Category: Nursing

I require a two chapters writing regarding ( Improving the quality of life of nursing staff working in long term care facilities to improve healthcare delivery outcome )
Include quality of life tools
education of nursing staff and its impact on building resilience and confidence
Improving long term care staff mental health
how to enable nursing staff to improve their physical health to decrease absenteeism
if there is anything more that can assist in this it would be good
Chapter 2 Literature Review: This chapter should be a systemised review (Grant & Booth, 2009) that draws extensively on the literature relevant to your area of change. A short descriiption of your search strategy, indicating the process by which you found and selected the relevant publications, should be included. A PRISMA diagram can be used to visualise this process. It should detail the parameters set for your review, such as search terms and search strings, databases used, date parameters, types of literature and inclusion / exclusion criteria. You should also state the number of articles or literature you have included in the review and the process by which this occurred. The review should provide a synthesised critique of the literature on the project topic area. Additionally, it should outline the implications of this literature for the project and provide evidence to support the rationale for change. The Literature Review should conclude with a brief overall summary of the findings and implications for the project. The chapter should include the following:
2. Methodology of the Literature Review 2.1 Introduction
2.2 Purpose
2.3 Study Design
2.3.1 Identifying the Research Question
2.3.2 Statement of Aims (similar to the research aims)
2.3.3 Identifying Relevant studies
2.3.3.1 Search Strategy
2.3.3.2 Study Selection
2.3.3.3 Charting the Data
2.3.4 Collating, Summarising and Reporting the Results
2.4 Summary and conclusion of chapter and link into next chapter
Chapter 3 Results of the Literature Review: This chapter presents the findings of the literature review. You should also state the number of articles or literature you have included in the review and the process by which this occurred. This chapter should provide a synthesised critique of the literature on the project topic area. Additionally, it should outline the implications of this literature for the project and provide evidence to support the rationale for change. The Literature Review should conclude with a brief overall summary of the findings and implications for the
project. The chapter should include the following:
3. Results of the Literature Review
3.1 Introduction
3.2 Literature Search Characteristics -number of studies, number excluded/included etc
3.3 Theme/variable 1
3.3.1 Subheading 1
3.3.2. Subheading 2
3.3.3. Subheading 3
3.4 Theme/variable 2
3.4.1 Subheading 1
3.4.2. Subheading 2
3.4.3. Subheading 3
3.5 Theme/variable 3
3.5.1 Subheading 1
3.5.2. Subheading 2
3.5.3. Subheading 3
3.6 Summary and conclusion of chapter and link into next chapter
add a reference list to all applicable , at least 20 papers to be included,
the attached file is a first draft of the chapter before the requested ones, just for a total idea
you can use CINAHL and PUBMED

I have attached my literature review below and the guidelines. All I require is a discussion or conclusion at the end of the literature review (before the references) and a brief conclusion in the abstract.
Please look at the points to insert in the conclusion. They are explained in the guidelines.

It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.
To prepare:
Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.
View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study. For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.
Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.
Succinctly, in 1–2 pages, address the following:
Briefly explain the neurobiological basis for PTSD illness.
Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.
Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Step 1 The scenario:
Your unit has hired a new nurse who has never worked with patients diagnosed with endocrine disorders. As a veteran nurse, you will provide guidance to the new nurse and help her locate the information she needs to properly assess her patients.
Step 2 Select an endocrine disorder other than diabetes mellitus for this discussion and, if necessary, research the clinical manifestations of the disorder.
Step 3 Describe the alterations in endocrine functioning associated with the disorder you have chosen. Be sure to cite all sources used and provide a reference using proper APA formatting.

Literature Review
-conduct A thorough literature review to explore the molecular pathophysiology of the chosen disease.
-Identify and analyze peer reviewed articles, research studies, and/or scholarly sources to define molecular mechanisms, genetic factors, environmental triggers, and/or immunological pathways associated with the condition.
Pathogenesis
-provide a detailed analysis of the molecular mechanisms underlying the pathogenesis and progression of the chosen disease. This may include genetic predisposition, dysregulation of immune responses, cellular signaling pathways, and tissue-specific effects.
Clinical Correlation
-correlate the identified molecular pathways with the clinical manifestations and symptoms of the chosen disease.
-Discuss how an understanding of the molecular pathophysiology can inform clinical assessment, diagnosis, and treatment decisions.
Conclusion
-Recap points discussed in paper
-Importance of understanding pathophysiology as an advanced practice nurse.
References
-Please include at least 3 references on its own page, within the last 5 years with included in-text citations.

Answer questions on word document based on this subject written below.
My Proposed DNP Practice Change Project PICOT Question
In Black American adults (P), how does implementing cultural competency training for healthcare providers (I) compared to no training (C) affect health outcomes related to diabetes management, such as HgbA1c levels (O) over 6 months (T)?

Sources older than five years may not be used without the permission of the class instructor.
Follow APA guidelines as found in the most current edition of the manual.
Submission: Submit your files via the assignment upload: Last name_First initial_Module 3 Assignment_Project Professional Practice Issue #MSN Project. Also, please remove verbiage in item 6 related to a “paper”. This assignment uses a template.
Make sure to submit all forms completely filled out in the required areas. Include a title page and the forms below as appendix.
Title Page
Project Professional Practice Issue form
Rules of grammar, spelling, word usage, punctuation, and sentence and paragraph structure are followed and consistent with formal, scholarly writing, as noted in the most current edition of the APA Manual.
Rules of grammar, spelling, word usage, punctuation, and sentence and paragraph structure are followed and consistent with formal, scholarly writing, as noted in the most current edition of the APA Manual.
I would like the subject to be on the issue of overutilization within your ACO patient population. Analyze the trends and patterns in service utilization from your chart audits. Identify instances where services might be unnecessary or excessive.

Read/review the following resources for this activity:
Textbook: Chapter 7, 8
Lesson 3
APA style manual
Citation and Writing Assistance: Writing Papers At CU
Library Overview
How to Search for Articles – the Everything Tab
Instructions
Social Movements are only as important as the person leading them. The person(s) leading a social movement must have charisma and be able to captivate an audience. Political scientists and historians are taught to analyze body language, especially during debates and speeches.
For this assignment, you will watch Dr Martin Luther King’s I Have a DreamLinks to an external site. speech and a speech by Alicia Garza of the Black Lives Matter movementLinks to an external site. and answer questions listed below. Pay special attention to the following aspects in the two speeches.
Importance of body language while delivering the speech.
Gestures, cadence and delivery style.
Answer the following:
Provide a summary of the two speeches.
Compare Dr. King’s leadership, charisma, power and passion to capture his audience to Alicia Garza’s speech. What are the similarities, if any? What are the differences, if any?
How does the location of the speeches support their messaging? Dr. King’s speech was held in a church and at the Lincoln Memorial, whereas today we have social networking and more avenues to relay messages. Does messaging make a difference?
Describe how the audience in Dr. King’s speeches relate to the Alicia Garza’s audience. Do you see a similarity or differences in the speeches and in the audience?
Requirements
Length: 2-3 pages of substantive content
12 pt font
Parenthetical in-text citations included and formatted in APA style  
References page (a minimum of 2 outside scholarly sources plus the textbook and/or the weekly lesson for each course outcome) .
Title and introduction pages are present.
book
The Struggle for Democracy, 2018 Elections and Updates Edition
Edward S. Greenberg; Benjamin I. Page

In today’s case study we have a 46 year old with mid chest pain worse with eating. The key to this case study is the “worse with eating” component. Our patient has been eating more lately with work, and states the pain is worse when laying down. This points towards acid reflux which is often worse while laying down. The acid will follow gravity and moving upwards and causing pain. There does not appear to be any signs pointing to cardiac nature here. No shortness of breathe or cardiovascular risk factors. Of course we would need to ask the appropriate question to rule out any cardiac pathology. The questions we could ask to rule out angina would be to ask about shortness of breathe, diaphoresis, pain with exertion, and cardiac history.
Peer Responses:
Length: A minimum of 170 words per post, not including references
Citations: At least two high-level scholarly reference in APA per post from within the last 5 years
If cardiac pathology is ruled out than this becomes an abdominal focused assessment. Our patients mid chest pain is in the middle upper gastric area and is likely caused by the increased eating and lack of GI motility. Our top differential diagnosis would be GERD. The treatment for GERD would be lifestyle, diet, and a proton pump inhibitor (Maret-Ouda et. al., 2020). Hopefully with smaller meals, and not eating before bed our patient can get improvement. I would also recommend smaller bland meals. I would recommend a short term drug therapy of protonix 20mg po daily and re-evaluate the patient in the next 4-6 weeks.
Some of the other pathologies on the differential would include esophagitis and gastritis. It an be difficulty to definitively diagnosis gastritis without an upper GI scope. Endoscopy techniques are improving and the types of lights used can aid in accurate diagnosis (Rugge, et. al., 2021). With an upper scope gastritis can be diagnosed when reddening or edema of the gastric mucosa is found (Rugge, 2021). Gastric atrophy and the presence of H. Pylori can be precursors of cancer (Rugge, 2021). Therefore GI scope and biopsy in complicated cases of prolonged nausea, vomiting and abdominal cases can be warranted. Maret-Ouda, J., Markar, S. R., & Lagergren, J. (2020). Gastroesophageal reflux disease: a review. Jama, 324(24), 2536-2547.
Rugge, M., Savarino, E., Sbaraglia, M., Bricca, L., & Malfertheiner, P. (2021). Gastritis: The clinico-pathological spectrum. Digestive and Liver Disease, 53(10), 1237-1246.

Give your rationale for acquiring the DNP (Doctor of Nursing Practice) degree with at least one reference. Explain how you will focus your DNP project on improving quality and access to care. Summarize briefly your background professional experience and service related to specialty chosen and rationale for choosing that specialty as it relates to your career goals Notes:
Degree/ specialty: Doctor of Nursing Practice – Pediatric Nurse Practitioner Professional experience: Maternal/ newborn nurse
Almost 7 years caring for low to moderate risk newborns and postpartum women of childbearing age 3 years medical/ surgical nursing experience
Constantly watched my Pediatrician dad take great care of his patients when I would go to the hospital with him and it sparked an interest in me that grew into a real passion for caring for this demographic This passion fueled me to go into maternal newborn nursing I continue to watch Pediatricians and Pediatric Nurse Practitioners,at work everyday, care for these patients which reaffirms my plan to pursue a career in this field and continues to grow my passion even more
Even when I temporarily changed specialties outside of maternal newborn nursing, my passion for the specialty, particularly newborn care was so great, I returned to the specialty
I have a passion to help children successfully reach each milestone and become the best of their capabilities
My goal is to make a meaningful contribution toward the health of the general public by helping to enhance the lives of future generations