Category: Nursing

  • QI Term Paper

    QI project term paper discussing initiation of starting a term team in ER to help reduce instance of bed sores for border patients.

    Attached Files (PDF/DOCX): QualityImprovementTermPaperGradingRubric282021-2229.pdf, SomeQualityImprovementTools.docx, Reference_Intext_Citation_BasicAPAStyle26FormattingGuide_9-23.pdf, CommonmistakesinProjectPapers.docx, Template_BasicAPA_Paper_9-23.docx, ChangeTheoriesandQITools.docx, QITermPaperEXAMPLE.docx, mainn.pdf, main.pdf

    Note: Content extraction from these files is restricted, please review them manually.

  • Week 8 Assignment 2: Written Testimony

    Instructions

    Refer to the for information about how to complete this assignment. You may also find the to be a helpful resource.

    Please refer to the for details on how this activity will be graded.

    Attached Files (PDF/DOCX): Oral-and-Written-Legislative-Testimony.pdf, Written Testimony Rubric.pdf, Written and Oral Testimony Guide.pdf, Week 8 Introduction.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • Interest groups

    1. Select an interest group (AARP, AHIP, Coalition for Health Services Research, Emergency Nurses Association, Pharma)
    2. Discuss how they are pushing their agenda (i.e., mechanisms used to influence policy makers), key obstacles, and spending (consult the Center for Responsible Politics, www.opensecrets.org)
    3. Investigate the interest groups website and review their position statements, testimony, and consult media reports to obtain more information on the groups lobbying efforts.

    Submission Requirements:

    • Presentation is original work and logically organized. Followed current APA format including citation of references.
    • PowerPoint presentation with 5-8 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
    • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
    • Journal articles and books should be referenced according to current APA style.
    • Complete and submit the assignment by 11:59 PM ET Sunday.
    • Your presentation will be shared with class colleagues during the ZOOM meeting.

    I want the powerpoint to be on AARP

  • CTE framework

    Hello, I need a 2-page paper in AMA format. The document titled “CTE framework” contains the assignment instructions. I have already identified the “CTE” structure. Please double-check as you read the articles. I will also attach the two articles. I provided an article that can serve as one of the references. Please review all bold text for further instructions.

    Attached Files (PDF/DOCX): Sherman et al article on Adjustment to Breast Cancer.pdf, Willingness to Care for AIDS Patients (1).pdf, CTE Framework.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • Case 2

    Part two of a case study

    Attached Files (PDF/DOCX): Smith Ashley CMN-553 Section 811 PMHNP Practicum I Case Study one.docx, Case Study 2 Student Checklist.docx, CASE STUDY 2 TEMPLATE-1 (1).docx, Comprehensive Case Study Part 2.pdf

    Note: Content extraction from these files is restricted, please review them manually.

  • Journal 8

    Psychotic Disorders This reflective journal assignment will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be written similarly to a Discussion Board post and abide by APA writing standards for use of appropriate citations. Your journal should include a minimum of one reference in APA format and be a minimum of 250 words. Review the following articles related to agitation or psychosis management in older adults: The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia Clinical Practice Guideline for Management of Psychoses in Elderly What are the common causes of psychosis in the elderly population? How will you differentiate delusional disorders from delirium or dementia? What medical comorbidities affect the elderly and the choice of treatment? What therapeutic communications can you apply to enhance trust and rapport with a client with psychotic symptoms? Discuss the pharmacokinetic changes that occur with aging. What are the special considerations concerning the choice of antipsychotics in elderly clients? To view the grading rubric for this assignment, please visit the Grading Rubrics section of the Course Resources. REFERENCES Gautam S, Jain A, Gautam M, Gautam A. Clinical Practice Guideline for Management of Psychoses in Elderly. Indian J Psychiatry. (2018). Feb;60(Suppl 3):S363-S370. Reus VI, Fochtmann LJ, Eyler AE, Hilty DM, Horvitz-Lennon M, Jibson MD, Lopez OL, Mahoney J, Pasic J, Tan ZS, Wills CD, Rhoads R, Yager J. The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia. Am J Psychiatry. (2016). May 1;173(5):543-6. SUBMITTING YOUR WORK: Submit your assignment to the unit Dropbox before 11:59 p.m. (ET) Tuesday. When you are ready to submit your assignment, select the unit Dropbox, then attach your file. Make sure to save a copy of the assignment you submit. NOTE: You will not be able to access the Dropbox until the Unit 7 Learning Activity and the Unit 7 Quiz are completed.

    Attached Files (PDF/DOCX): JOURNAL8673.docx, 551assignment8.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • discussion 4

    respond to this discussion with 150-200 words

    Reflection Discussion #4

    by – Number of replies: 1

    Yani Cabrera

    Miami Regional University

    MSN 5400

    Dr. Raysa Hache

    February 16, 2026

    Throughout this Healthcare Policy and Delivery Systems course, I have gained a deeper understanding of the significant impact healthcare policy has on patient care, access to services, and overall health outcomes. Before taking this course, I was aware that policies influenced healthcare systems, but I did not fully realize how directly they affect clinical decision-making and patient access to care. For example, insurance coverage policies, including Medicaid eligibility and preventive care coverage, play a critical role in whether patients seek timely care. In my clinical experience, I have observed patients delaying treatment due to lack of insurance or limited coverage, which often results in worsening health conditions. This course helped me understand how healthcare policies can reduce disparities and improve population health outcomes (American Association of Nurse Practitioners [AANP], 2023).

    Advanced practice nurses (APNs) play an essential role in shaping healthcare policy and improving delivery systems. As future nurse practitioners, we have the responsibility to advocate for policies that improve access to care and promote health equity. I see myself contributing by supporting policy initiatives, participating in professional nursing organizations, and advocating for vulnerable populations. APNs are in a unique position to influence healthcare reform because of their direct patient care experience and understanding of healthcare system challenges (Heinen et al., 2021).

    I plan to integrate healthcare policy knowledge into my daily practice by staying informed about policy changes through professional journals, continuing education, and nursing organizations. This knowledge will help me provide safe, effective, and evidence-based care. Additionally, I will advocate for patients by ensuring they have access to appropriate healthcare services and resources.

    This course has contributed to my personal and professional growth by strengthening my confidence as a future healthcare leader and advocate. I now recognize that nurses play a critical role not only in patient care but also in influencing healthcare systems and policies to improve patient outcomes.

    References

    American Association of Nurse Practitioners. (2023). Nurse practitioners in health policy and advocacy.

    Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2021). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 77(3), 13181331.

    Requirements: 150-200

  • Discussion 3

    • Respond to a peers (150-200 words each) using 1 APA reference.
    • Discussion #4Manuel PortilloMiami Regional UniversityMSN 5400 – Healthcare Policies and Delivery Systems02/20/26 This Healthcare Policy and Delivery Systems course has significantly deepened my understanding of how healthcare policy directly shapes patient care, access to services, and overall health outcomes. Before this course, I viewed policy as something distant from bedside practice. I now recognize that policies related to reimbursement, scope of practice, insurance coverage, and social determinants of health directly influence the care patients receive. For example, policy changes around nurse staffing regulations can directly impact patient safety and care quality. Research shows that health policy interventions are associated with measurable effects on nursing quality indicators and patient outcomes, such as staffing levels and reporting standards, which in turn affect care delivery and clinical results (Alalwi et al., 2025). Thid course also helped me strengthened my understanding of the role of Advanced Practice Nurses (APNs) in shaping healthcare delivery systems. APNs are not only clinicals but also advocators for their patients that can influence policies in the state and national levels. Scope-of-practice regulations, for instance, significantly affect APN autonomy and patient access to care. As I transition into an advanced role, I see myself contributing through professional nursing organizations, engaging in legislative advocacy, and participating in quality improvement initiatives that align with policy reform efforts. I plan to integrate the knowledge that I have collected through years of experience as a nurse and the knowledge I have gather in this program and integrate all this in my daily practice and by staying informed about healthcare legislation, reviewing policy updates from professional associations, and joining hospital committees that address system-level improvements. Understanding how regulatory frameworks affect care delivery allows me to think beyond individual patient encounters to broader system implications. Professionally, this course has helped me grow as a leader and change agent. I now feel more confident analyzing policy issues and recognizing opportunities for advocacy. Nurses play a critical role in influencing healthcare reform and improving outcomes.ReferenceAlalwi, A., Mhlanga, R., Alharbi, S., Alsultan, S., Aleissa, A., Bohassan, H., & Budayr, I. (2025). The impact of health policy on nursing quality and patient care outcomes: A comprehensive systematic review. Open Journal of Nursing

    Requirements: 150-200

  • Discussion 2

    Please create a response for this discussion of about 200 words



    Tools Used to Evaluate Statistical Significance

    Evaluating statistical significance is a central step in research because it helps determine whether study findings are likely due to chance or reflect a true effect. The concept of significance is fundamental in healthcare and nursing research in order to make evidence-based clinical decisions. P-values, confidence intervals, effect sizes, and hypothesis testing models are the typical methods of statistical analysis to identify whether the results are meaningful and reliable.

    The p-value is one of the most widely used tools for evaluating statistical significance. It is the likelihood of seeing the study results, or even more drastic results, in case the null hypothesis were true. Conventionally, a p-value lower than .05 is a sign of statistical significance, which implies that observed results could not have happened by accident (Polit and Beck, 2021). The use of p-values alone has, however, been condemned, as there is a possibility that the statistical significance may not be reflected in clinical significance. What is statistically significant and small in a large sample may not be of practical use in patient care.

    Confidence intervals (CIs) give more detailed information than the p-value. A confidence interval is used to estimate the confidence interval in which the real population parameter will fall. In a case, say we have a 95 percent confidence interval, which indicates that on repeated occurrences of the study, 95 percent of intervals would cover the true value. The confidence intervals also provide data concerning accuracy. The narrow interval suggests more accurate estimates, and the wide interval reflects variability and uncertainty (Melnyk and Fineout-Overholt, 2023). Confidence intervals, as opposed to p-values, enable researchers to determine the statistical significance as well as the potential clinical impact.

    The other important tool that is employed to determine significance is the effect size. The p-value will give the answer as to whether or not an effect exists, whereas the effect size will give a measure of the size of the effect. Measures of common effect size are odds ratios, relative risks, and Cohen’s d. The presence of effect sizes makes research interpretation strong since it differentiates whether the results obtained have a practical meaning. In the context of the advanced nursing practice, especially the nurse practitioner, the knowledge of effect size is essential during the translation of the research outcomes to the patient care recommendation.

    The evaluation is conducted based on hypothesis testing frameworks that comprise null and alternative hypotheses. Statistical analysis makes researchers reject or fail to reject the null hypothesis. Contemporary studies, however, promote the use of statistical evidence in conjunction with clinical judgment, theoretical stuff, and patient-centered arguments instead of numerical limits.

    In summary, evaluating statistical significance requires more than simply checking whether a p-value is below .05. Effect sizes, confidence intervals, and considerate hypothesis testing give a more in-depth interpretation of research results. With the tools, evidence-based practice nurses assist in informed clinical decision making and enhanced patient outcomes through the support of both the statistical and real significance of the interventions.

    References

    Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

    Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer. lease create a response of 200 words for this discussion

    Requirements: 200

  • discussion 1

    Please create a response to this discussion of 200 words



    Week 7 Discussion

    Francy Perez Rodrguez

    Miami Regional University

    Advanced Nursing Inquiry and Evidence Based Practice

    Master of Science in Nursing. Family Nurse Practitioner

    Professor: Dr. Emelio Garcia DNP, FNP-BC

    February 19/2026

    The Pearson ChiSquare Test in Nursing Research

    The chisquare test (Pearson test) is a non-parametric statistical test that is one of the most widely used tests of two categorical variables in health and nursing research Parametric statistical tests usually rely upon having an interval scale of measurement and an assumption of normality being fulfilled, and so the chi square test is often used when the data are nominal or categorical The distribution is also useful for testing whether the frequencies or counts of outcomes between two or more groups are different without making assumptions about their distribution

    The aim of a Pearson chisquare test is to determine whether one of more of the observed frequencies of one or more cells differs from what we would expect under the null hypothesis that the two groups are not associated It is effectively asking whether the distribution of the categories (eg the outcome rate) is different than random For example, to test whether there’s a difference in the rate of wound infection between groups of subjects wearing one type of bandage compared to one wearing a different type of bandage, a chi-square test would be appropriate

    Customarily, chi-square tests can be divided into three categories, goodness-of-fit tests (for determining whether a categorical variable follows a population distribution), tests of independence (for determining whether two categorical variables are related) and tests of homogeneity (for determining whether a categorical variable is distributed differently between populations) The chi-square test of independence is the most commonly used chi-square test in nursing research (eg, chi-square tests to determine whether patient education level is associated with adherence to a care protocol)

    The Pearson chisquare test builds a contingency table by counting the number of observed occurrences of a variable in a given category or cell It then creates a test statistic by dividing the sum of the squares of the difference between observed and expected values for the cells by the expected value and comparing that result to a chi-square distribution A statistically meaningful association is present if this pvalue is smaller than a level of importance (often termed alpha or alpha level) commonly set at <005

    Although useful, the Pearson chisquare test has some limitations when used in nursing research For example, the assumptions underlying the test must be satisfied including having expected counts be large enough The test also assumes that the observations are independent, ie the outcome of one subject does not affect the outcome of another Where these assumptions are not met, Fisher’s exact test may be more appropriate

    Conclusion The Pearson chisquare test is an important analytic method in nursing and healthcare research studies When appropriately used, the Pearson chi-square test allows nurses and other healthcare researchers to determine statistically meaningful relationships in categorical data and use that information to make decisions based on the probability that those associations are not due to chance

    References

    McHugh, M. L. (2013). The Chisquare test of independence: A nonparametric tool for nominal data. PMC.

    Valarmathi, S., Hemapriya, A. S., & Sundar, J. S. (2024). Chisquare tests: A quick guide for health researchers. International Journal of Advanced

    Research.

    Kim, H. Y. (2017). Chisquared test and Fishers exact test.

    PMC.

    Requirements: 200