Discuss factors that contribute to homelessness in people with mental illness.

In completing the case study, students will be addressing the following learning objectives:

Discuss factors that contribute to homelessness in people with mental illness.

Discuss barriers that prevent homeless people with mental illness from receiving care measures to promote access.

1. Kevin, a 39-year-old unemployed homeless male who has paranoid schizophrenia, was brought to the psychiatric hospital by the police. Citizens called the police because Kevin was in the street directing pedestrians and traffic in opposition to the traffic lights and verbally abusing everyone who did not follow his directions. Kevin is known to the police since he is often homeless, and states that his family does not want him. Kevin also has a history of poly substance abuse with alcohol, heroin, and crack cocaine, and he has been jailed for public intoxication several times. The nursing assessment reveals that Kevin has not been taking his prescribed psychotropic medications for 3 weeks. Kevin states that he does not have any money, and he does not remember where to go for mental health care (Learning Objectives: 2)

a. What are the major factors that contribute to Kevin’s frequent homelessness?

b. What barriers does Kevin face in the receiving treatment? How can these barriers be addressed?

Summarize the implications for the nursing profession and/or patients.

Position Paper Written AssignmentA position paper is a document you could present to a legislator to seek support for an issue you endorse. Present your position on a current health-care issue in a one-page paper, following the assignment guidelines below. You can select your issue topic from newspapers, national news magazine articles, professional journals, or professional association literature; and this can be the topic you choose for your ethical issues debate.

Your position paper should:

Be quickly and easily understood.
Be succinct and clear.
Appear very professional with the legislator’s name and title on top and your name and your credentials at the bottom.
Condense essential information in one, single-spaced page, excluding the title and reference list pages.
Be written using correct grammar, spelling, punctuation, syntax, and APA format.
Clearly describe the issue that you are addressing in the opening paragraph.
Include 3–4 bullet points regarding why you are seeking the legislator’s vote, support, or opposition. Bullet points should be clear and concise but not repetitive and should reflect current literature that substantiates your position.
Summarize the implications for the nursing profession and/or patients.
Conclude with two recommendations that you wish to see happen related to your issue, such as a vote for or against, a change in policy, or the introduction of new legislation.
Use APA format (6th ed.), correct grammar, and references as appropriate.

Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.

Course Project: Part 2—Literature Review

PLEASE SEE THE TWO DOCUMENTS ATTACHED. ONE IS THE LITERATURE SUMMARY DOCUMENT AND THE OTHER IS THE FIRST PART OF THIS PROJECT THAT I SUBMITTED.

This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.
Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.
Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.
Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.
Course Project: Part 2—Literature Review

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question that you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.
Using the question that you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.
Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.
Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.
To complete:

Develop a 3- to 4-page literature review that includes the following:

A synthesis of what the studies reveal about the current state of knowledge on the question that you developed
Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
Your literature review summary table with all references formatted in correct APA style
Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.

To complete:

Write a 3- to 4-page literature review that includes the following:

A synthesis of what the studies reveal about the current state of knowledge on the question that you developed
Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
Your literature review summary table with all references formatted in correct APA style
Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research” (for review)
Chapter 4, “Research Problems, Research Questions, and Hypotheses”
This chapter focuses on the steps in planning a study to generate evidence. These include developing a research question, identifying variables, articulating a problem statement, and generating hypotheses.

Chapter 7, “Ethics in Nursing Research”
In this chapter, the focus is on the ethical dilemmas that occur when planning and conducting research and the ethical principles that have been enacted for protecting study participants.

Fouka, G., & Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? Health Science Journal, 5(1), 3–14.

Retrieved from the Walden Library databases.

This article describes a literature review conducted to determine the most important ethical issues that nurses encounter when undertaking or participating in research. The authors detail the results of the review and make recommendations for solving some of the problems highlighted.

Newcomb, P. (2010). Evolving fairness in research on human subjects. Journal of Child and Adolescent Psychiatric Nursing, 23(3), 123–124.

Retrieved from the Walden Library databases.

In this article, the author describes some of the ethical controversies that may arise in conducting research in human subjects, especially with respect to ownership of genes. The author also stresses the importance of educating research subjects and their families about the ultimate purpose of research.

Yakov, G., Shilo, Y., & Shor, T. (2010). Nurses’ perceptions of ethical issues related to patients’ rights law. Nursing Ethics, 17(4), 501–510.

Retrieved from the Walden Library databases.

The authors of this article detail a study conducted to determine how nursing staff deal with ethical issues in relation to the law. The article emphasizes the difficulty staff had in distinguishing between legal and ethical problems. The authors make several recommendations to deal with legal and ethical problems.

Delwiche, F. (2008). Anatomy of a scholarly research presentation in the health sciences. Retrieved from http://dana.uvm.edu/Anatomy/

This presentation highlights the primary components of scholarly research articles. The presentation details the distinguishing factors of scholarly journals, the peer-review process, and the definition of “primary literature.”

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Retrieved from http://nursingworld.org/DocumentVault/Ethics-1/Code-of-Ethics-for-Nurses.html

This website provides the code of ethics for nurses to be used in carrying out their responsibilities. There is also a detailed explanation of each provision.

Document: Literature Review Summary Table Template (Word document)

Note: You will use this document to complete the Project throughout this course.

Describe your target audience, and explain which method of dissemination you would use as well as the organization or journal you would choose for sharing findings related to your Practicum Project (Online Journal of Nursing Informatics. (2013).

According to Freemantle and Watt (1994), “effective dissemination encompasses more than just the distribution and diffusion of information. It involves the processes by which target groups become aware of, receive, accept and utilize information.” (p. 133).

Think about your Practicum Project. Which groups would find your project findings, conclusions, and recommendations most valuable? Why? How might your focus differ if you were delivering a presentation at a professional conference versus at your practicum site? What would you emphasize if you were publishing an article in a peer-reviewed journal related to your specialization as opposed to in an online forum with a wider healthcare readership?

In this Discussion, you analyze your Practicum Project in terms of conventional means of scholarly dissemination: presentations, posters, and publication.

To prepare:

Reflect on your Practicum Project.
Speak with various individuals, especially those in your practicum setting, about presentations or poster sessions they have given and/or publications they have authored. Ask which organizations or journals they would recommend you consider for dissemination based on your Practicum Project topic.
Consider the following questions related to dissemination:
Who is your target audience? Who would be most interested in your project findings, conclusions, and recommendations? Consider how the needs or dispositions of the intended audience may inform your choice of dissemination method.
Which method of dissemination would you choose to convey the findings, conclusions, or recommendations from your Practicum Project? What are the relative benefits and challenges of giving a presentation, sharing your findings through a poster session, and/or publication?
Consider various nursing, health care, informatics, and leadership and management organizations and journals. What is one organization or journal you would select for your presentation or publication?
What are some potential challenges? Evaluate what you could do to promote the possibility that your presentation, poster, or manuscript would be accepted.
Conduct a search of the literature using the Walden Library and other reliable sources. Locate two or more articles published in peer-reviewed journals within the last five years that relate to your Practicum Project. These articles should demonstrate the significance of the topic for nursing leadership and management or nursing informatics. Note: These articles may also help you determine if your project findings are related to an area that will contribute to a more comprehensive literature base. (See attached PDF)
By tomorrow 4/25/17, post 550 words essay in APA format with at least 3 references from the list below. Include the level one headings as numbered below:

1) A brief description of your Practicum Project (See attached file on PracticumProject), including the anticipated outcomes and implications for nursing practice in your specialty area.

2) Explain why your results warrant dissemination.

3) Describe your target audience, and explain which method of dissemination you would use as well as the organization or journal you would choose for sharing findings related to your Practicum Project (Online Journal of Nursing Informatics. (2013). Retrieved from http://www.ojni.org/ Support your response with at least three citations from the literature.

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15.

Note: Retrieved from the Walden Library databases.

The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

Forsyth, D. E., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21.

The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters.

Jeffress, L., & Lyle, S. D. (2012). Maximizing accessibility of academic publications: Applications of electronic publishing technology. Contemporary Issues in Education Research, 5(4), 257–264.

Note: Retrieved from the Walden Library databases.

This article addresses the use of electronic publishing technology for broader dissemination of research.

Price, B. (2010). Disseminating best practice at conferences. Nursing Standard, 24(25), 35–41.

Note: Retrieved from the Walden Library databases. In this article, the author provides suggestions for creating and delivering engaging conference presentations.

Roberts, D. (2011). ‘Pay it forward’ through publication. MEDSURG Nursing, 20(3), 112, 122.

Note: Retrieved from the Walden Library databases.

The author proposes creating a chain of lifelong learning through the publication of scholarly works. Among other matters, the article suggests the value of identifying a publication mentor.

Russell, C. L., & Ponferrada, L. (2012). How to develop an outstanding conference research abstract. Nephrology Nursing Journal, 39(4), 307–342.

Note: Retrieved from the Walden Library databases.

The authors propose recommendations for writing and submitting an abstract for a presentation at a conference.

Sawatzky, J. V. (2011). My abstract was accepted—now what? A guide to effective conference presentations. Canadian Journal of Cardiovascular Nursing, 21(2), 37–41.

Note: Retrieved from the Walden Library databases.

The article addresses fear of public speaking and provides recommendations for delivering successful presentations at conferences.

Walden University. (n.d.). Disseminating your research. Retrieved May 20, 2013, from http://researchcenter.waldenu.edu/Research_Tutorials/Disseminating_Your_Research/index.html

This Walden University resource examines how research is disseminated through presentations and publications.

Review the types of articles the following journals produce as well as submission requirements for publication:

BMJ Publishing Group. (2013). Evidence-Based Nursing. Retrieved from http://ebn.bmj.com/

Elsevier. (2013). Nurse Leader. Retrieved from http://www.nurseleader.com/

John Wiley & Sons. (2013). Journal of Nursing Scholarship. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069/homepage/ForAuthors.html

Lippincott Williams & Wilkins. (2013). CIN: Computers, Informatics, Nursing. Retrieved from http://journals.lww.com/cinjournal/pages/default.aspx

Lippincott Williams & Wilkins. (2013). The Journal of Nursing Administration. Retrieved from http://journals.lww.com/jonajournal/pages/default.aspx

National League for Nursing. (2011). Publications. Retrieved from http://www.nln.org/nlnjournal/writingjournal.htm

Online Journal of Nursing Informatics. (2013). Retrieved from http://www.ojni.org/

Rural Nurse Organization. (2013). Online Journal of Rural Nursing and Health Care. Retrieved from http://rnojournal.binghamton.edu/index.php/RNO

Wiley-Blackwell. (n.d.) Nurse Author & Editor. Retrieved May 20, 2013, from http://www.naepub.com/

Optional Resources

Rogobete, C., Peters, G., & Seruga, J. (2012). Cross media and e-publishing. International Journal of U- & E-Service, Science & Technology, 5(2), 17–29.

Clearly identify any risks associated with the proposed change andwhat it would take to mitigate the risk (1 slide).

There are multiple external and internal factors pushing on healthcare administrators in thismarket. It becomes harder to remain focused on the central mission and vision of theorganization. This assignment provides the opportunity for you to have a voice and make abusiness case for innovation in health care that ties to the hospital’s mission and vision.A business case is designed to lead directly to a decision (Gambles, 2009; Roussel, Thomas, &Harris, 2016). Therefore it should be directed toward those individuals with the authority tomake decisions for the organization. This work will focus on making a recommendation to seniorleadership on improving a process within your organization.Respond to the following:Creating a fiscal and operational plan takes vision, alignment with the larger organizational plan,and attention to detail. As a masters prepared nurse, you are expected to have the necessarycompetencies to achieve budget soundness by using the best approach possible. This PowerPoint(with voice over) assignment will take you a step past the discussion forum this week.Your task at hand is to make a presentation related to this discussion. You have made thepresentation at the Nursing Leadership Council and now you are asked to present this atthe senior administrative team meeting.You have been granted a 15 minute block (including time for questions) on the SeniorAdministrative Team meeting to make your business case of why leadership should agree to yourproposal. You found out that the CEO prefers proposals made using SBAR format (Situation,Background, Assessment, and Recommendation or Request) as a simple yet effective way tostandardize communication. Therefore, you will prepare a 10 slide PowerPoint Presentationusing SBAR format to make the business case for why the improvement should occur.This should be a succinctly prepared PowerPoint Presentation using SBAR format. Rememberto use the notes and Voice Over to add additional information. The voice over will be nolonger than two minutes per slide as if you were presenting this in person based on the 25 minutepresentation block. There is a minimum of three references and citations.References:? Gambles, I. (2009). Making the business case: Proposals that succeed for projects thatwork. Burlington, VT: Gower Publishing Company.? Roussel, L., Thomas, P., & Harris, J. (2016). Management and leadership for nurseadministrators. (7th ed.). Sudbury, MA: Jones & Bartlett Learning.Upon completion of this activity, you will be able to:? Demonstrate leadership and stewardship through the improvement initiative. (SLPO 1;NUR 625 M7A1: Presentation of Your CaseCO 1)? Use knowledge of healthcare financial management principles in the development ofyour proposal. (SLPO 4; NLAC 2; CO 2)Review the presentation format to know the topic headings you should include in yourpresentation.Select each highlighted text for more information on the topic headings to be included in thepresentation.Introduction (30 %)Title Slide: Name of proposal, author, and date (1 slide).Situation:a) Describe the product or service you are proposing (1 slide).b) Remember to present the supporting rationale for “why” the change is needed now.Background:c) identify the goal or purpose of the proposed product or service (1-2 slides).d) Connect the relationship of the product/service to the organization’s existing mission, vision, andgoals. Tie the change to the organization’s strategic plan or quality initiatives (e.g. patient safety goals,patient experience, or financial return on investment).Assessment: 30%a) Provide SWOT analysis to describing succinctly the strengths, weaknesses, opportunities, and threatsregarding your proposal (1 slide)b) Categorize the projected costs (e.g. personnel/labor, supplies, equipment, remodeling) along withcourse correction costs it will take to remedy the identified change (1-2 slides).c) Projects invariably involve risks. Clearly identify any risks associated with the proposed change andwhat it would take to mitigate the risk (1 slide).Conclusion 10%NUR 625 M7A1: Presentation of Your CaseRecommendation or Request:a) Provide a conclusion section that summarizes the proposal including what you are requesting orrecommending a timeline and costs (1 slide).b) References (1 slide).

Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes.

Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires.

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature.

When a patient and their family have to deal with end of life situations it is stressful for everyone involved. The need for this type of care has increased. These programs involve both hospice and palliative care. Palliative care helps keep the patient comfortable and hospice helps relieve the symptoms associated this process (WebMD, 2005). These two areas can be separate or combined. The palliative care may be given during any time, but hospice tends to be a service that is during the last remaining months of a person’s life expectancy (WebMD, 2005). There are many benefits to utilizing hospice care. This care may be utilized at home, hospital, nursing homes, assisted living facilities, or hospice facilities (Mayo Clinic, 2016). Patients who are enrolled in this type of program can benefit from many types of services. If a patient is enrolled in hospice early it can help the patients live better and longer during their end of life stages; also, helps prepare the family through this complicated period (Mayo Clinic, 2016).

A nurse can be an active part of a patient’s hospice care. Nurses can be a member of the hospice care team. As a part of the care team, a nurse would provide care at the patient’s home or care setting to provide care (Mayo Clinic, 2016). The nurse coordinates the hospice care team (Mayo Clinic, 2016). Nurses are a very important part of a patient’s care during this intense part of their life. It is a specialized area that can be challenging, but rewarding area to be a member of.

Reference:

Mayo Clinic. (2016). Hospice care: Comforting the terminally ill. Retrieved January 31, 2017, from http://www.mayoclinic.org/healthy-lifestyle/end-of-life/in-depth/hospice-care/art-20048050

WebMD. (2005). What Is Palliative Care? Staff, Coverage, Difference From Hospice, and More . Retrieved January 31, 2017, from http://www.webmd.com/palliative-care/palliative-care

Identify the implications to nursing practice and patient outcomes – Include with the poster a section describing the implications to nursing practice and patient outcomes.

Examination of current literature – using the 5 articles presented here:

1. Bilir, Y., Hanc? V., Okyay R., Erdo?an K., Ayo?lu H., Özkoçak T. (2016). Effects of Peroperative Intravenous Paracetamol and Lornoxicam for Lumbar Disc Surgery on Postoperative Pain and Opioid Consumption: A randomized, prospective, placebo-controlled study. A?r?-The Journal of The Turkish Society of Algology, 2016 April;28(2):98-105. doi: 10.5505/agri.2015.45220.

In this study Bilir, Y., Hanc? V., Okyay R., Erdo?an K., Ayo?lu H., and Özkoçak T., perform a study to compare the effects either Lornosicam (NSAID) , IV acetaminophen or placebo, prior to surgery will decrease post-op pain, and analgesic control.

I find this research very interesting because even though there was no direct answer to my PICOT question the above information does place me in a position to incorporate my thoughts because this study utilizes Demerol PCA for breakthrough pain.

In this study there was no significant change in the demand dosing of the PCA when paired with either drug. This however is not including the placebo where there was an obvious increase there. This means that pain is decreased with oral medication and there is a decreased need in patient controlled analgesia and adverse events related to it.

Garcia, R., Cassinelli, E., Messerschmitt, P., Furey, C., Bohlman, H., (2013). A multimodal approach for postoperative pain management after lumbar decompression surgery: a prospective, randomized study.

Journal of Spinal Disorders and Techniques. 2013 Aug;26(6):291-7. DOI: 10.1097/BSD.0b013e318246b0a6

This study was to determine if multimodal medication management would decrease the consumption of morphine use post lumbar laminectomy.

Evaluation of patient pain was using the visual analog scale and were recorded every four hours up until the thirty-six hour mark.

This study concluded that there too was a reduction in PCA usage and goals were met for earlier mobility.

Kim, S., Ha, K., Oh, I., (2016). Preemptive Multimodal Analgesia for Postoperative Pain Management After Lumbar Fusion Surgery: a randomized controlled trial.

European Spine Journal. 2016 May;25(5):1614-9. doi: 10.1007/s00586-015-4216-3

In this study there are 80 participants that were divided into two groups. Both groups were thoroughly investigated to be sure that they met the inclusion criteria. Both groups had surgery for symptomatic lumbar stenosis of L4-5. They were then placed in subgroups where group 1 had multimodal pain medication including schedules celecoxib, extended release oxycontin, and pregabalin. Group 2 only had IV morphine. Both groups had morphine PCA’s.

In this study they used scheduled pain medication for these patients. The results concluded that treating the patients pain preemptively was successful when compared to patient controlled analgesia for lumbar surgery.

Kumar, K., Kulkarni, D., Gurajala,I., and Gopinath, R., (2013). Pregabalin Versus Tramadol for Postoperative Pain Management in Patients Undergoing Lumbar Laminectomy: a randomized, double-blinded, placebo-controlled study, Journal of Pain Research 6: 471–478. doi: 10.2147/JPR.S43613

In this study there was a group of 75 patients. Each group of 25 had been given one of 2 pain medications and then the placebo. Drug one Tramadol caused the patient to use less “rescue pain” medication than group 2 the pregabalin group, and of course the placebo group required the most rescue doses of medication.

This is significant because finding the best combination of drugs will decrease the need for PCA and opiate use.

Maund, E., McDaid, C., Rice, S.,Wright, K., Jenkins, B., Woolacott,N., (2011). Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery: a systematic review. British Journal of Anaesthesia 2011; 106 (3): 292-297. doi: 10.1093/bja/aeq406

Maund, E., McDaid, C., Rice, S.,Wright, K., Jenkins, B., Woolacott,N., (2011), performed a study to compare the effectiveness of NSAIDS, acetaminophen, and COX-2 inhibitors to control post operative pain. This study showed that the three non-opioids were effective in decreasing the use of the morphine PCA in the first 24 hours post surgery. Also in the study it showed that NSAIDS also decreased morphine related adverse effects. However none of the three drugs were proven to be better than the other.

This study gives me the impression that with these medications that there can be complete control of pain without PCA or opiates for relief.

Ultimately with these surgeries there is consistency of PCA use with that being said, non-opioids are paramount and NSAIDS have a bonus for their anti-inflammatory effects although they carry an increase risk for bleeding so the risks and benefits must be weighted.

Answer the following question usinf the resources provided.

Intervention or therapy- To determine which treatment leads to the best outcome

In adult patients post lumbar laminectomy (P)

how effective is PCA pain medication management (I)

compared to scheduled oral pain medication (C)

in controlling post op pain (O) during the recovery phase.

Identify the implications to nursing practice and patient outcomes –
Include with the poster a section describing the implications to nursing practice and patient outcomes.

Evidence Based Research Poster Rubric 45 points

Criteria

Mastery (A = 45)

Developing (B = 36)

Limited (C = 33.75)

Critical Thinking

Poster shows evidence of application of skills of analysis, synthesis, and evaluation. Logic is nearly flawless.

Poster shows inconsistent application of skills of analysis, synthesis, and evaluation. Logic may be flawed.

Poster shows minimal application of skills of analysis, synthesis, and evaluation. Logic may be flawed.

Focus

Poster remains focused with every reference appropriate to topic of paper

Poster remains focused with most references appropriate to topic of paper

Poster without clear focus with some references appropriate to topic of paper.

Quality of support

Well-chosen textual support adequately examined and relevant.

Acceptably chosen support with inconsistent relevance.

Questionable support with few valid points, lacking relevance.

Organization

And Presentation

Information is very organized with clear titles.

Information is organized but the titles are missing or do not help the reader understand.

Information is without organization.

Mechanics and Style

Poster is well written in scholarly style and follows all APA formatting

Poster is acceptably written in scholarly style and follows most APA formatting

Poster is poorly written with little scholarly style and/or is inconsistent in following of APA formatting.

Peer Evaluation Template

How can average nurses be involved in the political process?

Discussion Question 1 Engaging in a political process enables a nurse leader to influence others in order to achieve a set of professional goals. Conduct extensive research on the importance of political process in nursing, and answer the following questions:

•How can average nurses be involved in the political process? •What do you do or should do in order to become more politically active? Discussion Question 2 Effective leadership can help nurse leaders to bring about a desirable change within the system. Using the South University Online Library or the Internet, gain adequate insight into change theories and change management, and answer the following questions:

•What does it mean to be a change agent? Give two examples of when you were a change agent or witnessed another nurse as a change agent. •What happened and how did the change occur?

identify specific competencies that the MSN-prepared nurse gained, and is presently using, that reflect advanced education.

Assignment Master’s-Prepared Nurse Interview Details:

Refer to the “Master’s Prepared Nurse Interview Guide student” as you prepare this assignment.

Interview a nurse who is master’s-prepared in nursing and is using this education in a present position. Preferably, select someone who is in a position similar to your chosen specialty track(Masters of Nursing with Specialty in Education). The purpose of the interview is for you to gain insight into the interplay among education, career path, and opportunities. Be certain to identify specific competencies that the MSN-prepared nurse gained, and is presently using, that reflect advanced education. Organize your interview around the topics below:

1. Overview of the master’s-prepared nurse’s career

2. Reason for seeking graduate education

3. Description of present position and role

4. Usefulness of graduate education for present role

5. Pearls of wisdom he/she is willing to share

In 750-1,000 words, write the interview in a narrative format. Use the following guidelines:

1. Within the paper’s introduction, explain your interview selection.

2. Do not identify the individual by name.

3. Use centered headings to separate parts of the interview.

4. In the conclusion, identify one or more competencies from the interview that are consistent with GCU program competencies and/or AACN education essentials. In addition, provide a statement that reflects what you gained from the interview.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

NUR502.Rubric.Master’sPreparedNurseInterviewGuide_1-9-14.docx (See Attachment)

Grading Rubric

1. Introduction is comprehensive and makes the purpose of the paper clear by restating the thesis.

2. Thoroughly presents all of the information to portray a clear chronology as well as richness of detail.

3. Thoroughly presents the process that led to the decision to seek graduate education as well as the program itself with clarity, order, and depth.

4. Thoroughly presents all of the key elements of the present position with emphasis on competencies required. Describes in rich detail, and includes advice given and original insights.

5.Conclusion is comprehensive; paints a clear picture of the potential outcomes and career opportunities of graduate education; identifies key points of the interview; and demonstrates insight and interpretation.

6. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

7. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

8.Writer is clearly in command of standard, written, academic English.

9.All format elements are correct.

10. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.