Leadership Personal Reflection

see the file.(information of Leadership Personal Reflection)

 
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Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice ChangeThe collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.To Prepare:Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. Developing ÿÿÿÿÿa Culture of Evidence-Based PracticeConsider the best method of disseminating the results of your presentation to an audience.The Assignment: (Evidence-Based Project)Part 4: Recommending an Evidence-Based Practice ChangeCreate a 10-12-slide PowerPoint presentation in which you do the following:Briefly describe your healthcare organization, ÿÿÿÿÿincluding its culture and readiness for change. (You may opt to keep ÿÿÿÿÿvarious elements of this anonymous, such as your company name.)Describe the current problem or opportunity for change. ÿÿÿÿÿInclude in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.Add a lessons learned section that includes the ÿÿÿÿÿfollowing:A summary of the critical ÿÿÿÿÿÿappraisal of the peer-reviewed articles you previously submittedAn explanation about what ÿÿÿÿÿÿyou learned from completing the Evaluation Table within the Critical ÿÿÿÿÿÿAppraisal Tool Worksheet Template (3-5 slides)Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.ú Chapter 7, ?Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice? (pp. 219?232)Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295?1296. doi:10.1001/jama.2014.10186Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188?201. doi:10.1097/CCM.0000000000001396Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176?184. doi:10.1097/NND.0000000000000483Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27?35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/

 
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Nursing Discussion

Discussion QuestionsBy the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.Discussion QuestionReview the following research questions.Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?How effective are anti-depressive medications on anxiety and depression?For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?What is the relationship between alcohol and breast cancer?What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?What is the difference in attitudes of male and female college students toward condoms?Next, select 3 of the above questions and address the following:Identify an appropriate research design.Discuss the strengths and weaknesses of the design.Provide a rationale for the design you selected

 
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BUDGETS

Discuss how an organization’s budget can affect both the development and execution of its strategic plan. Similarly, how could a strategic plan affect an organization’s budget?

 
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Pharmacotherapy for Cardiovascular Disorders

Consider the following case study:Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:ú Atenolol 12.5 mg dailyú Doxazosin 8 mg dailyú Hydralazine 10 mg qidú Sertraline 25 mg dailyú Simvastatin 80 mg dailyTo prepare:Review ÿÿÿÿÿthis week?s media presentation on hypertension and hyperlipidemia, as well ÿÿÿÿÿas Chapters 19 and 20 of the Arcangelo and Peterson text.Select ÿÿÿÿÿone one the following factors: genetics, gender, ethnicity, age, or ÿÿÿÿÿbehavior factors.Reflect ÿÿÿÿÿon how the factor you selected might influence the patient?s ÿÿÿÿÿpharmacokinetic and pharmacodynamic processes.Consider ÿÿÿÿÿhow changes in the pharmacokinetic and pharmacodynamic processes might ÿÿÿÿÿimpact the patient?s recommended drug therapy.Think ÿÿÿÿÿabout how you might improve the patient?s drug therapy plan based on the ÿÿÿÿÿpharmacokinetic and pharmacodynamic changes. Reflect on whether you would ÿÿÿÿÿmodify the current drug treatment or provide an alternative treatment ÿÿÿÿÿoption for the patient.With these thoughts in mind:Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study. Then, describe how changes in the processes might impact the patient?s recommended drug therapy. Finally, explain how you might improve the patient?s drug therapy plan.- This work should have Introduction and conclusion- This work should have at 3 to 5current references (Year 2012 and up)- Use at least 2 references from class Learning ResourcesThe following Resources are not acceptable:1. Wikipedia2. Cdc.gov- nonhealthcare professionals section3. Webmd.com4. Mayoclinic.comRequired Readings**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.Chapter 19, ?Hypertension? ÿÿÿÿÿ(pp. 257-272)This chapter examines the relationships between the cardiovascular, ÿÿÿÿÿnervous, and renal systems. It then describes diagnostic criteria for ÿÿÿÿÿhypertension patients, drugs used to treat hypertension and possible ÿÿÿÿÿadverse reactions, monitoring patient response, and patient education.Chapter 20, ?Hyperlipidemia? ÿÿÿÿÿ(pp. 275-286)This chapter explores causes of hyperlipidemia, treatments for ÿÿÿÿÿhyperlipidemia patients, and methods for monitoring patient response. It ÿÿÿÿÿalso reviews strategies for risk assessment and patient education.Chapter 21, ?Chronic Stable ÿÿÿÿÿAngina? (pp. 289-303)This chapter begins by exploring factors that contribute to chronic stable ÿÿÿÿÿangina, types of drugs used in treatment, and diagnostic criteria for ÿÿÿÿÿinitiating drug therapy. It also examines methods for monitoring patient ÿÿÿÿÿresponse to treatment and educating patients on self-care.Chapter 22, ?Heart Failure? ÿÿÿÿÿ(pp. 305-322)This chapter examines the process of prescribing drugs to treat heart ÿÿÿÿÿfailure and explores effects of prescribed drugs, proper dosages, and ÿÿÿÿÿpossible adverse reactions.Chapter 50, ?Pharmacotherapy ÿÿÿÿÿfor Venous Thromboembolism Prevention and Treatment, Stroke Prevention in ÿÿÿÿÿAtrial Fibrillation, and Thromboembolism Prevention with Mechanical Heart ÿÿÿÿÿValves? (pp. 863-886)This chapter covers drug therapy options for three disorders requiring anticoagulants: venous thromboembolism, atrial fibrillation, and ischemic stroke. It also explains the process of initiating and managing drug therapy for patients with these disorders.**Drugs.com. (2012). Retrieved from http://www.drugs.com/This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.Required MediaLaureate Education, Inc. (Executive Producer). (2012). Hypertension and hyperlipidemia. Baltimore, MD: Author.This media presentation outlines hypertension and hyperlipidemia including contributing factors, evaluation, treatment, and implications.

 
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reflection

2 page reflection of journal articlemust be in apa format with 1 reference

 
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case study 4 pages

Case Study 1: Disorders of HemostasisLeona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take. Unfortunately, just 3 days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis.Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona?s DVT? Why was Leona already at risk for thrombus development?How does Leona?s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis?How do atherosclerosis and immobility promote changes in blood coagulation?When Leona was in hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?

 
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Health promotion. Discussion

Case Study ÿInstructions:Read the following case study and answer the reflective questions.Please provide rationales for your answers.Make sure to provide citations/references for your answers in APA format.CASE STUDY: Preschool Child:Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky?s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky?s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky?s mother is quite frustrated and concerned that he will become malnourished.Reflective Questions1. What additional assessment information would you collect?2. What questions would you ask, and how would you further explore this issue with the mother?3. In what ways does the distance of the extended family influence this family?s approach to health promotion?4. What factors would you consider to determine whether malnourishment is a factor in this family?

 
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MHA6120 WEEK 3 DISCUSSION AND PROJECT INSTRUCTIONS

Week 3 focuses on healthcare information systems (HIS), architecture and infrastructure, selection, contract management, acquisition, and implementation. In addition, you will take a closer look at management, administrative, and financial applications. As the business of healthcare becomes more complex and challenging, the role of information systems becomes more important in achieving sustainability and financial stability. Lessons learned from Week 3 will assist you in navigating the complexities in implementing health information system in your future endeavor.Your Learning Objectives for the Week:Define system acquisition, implementation, lifecycle, replacement planning, and electronic data interchange in relation to the evolution of healthcare information systems.Assess the efficiency, effectiveness, and current software applications of an IT department.Examine the design, management, and maintenance of clinical information systems to maintain healthcare data security, enhance quality, decrease costs, and improve patient safety in various healthcare settings.

 
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Advanced Primary Care of Family Practicum and Advanced Primary Care of Family (Due 24 hours)

1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.Parts 1 and 2   have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.Part 1: Minimum 1 pagePart 2: minimum 1 pagePart 3: Minimum 1 pagePart 4: minimum 1 pagePart 5: Minimum 1 pagePart 6: Minimum 1 pageSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 4 references per part not older than 5 years5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.do__________________________________________________________________________________Parts 1 and 2   have the same question 1, however, you must answer the question with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.Parts 3 and 4    have the same questions, however, you must answer the questions with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.Parts 5 and 6    have the same question, however, you must answer the question with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

 
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