Online Database or Online Query-Based Report

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Select a database from NCHS or complete a query using CDC WISQARS.Select a specific health concern or injury using the population of your choice. Be sure not to limit your query so you have enough data to evaluate, and include a substantial time frame so you are able to identify trends.Submit a 750-1,000 word report that provides an overview the database or query results. The report should consist of a demographic description of the chosen population including a review of noticeable trends in morbidity and/or mortality by race, gender, and geographic location where specified.Based on the results and possible trends, present the implications for public health intervention or involvement.In your report, include considerations of basic ethical and legal principles pertaining to the collection, maintenance, use, and dissemination of epidemiologic data.  Focus on privacy and security issues surrounding protected health information and how HIPAA protects the confidentiality of the patient. Consider the ethical implications of whether public health organizations have too much latitude in the use and dissemination of epidemiologic data.Use examples and evidence to support your report.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 LopesWrite

 
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Discussion: Designing Quantitative Research

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In the context of research design, two types of validity, which speak to the quality of different features of the research process, are considered: internal validity and external validity. Assuming that the findings of a research study are internally valid—i.e., the researcher has used controls to determine that the outcome is indeed due to manipulation of the independent variable or the treatment—external validity refers to the extent to which the findings can be generalized from the sample to the population or to other settings and groups. Reliability refers to the replicability of the findings.For this Discussion, you will consider threats to internal and external validity in quantitative research and the strategies used to mitigate these threats. You will also consider the ethical implications of designing quantitative research.Post1- an explanation of a threat to internal validity and a threat to external validity in quantitative research. Next, explain a strategy to mitigate each of these threats.2-Then, identify a potential ethical issue in quantitative research and explain how it might influence design decisions.3- Finally, explain what it means for a research topic to be amenable to scientific study using a quantitative approach.SOURCESBabbie, E. (2017) Basics of social research (7th ed.). Boston, MA: Cengage Learning.Chapter 3, “The Ethics and Politics of Social Research”Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.Burkholder, G. J., Cox, K. A., Crawford, L. M., & Hitchcock, J. H.  (Eds.). (2020). Research designs and methods: An applied guide for the scholar-practitioner. Thousand Oaks, CA: Sage.Chapter 12, “Quality Considerations”Chapter 13, “Ethical Considerations”

 
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Epidemiology Paper 1

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1) **********minimum 6 full pages****************************(cover or reference page not included)2)¨**********APA norms3)********** It will be verified by Turnitin and SafeAssign4) **********References from the last 5 years5) The points don’t be must copied in the work. It must be identified by numbers.For example1. The communicable disease is…………………………..2. The social determinantsare…………………………____________________________________________________Write a paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.Communicable Disease SelectionChickenpoxTuberculosisInfluenzaMononucleosisHepatitis BHIVEbolaMeaslesPolioInfluenzaEpidemiology Paper Requirements1) Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence)A) Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.2) Describe the social determinants of healthA) Explain how those factors contribute to the development of this disease.3) Discuss the epidemiologic triangle as it relates to the communicable disease you have selected.A) Include the host factors, agent factors (presence or absence), and environmental factors.B) Are there any special considerations or notifications for the community, schools, or general population?4) Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up)A) why demographic data are necessary to the health of the community.5) Identify at least one national agency or organization that addresses the communicable disease chosenA) describe how the organizations contribute to resolving or reducing the impact of disease.6) Discuss a global implication of the disease.A) How is this addressed in other countries or cultures?B) Is this disease endemic to a particular area? Provide an example.

 
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Statistical Analyses in Nursing

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Statistical Analyses in NursingResearchers must make informed choices about the type of statistical analysis that best addresses the research question. For the past several weeks, you have been considering how and when a particular statistic should be employed. This week, you have focused on the use of nonparametric tests.Nonparametric methods are useful to researchers in performing statistical analyses of quantitative data sets that do not follow normal distributions and that have inconsistent variation. Nonparametric methods are often applied when ordinal-level data are collected and, as such, rely on fewer assumptions than their parametric counterparts.In this Discussion, you examine the two articles in this week’s Learning Resources, both of which employ nonparametric methods of statistical analysis. In addition, as the final week of exploring quantitative statistics, you consider which statistical method is most frequently used in your area of nursing practice.To prepare:Review      the articles presented in this week’s Learning Resources and analyze each      study’s use of nonparametric tests.Critically      analyze each article, considering the following questions in your      analysis:What       are the goals and purpose of the research study each article describes?How       are nonparametric tests used in each study? What are the results of their       use?Why       are parametric methods (t tests and ANOVA) inappropriate for       the statistical analysis of each study’s data?What       are the strengths and weaknesses of each study (e.g., study design,       sampling, and measurement)?How       could the findings and recommendations of each study contribute to       evidence-based practice in the health care field?Reflect      on the quantitative statistical analyses presented throughout this course      in the research literature, the Learning Resources, media presentations,      and those articles you reviewed for your abbreviated research proposal.Ask      yourself: Which method is most commonly used in research studies that      pertain to my area of nursing practice, and why this might be so?By tomorrow Thursday 10/19/17 by 5pm, write a minimum of 550 words in APA format with at least 3 references from the list of Required Readings below. Include the level one headings as numbered (1, 2 &3) below.Post a cohesive response that addresses the following:1) Critically analyze each article, including the items noted above. (See attached file for 1 article & follow this link for the 2nd article: http://www.ajmc.com/journals/issue/2010/2010-07-vol16-n07/AJMC_2010jul_Tija_489to496).2) Identify one statistical analysis method that you found recurring in many of the articles you used in your literature review for your research proposal. This method does not necessarily have to be nonparametric.3) Based on your area of nursing practice (Critical Care), which method of statistical analysis is most frequently used in the research literature? Why do you think other forms of statistical analysis are less frequently used? Provide a rationale for your response.Required ReadingsGray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.Chapter 25, “Using Statistics to Determine Differences”Statistics and Data Analysis for Nursing ResearchChapter 8, “Chi-Square and Nonparametric Tests”This chapter defines nonparametric tests and chi-square tests of independence. Nonparametric tests measure nominal or ordinal variables, whereas chi-square tests are used to draw conclusions about population differences.Fisher, K., Orkin, F., & Frazer, C. (2010). Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: A feasibility study. Applied Nursing Research, 23(1), 30–35. doi: 10.1016/j.apnr.2008.03.004 (SEE ATTACHED FILE)This article describes a study that employed conjoint analysis, a measurement technique incorporating simulation into experimental design to generate a mathematical model of individual decision making. The study focused on nurses’ decisions related to the care of patients with intellectual disability and used contingency tables and nonparametric tests to analyze the data.Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., … Gurwitz, J. (2010). Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7), 489–496. (Follow this link: http://www.ajmc.com/journals/issue/2010/2010-07-vol16-n07/AJMC_2010jul_Tija_489to496)Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7) by Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., & Gurwitz, J. Copyright 2010 by INTELLISPHERE, LLC. Reprinted by permission of INTELLISPHERE, LLC via the Copyright Clearance Center.This article discusses a pilot test that aimed to catalog safety intervention trials by monitoring high-risk medications for efficacy, safety, and drug interactions. The statistical analysis of the study’s data included the use of nonparametric tests to examine trends across ordered groups of drugs.Optional ResourcesWalden University. (n.d.). Nonparametrics. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_nonparametric_tests.html

 
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Assignment: Off-Label Drug Use in Pediatrics

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PLEASE FOLLOW THE INSTRUCTIONS BELOW:ZERO (0) PLAGIARISM5 REFERENCES NO MORE THAN 5 YEARS, OR LESSPLEASE SEE ATTACHED RUBRIC DETAILS AND FOLLOW APA FORMAT.NO RUNNING HEAD, AND PLEASE ADHERE TO THE ONE (1) PAGE AS INSTRUCTEDThe unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.To PrepareReview the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.Reflect on situations in which children should be prescribed drugs for off-label use.Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.Write a 1-page narrative in APA format that addresses the following:Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.Therapy for Pediatric Clients with Mood DisordersAn African American Child Suffering From DepressionBACKGROUND INFORMATIONThe client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.Client complained of feeling “sad”Mother reports that teacher said child is withdrawn from peers in classMother notes decreased appetite and occasional periods of irritationClient reached all developmental landmarks at appropriate agesPhysical exam unremarkableLaboratory studies WNLChild referred to psychiatry for evaluationMENTAL STATUS EXAMAlert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)RESOURCES§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.ALL THREE MEDICATIONS ARE PROVIDED BELOW AND DECISION POINTS TO FOLLOW.Decision Point OneBegin Zoloft 25 mg orally dailyRESULTS OF DECISION POINT ONEClient returns to clinic in four weeksNo change in depressive symptoms at allDecision Point TwoIncrease dose to 37.5 mg orally dailyRESULTS OF DECISION POINT TWOClient returns to clinic in four weeksDepressive symptoms decrease by 20%. Client reports feeling a little bit betterDecision Point ThreeIncrease to 50 mg orally dailyGuidance to StudentAt this point, sufficient symptom reduction has not been realized. Should either increase dose or consider different SSRI. At 8 weeks post-initiation of therapy, there should have been a significant (as defined as 50%) decrease in symptoms. This would be considered an adequate trial of antidepressant and change in dose or to a different agent would be appropriate.Decision Point OneBegin Paxil 10 mg orally dailyRESULTS OF DECISION POINT ONEClient returns to clinic in four weeksReduction in The Children’s Depression Rating Scale by 5 points overall, but with complaints of nausea, vomiting, and diarrheaDecision Point TwoChange to Prozac 10 mg orally dailyRESULTS OF DECISION POINT TWOClient returns to clinic in four weeksThere is a 25% reduction in symptoms, client’s side effects of nausea, vomiting, and diarrhea have resolved. Client reports that he is feeling a “little bit better”Decision Point ThreeContinue current doseGuidance to StudentYou have two equally compelling choices at this point. The client has only been taking the current drug at its current dose for 4 weeks. It would be appropriate to continue at current dose. Additionally, you could also increase the dose to 20 mg orally daily. A discussion of risk/benefits should be had with the childs guardian regarding this and collaborative decision making should occur. There is no indication at this point that augmentation agents are required as the child is showing a partial response to therapy.Decision Point OneBegin Wellbutrin 75 mg orally BIDRESULTS OF DECISION POINT ONEClient returns to clinic in four weeksChild is unable to fall asleep at nightDecision Point TwoChange to Lexapro 10 mg orally dailyRESULTS OF DECISION POINT TWOClient returns to clinic in four weeksChild is tolerating Lexapro, and is sleeping at night. There is a 40% reduction in symptomsDecision Point ThreeContinue current doseGuidance to StudentAt this point, there is no indicating that you should change back to Wellbutrin as the child is tolerating the current medication without mention of side effects. Also, the child is experiencing a reduction in symptoms. You could also increase the dose to 15 mg orally daily, but the child has only been taking the drug for 4 weeks at this point. It may be more prudent to give the current therapy an additional 4 weeks before making any decisions to change current dose.

 
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HOMEWORK

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Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.Critical thinking activitiesBased on this case study, consider the following questions.1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring

 
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week 6 community lack of insurance

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Lack of Insurance Factors and EffectInstructions: Visit http://www.census.gov/hhes/www/hlthinsReview the statistics on the number of uninsured U.S. Populations and discuss the factors that contribute to people’s lack of insurance and the effect that being uninsured has on health care.Submit a 1 page response in APA style. Use 1 reference at no more than 5 years old.

 
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Health Care Delivery Models and Nursing Practice

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Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.Include the following:Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

 
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consumer purchasing decision and technology

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View “Consumer Purchasing Decisions” and “Technology and Consumer Behavior.” Based on your review of this chapter, you know that consumers demonstrate specific behaviors as they work toward purchasing a specific product. In addition, the text points out that consumers can arrive at a specific buying decision based on previous experiences with a specific product, a newfound awareness of the usefulness of a particular new product, positive reviews form customers who have previously purchased the same product, etc. Based on your understanding of the consumer buying process, compare and contrast how the consumer buying process and the organizational buying processes differ. Illustrate your ideas with specific real-world examples. In replies to peers, discuss whether you agree or disagree with the way your peers have differentiated between the two buying processes.

 
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Homework

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Case Study: Critical Appraisal of Quantitative and Qualitative Research for Nursing PracticeIntroduction. Unrelieved postoperative pain remains a common problem despite advances in pain management. Complementary music has been suggested as an adjuvant to the standard of care treatment for postoperative pain.Purpose. The purpose of this study was to determine if music therapy was an effective adjunct to decrease state anxiety, and increase pain management and environmental noise satisfaction in the postoperative patient.Method.A quasi-experimental nonequivalent control group design was used in this study with participants assigned based on room assignment rather than randomly. The control group, which consisted of participants admitted to the A hallway, received the standard of care. The intervention group, which consisted of participants admitted to the B hallway, received complementary music therapy in the form of preprogrammed MP3 players, in addition to the standard of care. Neither analgesia type nor route was controlled. Each participant was enrolled for a total of 3 days or until discharge, whichever came first. Outcome measures were collected upon enrollment (Time One) and for the next 2 consecutive days (Time Two and Time Three). Participants in the intervention group were encouraged to listen to a selection of nonlyrical low decibel (less than 60 db) preprogrammed music, for at least 30 minutes via an MP3 player after their prescribed analgesia was administered. State trait anxiety, as well as pain and environmental noise satisfaction, were assessed using the State-Trait Anxiety Inventory and two standardized questions from the Press Ganey survey.Findings.Before the intervention was implemented, both groups were the same related to their average level of state and trait anxiety, pain, and noise perception. The patient’s state anxiety, pain perception, and noise perception were measured 1 day after the intervention was in place. A significant difference was found from Time One to Time Two in pain management (t = 3.938, p < .001 ) and environmental noise satisfaction (t = 3.457, p = .001), while there was no change in state anxiety (t = 0.373, p = .711 ). The intervention group experienced improved pain management (t = 7.385, p < .01) and environmental noise satisfaction over time (t = 4.371; p < .001); however, there was no improvement in state anxiety (t = l .47; p = .159). The findings suggest music therapy decreases pain and environmental noise perception, although there was no effect on state anxiety.Conclusions.Use of music therapy improves patients' postoperative experience by increasing their pain management and white noise satisfaction. This intervention was inexpensive and easy to implement in the clinical setting, and therefore recommended to improve postoperative outcomes in other facilities.Comeaux, T., & Comeaux, T. (2013). The effect of complementary music therapy on the patient's postoperative state anxiety, pain control, and environmental noise satisfaction. Medsurg Nursing: Official Journal Of The Academy Of Medical-Surgical Nurses, 22(5), 313-318.Background.There is insufficient evidence on the effects of music therapy on state anxiety of breast cancer patients following radical mastectomy.Methods. A Hall’s Core, Care, and Cure Model-based clinical trial was conducted in 120 female breast cancer patients from March to November 2009. A randomized controlled design was used. The patients who were randomly allocated to the experimental group (n = 60) received music therapy in addition to routine nursing care, and the control group (n = 60) only received routine nursing care. A standardized questionnaire and the State Anxiety Inventory were applied. The primary endpoint was the state anxiety score measured at pretest (on the day before radical mastectomy) and at three posttests (on the day before patients were discharged from hospital, and the second and third time of admission to hospital for chemotherapy, respectively).Results.The pretest score revealed that the majority of the patients had a moderate level (77%) and 15% had severe level of state anxiety. The repeated-measure ANCOVA model analysis indicated that the mean state anxiety score was significantly lower in the experimental group than those in the control group at each of the three posttest measurements. The mean difference between the experimental and control group were -4.57, -8.91, and-9.69 at the first posttest, 2nd posttest, and 3rd posttest, respectively.Conclusion.Music therapy is found to have positive effects on decreasing the state anxiety score.Li, X., Zhou, K., Yan, H., Wang, D., & Zhang, Y. (2012). Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial. Journal Of Advanced Nursing, 68(5), 1145-1155. doi:10.1111/j.1365-2648.2011.05824.Question 1Compare and contrast the clinical problem identified by each researcher.Question 2Identify the research design used in each study. Who used the more powerful strategy? How could the researchers have improved their designs?Question 3Why might Comeaux and Comeaux have selected their design?Question 4Who comprised the control groups?Question 5Compare the dependent variables.Question 6Compare the independent variables, describing variations in the study protocols.Question 7If you worked on a surgical unit, would you be willing to change your unit’s pain management protocols based on the results of these studies?Use APA style.In the word document you only have to put the answers to the 7 questions, for example:question 1your answer belowquestion 2your answer belowquestion 3your answer below.... and so on with the other questionsDo not rewrite the questions, just the question number and the answer.

 
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