Describe a significant nursing clinical issue

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.
Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence.
The below problems should not be used:
*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catheterizations.
*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems that nursing cannot solve independently.
Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.
Write your clinical question in the PICO(T) format for your nursing practice problem.
*To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your required reading or access the following link:
NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)
List each of your PICOT elements.
Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

Part 1: Pathophysiology Topic Osteoporosis

1) Minimum  3 pages and 3 slides  (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page
You must strictly comply with the number of paragraphs requested per page.
Part 1: minimum  2 pages
Part 2: minimum  1 page and 3 slides
Submit 1 document per part
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraph
Bulleted responses are not accepted
Don’t write in the first person
Don’t copy and paste the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 5 references (APA format) per part not older than 5 years  (Journals, books) (No websites)
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Pathophysiology
Topic Osteoporosis
J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.
Diagnosis: Osteoporosis
1. Explain 3 specific goals of therapy for J.S.
2. What drug therapy would you prescribe? include
a. Dosage
b. Time
b. Why?
3. What are the parameters for monitoring the success of the therapy?
4. Discuss 2 specific aspects of patient education based on the prescribed therapy.
5. Explain two adverse reactions for the selected drug that would cause you to change therapy.
6. What OTC or alternative medicines might be appropriate for this patient?
7. What dietary and lifestyle changes might you recommend?
8. Describe one drug–drug  and one drug–food interactions for the selected drug
Part 2: Global Heath alliance
1 page
Investigate about:  Global Heath alliance
1. what are its key partner coalitions
a. Describe them briefly
2. Do their partnerships influence policies at the local, state, or national level?
a. Explain why
b. Describe their key obstacles
3) Describe the spending allocations (consult the Center for Responsible Politics ( 1 paragraph) www.opensecrets.org************ MANDATORY).
3 slides
In a PPT summarize the information of each point. It is not allowed to paste the same information or include images. All the information on the slides must complement the work written in word.
1. Key partner coalitions (1 slide)
2. Do their partnerships influence policies at the local, state, or national level? (1 slide)
b. Describe their key obstacles
3) Describe the spending allocations (consult the Center for Responsible Politics ( 1 slide) www.opensecrets.org************ MANDATORY).

SWOT Staffing, Retention and Satisfaction

Strengths and Weaknesses of Staffing, Retention and Satisfaction
Determining staff satisfaction, retention and adequate staffing are components of delivering quality patient care and assuring quality patient outcomes.
Utilizing your SWOT analysis from last week, examine staff satisfaction, retention and adequacy of staffing in your department or on your unit.  Do you see these elements as strengths or weaknesses? Explore how staffing could be improved while maintaining the above components.
should be at least 4 pgs, with 3 citations from 3 scholarly resources, in APA format.

Morbid obesity

Morbid obesity is also known as class three obesity. This is a chronic condition where a person has a BMI of more than 40 and experiences obesity-related health conditions such as diabetes heart conditions, which typically cut short life. Briana is a 12-year old girl who is morbidly obese. Briana’s mother has no option but to change her typical meal preparations to a healthier one to correct Briana’s health and life expectancy. She should limit the intake of sweetened beverages, baked potatoes, fast foods, refined grains such as white bread, and intake of stake. Briana’s mother should begin adapting the preparation of vegetables that are low in caloric content, whole grains, whole fruits. All these contain fiber, reducing cholesterol levels (Amayiri et al.,2017).
Briana should also be cautious and self-disciplined in her eating behavior. She should consider several eating strategies at her level. Eating mindfully will enable her to make healthier food choices. Her mother should ensure that she prepared food at home and prevent her from eating restaurant meals. She should always consume small but frequent meals and a healthy breakfast.

barriers that might hold nursing practice

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.  According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition

Assessment Description
Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In 1,000-1,250 words, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success

. Common Nurse Residency Programs , Self Assessment of Nurse Training Programs 

1. Common Nurse Residency Programs
A listing of the common hospital training and nurse residencies has been provided for your review.  Review the entire document to select a training program of interest. Click the link to go to the hospital or entity of choice.  Additional internet research may involve contacting the hospitals’ HR or acquisition and talent office to inquire about information.
2. Self Assessment of Nurse Training Programs
Use the Self- Assessment tool to evaluate prospective  Nurse Training Programs. Your self-assessment will help determine which training program, benefits, and type of specialty will work best for you.   Rate the factors based on importance, value, education, and availability.
3. Survey /Critique of Nurse Training Programs:
Perform a survey and critique of the Nurse Training Program of your choice. Use the hospital training program factor worksheet (Survey-Critique of Nurse Training Programs) to collect data on the various types of training programs available to new nurses.  Collect and fill in each factor to assist in the evaluation of values and attributes important to you when determining the best hospital placement program to fit your prospective career aspirations and role as a professional nurse.
3.  Upload your findings from the Survey-Critique of Nurse Training programs and the RN Training Program Self-Assessment to the Assignment area in Canvas.  Be sure to express what values and options were most important to you based on the types of training programs available.

Heart Disease

Module 10 Discussion – Heart Disease
Directions:
Heart disease remains one of the top causes of mortality in the Unites States. Consider the various types of heart disease covered in class this week. For your discussion, complete these items:
• The etiology of the selected heart disease• Modifiable factors• Non-modifiable factors
Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a Referencespage using APA format.
Write from a nursing perspective
No consideration for plagiarism
Two-three reference
In-Text Citation

increasing chlamydia screening in patients under 25

Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem (increasing chlamydia screening in patients under 25) and associated challenges to obtaining data impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.).  Write a summary of how this quality indicator is measured in existing literature and search for evidence that demonstrates how your practice problem is measured across the country. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available.
Choose a Quality Improvement Model PDSA (Plan Do Study Act) and apply this model to your practice problem. Describe the model that you selected and how each step of the model will be used to develop the plan. (2pages)

Case Manager

Discussion Question
Read Chapter 25 PowerPoint presentation (Case Management):
1. Identify Case Management Roles and explain 5 Roles of the Case Manager.
2. Describe the Essential Skills for Case Managers.
Submit your answers by the end of Week #8
You can present your discussion in Word documents