Abstract

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Abstract

The purpose of this paper is to interpret the two articles identified as most important to the group topic.

Course outcomes: This assignment enables the student to meet the following course outcomes.

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 and 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 200 points

Preparing the assignment

1. Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

2. Please make sure you do not duplicate articles within your group.

3. The paper will include the following:

a. Clinical Question (30 points/15%)

1. Describe the problem: What is the focus of your group’s work?

2. Significance of problem: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.

3. Purpose of the paper: What will your paper do or describe?

***Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your paper 1 for items 1 & 2 above, including any faculty suggestions for improvement provided as feedback.

b. Use Evidence Matrix Table Template: Data Summary – (60 points/30%)

Categorize items in the Evidence Matrix Table, including proper intext citations and reference list entries for each article.

1. References (recent publication within the last 5 years)

2. Purpose/Hypothesis/Study Question(s)

3. Variables: Independent (I) and Dependent (D)

4. Study Design

5. Sample Size and Selection

6. Data Collection Methods

7. Major Findings (Evidence)

c. Description of Findings (60 points/30%)

Describe the data in the Evidence Matrix Table, including proper intext citations and reference list entries for each article.

1. Compare and contrast variables within each study.

2. What are the study design and procedures used in each study; qualitative, quantitative, or mixed method study, levels of confidence in each study, etc.?

3. Participant demographics and information.

4. Instruments used, including reliability and validity.

5. How do the research findings provide evidence to support your clinical problem, or what further evidence is needed to answer your question?

6. Next steps: Identify two questions that can help guide the group’s work.

d. Conclusion (20 points/10%)

Review major findings in a summary paragraph.

1. Evidence to address your clinical problem.

2. Make a connection back to all the included sections.

3. Wrap up the assignment and give the reader something to think about.

e. Format (30 points/15%)

1. Correct grammar and spelling

2. Include a title and reference page

3. Use of headings for each section:

· Problem

· Synthesis of the Literature

· Variables

· Methods

· Participants

· Instruments

· Implications for Future Work

4. Conclusion

5. Adheres to current APA formatting and guidelines

6. Include at least two (2) scholarly, current (within 5 years) primary sources other than the textbook

7. 3-4 pages in length, excluding appendices, title, and reference pages

For writing assistance, visit the Writing Center.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

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NR449 Evidence-Based Practice

RUA: Analyzing Published Research Guidelines

NR449 Evidence-Based Practice

RUA: Analyzing Published Research Guidelines

© 2021 Chamberlain University. All Rights Reserved

NR449_RUA_Analyzing_Published_Research_v3_JUL22 2

© 2022 Chamberlain University. All Rights Reserved

NR449_RUA_Analyzing_Published_Research_v4_JUL22 4

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria(Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present in paper
Clinical Question(30 points/15%)	30 points	26 points	24 points	11 points	0 points
Required criteria1. Describe the problem: What is the focus of your group’s work?2. Significance of problem: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.3. Purpose of the paper: What will your paper do or describe?	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	Present, yet includes no required criteria.	No requirements for this section presented.
Evidence Matrix Table: Data Summary (Appendix A)(60 points/30%)	60 points	56 points	47 points	25 points	0 points
Required criteriaCategorize items in the Matrix Table, including proper intext citations and reference list entries for each article.1. References (recent publication within the last 5 years)2. Purpose/Hypothesis/Study Question(s)3. Variables: Independent (I) and Dependent (D)4. Study Design5. Sample Size and Selection6. Data Collection Methods7. Major Findings (Evidence)	Includes 7 requirements for section.	Includes 6 requirements for section.	Includes 5 requirements for section.	Includes 4 or less requirements for section.	No requirements for this section presented.
Description of Findings(60 points/30%)	60 points	53 points	47 points	23 points	0 points
Required criteriaDescribe the data in the Matrix Table, including proper intext citations and reference list entries for each article.1. Compare and contrast variables within each study.2. What are the study design and procedures used in each study; qualitative, quantitative, or mixed method study, levels of confidence in each study, etc.?3. Participant demographics and information.	Includes 6 requirements for section.	Includes 5 requirements for section.	Includes 4 requirements for section.	Includes 3 or less requirements for section.	No requirements for this section presented.

NR449 Evidence-Based Practice

RUA: Analyzing Published Research Guidelines

© 2022 Chamberlain University. All Rights Reserved

NR449_RUA_Analyzing_Published_Research_v4_JUL22 1

Assignment Section and Required Criteria(Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present in paper
4. Instruments used, including reliability and validity.5. How do the research findings provide evidence to support your clinical problem, or what further evidence is needed to answer your question?6. Next steps: Identify two questions that can help guide the group’swork.
Conclusion(20 points/10%)	20 points	18 points	15 points	8 points	0 points
Required criteriaReview major findings in a summary paragraph.1. Evidence to address your clinical problem.2. Make a connection back to all the included sections.3. Wrap up the assignment and give the reader something to think about.	Includes 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirement for section.	Present, yet includes no required criteria.	No requirements for this section presented.
Format(30 points/15%)	30 points	26 points	23 points	11 points	0 points
Required criteria1. Correct grammar and spelling2. Include a title and reference page3. Use of headings for each section:· Problem· Synthesis of the Literature· Variables· Methods· Participants· Instruments· Implications for Future Work4. Conclusion5. Adheres to current APA formatting and guidelines6. Includes at least two (2) scholarly, current (within 5 years) primary sources other than the textbook7. 3-4 pages in length excluding appendices, title, and reference pages	Includes 7 requirements for section.	Includes 6 requirements for section.	Includes 5 requirements for section.	Includes 4 or less requirements for section.	No requirements for this section presented.
Total Points Possible = 200 points

Appendix A

EVIDENCE MATRIX TABLE

Article	References	Purpose HypothesisStudy Question(s)	Variables Independent(I) Dependent(D)	Study Design	Sample Size & Selection	Data Collection Methods	Major Finding(s)
1	Smith, L. (2013). What	How do educational support	D-Dietary	Quantitative	N- 18	Focus Groups	Support and education
(SAMPLE	should I eat? A focus for	groups effect dietary modifications	modifications		Convenience		improved compliance with
ARTICLE)	those living with diabetes.	in patients with diabetes?	I-Education		sample-selected		dietary modifications.
	Journal of Nursing				from local support
	Education, 1(4), 111-112.				group in Pittsburgh,
					PA

Abstract

ID: Mickey Mouse, DOB 1/1/2000, age 20, white Hispanic male presents to the clinic unaccompanied and appears to be a reliable historian.

S:

CC: “Cough, runny nose, and sore throat x 7 days”

HPI: New Asian male patient 28 yo presents to the clinic unaccompanied, complaining of non-productive cough, runny nose and sore throat x 7 days (1/7/2020). Currently somewhat controlling symptoms with Dayquil and Nyquil. Cough mild, worsened when laying flat. Highest temp at home 99 degrees. Patient wondering if he needs antibiotics. Rates pain in throat as 4/10, described as “aching, swallowing makes it worse”, relieved by Dayquil/nyquil. Denies headache, denies sick contacts or recent travel. Denies feeling worse outdoors or seasonally. He is a reliable historian

PMH:

Allergies: No known drug allergies. Strawberries (rash), seasonal allergies Childhood: Asthma until high school, chickenpox at age 2

Surgical: Tonsillectomy (1998), Wisdom Teeth Removal (2005)

Medications: None

Vaccinations: received childhood vaccines, Last flu shot given Oct 2019.

Denies psychiatric history.

Social History:

Denies tobacco/e-cigarette use. Admits to occasional once every 2-3 months alcohol use – last drink

2 months ago, Engaged, works in IT, Hobbies include archery.

Family History:

Mother died age 60-Diabetes II Sister 42yo living -HTN Maternal Grandma died age 67- Dementia

ROS:

General: No weight change, weakness, fatigue, fevers..

Eyes: no vision change, corrective lenses, pain redness, excessive tearing, double vision, blurred vision, or blindness. EarsNose/Throat/mouth: no hearing change, tinnitus, earaches, infection, discharge. POSITIVE FOR RHINORRHEA. No sinus pain or epistaxis. POSITIVE FOR SORE THROAT, HOARSE VOICE. No bleeding gums, dentures, sore tongue, dry mouth. Last dental exam was 4 months ago.

C/V: Denies chest pain, palpitations. Pulmonary: POSITIVE FOR NON-PRODUCTIVE COUGH, negative hemoptysis, dyspnea, wheezing, pleuritic pain Neuro: No headache, dizziness, focal numbness/weakness, nausea, vomiting.

Lymph: Denies swollen lymph nodes in neck.

Allergy/immunology: Denies seasonal allergies or allergy to pets, pollen or other. Denies frequent illness.

O:

VS: T – 98 P – 80 R – 16 BP – 128/72 O2 sat – 99% – 4/10 pain in throat. Wt: 205 Ht: 72 in BMI: 27.8

Skin: Natural in color, warm, smooth and dry. Good skin turgor, no lesions, rashes, ecchymosis or moles. Nails without clubbing or cyanosis.

HEENT: Ears: pinna clean, no exudate noted. TM intact and pearly gray with cone of light bilat. Nose: nasal mucosa pink and moist. Inferior turbinates slightly reddened bilat. Nares patent bilat. No sinus pain upon palpation. Septum midline. Throat: oral mucosa pink and moist, tongue mobile without lesions, tonsils absent. Posterior pharynx with erythema but no cobblestone appearance. Neck: non-tender cervical area, no lymph nodes palpable. Non-enlarged thyroid palpated. Trachea midline. Neuro: Alert and oriented x 4. Cardio: RRR. Crisp S1 S2 without clicks or murmurs.

Thorax and lungs: Thorax is symmetric with good expansion. Respirations are even and unlabored. No use of accessory muscles, stridor, grunting, or nasal flaring. Lungs CTA Bilaterally.

(***notice not all systems are in the PE when doing a focused exam on a problem)

A:

Differential DDX: INCLUDE AT LEAST 3 DIFFERENTIALS

1. Viral pharyngitis – most likely as evidenced by sore throat, cough, no fever (Stead, 2019). (←←←←←that is a practice treatment guideline)

2. Strep Throat – not as likely; no fever and 7 days duration, age not as consistent with this dx

3. Allergic rhinitis – no report of sx increasing with outdoor activity or exposure to allergens, sx with sore throat are less likely for allergies.

DX: Viral pharyngitis

P:

In house throat swab for rapid strep – negative.

Continue to rest and drink lots of fluids (Cash & Glass, 2017; Stead, 2019).

Continue OTC Dayquil/Nyquil PRN per directions on the box – Safe dosing discussed, sedation may occur with Nyquil, avoid driving or operating heavy machinery after taking.

Encourage tea with honey and lemon to help with cough and sore throat.

Gargle with warm salt water 2-3 times a day for 30 sec, swish and spit.

Do not drink alcohol while taking these medications.

Cover mouth when coughing, do not drink after other people (Cash & Glass, 2017).

Return to office in 3-4 days if symptoms do not improve, worsen, or get better and then again get worse (Cash & Glass, 2017). Call 911 or go to ER for trouble breathing or any other emergent concern (Stead, 2019).

References:

Cash, J. & Glass, C. (2017). Family practice guidelines. New York, NY. Springer.

Stead, W. (2019). Symptomatic treatment of acute pharyngitis in adults. In L. Kunnis

(Ed.). UpToDate Retrieved February 12, 2020 from:

https://www.uptodate.com/contents/symptomatic-treatment-of-acute-pharyngitis-

in-adults

Abstract

Your reply is for a discussion post. 

Please use APA 7th Edition.

Minimum 400 words with 2 scholarly references (Within 5 years). Include citation in each paragraph 

Please only original work that you have not submitted before to other users and with less than 10% plagiarism.

Abstract

Write a 650-1300 response to the following questions: 

1. Explain multicultural communication and its origins.
2. Compare and contrast culture, ethnicity, and acculturation.
3. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
4. Discuss family culture and its effect on patient education.
5. List some approaches the health care professional can use to address religious and cultural diversity.
6. List the types of illiteracy.
7. Discuss illiteracy as a disability.
8. Give examples of some myths about illiteracy.
9. Explain how to assess literacy skills and evaluate written material for readability.
10. Identify ways a health care professional may establish effective communication.
11. Suggest ways the health care professional can help a patient remember instructions.

This assignment is to be submitted as a Microsoft Word document.