pico

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.  
  •  Article #1 Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002

Article #2 Porter, B., Oyanadel, C., Sáez-Delgado, F., Andaur, A., & Peñate, W. (2022). Systematic Review of Mindfulness-Based Interventions in Child-Adolescent Population: A Developmental Perspective. European Journal of Investigation in Health, Psychology and Education, 12(8), 1220–1243. https://doi.org/10.3390/ejihpe12080085

Article #3 Cohen, Z. P., Cosgrove, K. T., Akeman, E., Coffey, S., Teague, K., Hays-Grudo, J., Paulus, M. P., Aupperle, R. L., & Kirlic, N. (2021). The effect of a mindfulness-based stress intervention on neurobiological and symptom measures in adolescents with early life stress: a randomized feasibility study. BMC Complementary Medicine and Therapies, 21(1). https://doi.org/10.1186/s12906-021-03295-1

Article #4 Peter, A., Srivastava, R., Agarwal, A., & Singh, A. P. (2022). The Effect of Mindfulness-based Cognitive Therapy on Anxiety and Resilience of the School Going Early Adolescents with Anxiety. Journal of Indian Association for Child and Adolescent Mental Health, 18(2), 176–185. https://doi.org/10.1177/09731342221127959

 PICOT  question- The clinical issue of interest is the management of anxiety symptoms in adolescents aged 13-18 years. Adolescents often prevalent anxiety concern due to unique stressors and challenges. Addressing anxiety symptoms during this developmental stage can essential to promote healthy psychological development and improve short- and long-term quality of life.

  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

Part 4: Recommending an Evidence-Based Practice Change

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

6003N-43

PRESIDENTIAL AGENDAS

Rather than focus on the treatment of chronic disease, policies that influence population health tend to emphasize prevention and wellness; the reduction or elimination of waste and the eradication of health disparities based on race, ethnicity, language, income, gender, sexual orientation, disability and other factors. The reasoning is that good health belongs to the whole, not just an individual. (New York State Dept. of Health, n.d.)  

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently?

Reference:
New York State Department of Health. (n.d.). 
Making New York the healthiest state: Achieving the triple aim. Retrieved June 21, 2021 from https://www.health.ny.gov/events/population_health_summit/docs/what_is_population_health.pdf

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

To Prepare:

· Review the Resources and reflect on the importance of agenda setting.

· Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

BY DAY 3 OF WEEK 1

Post your response to the discussion question: Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?

BY DAY 6 OF WEEK 1

Respond to at least 
two of your colleagues
* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.


*Note:

 Throughout this program, your fellow students are referred to as colleagues.

LEARNING RESOURCES


Required Readings

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)

· Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)

· Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)

· Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”

· “Creating a Fact Sheet” (pp. 217-221)

· DeMarco, R., & Tufts, K. A. (2014). 

The mechanics of writing a policy briefLinks to an external site.

Nursing Outlook, 62(3), 219–224.

· Kingdon, J.W. (2001). A model of agenda-setting with applications. 


Law Review M.S.U.-D.C.LLinks to an external site.


., 2(331)

· Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). 

Policy agenda for nurse-led care coordinationLinks to an external site.

Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003.

· O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). 

Political efficacy and participation of nurse practitionersLinks to an external site.

Policy, Politics, and Nursing Practice, 18(3), 135–148.

· Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). 


Nursing health, & environment

Links to an external site.
:
 Strengthening the relationship to improve the public's health.

· USA.gov. (n.d.). 


A-Z index of U.S. government departments and agencies

Links to an external site.
. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a

· USA.gov. (n.d.). 


Branches of the US government

Links to an external site.
. https://www.usa.gov/branches-of-government

· The White House. (n.d.). 


The cabinet

Links to an external site.
. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/

·
Document: 

Agenda Comparison Grid Template (Word document)

Safety assessment 2

Safety assessment 2

Putting It All Together IP

 

  1. Week 5: Roll-Out (250 words)
    • Describe the process of rolling out this new company-wide quality initiative. Pay specific attention to the logistics and supply chain management functions. Include the following:
      • A communication plan
      • Recommended sequence of steps to get personnel trained
      • Stakeholders on board (e.g., the vendor base, trucking companies, warehouse personnel)

FOCUSED CASE STUDY 2

 Marie, A 58-year-old woman with a complicated history which includes chronic low back pain, bipolar disorder, mixed anxiety, and depressive disorder presents to her PCP, a PA, complaining of constipation for several months 

Advocacy letter

Preparation for writing the Advocacy Letter

1. Choose a topic that interests you.

2. If you are unsure what to advocate for or against, look at professional organizations for inspiration:

a.
APHA

b.
ANA

c.
Maryland Public Health Association

3. Look for advocacy groups that are working on the issue. We don't have to recreate the wheel.  See what strategies the advocacy groups are supporting. For example: Brady and Gifford non-profits focus on gun policy. 

4. Decide if you want to make change within an agency, at the local, state or federal level. Find the decision maker appropriate to that level. Click here to
find your elected official.

5. If you are writing to a legislator, look at that person’s website to see their position on the issue. Please do not ‘preach to the choir’—that is, if they already support the issue, it does no good to throw more facts at them.

6. If you are addressing a national issue, and your legislator aligns with your proposed action, consider looking at the committee that would hear a bill about your issue.

a. If there is a proposed bill that has not been active, you can ask the chair of the committee to bring it back up in committee.

b. Click here to
check for federal bills.

7. If you are addressing a state issue, the Maryland General Assembly meets January- April of each year.

a. You can see if state bill on your issue was unsuccessful in 2018, and ask your legislator to re-introduce it in 2019.

b. Click here to
check for state bills.

8. For evidence to support your proposed action, use the One Search through HS/HSL for the broadest results. If you are still having trouble finding articles, the premier journal for public health research is called The Nation's Health.

9. Reminders from the rubric:

a. Include your ‘Ask’ clearly and concisely in the first paragraph. In busy offices, staff may not read the entire letter.

b. In the same vein, keep the letter one page. References can be on a second page.

c. Include your credentials. All of you are BSN Candidates (and add whatever other credentials you have). This adds a professional weight to your voice.

10. As always, please let me know of any questions.
KGR

Evolution of Quality Management IP

 Week 1: Introduction (250)

  • You will prepare an outline of the Quality Control Manual. The first part of the manual will be the Introduction.
    • Provide a history of the quality management evolution and why it is needed.
    • List and discuss 2–3 of the specific directions that companies are adopting in terms of strategic quality management.
    • Clearly identify the organization that your quality control manual is intended for.
    • Explain the evolution of and the pros and cons of such programs as Deming and Six Sigma.
  • With each week, you should include a minimum of 3 new cited references. As such, the references should be varied and different with each section addition. You can reuse references, but repeat references do not count toward the minimum 3 new cited references.

WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

You will consider this adoption in the post. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

  • Write a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples. Reference 3 scholarly citations 

Specific Strategies and Tools

 

  • Week 3: General Quality Strategies and Tools (300) 
    • Create a comparative table that shows the various definitions, risks, and value of each of the following quality management tactics:
      • Establishing customer expectations
      • Designing quality
      • Defining metrics
      • Mistake-proofing
      • Kaizen
      • Six Sigma

Introduction to Primary care

  

Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?