775818 Topic: Public Health Research

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#775818 Topic: Public Health Research

Number of Pages: 3 (Double Spaced)

Number of sources: 6

Writing Style: APA

Type of document: Essay

Academic Level:Master

Category: Nursing
IMPORTANT. INSTRUCTOR FEEDBACK BELOW: Below each criterion I have explained what is needed, and I have explained what you have handed in. 1. (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. What is needed: You need to introduce the proposed intervention here. In the case of your project, the proposed intervention is hands only CPR. What you have handed in: What you handed in was a description of cardiac arrest and how it damages internal organs and leads to death. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing. What is needed: A discussion of whether your intervention (training for hand only CPR) is realistic in your setting. By the way, what is your setting? A specific school? A specific community? A specific retirement community? What you have handed in: An explanation that most people are unaware of what to do when cardiac arrest happens. 2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. What is needed: Here you need to explain how your proposed intervention (hands only CPR) will blend with the resources and culture of your setting. Remember, you still need to identify the setting of your project. What you have handed in: I can’t tell what organization you are talking about. If you are talking about a hospital, then hands only CPR would never be appropriate – would actually be unethical and illegal. 3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT. What is needed: You need to describe what you expect to happen from your project. Do you expect non-clinical bystanders to feel more comfortable with the thought of assisting cardiac arrest? Do you expect first responders (ambulance drivers) to get more of the cardiac arrest victims to the hospital still alive? What you have handed in: This is the section of your paper that is the most in line with the assignment instructions. Nice job. Is your setting a community? If so, which community is this? Phoenix AZ? A different community? A few things to bear in mind: The hands only CPR is not appropriate for anyone in the community; it is only appropriate for those without applicable medical training. For example, if a paramedic were to arrive to the scene and perform hands only CPR that would be unethical and would constitute malpractice. The idea is that it is better for an unskilled person to give good chest compressions then nothing at all (which usually happens when an unskilled person tries to do both). 4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed. What is needed: Here you need to give a general overview of how the main goals of your project will be achieved. You need to address any likely barriers to these goals, and solutions for overcoming these barriers. What you have handed in: I am unsure. Age, gender and secure phone lines to heath centers are not related in ways that I can see at this point. Perhaps you had more in mind. 5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise. What is needed: Here you need to describe the impact upon the community. What you have handed in: What is written here is unrelated to hands only CPR. Quality of care delivery by licensed professionals is not the focus of your project here as you are focusing on cardiac arrest in the field. You have mentioned new technologies in heath centers, yet hands only CPR is unrelated to this. You have mentioned professional expertise being sharpened, though your project is not aimed at improving the expertise of cardiologists and cardiac surgeons, your project is aimed at untrained citizens in the community. Also, you mention that your project will ensure that every single life gets saved. Unfortunately, this is in no way a realistic expectation of citizens in the community, or the best cardiac surgeon for that matter.
#775818 Topic: Public Health Research Number of Pages: 3 (Double Spaced) Number of sources: 6 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing Attachments; 775818 Instracture feedback Section_C_outline.docx Section_A.docx Section_C_Rubric.docx section_B.docx This is an ongoing assignment that is stemmed from the original paper “section A” which I will upload as an attachment along with the criteria/guideline she wants me to follow and I will also attach the rubric. Please follow the complete directions of the assignment using PEER REVIEWED RESEARCH ARTICLES since that was what the last paper lacked. My picot statement should remain the same as in section A which is hands on CPR topic, the instructor noted that it was not the same topic which means automatic failure as well. Assignment directions: To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource. Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template. Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following: 1.Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria). 2.Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations. 3.Incorporate a description of the validity of the internal and external research. It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles. Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.
Literature Review

Give a statement of how the findings in the literature provide support for your proposed intervention.

Search Methods

Describe the data bases you searched and the search terms that you used to find your articles.

Review of Each Research Study Chosen to Support This Project

Write a paragraph about each study, include the strengths and limitations of each study.

Validity and Reliability of the Chosen Studies

Describe the validity, reliability, and applicability of the studies you have chosen
Evidence-Based Practice Proposal Section A

NURSING ASSIGNMENT 5

Evidence-Based Practice Proposal- Section A

Public Health-669

03/03/2018

Section A

Organizational Culture and Readiness Assessment

Having worked in the local general hospital, I witnessed incidences of lack of clarity among nurses in their diagnosis and their eventual patient evaluations. From a professional point of view, this is a dangerous path that is likely to have detrimental consequences in the lives of the patients. Therefore, the organization is a prime setting for implementing an evidence-based project will generally be a success because of its associated outcomes. As an old health facility, the organization has quality standard supporting infrastructure to guarantee the success of the new project. For instance, if the EBP will require regular lab testing, the hospital already has a modern lab equipped with the best technological equipment to enhance efficiency. From the survey, the infrastructural system scored the highest in the assessment as the hospital is furnished with equipment by the local government. As the largest hospital in the area, it receives adequate funding to supply all its basic needs. In terms of funding, therefore, it is clear that the organization is ready to embrace a new project as it will be fully funded until it is running and productive. The senior management was also ready to support the project as it would improve the hospital’s performance and enhance the quality of services delivered to patients.

Rationale for the Survey Categories Scores

The scores of the survey differed because of the different readiness attributes within the different departments. For example, the finance department scored high on its readiness to the project because it has a supplementary budget that is ready to facilitate the implementation of the project. Similarly, the infrastructural readiness of the hospital scored high because the hospital had been equipped with modern technological equipment that would support such a new system. This was the condition of the hospital because of the massive funding it receives from the local government. Similarly, the senior management of the organization found it worth to have such a project and they supported it in all ways. Consequently, their levels of readiness scored high as manifested by their budgetary allocation made for the project. However, the nurses depicted the lowest level of readiness to the evidence-based project. The project meant that the nurses had to change their casual approach to patients and increase the level of scrutiny. The project was intended to improve the quality of patient diagnosis where decisions were mainly to be made from a point of evidence. This approach meant that nurses had to spend more time in the lab to verify tests and that was not amusing to many of them. They argued that the project would increase the workload on them if the hospital did not increase the number of nurses. Based on these reasons, the readiness of the nurses to the project scored the lowest.

How to Integrate Clinical Inquiry into the Organization

The new clinical inquiry project will be a suitable entity to this local facility because of its associated benefits. For the project to be integrated into the organization in a seamless way, the hospital should consider increasing the number of nurses to minimize the workload that the nurses are likely to be exposed to. While the weakness of the hospital is limited nurses, increasing their number will definitely motivate them to embrace the new project. Moreover, the hospital has been operating under the traditional system that was not evidence-based. By introducing this project, the hospital is likely to enhance the quality of care accorded to the patients while guaranteeing them a positive outcome. By the adoption of this project, it will be clear that the local hospital will increase and improve its standards in medical care practice.

Summary of the Results

In summary, different aspects of the hospital including supporting infrastructure and funding by senior management are ready for the project. The remaining nursing fraternity is not ready for the project due to the associated increased workload. However, the hospital can hire new nurses to minimize the burden on the current nursing staff.

References

Cardiac, L. L. (2018). Sudden Cardiac Death. Contemporary Challenges in Sudden Cardiac Death, an Issue of Cardiac Electrophysiology Clinics, E-Book, 9(4), 749.

Forgey, M. W. D. (2017). Wilderness medicine: beyond first aid. Rowman & Littlefield.

Neumar, R. W. (2017). Future Directions: Management of Sudden Cardiac Death. Cardiac electrophysiology clinics, 9(4), 785-790.

Ng, Y. Y., Leong, S. H. B., & Ong, M. E. H. (2017). The role of dispatch in resuscitation. Singapore medical journal, 58(7), 449.

Platner, E. A. A. (2017). Using Evidence-Based Methods to Evaluate Neonatal Resuscitation Program Competence and Assess Two-Year Renewal Recommendations (Doctoral dissertation, north central University).
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Evidence-Based Practice Proposal – Section D: Solution Description

1 Unsatisfactory 0.00%

2 Less than Satisfactory 80.00%

3 Satisfactory 88.00%

4 Good 92.00%

5 Excellent 100.00%

100.0 %Solution Description

100.0 % Describe the proposed solution (or intervention). Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Explain the expected outcomes of the project. Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Describe the impact the outcomes will have.

Proposed solution does not align with or is not supported with research. Alignment is difficult to discern with the organization or community culture and resources. Expected outcomes are ambiguous or missing. Basic outline of how the outcomes will be achieved is missing essential data or incomplete. The impact the outcomes will have is not presented with any type of detail. Subject matter is absent, inappropriate, and/or irrelevant. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Proposed solution is presented but does not include all components. Alignment is difficult to discern with the organization or community culture and resources. Expected outcomes are ambiguous. Basic outline of how the outcomes will be achieved is missing essential data. The impact the outcomes will have may or may not be presented with any type of detail. A lack of comprehension is displayed, but there is an attempt to apply information. There is weak, marginal coverage of subject matter with large gaps in presentation. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Proposed solution is presented but needs to be connected to research. Proposed solution alignment with the organization or community culture and resources, is briefly mentioned. Expected outcomes are listed. A basic outline of how the outcomes will be achieved is developed. The impact the outcomes will have is broadly described. Comprehension of the material is exhibited and there is clearly an attempt to integrate and apply information. All subject matter is covered in minimal quantity and quality. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Proposed solution is presented consistent with current evidence and briefly addresses the way(s) in which the proposed solution is consistent with the organization or community culture and resources, limited details, and examples. Appropriate conclusions are drawn. The expected outcomes are minimally explained. An outline of how the outcomes will be achieved is developed and broadly describes the impact the outcomes will have. Integrative and accurate comprehension is demonstrated and information is applied as appropriate. There is comprehensive coverage of subject matter. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Proposed solution is presented in detail, consistent with current evidence and is heavily supported by evidence. The ways in which the proposed solution is consistent with the organization or community culture and resources is explained, and details and examples are provided. Warranted conclusions are drawn. The expected outcomes are explained in-depth. A detailed outline of how the outcomes will be achieved is developed and describes the impact the outcomes will have on one or all of the following indicators (as appropriate): quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.

100 % Total Weightage

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Evidence-Based Practice Proposal Section B

Evidence-Based Practice Proposal- Section B

Public Health-669

03/03/2018

Section B

Background of the Problem

The medical field is a serious sector where human lives are always at stake. A simple mistake in form of the wrong diagnosis can have detrimental effects. Similarly, cardiopulmonary resuscitation (CPR) is a major issue that is hardly managed in society due to its high risks (Cardiac, 2018). This can be hands-only CPR or hands plus breathing CPR. The debate on the most effective approach is rarely settled as people argue from different perspectives. Therefore, implementing an evidence-based project will ensure that such potential risks are avoided and minimized through performing thorough analysis and tests before medical decisions are made. Today, organizations are becoming thorough in their care provision to patients. They are constantly embracing modern technologies to ensure that they are best suited to serve patients with ease. In that case, the local the local community should be well informed on the best CPR approach to use in order to save lives immediately (Forgey, 2017). Generally, this project will improve patient confidence in the standard of services that patients receive.

Stakeholders

The stakeholders that will be directly and indirectly affected by this project range from hospital staff to the community members. However, some of the stakeholders will have a direct role to play to effect this change. For instance, the hospital’s health professionals are the primary stakeholders that will be responsible for catalyzing this change. The management is responsible for allocating adequate funds for this project to be undertaken. Similarly, the medical professionals in the hospital are also direct agents of change as they will be required to subscribe to the operations of the evidence-based project. That will require them to ensure that they seek adequate evidence in form of lab tests before they can make medical recommendations to the patients. The local community members are also stakeholders of this project because they are the beneficiaries of its operations. After the study, the community members will be educated on the best CPR methods they can use in case of emergency. Through its implementation, the patients can be guaranteed of receiving the best profession services without any possibility of errors (Neumar, 2017). Independently, the revenues collected in form of hospital charges cannot suffice the hospital’s operations. Therefore, the local government is also a primary stakeholder in this project as its successful implementation will depend on the level of funding.

PICOT Question

The main debate among people has been on understanding which CPR strategy is most effective and medically safe to use in case of an emergency. Therefore, this proposal will seek to evaluate this effectiveness in the local community especially among the elderly. Some argue that hands-only CPR is more effective than hands plus breathing CPR. In this case, the study question will mainly be structured as follows:

In community-dwelling adults, how effective is hands-only CPR versus hands plus breathing CPR at preventing mortality?

In this research question, PICOT abbreviations are well addressed as follows: P – community-dwelling adults, I – hands=only CPR, C – hands plus breathing CPR, and O – higher percentage of lives saved

Purpose of the Project

Cardiopulmonary resuscitation is a basic practice that should be learned by both medical professionals and the local community. This is because of the degree or risks that people face when they suffer from cardiopulmonary attacks requiring immediate resuscitation. However, the understanding of the best and most effective CPR method is always a matter of debate. There is a general agreement that hands-only CPR and hands plus breathing yield significant results. However, there is a major hygiene problem associated with hands plus breathing CPR as people can transmit diseases easily (Platner, 2017). The objective of the study is to ascertain the best CPR method between the two. Both methods will be tested on elderly patients and the outcome recorded. The health status of the resuscitating person and the patient will also be recorded before and after the process to note the changes.

Rationale

Undertaking this EBP is important in clearing the doubts that exist among people on the best CPR method. In essence, the suspicion of possible disease transmission will be addressed as the outcome of this study will be depicted in the conclusion. In addition, nurses will also have a solid ground to train the local community while clearing the doubts and fears that the people may have. This study will equip them with facts to clearly advice patients on the most effective CPR method to use (Ng, Leong, & Ong, 2017). In summary, the proposal will ensure that the grey areas that exist on the hygiene and safety of the CPR methods are cleared.

References

Cardiac, L. L. (2018). Sudden Cardiac Death. Contemporary Challenges in Sudden Cardiac Death, an Issue of Cardiac Electrophysiology Clinics, E-Book, 9(4), 749.

Forgey, M. W. D. (2017). Wilderness medicine: beyond first aid. Rowman & Littlefield.

Neumar, R. W. (2017). Future Directions: Management of Sudden Cardiac Death. Cardiac electrophysiology clinics, 9(4), 785-790.

Ng, Y. Y., Leong, S. H. B., & Ong, M. E. H. (2017). The role of dispatch in resuscitation. Singapore medical journal, 58(7), 449.

Platner, E. A. A. (2017). Using Evidence-Based Methods to Evaluate Neonatal Resuscitation Program Competence and Assess Two-Year Renewal Recommendations (Doctoral dissertation, north central University).