...Teens Receive Education about Decisions (TREAD) A Sex Education Program Cyndi Carter NUR/598 January 13, 2014 Dr. Maria Revell Teens Receive Education about Decisions (TREAD) A Sex Education Program Working for the health department can be challenging. Managing the Title X Family Planning Program carries many federal restraints. The community’s awareness of the benefits and available resources through such programs as the Title X Family Planning Program are minimal. The purpose of this project proposal is to create a school-based educational sex education program that will serve to reach out and educate teenagers; Teens Receiving Education about Decisions (TREAD). Fagen, Stacks, Hutter, and Syster (2010) “Sexual health education (SHE) is an important strategy for promoting well-informed sexual decision-making and preventing unintended pregnancies and sexually transmitted infections (STIs) among adolescents. One promising approach for increasing adolescent SHE access is to institute school district policies that mandate high-quality sex education” (para. 1). Section A: Problem Identification Sex education classes are not a mandate of Georgia school systems. The rising statistics and cost to the state are and will continue to grow without proper education. Centers for Disease Control and Prevention (2013) “A new Centers for Disease Control [CDC] analysis shows that half of all new infections occur among young people aged 15-24. The analysis goes on to show that sexually transmitted...
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...Nursing Research Utilization Project Proposal Abstract The issue of controlling and preventing hospital-acquired infections is a major problem in the Healthcare system. Most patients admitted to hospitals are at some risk of contracting a hospital-acquired infection (Paterson, 2012). Some patients are more vulnerable than others; these include the elderly, patients with defective immune systems, and premature babies. Hospital-acquired infections remain a major concern, and they can occur in any care setting, including acute care within hospitals, outpatient surgery centers, clinics, and long-term care facilities (such as nursing homes or rehab centers). Four categories account for 75% of all acquired infections in the acute care hospital setting. These are surgical site infections, central line-associated bloodstream infections, ventilator-associated pneumonia, and catheter-associated urinary tract infections (Nassof, 2009). Urinary tract infections comprise the highest percentage (Paterson, 2012). These infections usually are spread by the contaminated hands of healthcare providers or the patient’s family members. They are also caused by contaminated surfaces or hospital equipment that has not been properly cleaned (Nassof, 2009). The rate of exposure to infectious materials could be reduced if healthcare providers adhered to certain standard precautions such as hand hygiene. The proposal for this nursing research utilization project is to educate nurses on the importance...
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...Nursing Research Utilization Project Proposal Tamra Sanders Nur/598- Research Utilization Project June 2, 2014 Patricia Dehof Nursing Research Utilization Project Proposal In the United States, 15-25% of patients who are in the hospital have urinary catheters and 75% of urinary tract infections are associated with a urinary catheter. The most vital risk for acquiring a catheter-associated UTI (CAUTI) is the extended use of a urinary catheter. Catheter-associated urinary tract infection (CAUTI) causes an increase in morbidity, mortality, hospital cost, and length of stay. There are approximately 380,000 infections and 9000 deaths related to CAUTI’s per year. CAUTI’s can increase a patient’s hospital stay by 2-4 days. The cost, in United States hospitals, per year, is over 500 million dollars to treat CAUTI’s (Centers for Disease Control and Prevention, 2012). Having a urinary tract infection can lead to unnecessary antimicrobial use, and the urinary drainage system of the urinary catheter can harbor multidrug-resistant bacteria, which can spread to other patients (Centers for Disease Control and Prevention, 2012).This paper, the nursing research utilization proposal, will focus on preventing CAUTI’s. The key resolution to prevent CAUTI’s is to implement a quality improvement (QI) program to improve the appropriate use of indwelling catheters and to reduce the risk of CAUTI’s based on health care organization’s risk assessment. A quality improvement program will make...
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...Family Values Paper Cynthia Dulaney Rucker NUR/542 Version 2 April 2, 2012 Melinda Church Family Values Paper Family Values Family is a term that is defined by each family member in different ways, it is based on someone’s personal belief, expectation, and experiences. The family role in the health care setting can vary based on the patient’s condition. In the dialsysis unit the families play a large role especially, for those individuals whom lose his or her ability to provide self-care and make self-care decisions. As a health care provider it is important to understand and remember that even though every day realities of families such as emotions, attitudes, perceptions, and beliefs are essential in the study of family and current family theory. Family System/Concept of Family For a family system to have a positive role in a dialysis facility, the family must serve as a system in support of the individual family member. The family often plays a role in assisting in the plan of care, as the individual suffering from kidney disease will have the support system needed in caring for themselves and will not have to serve as the sole provider of self- care. In some cases the ill individual cannot play a role in self-care. The family can play a role in the individual’s recovery by coming together as one to support healing, or simply identifying, and achieving individual health goals. All individuals in the dialysis unit develop a plan...
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...patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Kalisch and Tschannen and Ms Lee). This project was funded by the Blue Cross Blue Shield Foundation of Michigan and the Michigan Center for Health Intervention, University of Michigan School of Nursing, National Institutes of Health, National Institute of Nursing Research (P30 NR009000). The authors declare no conflict of interest....
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...Nursing Research Utilization Project Proposal Sally Martin Torres NUR 598 September 11, 2011 Dr. Veta Massey Nursing Research Utilization Project Proposal Section D: Methods of Implementation Health care throughout the history has shown many changes. Every change brings in challenges in a workplace because change is more often met with resistance. It also brings in innovative ideas that steers the organization’s advancement and performance. The major motivation of change in this organization is to sustain a successful future in its continuum. For change to succeed, brilliant strategy, and clever implementation are necessary (Gandossy and Sonnenfield, 2004). Organizing the Plan The problem that was stated in Part A of this proposal was medication error and the organization is aiming at reducing the incidents of administration errors that involve medications. Although there are three proposed solutions, the one that gained the highest priority is the use red disposable apron during the medication rounds. This type of innovation is cost-effective, requiring short staff in-service by the nurse clinical educator, it is maintenance free, and does not require space for storage. This intervention will also allow a less difficult data collection for measuring outcomes. Every institution requires the approval of the Chief Nurse Officer (CNO) to pilot an intervention. The intervention will be introduced in a small 30-bed medical-surgical unit which will last for four months...
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...Nursing Research Utilization Project Proposal: Topic Selection Amanda Reese NUR/598 June 16, 2015 Patricia Dehof Nursing Research Utilization Project Proposal: Topic Selection Dementia is a broad spectrum umbrella word that encompasses many disorders that affect a patient and memory loss. There is Alzheimer’s type dementia, Lewy Body Dementia, delirium and more. As the general population in the United States gets older dementia becomes more and more of a problem. Generally speaking healthcare staff is not adequately educated and trained in dementia and the proper treatment of patients. There are several courses that are offered but there are very few policy and procedures in health care facilities regarding training people to care for dementia patients, and there are very few dementia programs within hospital settings. Topic Selection The topic selection for this paper is the need for dementia programs and policy and procedure related to the care of the dementia patient. The goal for the facilities would be to establish a care team that would be knowledgeable in the care of the different types of dementia. The team would be able to educate families as well as staff and be a resource. A team could examine the best ways to prevent injury to the patients that are in an unfamiliar hospital care environment and help work with the family to aid in the transition between home, the hospital and back again. With the knowledge the team has they can institute a policy and familiarize...
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...|[pic] |Syllabus | | |College of Nursing | | |NUR/598 Version 4 | | |Research Utilization Project | Copyright © 2011, 2009, 2005, 2004, 2001, 2000, 1999 by University of Phoenix. All rights reserved. Course Description This is a graduate research course that focuses on the use of a body of nursing knowledge and scientific knowledge in the nursing practice setting. Students develop a proposal to address a problem or concern in the nursing practice, propose an evidence-based solution, develop an implementation and evaluation plan, and describe implementation strategies for the proposed solution. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be...
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...Research Utilization Project: Early mobilization in pediatric cardiac surgical patients Theodore R. Dage University of Florida Abstract Prolonged sedation and mechanical ventilation in the ICU setting has the potential for negative effects in the pediatric post-surgical period. A systematic review of the literature reveals a lack of high-quality recent research into the feasibility and benefits of an early mobilization protocol in this population. A PICO question will be stated to guide research, and an examination of the existing research on the subject discussed. The author will demonstrate the justification for further research into such a protocol. Research Utilization Project: Early mobilization in pediatric cardiac surgical patients Mechanically ventilated patients in the adult ICU setting frequently experience prolonged periods of immobility and sedation (Schweickert et al., 2009); this is also the case in the pediatric post-surgical population. Prolonged pharmacologic sedation is associated with significant adverse sequelae (Wolf & Jackman, 2011). Early extubation and mobilization of cardiac surgical patients has been shown to reduce postoperative complications and shorten length of stay (Pande, Nader, Donias, D’Ancona, & Karamanoukian, 2003). The research question generated to examine a justification for a clinical research project is stated in PICO format as follows: In pediatric patients aged 6-13 (P), does a protocol of early mobilization...
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...Topic: Factors affecting project funds utilization Specific Objectives The research project will be guided by the following; i. To examine whether funding requirements influences project funds utilization ii. To establish to what extent Institutional capacity affects project funds utilization. iii. To explore whether management information systems affects project funds utilization. iv. To investigate whether sector policy framework affects project funds utilization. Conceptual Framework The conceptual framework is a graphical representation showing the relationship between the independent variables and dependent variables. The dependent variables are influenced by the independent variables when the later is manipulated Constraints Moderating variables Moderating Variable Dependent Variable VVariabltvVariablt DDDVV Independent Variables Intervening Variables a) Clearly identify the operating independent and dependent variables Independent Variables i. Funding requirements. ii. Institutional capacity. iii. Management Information systems. iv. Policy framework. Dependent Variables ...
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...* ID: 445025269 * Word Count: 454 * Submitted: 1 WEEK 1 DRAFT 3 By Calene Roseman Similarity Index 1% Similarity by Source Internet Sources: 0% Publications: 1% Student Papers: N/A include quoted include bibliography exclude small matches download refresh print mode: 1% match (publications) Kim, S. H., A. Yu, J. H. Jung, Y. J. Lee, and E.-S. Lee. "Incidence and Risk Factors of 30-Day Early and 90-Day Late Morbidity and Mortality of Radical Cystectomy During a 13-Year Follow-up: A Comparative Propensity-score Matched Analysis of Complications Between Neobladder and Ileal Conduit", Japanese Journal of Clinical Oncology, 2014. Calene Roseman NUR / 544 Nursing Research Utilization Project August 18, 2014 Dr. Margarret Colucceillo 2 Nursing Research Utilization Project Proposal Clinical issue: The improvement of morbidity and improved recovery for patients with bladder cancer. Undergoing radical cystectomy with ileal conduit (Castle. & Pruthi,2013) The problem that I identified and needs a solution is the improvement of post-operative outcomes and morbidity for bladder cancer patients undergoing radical cystectomy with ileal conduit (Kim.Yu.Jung.Lee.& Lee.2013)With the aim to discharge patients using fast track and clinical pathways and improve quality of life and morbidity. Radical cystectomy is a serious and extensive surgery not without risk and complications, hence the fact that complications occurs frequently. (Kulkarni. 2011) the standard...
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...Epidemiology/Health Services/Psychosocial Research O R I G I N A L A R T I C L E Out-of-Pocket Costs and Diabetes Preventive Services The Translating Research Into Action for Diabetes (TRIAD) study ANDREW J. KARTER, PHD1 MARK R. STEVENS, MSPH, MA2 WILLIAM H. HERMAN, MD, MPH3 SUSAN ETTNER, PHD4 DAVID G. MARRERO, PHD5 MONIKA M. SAFFORD, MD6 MICHAEL M. ENGELGAU, MD, MS2 J. DAVID CURB, MD, MPH7 ARLEEN F. BROWN, MD, PHD4 THE TRIAD STUDY GROUP* OBJECTIVE — Despite the increased shifting of health care costs to consumers, little is known about the impact of financial barriers on health care utilization. This study investigated the effect of out-of-pocket expenditures on the utilization of recommended diabetes preventive services. RESEARCH DESIGN AND METHODS — This was a survey-based observational study (2000 –2001) in 10 managed care health plans and 68 provider groups across the U.S. serving ϳ180,000 patients with diabetes. From 11,922 diabetic survey respondents, we studied the occurrence of self-reported annual dilated eye exams and diabetes health education and among insulin users, daily self-monitoring of blood glucose (SMBG). Conditional probabilities were estimated for outcomes at each level of self-reported out-of-pocket expenditure by using hierarchical logistic regression models with random intercepts. RESULTS — Conditional probabilities of utilization (95% CI) varied by expenditure for dilated eye exam [no cost 78% (75– 82), copay 79% (75–...
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...is by far the greatest threat and challenge in the new millennium. In order to stop global warming and to promote sustainable development, renewable energy is a perfect solution to achieve both targets. Presently million hectares of land in Malaysia is occupied with oil palm plantation generating huge quantities of biomass. In this context, biomass from oil palm industries appears to be a very promising alternative as a source of raw materials including renewable energy in Malaysia. Thus, this paper aims to present current scenario of biomass in Malaysia covering issues on availability and sustainability of feedstock as well as current and possible utilization of oil palm biomass. This paper will also discuss feasibility of some biomass conversion technologies and some ongoing projects in Malaysia related to utilization of oil palm biomass as a source of renewable energy. Based on the findings presented, it is definitely clear that Malaysia has position herself in the right path to utilize biomass as a source of renewable energy and this can act as an example to other countries in the world that has huge biomass feedstock. Ó 2009 Elsevier Ltd. All rights reserved. Keywords: Biomass conversion technology Cellulose feedstock...
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...A Model for change to evidence-based practice that will guide my potential DNP project is Stetler Model. This model was based on the theoretical and research literature related to evidenced-based practice, research utilization a standardized language, and change theory. The model for change EBP model is a five progressive steps model. The steps are; Preparation phase, validation, comparative evaluation and decision making, Translation and application, and lastly, evaluation. The Stetler model for change will guide me throughout my prospective DNP project in the following ways. In Step one, it entails defining problem purpose and outcome; and searching for evidence from the literature that detailed management of hypertension, for example, is...
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...Department of Science and Technology Philippine Council for Health Research and Development ZAMBOANGA CONSORTIUM FOR HEALTH RESEARCH AND DEVELOPMENT DOST- IX Compound, Capt. F. Marcos St. cor. Gen. Alvarez St. Pettit Barracks, Zamboanga City 7000 DETAILED RESEARCH PROPOSAL Part I Procedural Documents: these include individual pages containing the cover sheet, Standard Application Form for Ethics Review (SAFER), clearances, endorsement from the agency head, and the curriculum vitae. There should be no pagination on these documents as they are meant to stand-alone. Cover sheet – Please use a separate sheet. This contains the following information: 1. 2. 3. 4. Revision date and number Title of the study Study number – (to be provided by PCHRD) Signatures and dates: a. Author(s) / Contact numbers b. Implementing agency / Contact numbers(This refers to the agency/ies implementing the research proposal) c. Cooperating agency / Contact numbers (This refers to the agency/ies, which is/are expected to cooperate/contribute to the research work.) A. Standard Application Form for Ethics Review (SAFER) – Please use a separate sheet. This contains the following information: (For Ethics Review Committee use only) 1. 2. Reference Number– (to be provided by ZCHRD) Contact details of Program/Project leader (This indicates the name of the program and/or project leader, his/her designation or title in his/her agency, field of specialization and his/her mailing address, telephone and...
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