Category: Nursing

Writing Assignment #1 – Appraise the Quantitative Evidence
This writing assignme

Writing Assignment #1 – Appraise the Quantitative Evidence
This writing assignment involves the student researching databases to find a relevant research
article. Then the student will begin an article appraisal by addressing the research problem and
literature review. This writing assignment will serve as the foundation for the first writing
assignment. This allows for students to receive feedback from peers, from the writing center and
faculty, which can be incorporated into the second article critique.
Objectives:
1. Critically appraise a chosen primary research nursing article. The required course textbook
will be used as a guide in critically appraising a quantitative article.
2. Synthesize the information from discussion questions, research textbook, and chosen research
article to support the elements of article critique.
3. Understand how an article critique can determine the appropriateness of research in evidence-
based practice (EBP)
4. Determine the elements of a well written research article.
Directions:
1) Locate one primary quantitative research article that is related to student’s topic of interest.
The chosen article must be obtained from the library database and printed in pdf format.
2) Write an 6–8 pages paper in APA (7th edition) format (exclude the title page, abstract, and
reference page in page count) addressing the following points:
a) Abstract
• Keep it at 100-150 words.
• Identify the research topic or purpose of the research – why the study was done.
• Identify the population and method – who were in the study and how the study was
done.
• Identify the results and application of results or findings to the nursing profession.
• Identify the three to five keywords used on your article search.
a) Introduction
• Hook – identify your topic and the angle you are taking; your hook needs to capture
the reader’s attention.
• Context – provide a background, an explanation on the significance of your topic and
what the research will address.
• Thesis – provide a clearly defined thesis statement.
b) Article search process
• Explain the choice of topic.
• List the database, search terms, and method used to narrow the results.
• Narrate if difficulties occurred in your article search.
c) Literature Review/Background/Introduction
• Evaluate the article’s literature review if it is comprehensive, current, and of good
quality. (Did it look at different aspects of the problem, was the topic of interest
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Writing Assignment #1 – Appraise the Quantitative Evidence
This writing assignment involves the student researching databases to find a relevant research article. Then the student will begin an article appraisal by addressing the research problem and literature review. This writing assignment will serve as the foundation for the first writing assignment. This allows for students to receive feedback from peers, from the writing center and faculty, which can be incorporated into the second article critique.
Objectives:
1.Critically appraise a chosen primary research nursing article. The required course textbook will be used as a guide in critically appraising a quantitative article.
2.Synthesize the information from discussion questions, research textbook, and chosen research article to support the elements of article critique.
3.Understand how an article critique can determine the appropriateness of research in evidence-based practice (EBP)
4.Determine the elements of a well written research article.
Directions:
1)Locate one primary quantitative research article that is related to student’s topic of interest. The chosen article must be obtained from the library database and printed in pdf format.
2)Write an 6–8 pages paper in APA (7th edition) format (exclude the title page, abstract, and reference page in page count) addressing the following points:
Write the paper in this format:
a)Abstract
Keep it at 100-150 words.
Identify the research topic or purpose of the research – why the study was done.
Identify the population and method – who were in the study and how the study was done.
Identify the results and application of results or findings to the nursing profession.
Identify the three to five keywords used on your article search.
Watch this. video before writing the abstract:
a)Introduction
Hook – identify your topic and the angle you are taking; your hook needs to capture the reader’s attention.
Context – provide a background, an explanation on the significance of your topic and what the research will address.
Thesis – provide a clearly defined thesis statement
b)Article search process
Explain the choice of topic.
List the database, search terms, and method used to narrow the results.
Narrate if difficulties occurred in your article search.
c)Literature Review/Background/Introduction
Evaluate the article’s literature review if it is comprehensive, current, and of good quality. (Did it look at different aspects of the problem, was the topic of interest described well or indicated the state of the science? Was it in the scholarly date range for when the study was completed, and was it from a scholarly journal?)
Identify if the references are current, including the number and percentage of sources in the last 10 years and in the last 5 years from the time the research was performed or published. (Note the date the research was done, if presented.)
Specify the new information learned about the topic of the research study after reading the literature review or introduction.
Survey the reference list of your article. In APA format, identify and list two primary quantitative research articles from the reference list. Then, identify and list one secondary article from your article’s reference list.
d)Methods
Identify the specific design of the study. Use a direct quote from your article and then define it using a direct quote from your textbook.
Identify the population, sample, and characteristic of the participants.
Identify the inclusion and/or exclusion criteria.
Identify the sample size. Discern and justify if the sample size is adequate.
Describe how the rights of the participants were protected, including the risks to the participants.
Identify the data collection process and explain role of the investigator in this process.
Identify and explain the internal and external threats to validity.
Identify and explain the strategies used to ensure rigor and trustworthiness.
e)Findings
Identify the findings of the study.
Identify and discern the implications of this research to the nursing profession.
Identify and explain the implications for future research.
Identify the level and strength of evidence the study provides.
f)Conclusion
Reiterate the main points: thesis, significance, implications, and any future research recommendation/s of your chosen article.
3)Include at least two direct quotes in APA format.
4)Use the peer review process to strengthen your paper.
5) Submit a hardcopy of the paper, peer review, and article in class. All hardcopies for submission must be printed double-sided.
I want you complete this part of the assignment and give it to me in 12hrs from now. : (primary quantitative article and PICOT question)
– Submit your primary quantitative article you will be using for Assignment 1. Please feel free to reach out with questions selecting an article. Remember that you will be finding a primary quantitative research article that was written within the last 5 years (unless approved otherwise from me) and written by at least 1 nurse or published in a nursing journal. Please do not submit an article that says systematic review, literature review, meta-analysis, or meta synthesis. Remember those are secondary articles, not primary.
-PICOT question. This is one sentence based on your assignment 1 article.
Here are some examples of PICOT question you will be submitting:
P—adolescent patients who are anxious
I—using gaming software to decrease symptoms
C—compare outcomes for patients who used software to outcomes for those who did not
O—decreased anxiety from baseline assessment
T- Over a 6-month period
You can submit it in this format, or all combined into one sentence.
– Here is the worksheet that may help you formulate the PICOT question (Attached below)
– I’ve also attached the rubric below. Please read all the info in there and in the directions carefully and write the paper accordingly.
– NO PLAGIARISM should be found.
– A sample paper has been attached below. Don’t choose the same topic in there.
– This has to be a QUANTITATIVE RESEARCH paper written by a nurse based on their own research study and not critiquing on someone else’s research
– As I said earlier, the PRIMARY QUANTITATIVE ARTICLE and the PICOT QUESTION had to be done within 12hrs in order for me to submit it today. please!!.
-For the PICOT question, you don’t have to fill in all the blanks shown in the docx, you just have you make a questions based on the PICOT things in the docx.
– The rest of the paper can be completed within 10 days and I’ll be giving you feedback according to my professor and classmates.
– The whole paper should be 6-8 pages without the title page, abstract, and the reference page.
Let me know if you have any questions.
Please give me the primary quantitative article and the PICOT question within 12 hrs, thanks!

Peer Responses:
Length: A minimum of 180 words per post, not including reference

Peer Responses:
Length: A minimum of 180 words per post, not including references
Citations: At least two high-level scholarly reference in APA per post from within the last 5 years
My healthcare capstone project is primarily centered on dealing with the management of chronic disease in an elderly patient in an attempt to improve the quality of their lives, hence the increase in quality healthcare interventions. Evaluation of need at an individual and community level is vital to this to a certain extent because it provides scope on various challenges and assets that may be available and necessary for the proper attendance of a chronic ailment (Parry et al., 2021). Awareness of these requirements means that the treatments enhance the ability to solve the identified health challenges of the elderly patients and assist in creating an environment where the elderly patients and their families can be supported to gain better health.
Identified Individual Needs
The old chronic disease patients as a group have several special requirements to be met to enhance the care of the patient. One of the most important issues is the simultaneous treatment of several chronic diseases, as it is essential to monitor and treat one illness without harming the other. Maintenance of polypharmacy issues is also important always since elderly patients have many diseases and usually take many drugs with high chances of drug interactions and side effects (Robinson, 2021). Another aspect with which infants born preterm deal is the cognitive aspect, the pediatric interventions required to encompass memory, decision-making, and daily functioning. Second, reducing social isolation seems critical since it leads to depression and overall health decline, which means that social support and community participation should be included in patients’ management strategies.
Identified Community Needs
At the community level, it is ironic that there are several crucial needs for the management of chronic diseases among elderly patients. Every elderly patient should receive comprehensive geriatric care because he or she may have one or multiple health issues typical for this age group (Garrard et al., 2019). The other requirements are medical equipment and educational tools, which are important in the conformability of diseases at the home. The practice and operational continuation of programs such as these, which address the needs of senior citizens, require funding and support from healthcare institutions and funding bodies. Further, the availability of other agencies in the community that provide constant information dissemination and patient support serves as a critical aspect in the patient’s self-management of their condition as well as further improvement of their quality of life.
Relevance of Research Inquiry
The selected research inquiry is significant to the practice regarding individual and community necessities in the case of chronic illness treatment of elderly patients. One that may be an organizational struggle is the private nature of every client and devising an individual care plan, which can be regarded as following patient-centered care. Engaging the use of the Trans-theoretical Model, the project is well-equipped to implement relevant change strategies that are completely appropriate and applicable according to the patient’s stages of change (Mwiti, 2020). This model also incorporates the aspects of patient education and patient self-management, which are essential for compliance with the recommended therapeutic regimens and consequent enhancement of health statuses. Thus, the research theme intervenes and directly responds to the expressed essential requirements of elderly patients with chronic diseases in terms of adopting practical methods that would help them access optimal care and manage their diseases accordingly, lengthening their lives and empowering the quality of the lives of chronic disease patients.
Anticipated Impact of Research Findings
The intended implication of the research findings is that society is expected to benefit in terms of its individuals and communities. In this case, the integration of individual care plans and selective interventions based on the Trans-theoretical model is anticipated to contribute to better elders’ health and improved or maintained functional status. This approach will assist in decreasing the cases of people who continuously visit hospitals, seek readmission, or end up in the emergency units due to complications as a result of failure to treat the primary conditions. Patients will be better informed and more actively involved with their care since the default approach of healthcare institutions will be patient-centered communication (Mwiti, 2020). At a communal level, the study’s findings will help design efficient healthcare delivery systems since proper usage of resources such as medical equipment for teaching and support service materials will be enhanced. In conclusion, the research will advise health care practice and policy development to be more preventative rather than reactive to health problems, thus promoting virtuous health results for the individual and the larger society.
In conclusion, the evaluation of individuals as well as communities is vital within evidence-based practice to guarantee that the healthcare measures implemented are beneficial and appropriate. Specifically, the capstone project based on the preparation of individual care plans for elderly patients with chronic diseases will satisfy these needs, using the principles of the Transtheoretical Model. This proposal aims to put strategies that would adequately address elderly patients’ needs and, by doing so, boost treatment effectiveness, involve the patient in their treatment process, and look for cost-effective solutions with the support from the community, hence more efficient health systems.
References
Garrard, J. W., Cox, N. J., Dodds, R. M., Roberts, H. C., & Sayer, A. A. (2019). Comprehensive geriatric assessment in primary care: A systematic review. Aging Clinical and Experimental Research, 32(2), 197–205. https://doi.org/10.1007/s40520-019-01183-w
Mwiti, B. K. (2020). Bottom-up design approach: A community-led intervention in fighting lifestyle diseases within urban informal settlements in Nairobi, Kenya. Erepository.uonbi.ac.ke. http://erepository.uonbi.ac.ke/handle/11295/152984
Parry, J., Vanstone, M., Grignon, M., & Dunn, J. R. (2021). Primary care-based interventions to address the financial needs of patients experiencing poverty: A scoping review of the literature. International Journal for Equity in Health, 20(1). https://doi.org/10.1186/s12939-021-01546-8
Robinson, P. (2021). Pharmacology, polypharmacy and the older adult: A review. British Journal of Community Nursing, 26(6), 290–295. https://doi.org/10.12968/bjcn.2021.26.6.290

Presentation: Realistic Clinical Case Study
For this assignment, you will develo

Presentation: Realistic Clinical Case Study
For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. And then, use Canvas Studio’s Screen Capture feature to record (voice-over) your presentation.
How do I record a Canvas Studio video with a webcam in a course?Links to an external site.
Content Requirements
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:
Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.
Assessment: Primary Diagnosis; Differential diagnosis
Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner
Submission Instructions:
The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
The presentation should consist of 10-15 slides and less than 5 minutes in length. 
Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
Complete and submit the assignment by 11:59 PM ET Sunday

Please follow rubric and templete to the T. 
Similarity report needed. 
Cannot b

Please follow rubric and templete to the T. 
Similarity report needed. 
Cannot be more then 20% or AI generated. 
Write the soap note on a patient with pneumonia 

Overview In this assignment, you will propose an idea based on your assessment,

Overview In this assignment, you will propose an idea based on your assessment, analysis and diagnosis/identification of a problem and the aggregate the problem impacts. In addition, you will discuss who will be affected by your proposal and what types of positions, roles and organizations/agencies are relevant and might be impacted or have an impact on your plan. It is important not to waste your time reinventing the wheel so you will also consider who (positions, roles, organization) may have been involved in similar initiatives in the past. In your post, provide the following in about 200 words total: Identify the problem What is it that you are proposing, and who is your aggregate. Who is or will be affected, positively or negatively, by what you are doing or proposing to do? Which official positions are relevant to what you are doing? Please note -do not name specific people unless they are publicly known and recognizable. Instead list the person’s position, for example, the city administrator; the school nurses; youth counselors at local churches; and many more possibilities. ***Official position is loosely defined as local political leaders; heads of health care systems or agencies, or departments within those agencies; community health nurses (e.g., the school nurses). Which community organizations are relevant to what you are doing? Which people or organizations have been involved in any similar situations in the past? **Your post must include at least one current week’s (5) learning material demonstrating synthesis of ideas from a variety of sources. Write out the questions in your post and use bullets or numbering to ensure that your comments are easily followed. Type or paste your answer into your post. Do not add attachments. Be sure to use in-text citations where appropriate. This post requires proper APA styling for citations and references. Because this is a discussion board assignment, you do not need to add double spacing or hanging indent for references. Tips: Remember the answers to the questions above will not only be health care providers or organizations. The answers might include, for example, teachers and schools. Look at the Health and Human Services data you collected for your Community Needs Assessment. Are any of those organization stakeholders in your plan? Ensure that your proposal is within the scope of a community health nurse. e.g., a community health nurse cannot build a hospital, open a new clinic, repair infra structure, or change education curriculum in schools. CHNs can however act as consultants on ongoing projects, are provide community members resources on programming that may already exist. It is unlikely that you alone, or a single community health nurse, would implement your plan, so, what individuals/organizations do you need to assist in the implementation process. That person or organization will certainly be one of your stakeholders. Lastly, try to think out of the box. So, for example, if you are concerned about healthy eating, think about proposals that will engage your aggregate. Suggestions include community gardens, health fairs, cooking classes, shopping field trips, etc.
Comments from Customer
Hello writer, I am not sure if you answer that part {who is your aggregate ? and it seems you did not provide any references. you can find it on the learning content that I uploaded.
Your post must include at least one current week’s (5) learning material demonstrating synthesis of ideas from a variety of sources. Write out the questions in your post and use bullets or numbering to ensure that your comments are easily followed. Type or paste your answer into your post. Do not add attachments. Be sure to use in-text citations where appropriate. This post requires proper APA styling for citations and references. Because this is a discussion board assignment, you do not need to add double spacing or hanging indent for references.

Create a 7 slide presentation (with detailed speaker’s notes) on how you would s

Create a 7 slide presentation (with detailed speaker’s notes) on how you would select, foster collaboration among, and educate a team dedicated to solving a diversity issue.
Expand All
Introduction
Assessments 2 and 3 are based on the same scenario, so you must complete them in the order in which they are presented.
Finding, organizing, and motivating teams is a key leadership skill as is the ability to communicate and present information.
Overview
In this assessment, you will continue your work from Assessment 2 by creating a 7 slide PowerPoint presentation for the diversity project kickoff meeting.
Preparation
Review the Guidelines for Effective PowerPoint Presentations [PPTX] for guidelines and hints for an effective presentation.
Review Using Kaltura if you are using this courseroom tool to record your presentation.
Use the PowerPoint Template [PPTX] to complete this assessment.
Scenario
Imagine that your boss Lynnette follows up with you in an email shortly after reading your views on leadership and collaboration:
Hi,
Thanks for sending me your thoughts last week on the diversity issue at the clinic. Your next step is to select a team of professionals who can help you in this project and prepare an introduction of the project for a first meeting with them.
I want you to prepare a presentation to serve as a brief but substantive introduction for the first meeting with a group of 4–5 members who will participate on the committee tasked with addressing the diversity issue. Once I review more information about the proposed team I can help you with the recruitment. The presentation should be 5–7 minutes and use 7 slides with detailed speaker’s notes so I can understand your approach. Not a lot of time or space, so keep things pretty high level. Do the following:
Briefly outline the project goals and highlight 2–3 of the initial priorities to be addressed by the group. Also, explain why they are important.
Explain the composition of the team and why you chose them. Note that you will not know the exact individuals yet, but assume we will recruit the people with the desired qualities and characteristics you outline in the presentation. Consider the following:
Include a group of professionals you believe can help define the problem and ultimately make recommendations on how to address it.
Make sure each member is either trained in, sensitive to, or has experience with the concept of workplace diversity.
Give some thought to having some members from outside the organization.
Provide member profiles: their diversity, qualifications, experience, internal versus external, and so forth.
Explain your role and describe how the committee will work together and achieve effective interprofessional collaboration. 
Describe how the group will communicate. How and when they will meet.
Describe how ideas will be shared and decisions made.
Describe roles, group function, and structure.
Describe the basic characteristics of a diverse workplace.
Provide a convincing argument regarding the benefits of a diverse workforce using support from current research.
Thanks,
Lynnette
Instructions
For this assessment:
Create a 7 slide PowerPoint presentation in response to the content defined in the above scenario
Presentation Guidelines
Your assessment should also meet the following requirements:
Length: 7 PowerPoint slides (not including title slide) that would accompany a 5–7 minute oral presentation.
Notes: Prepare detailed speaker’s notes describing items on each slide so that the viewer can accurately interpret the deeper meanings and intentions that would have been conveyed orally. Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources.
Visuals: Create visuals that are easily read and interpreted. Use colors, fonts, and formatting and other design principles that make the information clear and generally add to the aesthetic of the presentation.
Please refer to the scoring guide for details on how your assessment will be evaluated.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 3 Example [PPTX].
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Apply qualities, skills, and practices used by effective health care leaders.
Outline goals and initial priorities that reasonably reflect the project.
Competency 2: Apply practices that facilitate effective interprofessional collaboration.
Outline a plan that effectively fosters interprofessional group collaboration.
Competency 3: Apply ethical codes and diversity best practices in health care organizations.
Define the composition of a team with characteristics that could effectively address and apply ethical codes, diversity, and best practices in health care organizations.
Describe the basic characteristics of a diverse and inclusive workplace.
Explain the benefits of promoting and supporting diversity within an organization using scholarly resources.
Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Create an organized presentation that clearly communicates all specified content.

Respond at least 2 times each to all colleagues who presented this week. Provide

Respond at least 2 times each to all colleagues who presented this week. Provide a response to discussion prompts that your colleagues provided in their case study. You may also provide additional information, alternative points of view, research to support treatment,   or patient education strategies you might use with the relevant patient. Each question        response should have 2 references.

Your response posts should be a minimum of 100 words  and include one reference.

Your response posts should be a minimum of 100 words  and include one reference. You do not have to answer the question.
Topic 8 DQ 1
This is the question
Based on your Topic 7 Capstone Change Project Evaluation Plan, explain the dependent variable that is being measured and the independent variable that is being manipulated. Hypothesize the results of the manipulation of the independent variable and the change you expect to occur in the dependent variable.  
These are the posts
1. The project focuses on the reduction of Surgical site infections post operatively by implementing 2 CHG showers preoperatively as a part of skin preparation. The dependent variable is also called outcome variable is directly linked to the primary outcome of the study (Kaliyadan & Kulkarni, 2019). The independent variables (explanatory variable) in a study could be various external factors which could be manipulated to achieve the required outcome. The variables should have some properties such as good reliability and validity, low bias, feasibility/practicality, low cost, objectivity, clarity, and acceptance.
The dependent variable in this project is Surgical site infection. The independent variable is CHG shower application by implementing from the preoperative clinic by better education, proving CHG showers by the PCTs and nurses as a team and documenting the compliance in patients’ electronic record. The variable which was manipulated was sharing the workload between the day shift and night shift PCTs, a phone call reminder was added with the text message to take the CHG showers as ordered was initiated. The expected hypothesis would be the Surgical site infection would be reduced by 20% by the end of next 2 months and it is moving on in proper direction. Improved adherence to evidence-based preventive measures related to appropriate antimicrobial prophylaxis can decrease the rate of SSI (Seidelman & Anderson, 2021).
-Nigel
2. One of the goals of my evaluation plan is for staff to be educated on the use and importance of active warming for surgical patients. The outcome is that 80% of staff will voice an increase in understanding of the importance of using active warming. Independent variables are the cause, while dependent variables are the effect (Bhandari, 2022). The dependent variable is staff understanding while the independent variable is staff education. Staff education is the cause and staff understanding is the effect.
Another example is the application of an active warming method for maintaining normothermia in surgical patients. The dependent variable is patient temperature. The independent variable is active warming. Active warming is the cause and temperature is the effect. Manipulation of independent variable is done to see how they affect the dependent variable. Manipulation of the active warming device could be setting the device at different temperatures to see how that affects the dependent variable of patient temperature. The change I would expect to see is the higher the temperature is set on the active warming device; the higher the patient’s temperature will be. Setting the temperature higher on the active warming device could also decrease the amount of time needed to recover a patient’s temperature if it were to become hypothermic.
-Morgan
3. When it comes to conducting research in order to implement new projects it is imperative to understand the differences between the variables that can influence the outcomes. Independent variables affect the value of other variables, whereas dependent variables are influenced by other factors (Andrade, 2021). In other words,  The cause is represented by an independent variable. Its value is unrelated to the other factors in your study. The effect or dependent variable is the result of the independent variable. Its value is reliant on changes in the independent variable (Bhandari, 2023).
In my EBP project the dependent variable is the reduction of hospital readmissions for patients with Congestive Heart Failure. On the other hand, the independent variable is the use of an educational handout where the materials are easily accessible and it is also easy to understand the information plus it has the phone numbers that are relevant such as cardiologist and rimary care physician. 
In theory, the handout being provided and explained to all patients with a diagnosis of CHF whether it is a new diagnosis or previous will show a decrease in hospital readmissions and will only be seen in the hospital when the signs and symptoms hit the red emergency area of the handout but education will be provided to the patients about if the symptoms are treated earlier in the yellow stage of the handout it has better outcomes to the patients. If the handout is not provided to patients with a CHF diagnosis then the hospital readmission rates will continue to be high. With the handout the readmission are projected to decrease approximately 10% within the next 6 weeks. Nursing staff is working on utlizing the handout on a more consistent basis but when it is being utilized patients are understanding the education being provided which has been collected during leader rounding.
-Faith
4.  In the Topic 7 Capstone Change Project Evaluation Plan, the dependent variable being measured is the incidence of falls among elderly patients. This variable is dependent because it is the outcome we aim to influence through the implementation of various interventions. The independent variable being manipulated is the comprehensive fall prevention program, which includes strategies such as staff training on fall risk assessment protocols, patient and family education, and enhancing cultural competence among nursing staff. The hypothesis for the project posits that the implementation of the comprehensive fall prevention program will lead to a significant reduction in the incidence of falls among elderly patients. Specifically, we expect a 30% reduction in fall incidents within six months of program implementation. This hypothesis is based on existing literature which supports the effectiveness of multifaceted fall prevention strategies in reducing fall rates in hospital settings (Ambrose et al., 2020).
By manipulating the independent variable—implementing the comprehensive fall prevention program—we expect the dependent variable, the incidence of falls, to decrease. The anticipated outcome is not only a reduction in the number of falls but also an improvement in staff compliance with fall risk assessment protocols, increased patient and family participation in fall prevention efforts, and enhanced cultural competence among the nursing staff. These changes are expected to create a safer environment for elderly patients, ultimately leading to fewer fall-related injuries and hospitalizations (Gillespie et al., 2022). Manipulating the independent variable of implementing a fall prevention program should lead to a positive change in the dependent variable, reducing fall incidents and improving overall patient safety.
-Josephine
Topic 8 DQ 2
This is the question
Not all EBP projects result in statistically significant results. Explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?
These are the posts
5. Clinical significance observes dissimilarity between the two groups or the two treatment modalities (Sharma, 2021). Clinically significant is when research results are clinically relevant and can be used to assess the effectiveness or efficacy of a treatment modality. Clinically significant outcomes are those that improves the patient’s quality of life and make them attain well-being including physical function, mental status, and ability to engage in social life.
Statistical significance implies whether there is any mathematical significance to the carried analysis of the results or not. Statistical significance are the results being due to chance; that it is not likely that the differences occurred by chance alone (Carpenter et al., 2021). Statistical significance results do not necessarily mean that the results are clinically relevant and lead to improvement in the quality of life of the individuals. The researchers need to consider both statistical and clinical significance since research outcomes can be statistically significant but not clinically relevant from a clinical point of view (Sharma, 2021).
In my change project to reduce healthcare-associated infections through hand hygiene, the outcome will be determined by the clinical significance of the results. Clinical significance helps assess and determine the success of HH protocol compliance by collecting data from pre and post-surveys to determine the outcome. For example, the hand hygiene protocols I am focusing on include educating and training nurses and staff, implementing hand hygiene CDC techniques, and using Electronic Monitoring Systems for Hand Hygiene compliance. Clinical significance will determine if the outcomes have improved the quality of medical care over two months in both subjective and objective terms. This includes improvements in performance status, duration of healthcare-associated infection remission, as well as improvements in quality of life, and physical, emotional, and social well-being.
-Susan 
6. In evidence-based practice (EBP) projects, it is crucial to differentiate between clinical significance and statistical significance. Statistical significance refers to the likelihood that the observed results are not due to chance, usually determined by a p-value of less than 0.05 (Kim, 2017). It indicates whether an intervention has a measurable effect, but it does not necessarily reflect the magnitude or practical importance of the effect. Clinical significance, on the other hand, pertains to the practical or real-world importance of an intervention’s effect on patient outcomes. It considers whether the change observed has a meaningful impact on patient care, quality of life, or overall health. For instance, a small but statistically significant reduction in fall rates might not be clinically significant if the reduction does not translate into fewer injuries or improved patient safety (Polit & Beck, 2021).
In the implementation of a Fall Prevention Program, even if the results are not statistically significant, clinical significance can still support positive outcomes. For example, if the program results in improved staff compliance with fall risk assessments and increased patient and family participation in fall prevention strategies, these outcomes can be clinically significant. They can enhance patient safety, improve care quality, and potentially prevent severe injuries from falls, which may not be fully captured by statistical analysis alone (Gillespie et al., 2022). To support the positive outcomes of the project, you can highlight improvements in process measures, such as adherence to protocols and patient education levels, as indicators of clinical significance. Emphasizing the practical benefits and real-world impacts of the interventions can demonstrate the value of the fall prevention program, even if statistical significance is not achieved.
-Josephine

I provided short answers to the below questions that were asked to create the pl

I provided short answers to the below questions that were asked to create the plan. I need those answers turned into an essay.
Address the following questions as you create your lifelong learning plan:
* How do you plan to stay current in your field of nursing practice?
I’m not certain that I want to stay in my field of nursing practice. I have a passion for pediatrics on top of my love for oncology.
* What is your ultimate career goal?
My ultimate career goal is to become a nurse practitioner. I’d love to combine both my interests in pediatrics and oncology. However, would feel completely satisfied with becoming a pediatric nurse practitioner. That has been a life long goal stemming back to when I was in high school.
* What education is required to get you to your career goal?
I would first need to get a masters degree in family nurse practitioner. Then I would have to become certified in pediatric oncology. Outside of that, I could certify in pediatric care.
* Does the required education need to be formal degree programs or more based in continuing education? My goal does at least require an additional degree and certification license.
* What learning methods work best for you? I learn best with repetition and hands on learning. I do gain knowledge by listening and note taking as well.
* Is there a certification required, and if yes what is required to maintain that certification? Yes, a certification is required and continuing education is required to maintain it over time.
* What are your steps for achieving your goals? I am currently in the process of applying to a family nurse practitioner program to begin my process of achieving my life long goal.

-Correctly identify your assigned social determinant.
-Briefly define the deter

-Correctly identify your assigned social determinant.
-Briefly define the determinant and describe how it impacts healthcare outcomes.
https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality
-Select an objective related to your assigned social determinant from the Healthy People website linked above.
-Identify the status of the objective and the population to whom the objective applies.
-Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
-Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.
-Integrate relevant scholarly sources no more than 5 years old.