Explain, in detail, the role of the nurse in one of the following: EBP, QI, or health care research.

Follow the guidelines given in Discussion Assignment Rubric–found in the first module.
 
Create a substantive post hat responds to the following by
 
Explain, in detail, the role of the nurse in one of the following: EBP, QI, or health care research.
Attach a research article that describes one of these roles.
Summarize it in your initial post.

Everything Is Not What It SeemsYou are a perinatal unit coordinator at a large teaching hospital. In addition to your management responsibilities, you have been asked to fill in as a member of the hospital promotion committee, which reviews petitions from clinilians for a step-level promotion on the clinical specialist ladder. You believe that you could learn a great deal on this committee and could be an obiective and contributing member.The committee has been convened to select the annual winner of the Outstanding Clinical Specialist Award. In reviewing the applicant files, you find that one file from a perinatal clinical specialist contains many overstatements and misrepresentations. You know for a fact that this clinician did not accomplish all that she has listed because she is a friend and close colleague. She did not, however, know that you would be a member of this committee and thus would be aware of this deception. When the entire committee met, several members commented on this clinician’s impressive file. Although you were able to dissuade them covertly from further considering her nomination, you are left with many uneasy feelings and some anger and sadness. You recognize that she did not receive the nomination, and thusthere is little real danger regarding the deceptions in the file being used inappropriately at this time. However, you will not be on this committee next year, and if she were to submit an erroneous file again, she could be highly considered for the award. You also recognize that even with the best of intentions and the most therapeutic of communication techniques, confronting your friend with her deception will cause her to lose face and will probably result in an unsalvageable friendship. Even if vou da confront her, there is little you can do to stop her from doing the same in future nomination processes other than formally reporting her conduct.  ASSIGNMENT:Determine what you will do. Do the potential costs outweigh the potential benefits?

Solve one of the following Learning Exercises from Huston’s Leadership Roles and Management Functions in Nursing, 11th edition.

Learning Exercise 4.7 (page 96)
Everything Is Not What It SeemsYou are a perinatal unit coordinator at a large teaching hospital. In addition to your management responsibilities, you have been asked to fill in as a member of the hospital promotion committee, which reviews petitions from clinilians for a step-level promotion on the clinical specialist ladder. You believe that you could learn a great deal on this committee and could be an obiective and contributing member.The committee has been convened to select the annual winner of the Outstanding Clinical Specialist Award. In reviewing the applicant files, you find that one file from a perinatal clinical specialist contains many overstatements and misrepresentations. You know for a fact that this clinician did not accomplish all that she has listed because she is a friend and close colleague. She did not, however, know that you would be a member of this committee and thus would be aware of this deception. When the entire committee met, several members commented on this clinician’s impressive file. Although you were able to dissuade them covertly from further considering her nomination, you are left with many uneasy feelings and some anger and sadness. You recognize that she did not receive the nomination, and thusthere is little real danger regarding the deceptions in the file being used inappropriately at this time. However, you will not be on this committee next year, and if she were to submit an erroneous file again, she could be highly considered for the award. You also recognize that even with the best of intentions and the most therapeutic of communication techniques, confronting your friend with her deception will cause her to lose face and will probably result in an unsalvageable friendship. Even if vou da confront her, there is little you can do to stop her from doing the same in future nomination processes other than formally reporting her conduct. 
ASSIGNMENT:Determine what you will do. Do the potential costs outweigh the potential benefits? Be realistic about vour actions

You know, intelligent people who make poor decisions. Why do they do so? How can smart people make these terrible choices? Use at least two specific examples of people that you know.

You know, intelligent people who make poor decisions. Why do they do so? How can smart people make these terrible choices? Use at least two specific examples of people that you know.

What is the purpose of conducting a literature review? · What are the steps a nurse researcher would take to conduct a literature review?

Week 3 Assignment 3.1: Literature Review in Action
In this assignment, you will create a presentation that reflects on your own future proposed problem of interest you are thinking of and explain how the purpose of a literature review as it relates to this problem. Look at the rubric, and note that most of this power point relates to the literature review (The bolded sections must be part of your power point; refrain from doing power points that directly present your problem of interest. Doing a power point presentation for example on prevention of falls is not the purpose of this week 2 power point assignment. 

Step 1: Reflect on your proposed problem of interest.

Critically think about your research question or problem of interest as your primary and secondary questions relate to this.

Step 2: Consider the following questions:

·
What is the purpose of conducting a literature review?

·
What are the steps a nurse researcher would take to conduct a literature review?

·
What would be the primary and secondary questions regarding the research question or problem of interest?

·
Consider the importance of including sources with a variety of results when identifying sources pertaining to your proposed problem of interest.

·
Who is your audience?

Step 3: Consider who your audience might be if you were to deliver your presentation in person.

· What would you want them to know about this topic?
· What would you expect them to already know?

Step 4: Create a seven- to ten-slide presentation that summarizes the purpose of a literature review.

Explain the steps in conducting a literature review. In your presentation, describe how you would approach conducting a literature review pertaining to your problem of interest. Identify one primary question and one secondary question regarding the problem of interest.

Step 5: Review your presentation.

Ensure that you are using best practices for formatting slides.
· Include a title screen and summary screen.
· Avoid making slides too text heavy or dense with text. As a guideline, limit text on each slide to five bullet points of six words each.
· If using graphics, be sure that they are professional, reinforce your points, and are not used merely for decoration.
· Be sure to add what you would say if delivering the presentation to a live audience in the notes section of each slide.

Cite references in APA format with link of webpage.

ASSIGNMENT RUBRIC

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watch video and answer these two questions?   https://www.youtube.com/results?search_query=the+three+identical+strangers+full+documentary   1.How does the story of the triplets inform our understanding of the nature vs. nurture debate and the impact of genetics and environment on human development and identity? 2.What ethical considerations were involved in the separation and secret study of the identical triplets, and what principles of research ethics were violated?

watch video and answer these two questions?
 
https://www.youtube.com/results?search_query=the+three+identical+strangers+full+documentary
 
1.How does the story of the triplets inform our understanding of the nature vs. nurture debate and the impact of genetics and environment on human development and identity?
2.What ethical considerations were involved in the separation and secret study of the identical triplets, and what principles of research ethics were violated?

1)The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

1)The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed. With intext citation and reference kindly paraphrase to avoid plagiarism 
2)What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue. with intext citation and reference kindly paraphrase to avoid plagiarism 

Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:   • Origin • Meaning and scope • Logical adequacy

Week 4 Discussion Question
Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following:
 
• Origin
• Meaning and scope
• Logical adequacy
• Usefulness and simplicity
• Generalizability
• Testability
 
Finally, provide an example how the theory could be used to improve or evaluate the quality of practice in your specific setting. What rationale can you provide that validates the theory as applicable to the role of the nurse practitioner.

Case Discussion on ADHD Thomas Deliver, a 36-year-old male patient, enters your office for his initial appointment. According to the intake paperwork, Mr. Deliver is a computer programmer who is complaining of problems with concentration, completing tasks, and being terrible at listening during company meetings and even at home. He explains that he has difficulty starting and completing work projects and trouble being on time or keeping appointments and commitments. He has divorced 3 months ago and has joint custody of two daughters ages 6 and 10 years old. On most days, he sleeps late and he has trouble keeping a regular schedule and getting his children to their lessons and extracurricular appointments on time. Mr. Deliver believes the lack of concentration and poor communication with his wife led to the divorce, and Mr. Deliver worries that his trouble with organization and attention may affect his custody agreement and prevent him from keeping his job. Mr. Deliver’s employer and his family and friends have suggested to him that he should get evaluated for ADHD, but he has resisted because of concerns about the stigma of a psychiatric diagnosis and the risks of taking a psychotropic medication. Mr. Deliver is 5’11” and his weight is 165 lb. He takes a men’s multivitamin daily, HCTZ at 25 mg for hypertension, fish oil 1,000 mg at bedtime for hyperlipidemia, and a rescue inhaler that he keeps with him although he hasn’t had to use it for many years. What+C1 screening tools can be used to affirm your initial diagnosis that Mr. Deliver meets the criteria for ADHD?AdultSelf-Report Scale (ASRS-v1.1)/  ConnersAdult ADHD Rating Scale (CAARS) Further assessment determines that Mr. Deliver does meet the criteria for ADHD, inattentive type. What is the current recommendation for pharmacological treatment for Mr. Deliver? Stimulants/Non-stimulant/Non-pharmacological interventions, such as behavioral therapy, Assume that instead of A13:A14Mr. Deliver being 36-years-old, Thomas is a 13-year-old male that also meets the diagnostic criteria for ADHD, hyperactive type (Thomas is not on any medications at this age). How will your pharmacological treatment change?  OTHER STUDENT ANSWER/ Methylphenidate and amphetamines are first-line treatments for ADHD as they are considered the most effective pharmaceutical treatments while stimulants are generally beneficial and safe for up to two years for children and adolescents (Kaiser et al., 2022). Regular monitoring such as monthly evaluation by the psychiatrist has been recommended for long-term treatment. There are indicators suggesting that stimulant therapy for children and adolescents should be stopped periodically to assess the continuing need for medication, decrease possible growth delay, and reduce tolerance. Based on the evidenced research of (Pipe et al., 2022) revealed that non-stimulants such as clonidine, atomoxetine, and lisdexamfetamine have fewer side effects and no addiction liability.  Even though methylphenidate and amphetamines are potentially addictive at high doses, stimulants used to treat ADHD have a low potential for abuse. Modafinil has shown some efficacy in reducing the severity of ADHD in children and adolescents which can be prescribed off-label to treat ADHD (Kaiser et al., 2022). Non-pharmacological therapy is encouraged such as cognitive behavioral therapy and psychotherapy are adjunct treatments with pharmacological management. 

Case Discussion on ADHD
Thomas Deliver, a 36-year-old male patient, enters your office for his initial appointment. According to the intake paperwork, Mr. Deliver is a computer programmer who is complaining of problems with concentration, completing tasks, and being terrible at listening during company meetings and even at home. He explains that he has difficulty starting and completing work projects and trouble being on time or keeping appointments and commitments. He has divorced 3 months ago and has joint custody of two daughters ages 6 and 10 years old. On most days, he sleeps late and he has trouble keeping a regular schedule and getting his children to their lessons and extracurricular appointments on time.
Mr. Deliver believes the lack of concentration and poor communication with his wife led to the divorce, and Mr. Deliver worries that his trouble with organization and attention may affect his custody agreement and prevent him from keeping his job.
Mr. Deliver’s employer and his family and friends have suggested to him that he should get evaluated for ADHD, but he has resisted because of concerns about the stigma of a psychiatric diagnosis and the risks of taking a psychotropic medication.
Mr. Deliver is 5’11” and his weight is 165 lb. He takes a men’s multivitamin daily, HCTZ at 25 mg for hypertension, fish oil 1,000 mg at bedtime for hyperlipidemia, and a rescue inhaler that he keeps with him although he hasn’t had to use it for many years.

What screening tools can be used to affirm your initial diagnosis that Mr. Deliver meets the criteria for ADHD?AdultSelf-Report Scale (ASRS-v1.1)/  ConnersAdult ADHD Rating Scale (CAARS)
Further assessment determines that Mr. Deliver does meet the criteria for ADHD, inattentive type. What is the current recommendation for pharmacological treatment for Mr. Deliver? Stimulants/Non-stimulant/Non-pharmacological interventions, such as behavioral therapy,
Assume that instead of Mr. Deliver being 36-years-old, Thomas is a 13-year-old male that also meets the diagnostic criteria for ADHD, hyperactive type (Thomas is not on any medications at this age). How will your pharmacological treatment change? 
OTHER STUDENT ANSWER/ Methylphenidate and amphetamines are first-line treatments for ADHD as they are considered the most effective pharmaceutical treatments while stimulants are generally beneficial and safe for up to two years for children and adolescents (Kaiser et al., 2022). Regular monitoring such as monthly evaluation by the psychiatrist has been recommended for long-term treatment. There are indicators suggesting that stimulant therapy for children and adolescents should be stopped periodically to assess the continuing need for medication, decrease possible growth delay, and reduce tolerance. Based on the evidenced research of (Pipe et al., 2022) revealed that non-stimulants such as clonidine, atomoxetine, and lisdexamfetamine have fewer side effects and no addiction liability.  Even though methylphenidate and amphetamines are potentially addictive at high doses, stimulants used to treat ADHD have a low potential for abuse. Modafinil has shown some efficacy in reducing the severity of ADHD in children and adolescents which can be prescribed off-label to treat ADHD (Kaiser et al., 2022). Non-pharmacological therapy is encouraged such as cognitive behavioral therapy and psychotherapy are adjunct treatments with pharmacological management. 

Use the Internet to look for a health care organization in your area such as a hospital, rehabilitation center, emergency medical center, or nursing home. Take some time to look at the organization’s logo and other elements of brand identity. Does the branding within these elements convey consistency and order? Describe what impact (positive or negative) the branding elements could have on patient choice.

Use the Internet to look for a health care organization in your area such as a hospital, rehabilitation center, emergency medical center, or nursing home. Take some time to look at the organization’s logo and other elements of brand identity.
Does the branding within these elements convey consistency and order? Describe what impact (positive or negative) the branding elements could have on patient choice.Using what you learned about Schmitt and Simonson’s drivers of identity management regarding inconsistent image, determine whether the chosen facility’s logo and associated branding elements convey an image of consistency and order. Be sure to support your analysis with rationale from the textbook and any other resources you may identify on the subject.
For the discussion, provide a link that shows at least two of the health care organization’s branding elements (such as their website, social media page, or press release). Then, respond to the following:

Does the branding within these elements convey consistency and order? Describe what impact (positive or negative) the branding elements could have on patient choice.

Mistakes in protein folding are corrected by molecular chaperones, but there continues to be health disorders that result from mutations in protein primary sequence, such as sickle cell anemia. What other safeguards exist to assist in protein structure and function when there are undesirable alterations to a protein’s structure?

Mistakes in protein folding are corrected by molecular chaperones, but there continues to be health disorders that result from mutations in protein primary sequence, such as sickle cell anemia. What other safeguards exist to assist in protein structure and function when there are undesirable alterations to a protein’s structure?