See attached

Write a grant proposal requesting funding to conduct research for the research question of “Is there a significant difference in the clinical outcomes, including mortality rates, reinfarction rates, and long-term quality of life, between patients treated with fibrinolytic therapy and those treated with percutaneous coronary intervention for acute myocardial infarction?”

Please use the template below to organize the grant proposal

· Executive Summary

· Statement of Need

· Project Description

· Conclusion 

· References  (6 references, I have provided some below)

Armstrong, P. W., Gershlick, A. H., Goldstein, P., Wilcox, R., Danays, T., Lambert, Y., Sulimov, V., Rosell Ortiz, F., Ostojic, M., Welsh, R. C., Carvalho, A. C., Nanas, J., Arntz, H. R., Halvorsen, S., Huber, K., Grajek, S., Fresco, C., Bluhmki, E., Regelin, A., Vandenberghe, K., … STREAM Investigative Team (2013). Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction. The New England journal of medicine, 368(15), 1379–1387.
https://doi.org/10.1056/NEJMoa1301092

Joy, E. R., Kurian, J., & Gale, C. P. (2016). Comparative effectiveness of primary PCI versus fibrinolytic therapy for ST-elevation myocardial infarction: a review of the literature.
Journal of comparative effectiveness research,
5(2), 217–226. https://doi.org/10.2217/cer-2015-0011

Karha, J., & Topol, E. J. (2006). Primary percutaneous coronary intervention vs. fibrinolytic therapy for acute ST-elevation myocardial infarction in the elderly.
The American journal of geriatric cardiology,
15(1), 19–21. https://doi.org/10.1111/j.1076-7460.2006.05290.x

Krittanawong, C., Hahn, J., Kayani, W., & Jneid, H. (2021). Fibrinolytic Therapy in Patients with Acute ST-elevation Myocardial Infarction.
Interventional cardiology clinics,
10(3), 381–390.
https://doi.org/10.1016/j.iccl.2021.03.011

McClelland, A. J., Owens, C. G., Walsh, S. J., McCarty, D., Mathew, T., Stevenson, M., Gracey, H., Khan, M. M., & Adgey, A. A. (2005). Percutaneous coronary intervention and 1 year survival in patients treated with fibrinolytic therapy for acute ST-elevation myocardial infarction. European heart journal, 26(6), 544–548.
https://doi.org/10.1093/eurheartj/ehi149

Note: You do not need to provide research budgets/financials and organizational information which is covered in the tutorial.

W5 Dsee attachment

Chamberlain


NR599-11532

Week 5

Clinical Decision Support Systems

Preparing the Assignment

Post a written response in the discussion forum to EACH threaded discussion topic:

1. This week we learned about the potential benefits and drawbacks to clinical decision support systems (CDSSs). Create a “Pros” versus “Cons” table with a column for “Pro” and a separate column for “Con”. Include at least 3 items for each column. Next to each item, provide a brief rationale as to why you included it on the respective list.

2. The primary goal of a CDSS is to leverage data and the scientific evidence to help guide appropriate decision making. CDSSs directly assist the clinician in making decisions about specific patients. For this discussion thread post, you are to assume your future role as an APN and create a clinical patient and scenario to illustrate an exemplary depiction of how a CDSS might influence your decision. This post is an opportunity for you to be innovative, so have fun! 

Adhere to the following 
guidelines regarding quality for the threaded discussions in Canvas:

· Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.

· Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread. 

· Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.

· Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category. 

For each threaded discussion per week, the student will select no less than 
TWO scholarly sources to support the initial discussion post.

Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are 
NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

Terminology and Language in Informatics

Standardized Terminology and Language in Informatics

Discussion

Purpose

This week's graded discussion topic relates to the following Course Outcomes (COs).

Preparing the Discussion

· Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

· Demonstrate understanding of concepts for the week

· Integrate outside scholarly sources when required

· Engage in meaningful dialogue with classmates and/or instructor

· Express opinions clearly and logically, in a professional manner

· Use the rubric on this page as you compose your answers.

· Best Practices include:

· Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

· Enter the discussion often during the week to read and learn from posts.

· Select different classmates for your reply each week.

Discussion Question

Standardized Terminology and Language in Informatics is an important part of healthcare. Nurses and healthcare workers need to understand and be able to communicate clearly.

Please select

one
of the following options and discuss your understanding of the role in healthcare and its potential impact on your practice.

· Usability

· Integration

· Interface

· Interoperability

· Meaningful Use (Meaningful Use terminology has largely been replaced by the phrase ‘Promoting Interoperability’ or ‘PI’)

· Reimbursement from Centers for Medicare and Medicaid Services (CMS) payment

· NANDA

· NIC/NOC

EBOOK to use for one citation:

https://bookshelf.vitalsource.com/reader/books/9781323903148/epubcfi/6/492%5B%3Bvnd.vst.idref%3DP7001015544000000000000000002CB2%5D!/4/2%5BP7001015544000000000000000002CB2%5D/2/2%5BP7001015544000000000000000002CB3%5D/7:6%5B%20In%2Cter%5D

email:
[email protected]

Pwd: Leroyismyhero1#

let me know if you cannot have access to the ebook

Prof needs one citation from the ebook and one external citation

Women in Colonial America

  • Pick two colonies (New England, Middle, or Southern colonies) and explain how women’s roles differ in the two colonies of your choice.
  • Describe what legal rights women held during the colonial period.
  • Analyze how Native women’s lives were different from colonial women’s lives.

Replies week 4 MSN5300

 Please include a 200 words in two answers to peers 

 

1.The economic and human costs associated with Alzheimer’s disease have prompted various research studies into the matter. A key topic of research and evaluation is the family’s role or obligation in caring for Alzheimer’s patients, especially parents. Such studies need to incorporate ethical considerations as they involve human beings, sensitive and vulnerable medical and care information, and contribute to knowledge development of the matter; thus, they should be done in the right way to improve the credibility and reliability of the information in the research. Ethical considerations are guidelines and principles that guide research and ensure the research process does not violate any human rights or academic regulations.

Martinez et al. (2022) conducted a qualitative study to understand the dynamics of caregiving of patients with Alzheimer’s within the Latino community because of their emphasis on familism. The study conducted interviews as its primary data collection method, which mandated various ethical considerations. Therefore, Martinez et al. obtained approval from their university’s Institutional Review Board, and informed consent was obtained before the interview. In another study to understand the caregiver’s perception of the unmet palliative care needs in Iranian Alzheimer’s patients, Ashrafizadeh et al. (2021) conducted a qualitative study. In this study, the authors mention that they incorporated various ethical considerations, including approval by the respective university’s Ethics committee. Additionally, they incorporated the voluntary nature of participation, obtained informed written consent forms and anonymity of the participants, and informed them of their right to withdraw from the study at any point. Further, they ensured the confidentiality of the information provided by the participants and guaranteed of using the said information for the sole purpose of the research.

In a cross-sectional study that involved fifty formal caregivers and fifty informal caregivers of Alzheimer’s disease patients, Sołtys & Tyburski (2020) sought to understand the predictors of mental health problems among these caregivers. The authors ensured that all surveyed caregivers willingly agreed to participate, and an ethics committee approved the study. Also, participants provided informed consent. Ashrafizadeh et al. (2021) ethical approach was relatively different, as the key ethical considerations were approval and the participant’s rights. This is seen in how the study guaranteed anonymity by providing nicknames for the participants that also assured confidentiality of the information provided. The participants were also assured of the publication of the results. At the same time, the authors obtained both oral and written consent to ensure the participants understood their involvement, including their right to withdraw from the study. Ethical considerations are similar as long as they involve human participants, even through virtual communication. Rodríguez-Mora et al conducted their interviews virtually but also had to seek informed consent and approval, and in this case, ensure no harm came to the participants by upholding the containment measures as the study was conducted during the recent pandemic.

2. Ethical approaches in research studies entail setting principles that help achieve the goal of research designs and practices. The approaches help the researchers to achieve a code of conduct when interacting with people to collect data. The primary goals of any short or comprehensive research entail enhancing the research validity, maintaining scientific or academic integrity, and acknowledging researchers who performed various research earlier. These practices are mainly for the research conducted using printed or recorded data sources.

Human research entails comprehensive ethical considerations, with voluntary participation being one of them. There is no pressure or compulsion used on any research participants to participate. Everyone enrolled in the study can stop at any time without feeling obligated to continue (Newman et al., 2021). Participants cannot be coerced into justifying leaving the study. As a result, it is critical to make it evident to participants that declining to participate will not have any detrimental effects.

Another consideration is whether participants provided informed consent and where the data was collected. The prospective participants should be provided with and comprehend the information necessary for making a participation decision (Newman et al., 2021). This includes information about the study’s advantages, hazards, funding, and institutional endorsement. Participants should be given a text to read and asked if they have any questions before proceeding. They can initial or sign the consent form if they are willing to participate. When working with particularly vulnerable groups of people, remember that this might not be enough to obtain informed consent.

Further confidentiality must be integrated into research by granting all participants the right to privacy. The researchers must protect participants’ data for a long provided they hold it (Horton & Lucassen, 2023). this consideration should be maintained when the data is collected anonymously. Assumptions such as research process grant confidentiality automatically grants confidentiality should not be taken (Horton & Lucassen, 2023). Some research designs are not conducive to confidentiality, but it is essential to make all attempts and inform participants of the risks involved. Therefore, achieving confidentiality should be explicitly planned for and met by the researchers.

In conclusion, ethical approaches to conducting research should entail observing a code of conduct that enhances research validity when collecting, storing, and interpreting data. Academic integrity should be considered when dealing with records. In human research, participants should be allowed to provide data voluntarily. They should be informed of the research details before being subjected to the research participation. Confidentiality of personal information should be significantly upheld even when research designs do not appear to favor confidentiality. Thus, researchers must ensure that research validity is enhanced by taking the ideal measures of research ethics.

Training, New Information System, & Evaluation

 

  • What training is provided when a new information system is implemented in your organization?
  • Are nurses involved in evaluating the systems?

see below

see below

question 2

Improving Patient Readiness for Outpatient Palliative Care

Instructions: answer the following 2 questions and add them to the paragraph below. Cite, reference (should be within 7 years), no plagiarism, original work.

1. “Onboarding” without an explanation of what it is.

2. I think you should focus the lens on readiness more than onboarding. Your paper is about patient readiness. Your introduction should be better with how many people need Palliative care and how many aren't enrolling in palliative care because they do not understand what palliative care is.

Palliative care refers to alleviating and relieving the symptoms and pain of an incurable medical condition the patient is experiencing (Schlick & Bentrem, 2019). The palliative process begins with the onboarding process. The onboarding process for palliative care is critical in ensuring that patients and their families receive the highest quality of care and support. It involves the initial assessment, coordination and planning, communication and education, emotional and psychological support, and continuity of care. This process sets the stage for a collaborative and supportive relationship between patients, their families, and the providers.

W6 M see attachment

Chamberlain


NR599-11532

Week 6

Midweek Comprehension Questions

Discussion

Purpose

As mentioned in this lesson, numerous telecommunications-ready tools are already available to assist nurses in delivering care and improving patients' health outcomes. New and innovative tools are rapidly making it to the marketplace, making current tools dated and sometimes obsolete. Continue to reflect upon the point-of-care tools you may be familiar with using in your role as a Registered Nurse and how your responsibilities will change with your future role as an APN. How will you stay current?
 Provide a brief response (100 words or less)