What is the impact of diploma mills on legitimate educational institutions? How does one check the credentials of learning institutions to verify legitimacy?
/in Uncategorized /by developerMinimum 350 Words
1) What is the impact of diploma mills on legitimate educational institutions? How does one check the credentials of learning institutions to verify legitimacy? What should one look for when selecting an institution of higher learning? 2) Provide the URL of at least two sites that discuss the impact of the Internet on any one of the concepts discussed this week and provide a brief review of the information contained there. Did you learn anything new? Were you surprised by any of the information presented on the site?
Theoretical Foundations For Nursing
/in Uncategorized /by developerln Madeline Leininger and the Transcultural Nursing theory, I need someone to provide me with:
1. Examples from the literature of how the theory has been used.
2. Describe how the theory will be integrated into practice at your institution (or how it will be used as a foundation, framework, etc.). This is an action plan.
Nursing roles in healthcare and policies
/in Uncategorized /by developerStrictly APA by the publication manual of the American psychological association 6th edition second practice. Write in Third person only. Special attention to the reference page, full reference. Verb/noun agreement. DNP [doctor of nursing practice level writing). Introduction and conclusions required. Use headings when needed. Thesis statement pivotal, conclusion critical. Please look at objectives below. Follow grading rubric strictly.
NU 610 Guidelines for Role Paper
The purpose of this paper is to explore the advanced practice nurses’ role in relation to healthcare policy, politics, and advocacy (Unit 1 objective).
The paper should be carefully written in formal style, based on primary resources, provide an integration of ideas. Organized flow, logical progression of ideas, and clarity in thought are essential. Paper should be no more than 3 pages in length, excluding the title page and reference page. Liberal number of references (minimum of 8 references).
Grading Rubric
Criteria
Points
Introductory paragraph (one paragraph). There must be a thesis statement that tells the reader purpose of paper and what will be discussed.
/0.5
Identify and discuss driving forces propelling the advanced practice nurse into the healthcare policy, politics, and advocacy arena.
/3
Discuss ways the advanced practice nurse can influence and advocate for healthcare policy and politics.
/3
Discuss the role of professional nursing organizations.
/3
Conclusions: Summarizes the essential points of the paper in one paragraph.
/0.5
Total Points
/10
Deductions:
0.25 point = each APA, grammar, punctuation, and spelling error
1 point = Document not submitted as pdf, or not named per file naming policy (see syllabus)
1 point = No turnitin report, paper and turnitin report not merged, or not merged in correct order
1 point = Over the page limit
Up to 20% of points = for lack of scholarship
20% deduction = Plagiarism or incorrect paraphrasing
Please upload your paper into the designated Assignment. Name your document per the course file naming policy, merge turnitin report, and submit as a single pdf document. Assignments not submitted properly will not be graded. If this occurs, you will be notified via email and will have 48 hours to resubmit correctly (after 48 hours pass, deductions will be made for late submission).
Papers must be submitted to turnitin.com and students are to review the report generated by this software system. Students will be given the opportunity to submit revisions of the paper to turnitin.com. The final report is to be saved as a pdf document and merged with the paper (in other words, you will be submitting one document).
The faculty is really sticklers about plagiarism, nonintentional and otherwise. We take this very seriously and are actively checking assignments. Submit your paper to turnitin.com in adequate time to get multiple reports back, if needed. The first report comes back very quickly. Subsequent reports, if you need to resubmit because your similarity index is high, take longer 24 hours, maybe more. Of course, 0% similarity is best, but realistically there will be names of people, reports, commissions, groups, models, books etc. that come back highlighted.
These are nothing to worry about since we cannot change these things (faculty do not worry
about those and neither should you). What we look for is text/content that comes back
highlighted and matches another source (even if the content is referenced appropriately). The
turnitin report is to be used as a learning tool, therefore, it is essential that you look at the report’s
percentage as well as what is highlighted. Simply looking at the score does not determine
whether sentences or correct paraphrasing was done, it only tells you a number. You need to look
at the specific areas highlighted. Look at your work and see what content is highlighted and
determine if you can change the wording without changing the meaning. If you can, then you
need to re-word accordingly. If your paper is similar to another student’s work, and you feel there
was no way you could have known this person used these same words, you still need to revise
your wording. Each student’s submission to turnitin is unpublished at the time, and could
potentially be published, just as your own work could be published. At some point, if you were
to submit your work for publication and not revise the content highlighted originally in your
turnitin report, a plagiarism violation could occur if the other student’s work is also published.
Delete your title page and reference pages before submission so you can get a true snapshot of
your paper and possible problem areas. Use the revision opportunities with turnitin.com if you
have highlighted areas of similar content. Instructors check those and there’s no need to have a
red flag on your paper. Also, refer to the section in the APA formatting manual about plagiarism,
it has some good points. Plagiarism.org is another good resource.
Scholarship Expectations
Up to 20% of points will be deducted from grade for lack of scholarship. Scholarship is
evidenced by organized and logical progression of ideas; effort and attention to detail is evident;
communicates effectively all aspects of discussion. Correct grammar, spelling, and word choice.
Liberal number references (minimum of 4 references). References are current, appropriately
paraphrased, and cited. Correct use of APA. Correct title page.
You are clinical nurse scholars in the making. You are the advanced practice nurses/DNPs and
members of the highly literate profession of advanced practice nursing who will chart the future
of health care. Good writing ability is as much a required skill for nurses in advanced practice as
performing clinical functions. Therefore, precision and scholarship is expected in all
assignments.
UNIT objectives
Broadly outline the history of healthcare, policy, politics, and nursing in the United States
2. Discuss the regulatory, legal, and credentialing requirements for Advance Practice Nurses (APN).
3. Discuss the advanced practice nurses’ role in relation to healthcare policy, politics, and political advocacy.
4. Outline the legislative policy process – how a bill becomes a law.
Consumer Purchase Analysis Paper
/in Uncategorized /by developerConsumer Purchase Analysis Paper
In this assignment, you will report out on the purchasing decisions you made and recorded in weeks 1 – 4. Review those purchases and make note of any trends you saw in the purchases.
With these thoughts in mind, prepare a 3-4 page paper, not including title page and references, presenting an analysis and synthesis of your buying habits based on perception, learning, memory, motivation, attitudes, trends, processes, and decision process differences in your decision making process. In your final summary paragraph, share if this exercise will influence future decision making.
Below are are the journal of weekly purchase
Week 1
There are many purchases which I have been able to make throughout the week. One of the purchases is two trousers and t-shirts. I decided to add something to my wardrobe. The decision to buy the clothes was influenced by the social media content. There are many advertisements of classic clothes which are displayed on social media platforms. This therefore influencedby decision. Another purchase was sunglasses. I decided to make a purchase of sunglasses for fun. This decision was purely made personally. However, there was a time a during the week we were walking with my friends and while window-shopping, we realized that some caps were looking good. We decided to buy one each. This was a group thinking and at the same time impulse buying. Some of these decisions I made while alone and some have been made in public.
Another buying decision which I made during the week was related to food. I was not feeling hungry. However, when we are walking down the streets, my friend suggested that we go into a restaurant. Then we realized that there was some food we had never consumed. We asked about the recipe and ingredients,and we were interested. We deiced to try the product out, and it was good. During the week, I have also made a shoe purchase. This was purely influenced by social media. This is because Isaw my friend wearing some sneakers which were appealing and decided that I needed to have the same sneakers. I searched for the sneakers online and made a purchase.
The many decisions which I have made to make purchases have had an external and internal factor which has influenced the decision. The advertisements have also affected the brand which I bought. The pricing has also been very instrumental in making my purchase decisions. The society is key when it comes to consumption, and we need to realize these factors.
Week 2
This week I have purchased a laptop, microwave and a video camcorder all from Toshiba brand, an aeropostale branded cap for my golf game, a smartphone and smart watch by Asus and a dell laptop for my younger sibling. My purchasing power was driven by social messaging from the Toshiba brands as they have kept me updated of their new products since I had earlier purchased a smart television set and signed for a loyalty reward. The aeropostale cap was influenced by my years back in college while for the Asus brands I was influenced by their affordability, quality and their availability on the online shopping platform.
Week 3
Journal Entry for Datsun GO Plus
In making the decision based on the suppliers of the automobile, then it is important to consider the prices of the cars, and nature at which they are being sold and the rating that they give to the general public and the clients. Motor vehicle dealing is quite challenging when it gets to having a car of your choice depending on the fluctuations in the prices (Stickney, 2010).
In making a decision on what to take in this line of dealers, then it will depend on the terms and conditions of the dealer. I would choose to deal with BHPH dealer due to their low prices on the cash sales which is $ 695 that is rather second cheapest after Retail Prime dealer on the used cars, who restricts to the cash sales only. In this case the choice of buying or purchasing the cars at the interest of the customers.
In looking into the journal it gives a comprehensive price analysis and rating that the persons have given in their experience with the dealers and the services they are offering (Capon, & Hulbert, 2011) in dealing with the brands of the cars. In a dealership that uses the consistencies and the accuracy of the entry in the journal for the transactions that are recorded by the dealers in relation to the pricing of the cars.
All in all, in understanding the journal as illustrated above, it provides a simple reflection of the prices of the cars and helps in making decisions for the clients or the customers to have their choices met depending on what they have on hand to purchase a such a brand in the market without having the deepened analysis of the different dealers on the brand provided. Therefore, this paper has described in detail the Datsun GO plus brand and its dealers on how its customers can be served.
References
Capon, N., & Hulbert, J. M. (2011). Marketing management in the 21st century. Upper Saddle River, N.J: Prentice Hall.
Stickney, C. P. (2010). Financial accounting: An introduction to concepts, methods, and uses. Mason, OH: South-Western/Cengage Learning.
Week 4
In this particular week, I was able to purchase an iPhone X which I replaced with my iPhone 8. I believe that there are a number of factors that influenced me to make this particular purchase. To start with I believe that iPhone x being the latest smartphone in the iPhone series has a number of advanced features that were not present in the previous version of the iPhone series. I believe that the main aspect that made me make this particular decision was based on the various advertisements that have been present concerning this particular brand on the digital media. The advertisements provided on the digital media have shown that the iPhone x. From the digital media, I was able to learn about the various features that make this phone outstanding when compared to other smartphones (Gashi, 2017).For instance, this smartphone has the ability to recognize one’s face and this helps to ensure that the phone s secure since it can only be unlocked via the aspect of facial recognition. Moreover, I was also able to learn that this device is able to provide one with the latest security updates via its sophisticated software. Another interesting bit of this phone that made me feel motivated to purchase it is because the features of its cameras are outstanding and are unique when compared to those found in other smartphones. The ability to zoom the camera and still obtain quality images also made me purchase this smartphone mainly because I love taking quality pictures. Additionally, I was also socially motivated to purchase this particular device, most of my closest friends and family members have also purchased this device and thus I did not want to feel left out and this made me purchase the iPhone x in order to avoid being a social misfit (Haselton 2018).
References
Gashi, L. (2017). Social media influencers-why we cannot ignore them: An exploratory study about how consumers perceive the influence of social media influencers during the different stages of the purchase decision process.
Haselton, Todd. 2018. “The Iphone X Will Give Your Android-Loving Friends A Lot Less Reason To Brag”. CNBC. https://www.cnbc.com/2017/11/07/why-the-iphone-x-is-better-than-android-smartphones.html.
Details: The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by the student from their local community. Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.” Interview three families from different cultures. One family can be your own. Compare the differences in health traditions between these cultures. Assess three families using the “Heritage Assessment Tool.” In 1,000-1,500 words discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following: Perform a heritage assessment on three families. Complete the “Heritage Assessment Tool” for each of the three families interviewed. These must be included with your submission to LoudCloud. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment. Prepare this assignment according to the 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
/in Uncategorized /by developerIn this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: 1.Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation. 2.Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. 3.Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style. 4.Use at least two references other than your text and those provided in the course.
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.
Statistics in Nursing
/in Uncategorized /by developerWhat are the frequency and percentage of the COPD patients in the severe airfl ow limitation group who are employed in the Eckerblad et al. (2014) study?
What percentage of the total sample is retired? What percentage of the total sample is on sick leave?
What is the total sample size of this study? What frequency and percentage of the total sample were still employed? Show your calculations and round your answer to the nearest whole percent.
What is the total percentage of the sample with a smoking history—either still smoking or former smokers? Is the smoking history for study participants clinically important? Provide a rationale for your answer.
What are pack years of smoking? Is there a signifi cant difference between the moderate and severe airfl ow limitation groups regarding pack years of smoking? Provide a rationale for your answer.
What were the four most common psychological symptoms reported by this sample of patients with COPD? What percentage of these subjects experienced these symptoms? Was there a sig-nifi cant difference between the moderate and severe airfl ow limitation groups for psychological symptoms?
What frequency and percentage of the total sample used short-acting β 2 -agonists? Show your calculations and round to the nearest whole percent.
Is there a signifi cant difference between the moderate and severe airfl ow limitation groups regarding the use of short-acting β 2 -agonists? Provide a rationale for your answer.
Was the percentage of COPD patients with moderate and severe airfl ow limitation using short-acting β 2 -agonists what you expected? Provide a rationale with documentation for your answer.
Are these fi ndings ready for use in practice? Provide a rationale for your answer.
Understanding Frequencies and Percentages STATISTICAL TECHNIQUE IN REVIEW Frequency is the number of times a score or value for a variable occurs in a set of data. Frequency distribution is a statistical procedure that involves listing all the possible values or scores for a variable in a study. Frequency distributions are used to organize study data for a detailed examination to help determine the presence of errors in coding or computer programming ( Grove, Burns, & Gray, 2013 ). In addition, frequencies and percentages are used to describe demographic and study variables measured at the nominal or ordinal levels. Percentage can be defi ned as a portion or part of the whole or a named amount in every hundred measures. For example, a sample of 100 subjects might include 40 females and 60 males. In this example, the whole is the sample of 100 subjects, and gender is described as including two parts, 40 females and 60 males. A percentage is calculated by dividing the smaller number, which would be a part of the whole, by the larger number, which represents the whole. The result of this calculation is then multiplied by 100%. For example, if 14 nurses out of a total of 62 are working on a given day, you can divide 14 by 62 and multiply by 100% to calculate the percentage of nurses working that day. Calculations: (14 ÷ 62) × 100% = 0.2258 × 100% = 22.58% = 22.6%. The answer also might be expressed as a whole percentage, which would be 23% in this example. A cumulative percentage distribution involves the summing of percentages from the top of a table to the bottom. Therefore the bottom category has a cumulative percentage of 100% (Grove, Gray, & Burns, 2015). Cumulative percentages can also be used to deter-mine percentile ranks, especially when discussing standardized scores. For example, if 75% of a group scored equal to or lower than a particular examinee ’ s score, then that examinee ’ s rank is at the 75 th percentile. When reported as a percentile rank, the percentage is often rounded to the nearest whole number. Percentile ranks can be used to analyze ordinal data that can be assigned to categories that can be ranked. Percentile ranks and cumulative percentages might also be used in any frequency distribution where subjects have only one value for a variable. For example, demographic characteristics are usually reported with the frequency ( f ) or number ( n ) of subjects and percentage (%) of subjects for each level of a demographic variable. Income level is presented as an example for 200 subjects: Income Level Frequency ( f ) Percentage (%) Cumulative % 1. $100,000 105%100% EXERCISE 6 60EXERCISE 6 • Understanding Frequencies and PercentagesCopyright © 2017, Elsevier Inc. All rights reserved. In data analysis, percentage distributions can be used to compare fi ndings from different studies that have different sample sizes, and these distributions are usually arranged in tables in order either from greatest to least or least to greatest percentages ( Plichta & Kelvin, 2013 ). RESEARCH ARTICLE Source Eckerblad, J., Tödt, K., Jakobsson, P., Unosson, M., Skargren, E., Kentsson, M., & Thean-der, K. (2014). Symptom burden in stable COPD patients with moderate to severe airfl ow limitation. Heart & Lung, 43 (4), 351–357. Introduction Eckerblad and colleagues (2014 , p. 351) conducted a comparative descriptive study to examine the symptoms of “patients with stable chronic obstructive pulmonary disease (COPD) and determine whether symptom experience differed between patients with mod-erate or severe airfl ow limitations.” The Memorial Symptom Assessment Scale (MSAS) was used to measure the symptoms of 42 outpatients with moderate airfl ow limitations and 49 patients with severe airfl ow limitations. The results indicated that the mean number of symptoms was 7.9 ( ± 4.3) for both groups combined, with no signifi cant dif-ferences found in symptoms between the patients with moderate and severe airfl ow limi-tations. For patients with the highest MSAS symptom burden scores in both the moderate and the severe limitations groups, the symptoms most frequently experienced included shortness of breath, dry mouth, cough, sleep problems, and lack of energy. The research-ers concluded that patients with moderate or severe airfl ow limitations experienced mul-tiple severe symptoms that caused high levels of distress. Quality assessment of COPD patients ’ physical and psychological symptoms is needed to improve the management of their symptoms. Relevant Study Results Eckerblad et al. (2014 , p. 353) noted in their research report that “In total, 91 patients assessed with MSAS met the criteria for moderate ( n = 42) or severe airfl ow limitations ( n = 49). Of those 91 patients, 47% were men, and 53% were women, with a mean age of 68 ( ± 7) years for men and 67 ( ± 8) years for women. The majority (70%) of patients were married or cohabitating. In addition, 61% were retired, and 15% were on sick leave. Twenty-eight percent of the patients still smoked, and 69% had stopped smoking. The mean BMI (kg/m 2 ) was 26.8 ( ± 5.7). There were no signifi cant differences in demographic characteristics, smoking history, or BMI between patients with moderate and severe airfl ow limitations ( Table 1 ). A lower proportion of patients with moderate airfl ow limitation used inhalation treatment with glucocorticosteroids, long-acting β 2 -agonists and short-acting β 2 -agonists, but a higher proportion used analgesics compared with patients with severe airfl ow limitation. Symptom prevalence and symptom experience The patients reported multiple symptoms with a mean number of 7.9 ( ± 4.3) symptoms (median = 7, range 0–32) for the total sample, 8.1 ( ± 4.4) for moderate airfl ow limitation and 7.7 ( ± 4.3) for severe airfl ow limitation ( p = 0.36) . . . . Highly prevalent physical symp-toms ( ≥ 50% of the total sample) were shortness of breath (90%), cough (65%), dry mouth (65%), and lack of energy (55%). Five additional physical symptoms, feeling drowsy Understanding Frequencies and Percentages • EXERCISE 6Copyright © 2017, Elsevier Inc. All rights reserved. TABLE 1 BACKGROUND CHARACTERISTICS AND USE OF MEDICATION FOR PATIENTS WITH STABLE CHRONIC OBSTRUCTIVE LUNG DISEASE CLASSIFIED IN PATIENTS WITH MODERATE AND SEVERE AIRFLOW LIMITATION Moderate n = 42 Severe n = 49 p Value Sex, n (%)0.607 Women19 (45)29 (59) Men23 (55)20 (41)Age (yrs), mean ( SD )66.5 (8.6)67.9 (6.8)0.396Married/cohabitant n (%)29 (69)34 (71)0.854Employed, n (%)7 (17)7 (14)0.754Smoking, n %0.789 Smoking13 (31)12 (24) Former smokers28 (67)35 (71) Never smokers1 (2)2 (4)Pack years smoking, mean ( SD )29.1 (13.5)34.0 (19.5)0.177BMI (kg/m 2 ), mean ( SD )27.2 (5.2)26.5 (6.1)0.555FEV 1 % of predicted, mean ( SD )61.6 (8.4)42.2 (5.8) < 0.001SpO 2 % mean ( SD )95.8 (2.4)94.5 (3.0)0.009Physical health, mean ( SD )3.2 (0.8)3.0 (0.8)0.120Mental health, mean ( SD )3.7 (0.9)3.6 (1.0)0.628Exacerbation previous 6 months, n (%)14 (33)15 (31)0.781Admitted to hospital previous year, n (%)10 (24)14 (29)0.607Medication use, n (%) Inhaled glucocorticosteroids30 (71)44 (90)0.025 Systemic glucocorticosteroids3 (6.3)0 (0)0.094 Anticholinergic32 (76)42 (86)0.245 Long-acting β 2 -agonists30 (71)45 (92)0.011 Short-acting β 2 -agonists13 (31)32 (65)0.001 Analgesics11 (26)5 (10)0.046 Statins8 (19)11 (23)0.691 Eckerblad, J., Tödt, K., Jakobsson, P., Unosson, M., Skargren, E., Kentsson, M., & Theander, K. (2014). Symptom burden in stable COPD patients with moderate to severe airfl ow limitation. Heart & Lung, 43 (4), p. 353. numbness/tingling in hands/feet, feeling irritable, and dizziness, were reported by between 25% and 50% of the patients. The most commonly reported psychological symptom was diffi culty sleeping (52%), followed by worrying (33%), feeling irritable (28%) and feeling sad (22%). There were no signifi cant differences in the occurrence of physical and psy-chological symptoms between patients with moderate and severe airfl ow limitations” ( Eckerblad et al., 2014 , p. 353). 62EXERCISE 6 • Understanding Frequencies and PercentagesCopyright © 2017, Elsevier Inc. All rights reserved. STUDY QUESTIONS 1. What are the frequency and percentage of women in the moderate airfl ow limitation group? 2. What were the frequencies and percentages of the moderate and the severe airfl ow limitation groups who experienced an exacerbation in the previous 6 months? 3. What is the total sample size of COPD patients included in this study? What number or fre-quency of the subjects is married/cohabitating? What percentage of the total sample is married or cohabitating? 4. Were the moderate and severe airfl ow limitation groups signifi cantly different regarding married/cohabitating status? Provide a rationale for your answer. 5. List at least three other relevant demographic variables the researchers might have gathered data on to describe this study sample. 6. For the total sample, what physical symptoms were experienced by ≥ 50% of the subjects? Identify the physical symptoms and the percentages of the total sample experiencing each symptom.
Interpreting Line Graphs EXERCISE 7
69 Interpreting Line Graphs STATISTICAL TECHNIQUE IN REVIEW Tables and fi gures are commonly used to present fi ndings from studies or to provide a way for researchers to become familiar with research data. Using fi gures, researchers are able to illustrate the results from descriptive data analyses, assist in identifying patterns in data, identify changes over time, and interpret exploratory fi ndings. A line graph is a fi gure that is developed by joining a series of plotted points with a line to illustrate how a variable changes over time. A line graph fi gure includes a horizontal scale, or x -axis, and a vertical scale, or y -axis. The x -axis is used to document time, and the y -axis is used to document the mean scores or values for a variable ( Grove, Burns, & Gray, 2013 ; Plichta & Kelvin, 2013 ). Researchers might include a line graph to compare the values for three or four variables in a study or to identify the changes in groups for a selected variable over time. For example, Figure 7-1 presents a line graph that documents time in weeks on the x -axis and mean weight loss in pounds on the y -axis for an experimental group consuming a low carbohydrate diet and a control group consuming a standard diet. This line graph illustrates the trend of a strong, steady increase in the mean weight lost by the experimental or intervention group and minimal mean weight loss by the control group. EXERCISE 7 FIGURE 7-1 ■ LINE GRAPH COMPARING EXPERIMENTAL AND CONTROL GROUPS FOR WEIGHT LOSS OVER FOUR WEEKS. Weight loss (lbs)Weeksy-axisx-axisControlExperimental10864201234 70EXERCISE 7 • Interpreting Line GraphsCopyright © 2017, Elsevier Inc. All rights reserved. RESEARCH ARTICLE Source Azzolin, K., Mussi, C. M., Ruschel, K. B., de Souza, E. N., Lucena, A. D., & Rabelo-Silva, E. R. (2013). Effectiveness of nursing interventions in heart failure patients in home care using NANDA-I, NIC, and NOC. Applied Nursing Research, 26 (4), 239–244. Introduction Azzolin and colleagues (2013) analyzed data from a larger randomized clinical trial to determine the effectiveness of 11 nursing interventions (NIC) on selected nursing out-comes (NOC) in a sample of patients with heart failure (HF) receiving home care. A total of 23 patients with HF were followed for 6 months after hospital discharge and provided four home visits and four telephone calls. The home visits and phone calls were organized using the nursing diagnoses from the North American Nursing Diagnosis Association International (NANDA-I) classifi cation list. The researchers found that eight nursing interven tions signifi cantly improved the nursing outcomes for these HF patients. Those interventions included “health education, self-modifi cation assistance, behavior modifi -cation, telephone consultation, nutritional counselling, teaching: prescribed medications, teaching: disease process, and energy management” ( Azzolin et al., 2013 , p. 243). The researchers concluded that the NANDA-I, NIC, and NOC linkages were useful in manag-ing patients with HF in their home. Relevant Study Results Azzolin and colleagues (2013) presented their results in a line graph format to display the nursing outcome changes over the 6 months of the home visits and phone calls. The nursing outcomes were measured with a fi ve-point Likert scale with 1 = worst and 5 = best. “Of the eight outcomes selected and measured during the visits, four belonged to the health & knowledge behavior domain (50%), as follows: knowledge: treatment regimen; compliance behavior; knowledge: medication; and symptom control. Signifi cant increases were observed in this domain for all outcomes when comparing mean scores obtained at visits no. 1 and 4 ( Figure 1 ; p < 0.001 for all comparisons). The other four outcomes assessed belong to three different NOC domains, namely, functional health (activity tolerance and energy conservation), physiologic health (fl uid balance), and family health (family participation in professional care). The scores obtained for activity tolerance and energy conservation increased signifi cantly from visit no. 1 to visit no. 4 ( p = 0.004 and p < 0.001, respectively). Fluid balance and family participation in professional care did not show statistically signifi cant differences ( p = 0.848 and p = 0.101, respectively) ( Figure 2 )” ( Azzolin et al., 2013 , p. 241). The signifi cance level or alpha ( α ) was set at 0.05 for this study. Interpreting Line Graphs • EXERCISE 7Copyright © 2017, Elsevier Inc. All rights reserved. FIGURE 2 ■ NURSING OUTCOMES MEASURED OVER 6 MONTHS (OTHER DOMAINS): Activity tolerance (95% CI − 1.38 to − 0.18, p = 0.004); energy conservation (95% CI − 0.62 to − 0.19, p < 0.001); fl uid balance (95% CI − 0.25 to 0.07, p = .848); family participation in professional care (95% CI − 2.31 to − 0.11, p = 0.101). HV = home visit. CI = confi dence interval. Azzolin, K., Mussi, C. M., Ruschel, K. B., de Souza, E. N., Lucena, A. D., & Rabelo-Silva, E. R. (2013). Effectiveness of nursing interventions in heart failure patients in home care using NANDA-I, NIC, and NOC. Applied Nursing Research, 26 (4), p. 242. 5.04.54.03.53.02.52.01.51.00.50MeanHV1HV2HV3HV4Fluid balanceFamily participationin professional careActivity toleranceEnergy conservation FIGURE 1 ■ NURSING OUTCOMES MEASURED OVER 6 MONTHS (HEALTH & KNOWLEDGE BEHAVIOR DOMAIN): Knowledge: medication (95% CI − 1.66 to − 0.87, p < 0.001); knowledge: treatment regimen (95% CI − 1.53 to − 0.98, p < 0.001); symptom control (95% CI − 1.93 to − 0.95, p < 0.001); and compliance behavior (95% CI − 1.24 to − 0.56, p < 0.001). HV = home visit. CI = confi dence interval. 5.04.54.03.53.02.52.01.51.00.50MeanHV1HV2HV3HV4Compliance behaviorSymptom controlKnowledge: medicationKnowledge: treatment reg 72EXERCISE 7 • Interpreting Line GraphsCopyright © 2017, Elsevier Inc. All rights reserved. STUDY QUESTIONS 1. What is the purpose of a line graph? What elements are included in a line graph? 2. Review Figure 1 and identify the focus of the x -axis and the y -axis. What is the time frame for the x -axis? What variables are presented on this line graph? 3. In Figure 1 , did the nursing outcome compliance behavior change over the 6 months of home visits? Provide a rationale for your answer. 4. State the null hypothesis for the nursing outcome compliance behavior. 5. Was there a signifi cant difference in compliance behavior from the fi rst home visit (HV1) to the fourth home visit (HV4)? Was the null hypothesis accepted or rejected? Provide a rationale for your answer. 6. In Figure 1 , what outcome had the lowest mean at HV1? Did this outcome improve over the four home visits? Provide a rationale for your answer.
Copyright © 2017, Elsevier Inc. All rights reserved. 77
Questions to Be Graded EXERCISE 7 Follow your instructor ’ s directions to submit your answers to the following questions for grading. Your instructor may ask you to write your answers below and submit them as a hard copy for grading. Alternatively, your instructor may ask you to use the space below for notes and submit your answers online at http://evolve.elsevier.com/Grove/statistics/ under “Questions to Be Graded.”
What is the focus of the example Figure 7-1 in the section introducing the statistical technique of this exercise?
In Figure 2 of the Azzolin et al. (2013 , p. 242) study, did the nursing outcome activity tolerance change over the 6 months of home visits (HVs) and telephone calls? Provide a rationale for your answer.
State the null hypothesis for the nursing outcome activity tolerance.
Was there a signifi cant difference in activity tolerance from the fi rst home visit (HV1) to the fourth home visit (HV4)? Was the null hypothesis accepted or rejected? Provide a rationale for your answer.
In Figure 2 , what nursing outcome had the lowest mean at HV1? Did this outcome improve over the four HVs? Provide a rationale for your answer.
What nursing outcome had the highest mean at HV1 and at HV4? Was this outcome signifi -cantly different from HV1 to HV4? Provide a rationale for your answer.
State the null hypothesis for the nursing outcome family participation in professional care.
Was there a statistically signifi cant difference in family participation in professional care from HV1 to HV4? Was the null hypothesis accepted or rejected? Provide a rationale for your answer.
Was Figure 2 helpful in understanding the nursing outcomes for patients with heart failure (HF) who received four HVs and telephone calls? Provide a rationale for your answer. 10. What nursing interventions signifi cantly improved the nursing outcomes for these patients with HF? What implications for practice do you note from these study results? Copyright © 2017, Elsevier Inc. All rights reserved. 79 Measures of Central Tendency : Mean, Median, and Mode
Social Psychology
/in Uncategorized /by developerAPA Style with Abstract
8 references with 4 within the past 2 years
2,250 – 2,500 words
Paper can be written on Attitude, Prejudice, and/or Discrimination in regards to Social Psychology or any other topic associated with Social Psychology.
Reflection and philosophy
/in Uncategorized /by developerEffective Approaches in Leadership and Management
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Assignment Effective Approaches in Leadership and Management (Benchmark Assessment)
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Due Date: Max Points: 150
Details:
In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice.
To complete this assignment, do the following:
1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
4. Use at least two references other than your text and those provided in the course.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
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Lateral Marketing Strategy DISCUSSION QUESTION Needed Within 8 Hours! Only 4-5 Sentences Per Question .. No Intro Or Conclusion Needed.. Just Address Questions
/in Uncategorized /by developerPlease respond to the following: “Lateral Marketing Strategy”
Assess the value of target marketing as an effective health care marketing strategy. Appraise the degree to which vertical and traditional segmentation help marketing managers use target marketing strategies. Support your rationale with at least two (2) specific examples of target marketing within a health care organization with which you are familiar.
Evaluate the impact of lateral segmentation in encouraging marketing managers to look broadly at markets in order to identify previously overlooked opportunities. Provide at least one (1) specific example of quality initiatives within a health care organization.
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