADHD and their families. References
Alexander, E., Arnold. L. E., Bruton, A.M., Camden, K., Hatsu, I., Johnston, J. M., Leung, B.M., Lu, S. V., & Millington, E. (2022). Parents’ priorities and preferences for treatment of children with ADHD: Qualitative inquiry in the MADDY study. Child: Care, Health & Development, 48(5), 852-861. http://doi.org/10.1111/cch.12995Links to an external site..
Knopf, A. (2021). Behavioral treatments effective for children with ADHD. Brown University Child & Adolescent Psychopharmacology Update, 23(8), 1-3. http://doi.org/10.1002/cpu.30597Links to an external site.
Tosto, M. G., Momi, S. K., Asherson, P., & Malki, K. (2015). A systematic review of attention deficit hyperactivity disorder (ADHD) and mathematical ability: current findings and future implications. BMC medicine,13(1), 204.

The assignment will be used to develop a written implementation plan.
Step 1) Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources.
Step 2) Develop a process to evaluate the intervention if it were implemented.
Step 3) Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.
Address the following in your summary:
What data was collected?
What tool will be used to collect the data?
Who will be responsible for collecting data?
How will this data be communicated to the team?
APA style is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.

E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration.
Use the assigned readings to guide you in the development of five discussion points
Discussions points should reflect best practices that you will include as you speak with E. L.’s daughter regarding her mother’s end-of-life care.
Cite your references in proper APA Style.

In this course, the assignments build on each other. You will select a health issue that is of national (U.S.) or global significance. Each week you will develop part of the final assignment, including explaining the health issue, doing an annotated bibliography about health policy related to this issue, and identifying a potential solution that you will present as a policy brief to stakeholders. Do not select a disease to write about, rather, an issue. Example: Diabetes is not an appropriate health issue. Lack of diabetic screening services in rural, low-income communities is.
Write a formal APA paper on your three three (3) identified national and/or global health issues. Use the material in Unit 1 readings to help you think about your top health issues. Think beyond disease-specific problems to issues related to health. At the end of the course you will move from a health issue to health policy.
This paper should be 4-5 pages and include:
a title page,
an introduction and conclusion,
in-text citations, and
references that include at least three scholarly, credible sources to support your topic
No abstract is needed
Title and references pages do not count in the page total
Please use the following subheadings below as APA headings in the body of your paper:
Explanation of your personal views of health, based on your readings
Identify 3 health issues of significance to a selected group of people. One must be a global issue.
Identify the issue and the group(s) affected
Give a brief overview of each issue
For this assignment, you can use the personal pronoun of “I” since this paper is a reflection of your understanding.

Emerging Infectious Diseases
Purpose: The main purpose of this assignment is to gain an understanding about the community and public health nurse’s role in addressing various concepts in community and public health nursing: communicable diseases, coordination of care, vulnerable populations, underserved populations
Instructions:
Part 1
Search the CDC National Notifiable Disease Surveillance System (NNDSS) list. Click this link: NNDSS.
Links to an external site.
Select the Notifiable Conditions List, year 2022 National Notifiable Infectious Diseases
Links to an external site.
(most current year), check Infectious.
Select one infectious disease that starts with the first letter of your first, middle, or last name (G) that could potentially impact your community.
Part 2
Clearly describe the disease, explain the chain of transmission, and include the CDC mandatory reporting requirements for the disease.
Explain the global impact of this disease and what country other than the U.S. is most affected?
Present one evidence-based strategy the nurse would use to help decrease the spread of this disease.
Post insightful initial integration of concepts, ideas, & information from required textbook as a reference and additional supportive evidence from at least one (1) other scholarly resource within the past five seven (7) years, and your personal clinical experience. There is little to no use of quotations.
Textbook : Rector, C. (2021). Community and public health nursing (10th ed.). Wolters Kluwer.
APA 7th Edition Formatting | Scholarly Writing: All posts are cited in APA 7th edition
– Include In-text citation(s) in correct APA 7th edition format
– Include Reference list in correct APA 7th format
– Utilizes college level writing skills with proper spelling and grammar.

Compare and contrast schizoaffective disorder from schizophrenia. For this discussion, you will need to place particular emphasis on how comprehensive assessment. sources should be within a 5 year period and Apa format

Compare the primary care NP role with other APN roles. What are the similarities among the roles, what are the differences, and how would you communicate the role to a healthcare provider and a consumer?

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Purpose:
The purpose of this assignment is intended to allow the student to show evidence of achievement of the following course objective:
Explain how the advanced practice nurse applies and integrates broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregated/identified populations.
The Concept Map assignments are a progressive learning activity that builds with each assignment. Each week you will be taking steps to create a personal nursing concept map and relating it to a nursing theory of your choice. This will then be used, along with a systems theory, in your final paper assignment.
Some weekly assignments will ask you to submit a rough draft of your concept map work to show your progress and keep you on track. In week 9, you will post your concept map with a brief explanation to the discussion board for peer review. The final Concept Map will be submitted along with your Final Paper. The final paper is a combination of the concept map assignment you complete during the course.
Description:
For this week’s Concept Map paper, you will be focusing on concepts and NOT a theory.
Also, refer to this list of concepts Download this list of conceptsto help you get started.
(Please note that while this document contains a list of possible concepts that can be used for this assignment, some concepts are not appropriate for this assignment. It is just meant to help “kick-start” your creativity)
Also review Nursing Theory and Philosophy: Terms & Concepts Guide! Download Nursing Theory and Philosophy: Terms & Concepts Guide!
Students will write a 1 to 2-page paper responding to written prompts.
Week 2 prompts:
Discuss personal values and beliefs of nursing.
Discuss your assumptions about nursing, clients, and the world in general.
Consider how your philosophical beliefs influence your practice.
Compile a list of concepts that you engage in during your practice.
Begin a list of concepts. Decide which concepts ‘‘rise up’’ as priorities in your nursing practice.
Explore why particular concepts emerge as ‘‘essential,’’ while others seem ‘‘secondary.’’
Select 1 concept to be used for the concept map.
Requirements:
This assignment needs to be submitted following APA format (title page, headings, reference page, etc.). Citations from References that are synthesized from the assigned article, course text, evidence-based and peer-reviewed research articles, and other credible sources are required. A minimum of 3 resources are used. References must be current within 5 years.
This assignment will be submitted below through Canvas and automatically run through TurnItIn. Course faculty monitor for the compliance of citations with Turnitin evaluation of the assignment during the course session.

ANSWER
Week 2 Concept Map Paper

Personal Values and Beliefs of Nursing

Nursing is a profession guided by a set of core values that shape the way we interact with our clients, provide care, and make decisions. These values have been developed and refined over time as nurses have witnessed the impact of their work on individuals, families, and communities.

One of the most fundamental values in nursing is compassion. Compassion is the ability to understand and share the feelings of another person. It is the foundation of empathy, which allows nurses to connect with their clients on a deeper level and provide care that is truly person-centered.

Another core value in nursing is integrity. Integrity is the quality of being honest and upright. It is essential for nurses to maintain confidentiality and to act with honesty and fairness in all their interactions with clients, colleagues, and other healthcare professionals.

Respect is also a critical value in nursing. Respect means treating others with dignity and consideration, regardless of their background, beliefs, or circumstances. It is important for nurses to respect the autonomy of their clients and to involve them in decisions about their care.

Advocacy is another key value in nursing. Advocacy is the act of speaking up for the rights and interests of others. Nurses have a responsibility to advocate for their clients, especially when they are vulnerable or unable to speak for themselves.

Assumptions about Nursing, Clients, and the World in General

As nurses, we make assumptions about our clients, our profession, and the world in general. These assumptions shape our practice and influence the care we provide.

One assumption we make is that our clients want to get better. This assumption motivates us to provide care that is focused on healing and recovery. It also encourages us to support our clients in making positive changes to their lifestyles.

Another assumption we make is that nursing is a science as well as an art. This assumption allows us to combine evidence-based practice with compassion and empathy. It also encourages us to be lifelong learners and to stay up-to-date on the latest research.

We also assume that the world is a place where people can and want to live healthy lives. This assumption motivates us to promote health and wellness and to provide care that is preventive and proactive.

Philosophical Beliefs and Their Influence on Practice

Our philosophical beliefs about the world and our place in it shape our approach to nursing practice. For example, if we believe that people are inherently good, we are more likely to approach our clients with compassion and understanding. If we believe that the world is a place of chaos and uncertainty, we may be more likely to focus on providing stability and security for our clients.

Our philosophical beliefs also influence the decisions we make about our practice. For example, if we believe that autonomy is important, we will involve our clients in decisions about their care. If we believe that justice is important, we will advocate for our clients’ rights.

List of Concepts Engaged in Nursing Practice

Nurses engage in a wide variety of concepts during their practice. These concepts can be broadly categorized into physical, psychological, social, and spiritual domains.

Physical concepts include pain, mobility, nutrition, elimination, and infection control.

Psychological concepts include anxiety, depression, coping, and communication.

Social concepts include family dynamics, cultural diversity, and community resources.

Spiritual concepts include meaning, purpose, and hope.

Essential Nursing Concepts

Not all concepts are equally important in nursing practice. Some concepts are more central to our work than others. For example, the concept of pain is essential for nurses who work with clients who are experiencing chronic pain. The concept of communication is essential for nurses who are working with clients who have difficulty expressing themselves.

The concepts that we consider to be essential are often those that are most relevant to our clients’ needs and our practice setting. They are the concepts that guide our decision-making and inform our interventions.

Selection of a Concept for the Concept Map

After careful consideration, I have selected the concept of cultural competence as the focus of my concept map. Cultural competence is the ability to understand and respect the cultural beliefs and practices of others. It is essential for nurses to be culturally competent in order to provide care that is sensitive to the individual needs of their clients.

Conclusion

Nursing is a complex and multifaceted profession that is guided by a set of core values and beliefs. These values and beliefs influence our assumptions about nursing, clients, and the world in general. They also shape our philosophical beliefs and how we approach our practice. By understanding our personal values and beliefs, we can better understand how they influence our nursing practice.

ased on the feedback you have received from your instructor on the “Sustainability Plan Worksheet,” compile the elements (measurement, ownership, communication, change management, and workload) into a presentation that you would present to the stakeholders of your proposed quality and/or safety sustainability program.
Develop a PowerPoint presentation (10-15 slides) to present your final sustainability plan. Create speaker notes of 100-250 words for each slide. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the title and Loom link at the beginning and an additional slide for References at the end.
Include the following:
Describe one or two measures that are critical to the sustainability of your proposed quality and/or safety sustainability program and decide on the data collection and monitoring process. Additionally, discuss whether you will reduce or eliminate the frequency of certain measurements.
Describe a measurement threshold that will trigger investigation.
Describe the owner of the improvement process who authorizes changes and will be responsible for sustaining improvement.
Outline a communication and training plan for improvements and learning. Consider who needs to know what, when and how often they need to know it, what communication method would work best, and who the best person is for initiating communication or sharing information.
Identify a change management theory that you will use to standardize the process so that it supports the improved process.
Explain how the proposed changes will affect staff workload. Ideally, the improvement has removed work and made people’s jobs easier and more efficient. Changes that decrease workload have a higher chance of success over time.

Discuss the inherited mutation genes BRCA, and BRCA 2, their prevalence, risks for different cancers, and recommended surveillance screenings for those with a confirmed genetically inherited mutation. What are your thoughts on genetic testing?
Use at least one scholarly source besides your textbook to connect your response to national guidelines and evidence-based research to support your ideas.