...Translational Research C301 Cesarean Sections and Skin-to-Skin Erica Curry Western Governor’s University A.1. Identify and Describe a Current Nursing Practice within your Healthcare Setting that Requires Change. Willow Creek Women’s Hospital is located in Johnson, Arkansas. Willow Creek is a 38 bed hospital specializing in women’s health, including labor and deliver. Currently we practice skin to skin with our mothers and babies post birth for vaginal deliveries. Skin to skin is when an infant is put directly on the mother’s chest after delivery. The infant is dried off and assessed while on the mother’s chest. I work in the operating room and infants are taken to nursey after delivery. The mothers and infants are apart for two to three hours after delivery. I plan to initiate a skin to skin policy in the operating room during cesarean sections. Infants will stay with their mothers in the operating room and will have the opportunity to participate in skin to skin. A.2. Discuss why the Current Nursing Practice needs to be Changed. Approximately 30 percent of deliveries at Willow Creek are performed via cesarean section. Currently, when a mother has a cesarean section, mother and infant are separated for several hours immediately following birth. Separating mother and infant immediately after birth affects them both negatively. Mothers who experience skin-to-skin are more likely to exclusively breastfeed. Infants who experience skin-to-skin immediately...
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...A. Identify a current nursing practice within your healthcare setting that requires change. DEVELOPING OR CREATING AN INDEX TO MINIMIZE RISKS OFPRESSURE SORE 1. Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities...
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...Translational Research Gretna Green Introduction: Translational research is a way of thinking about and conducting scientific research to make the results of research applicable to the population under study and is practiced in the natural and biological, behavioral, and social sciences. The focus of translational research is on removing barriers to multi-disciplinary collaboration, translational research has the potential to drive the advancement of applied science. Translational research includes two areas of translation. One is the process of applying discoveries generated during research in the laboratory, and in preclinical studies, to the development of trials and studies in humans. The second area of translation concerns research is aimed at enhancing the adoption of best practices in the community. Lerman (2003) asserted that translational research often begins when findings from the laboratory are replicated with and extended to clinical populations and problems. Translational research is broader than the traditional term applied research. Applied research is any research that may possibly be useful for enhancing health or well-being. However, through translational research, the same studies (research) would include some action steps in addition to what is normally done in applied research. In translational research the researchers would partner with the community and ask for ideas about how their findings might apply there. Together, they would come up with...
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...The most important exposure to clinical medicine has been through my clinical research at the NIH as a research fellow and Associate Investigator in the Laboratory of Early Sickle Mortality Prevention. This unique position allows me to have direct oversight over the clinical protocols, learn clinical research ethics and guidelines and be active in the clinic in the assessment and treatment of hydroxyurea. Furthermore, my experience has helped me to gain confidence in applying translational research to medicine and amplified my understanding of what it means to provide the best care for underserved patients. When treating a health disparity such as sickle cell disease, each case presents itself with different complications which causes for the doctor to draw upon many resources to determine the best route of treatment and management for the patients. Whether treating sickle cell anemia or a common disease like coronary heart disease I have gathered that the best care is delivered with compassion and respect for all patients and these are the qualities I intend to implement in my practice as a doctor. My liberal arts education has provided different opportunities for me to be active in the community through volunteer and community service. My most satisfying and memorable experience related to community service was my involvement...
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...existing instrument for use in a study? When selecting an existing instrument for a research study, it is important that the researcher select an appropriate instrument that aligns with the objective of the research and minimize bias. Other important factors to consider are the cost or resource needed for the use of the instrument and the quality of the instrument. Additionally, the quality of an instrument can be measure through it’s validity and reliability (Grove, Burns, & Gray, 2013). How does a researcher locate an existing instrument? A researcher can locate an existing instrument by using computer database, online libraries or search engines like CINANHL or Medline by entering the specific instrument or the condition or concept that is being investigated. In addition, existing instrument can also be located in reference books with published measurement tools (Grove, Burns, & Gray, 2013). Part Two: Search and locate an existing instrument that...
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...Translational Research for Practice and Populations Linda Parson Western Governors University February 20, 2016 Translational Research for Practice and Populations A. Identify a current nursing practice within your healthcare setting that requires change. Patients having procedures considered invasive require interaction with a medical device and a patient's mucous membranes. One major hazard of these procedures is the induction of pathogenic microorganisms that could lead to infection. Malfunction of utilizing the correct processes in accurately reprocessing or sterilizing reusable medical devices bears a risk connected with break of the host barriers. Spaulding’s classification is utilized to determine the stage of reprocessing/disinfection a medical device should be exposed to (CDC, 2008). Also, Spaulding’s classification also determines the level of sterilization for a medical device. The classification is as follows (CDC, 2008) • Critical items (such as surgical instruments, which contact sterile tissue • Semicritical items (such as endoscopes, which contact mucous membranes), • Noncritical items (such as stethoscopes, which contact only intact skin) Based on the classification of the device determines whether the device requires sterilization, high-level disinfection, or low-level disinfection, correspondingly. Pre-cleaning must be the most important thing to perform prior to high-level disinfection and sterilization (FDA, 2009) ...
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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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...• • Research roles and responsibilities Policies and Procedures overview Institutional Review Board Office (IRB) NUCATS NURAP Conflict of Interest (COI) Export Controls Innovation & New Ventures Office (INVO) Introduction Introduction Research Administration Training The need for research administration training exists because of the large dollar amounts in research funding and the importance of compliance: • NU received $511.7 million in research funding in FY 2011 • NU ranked 25th in NIH research funding to universities in 2010 • Ensuring compliance remains a federal priority Source: Office for Research Annual Report. (2011): Northwestern University Introduction Research Administration Training Research Administration training helps Northwestern: • Decrease compliance risks • Administer grants more consistently & efficiently • Provide support for research administrators, faculty & staff • Meet federal government expectations regarding training and communication Introduction Training Objectives During this seminar we will: • Explain the research administration process • Discuss the roles & responsibilities of research faculty and staff • Describe the roles of the central research offices • Review the regulatory fundamentals that form the foundation of research administration Introduction Questions? Introduction Roles & Responsibilities Lauran Qualkenbush Director Office for Research Integrity lhaney@northwestern.edu Research Administration...
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...Evidence Based Practices Abstract Quality nursing and outcomes have a strong correlation with evidence based practices, a model that guides patient provider decision making and health care. Evidence based practices uses contentious and judicious use of current best evidence in decision making about the care of individual patients. Strong nursing and organizational leadership is needed to invest in nurses ability and the resources to facilitate evidence based practices. With business principles applied to quality health care the return on investment can increase revenues, saving costs, increases patient safety, and achieves the highest quality care. Keywords: clinical decision making, patient safety, best health care outcomes Evidence Based Practices in Nursing Evidence based practices occurs in many disciplines but most recently it has occurred in the discipline of nursing. Evidence based practices helps to identify and recognize the best health outcomes for patients and their families obtained through clinical expertise and best scientific evidences. Health care professionals are constantly asking questions in regards to health care practices in regards to how and why practices are being performed the way they are. Health care professionals want to know if the way they are caring for a patient is the best way or is there another method that is more effective. In a dynamic health care setting these questions are being asked to ensure quality care and safety for patients...
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...NRS-410V Module 5 Evidence-Based Practice Project—Paper on Diabetes Pathophysiology and Nursing Management of Clients Health – Disorders of the Digestive and Musculoskeletal System Grand Canyon University Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Use of New Technologies to Improve Self-Management Support in Diabetes Patients Name September 5, 2015 NRS-410 Grand Canyon University Instructor: Providing support and care with new technologies like text messages, cell phones and the internet can improve health outcomes that are clinically relevant to diabetes by increasing self-efficacy and knowledge to carry out actions of self-management. There has been a boost in the focus studies put on intervention and diagnostic methods for diabetes and, as a result, there are many materials available concerning how use of cell phones and the internet can improve self-management behaviors in different groups. The following paper...
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...CRITIQUING INTERNET SOURCES Sue Reeves GEN/499 Dr. Elizabeth Brown January 19, 2015 Critiquing Internet Sources The internet is filled with information. Podcasts, videos, and blogs are the most used forms of information on the internet. Three factors that need to be used when evaluating internet sources for use in research are authority, can the speaker be authenticated, and is he qualified to speak on the subject, accuracy, can the information be found in other credible sources, and currency is the information current or when was the last revision to the page? The topic is Elder Abuse, a blog, video, and podcast, have been evaluated pertaining to the subject to show the credibility and reliability of the sources. A blog is a website containing a writer’s or group of writers’ own experiences, observations, opinions, etc., and often having images and links to other websites (Oxford Dictionaries, 2015). The blog Elder Care and Technology is written by a group of writers’ in the Walton Law Firm. The blog explains in detail the impact of modern technology on Elder Abuse. The law firm based in San Diego, California specializes in court cases representing abused elders and their families. The Law firm can be authenticated and has been successful in prosecuting and retaining damages against nursing homes and personal care homes for years (Walton Law Firm, 2014). The blog does...
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...[pic] Society & Health Student Number: 21200042 Activity 1 Action Research It is a research oriented toward the enhancement of direct practice (Smith, 2007). Bias It is systematic error created during the design, measurement, interviewing or sampling. Any influence that distorts the results of a study and undermines validity. (Polit and Beck, 2008). Codes Codes are the combination of data for themes, ideas, concepts and categories making the data easy to search, to make comparisons and to identify any patterns (Sage, n.d.). Construct Construct is the abstract idea, underlying theme, or subject matter that one wishes to measure using survey questions (e.g., health locus of control)( Polit and Beck,2008). Controlled Variable A variable that remains unchanged or held constant in a research analysis (About.com, n.d.). Correlation Degree and type of relationship between any two or more variables in which they vary together over a period and how well can one factor predict another (Polit and Beck, 2008). Critiquing It is a research that involves a careful, complete examination of a study to judge its strengths, weaknesses, logical links, meaning and significance (Nursing Planet, n.d.). Data Data is a piece of information in raw form collected by researcher through observations, experiments or interview. The pieces of information obtained in a study (Polit and Beck, 2008.) Data analysis ...
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...Program Summary Andy Moreno HSM/270 March 8, 2012 Valmarie Turner Overview of the Program The mission of the Madison Children’s Hospital is to be the worldwide leader in improving children’s health by providing the highest quality health care. * Be the leading source of research and discovery * Educate the next generation of leaders in Children Health * Enhance the health and well-being of children and families in our local community Developing a program is a part of a process to achieve the organization’s goal and/or mission. Program planning is an organized and thought out process through which a set of coordinated activities or interventions designed to address and facilitate change in some or all identified problems of a community. Program evaluation provides useful information for improving the programs and the service delivery systems. The evaluation process allows the development of processes to improve or achieve the mission of the organization. The goal of program evaluation is to improve the program planning, effectiveness, design, and efficiency. There two are different processes (process and outcome), but ideally achieve the same purpose, they hold the same goals and/or mission of the organization. Program Evaluation Process and outcome evaluations in a human service setting help the organization not only to better understand the outcomes of their programs (Yuen & Terao, 2003), and the processes in which allows the organization to...
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...Communication barriers in public discourse Document Design 4(1), 22–41 © 2003 by John Benjamins Publishing Co. 23 Inger Askehave and Karen Korning Zethsen Communication barriers in public discourse The patient package insert Keywords: Public communication, asymmetrical communication, target group, genre, patient package inserts The production of expert-to-layperson documents in private and public companies is an area of research that is gradually gaining ground in research communities throughout the world. This article discusses the nature of public communication written by experts or semiexperts and aimed at a large and heterogeneous audience, often potentially the entire population of a country. The article analyzes common barriers to this kind of communication, and considers topics such as the implications of very broad target groups, expertto-layperson communication and the legislative introduction of mandatory genres as opposed to genres which have evolved naturally over time. The case of the patient package insert is outlined as a prototypical example of ‘public communication’ su¬ering from the problems brought about by the existence of these common barriers. Introduction Public documents have long been considered problematic and have attracted the interest of document designers and discourse analysts, not to mention entire movements such as the Plain English Movement. Numerous organizations, committees, and boards have been set up at national and international...
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...time. These genes are frequently expressed at extremely low levels, or not expressed at all when they are not needed and yet made when they are needed. This chapter will examine gene regulation or how bacteria regulate the expression of their genes so that the genes that are being expressed meet the needs of the cell for a specific growth condition. Gene regulation can occur at three possible places in the production of an active gene product. First, the transcription of the gene can be regulated. This is known as transcriptional regulation. When the gene is transcribed and how much it is transcribed influences the amount of gene product that is made. Second, if the gene encodes a protein, it can be regulated at the translational level. This is known as translational regulation. How often the mRNA is translated influences the amount of gene product that is made. Third, gene products can be regulated after they are completely synthesized by either post-transcriptional or...
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