Why do you think the filmmakers began the movie with the Florence Nightingale pledge? How did Nurse Evers uphold or violate this pledge? b. Discuss in detail the main ethical issues involved in the early stages of doing
Lesson 2 – Discussion
Subject Research Participants Protection
Instructions:
1. Watch Miss Evers’ Boys Full Video (01:57:58)Links to an external site., and respond to the following questions:
1.
a. Why do you think the filmmakers began the movie with the Florence Nightingale pledge? How did Nurse Evers uphold or violate this pledge?
b. Discuss in detail the main ethical issues involved in the early stages of doing research with the participants.
c. Is informed consent necessary in this case? Why or why not?
d. How would you protect this specific subject from harm?
e. Suppose you were in Ms. Evers’ shoes. What information will you provide to the participants to ensure informed and voluntary consent?
f. What advice would you offer Nurse Evers if she asked how you would have handled her situation?
2. Initial post: Respond to the questions posted in discussion 2 using citation and references (at least 240 words)
3. Peer response: Read your classmate’s post comment on one classmate’s post and reflect on what you witnessed in the film.
Lesson 3 – Discussion
The Clinical Problem that Needs an Answer
Although the Literature Review assignment is not due for a few weeks, I would like you to start asking questions that you might like to have answered through reviews of the available research.
Thinking about your practice, what is THE question in your clinical setting would most like to have your answer? Please talk with your supervisor or colleagues to get some ideas about what your agency considers most important. What do you think that agency would MOST like to answer?
Instructions:
1. From practice, develop and share a clinical problem (question) in your clinical practice that needs an answer.
2. Title the discussion with the specific problem.
3. Initial post: Your post should be within a range of 75-150 words (Think about a Twitter post).
a. The initial post is due Wednesday at midnight.
b. Think about what makes the problem (question) important. Use studies or examples to substantiate your claims.
c. What is the current practice?
d. What is the focus of the problem (clinical, educational, administrative)?
e. How was the problem identified (safety, risk, injury, quality improvement).
4. Peer response: Identify two (2) students that may share the same interest. Welcome them to the course and make a meaningful comment on their questions.
5. Cite your references APA 7th ed. (not included in the length of the post). I look forward to reading your questions!!
6. To see rubric, click on the 3-dot menu on the top-right side of screen.
Lesson 4a – Discussion
Formulate a PICOT Question
The objective of this discussion is to introduce students to Evidence-Based Practice by teaching them to pose specific questions of importance for their practice. Therefore, for this discussion, you will be developing and writing your own clinical-oriented (PICO(T)) questions as discussed in the learning module.
Instructions:
1. Instructions:
1. Questions are the driving force behind EBP. If there were no questions, EBP would be unnecessary. Using the identified clinical problem in discussion #3.
2. Formulate a PICOT question by identifying:
A. P – Patient or Problem: Who is the patient? What are the most important characteristics of the patient? What is the primary problem, disease, or co-existing condition?
B. I – Intervention: What is the main intervention being considered?
C. C – Comparison: What is the main comparison intervention? (optional)
D. O – Outcome: What are the anticipated measures, improvements, or effects?
3. Convert this PICOT to a clinical question.
4. indicate the best study method to answer this PICOT question (use the PICOT worksheet Download PICOT worksheetand attached to this discussion post).
5. Title the discussion with the PICOT question.
6. Initial post: Your post should be within a range of 150-240 words.
7. Peer response: Identify two (2) students that may share a similar question and invite them to discuss the topic (be engaging, these classmates may become your group partners for the EBP project).
8. Cite your references APA 7th ed. (not included in the length of the post).
Ebp part 1
This is the first page of your EBP Group Project paper.
Instructions:
1. Work with your group to develop a one-page topic proposal that should include:
o Identify the topic for your proposal. Why this topic is important (mortality, morbidity, burnout, medical errors).
o Identify the intervention. Why this intervention may work. What is the evidence?
o Identify the rationale for selecting this intervention ( gap of knowledge: not much is known, ).
o What are you trying to improve?
o Why did your group select this problem?
2. Clear concise justified statement of purpose of the project (the purpose of this project is to investigate the effectiveness of low molecular heparin when compared to regular heparin in preventing new blood clot formation).
3. The goal for this practice improvement project should be to “tell the story” of your improvement project.
4. This project should be preparatory work for your practice improvement paper and class presentation (it must be submitted to the instructor for approval).
5. Use APA 7th ed. for citations and reference page.
6. See rubric.
7.
Critical Evaluation of a Research Paper
The purpose of this assignment is to demonstrate your ability to evaluate one quantitative or qualitative nursing research article of interest from any refereed nursing journal. Writing a critical review of a journal article can help to improve your writing and analytical skills. By assessing the work of others, you develop skills as a critical reader and become familiar with the types of evaluation criteria necessary to translate the evidence to practice.
Instructions:
1. Choose one primary research (1) article used in the literature review—less than five years or if you prefer in the EBP project. It is preferable to use a randomized controlled trial or the highest level of evidence. Attach a copy of the article.
2. Write a 1-2 page critique on the article (excluding cover and reference page).
3. Format references and citations using 7th ed. APA guidelines.
4. Read the Johns Hopkins nursing evidence-based practice: model and guidelines and use Appendix E critically Download Appendix E criticallyappraise from the article.
5. Begin your critique by identifying the:
o article’s title
o author(s)
o date of publication
o name of the journal or other publication in which it appeared
o and when was the article published
6. In your introduction, you should briefly describe the purpose and nature of the study and, if applicable, its theoretical framework. If the paper was not published in a peer-reviewed journal, consider the credibility of the publication in which it appeared.
7. If you are reviewing a research study, organize the body of your critique according to the paper’s structure.
8. Did the researcher identify the gaps in the knowledge?
9. Did the researcher identify the purpose of the study?
10. Write a brief description and analysis of the strengths and weaknesses of the research design and methodology. For example:
a. How does the method reflect other studies of the same topic? (sample, data collection, setting).
b. What makes this method feasible? (quantitative, qualitative, mixed methods).
c. How realistic is it? How does the method address questions of validity? (independent, dependent variables).
d. How does the researcher overcome the limitations of the method?
e. Are there large limitations or minor ones?
f. How will these limitations affect your ability to use this data to answer your research question?
11. Describe the results by answering:
a. How were the results interpreted?
b. How were they related to the original problem (author’s view of evidence rather than objective findings)?
c. Look at DISCUSSION are the author(s) able to answer the question (test the hypothesis) raised?
d. Did the research provide new factual information, a new understanding of a phenomenon in the field, a new research technique?
e. How was the significance of the work described?
f. Did the reported observations/interpretations support or refute observations or interpretations made by other researchers?
g. Did the researcher report limitations.
12. Describe the significance of the research by answering:
a. Did the research make a significant contribution to human knowledge?
b. Did the research produce any practical applications?
c. What are the nursing implications of this research?
d. How do you evaluate the significance of the research?
13. Papers will be graded by rubric. Please take time to review the rubric so that you are aware of the expectations for the research critique paper.
DiscussionLesson 4b – Discussion
Conducting the Evidence Search
The purpose of this discussion is to teach students to use electronic databases and methodological filters to select the most relevant evidence to answer the clinical questions. A secondary purpose of this assignment is to teach students to format citations according to the American Psychological Association Style Handbook (7th Edition).
Instructions:
1. For this discussion, you will use the PICO question you generated for the previous discussion (Use the PICO worksheet attached to this discussion).
2. Select the most appropriate databases using information from the MDC Library databases. Explain in a short paragraph why you selected each one.
3. Find synonyms for Population, Problem, Intervention, Comparison, Outcome. Fill out the list with synonyms.
4. Using the advanced search feature, conduct separate searches for each of the above PICO, using “OR” with synonyms. Check for the number of hits for each search and revise as necessary.
5. Using the search history feature, combine PICO searches, using “And.”
I. Make note of the number of hits.
II. Revise the searches combined, if necessary.
6. Use methodological filter terms, first for systematic reviews, randomized control trials, cohort studies, etc. Note the number of studies found after applying the exclusion and inclusion criteria).
7. Limit your searches to five (5) years.
8. Write a paragraph describing the process ( this is the method section of the literature review).
9. Title the discussion with the PICOT question.
10. Initial post: Your post should be within a range of 200-300 words.
11. Peer response: Identify two (2) students that may share a similar question and make significant comments in their Search methodology (can it be replicated?).
12. Be active because it may help you form a group for the EBP paper.
13. Cite your references APA 7th ed. (not included in the length of the post).
14. To see rubric, click on the 3-dot menu on the top-right side of screen.
DiscussionLesson 5 – Discussion
Locate and Identify the “Best Levels of Evidence”
The final step to the perfect PICO search is to determine the level of evidence within each relevant article. In searching for the best available evidence, a hierarchy exists regarding the level and strength of evidence (see Fig. below). As you review the journal articles found in discussion 4, select those that are based on the highest level of evidence.
Text alternative for Levels of Evidence Pyramid diagramLinks to an external site.
EBM Pyramid and EBM Page Generator, copyright 2006 Trustees of Dartmouth College and Yale University. All Rights Reserved.
Produced by Jan Glover, David Izzo, Karen Odato and Lei Wang.
Instructions:
1. Review and use the John Hopkins Appendix H Form Download John Hopkins Appendix H Formto locate and identify the best level of evidence to answer your developed PICOT question for the Literature Review (attached the completed form to this discussion).
2. Title the discussion with the PICOT question.
3. Initial post: Your post should be within a range of 150-200 words and respond to the following question?
1. Identify the level type of category of the evidence for the literature review.
2. Now that you see all the studies together identify the overall strength of the evidence (strong, compelling, etc.).
3. Now ask yourself what can be implemented why or why not (feasibility).
4. Peer response: Identify two (2) students that may share a similar question and share with them the purpose of your literature review (1 sentence eg. The purpose of this review is to examine the effects of hydrotherapy on reducing foot edema among chronic CHF diagnosed patients). Comment on their purposes and invite them to join your EBP group.
5. Cite your references APA 7th ed. (not included in the length of the post).
6. To see rubric, click on the 3-dot menu on the top-right side of screen.
Lesson 6 activity
Reading a Research Article
Instructions:
1. Go to the MDC database CINAHL (exercise your knowledge of searching) and search the following article (A copy is also provided below):
o Jaun, F., Boesing, M., Lüthi-Corridori, G., Abig, K., Makhdoomi, A., Bloch, N., Lins, C., Raess, A., Grillmayr, V., Haas, P., Schuetz, P., Gabutti, L., Muser, J., Leuppi-Taegtmeyer, A. B., Giezendanner, S., Brändle, M., & Leuppi, J. D. (2022). High-dose vitamin D substitution in patients with COVID-19: study protocol for a randomized, double-blind, placebo-controlled, multi-center study-VitCov Trial.Links to an external site. Trials, 23(1), 1–11.
o High-dose vitamin D substitution.pdf Download High-dose vitamin D substitution.pdf
2. Remember, there are Original research articles that are based on an experiment or study. Often they follow the IMRAD format: introduction, methods, results, and discussion, and Review articles (literature reviews) are written to bring together and summarize the results/conclusions from multiple original research articles/studies. This analysis will be performed in a research study, you may copy and paste the responses.
3. Find the Research Problem/Hypotheses: Often authors will refer to the purpose of the study. This is often articulated in the abstract, introduction, or background.
4. Find the purpose statement?
5. Find the study design?
6. Identify the participants. How were these chosen?
7. Identify the control group.
8. Identify the intervention?
9. outcomes (what was measured).
10. What were the results?
11. Where are the hypotheses rejected or accepted?
12. Limitations.
Module 1 – Discussion
Health Care Innovation Changes
In 2019, community health workers relied heavily on in-person interactions, home visits, and paper-based or basic electronic documentation to coordinate patient care. Much of their work involved physically traveling to clients’ homes, conducting health screenings, providing education, and connecting individuals to resources. Although effective, these methods were time-consuming and limited by geography, transportation challenges, and scheduling constraints. Follow-up could also be inconsistent if patients missed visits or lived in remote areas.
Today, advances in mobile health (mHealth) applications and telehealth technology have transformed how similar tasks can be accomplished. Many assessments that once required in-person visits can now be completed through secure video calls, app-based surveys, remote monitoring devices, and automated reminders. Community members can receive health education instantly through phone apps, while digital platforms allow seamless communication between patients, nurses, and interdisciplinary teams. Apps can track blood pressure, glucose levels, medication adherence, mental health symptoms, and lifestyle behaviors in real time, allowing healthcare providers to intervene earlier when concerns arise.
This shift increases accessibility, especially for individuals with mobility limitations or those living in rural or underserved communities. Telehealth also enhances continuity of care by enabling consistent follow-up, reducing missed appointments, and empowering patients to engage actively in their own health management. While community health workers remain essential, technology now amplifies their reach and efficiency, ultimately improving population health outcomes.
Discussion:
How do you believe the shift from traditional community health work in 2019 to the use of mobile health apps and telehealth has improved patient care and access? In your response, discuss at least three ways this new trend is better.
1. Write an original post (at least 240 words or more) on your thoughts, feelings, and examples. Use at least one reference to support your ideas.
2. Respond to one (1) of your classmates’ postings with 100 words or more, including a reference as well.
3. To see the grading rubric, click on the 3-dot menu on the top-right side of screen.
Module 1
Healthcare Systems
Instruction:
1. Watch the video https://www.youtube.com/watch?v=h4rg-DJBd34Links to an external site.Links to an external site. that chronicles healthcare systems in five countries.
2. Choose and compare three (3) healthcare systems from the video.
3. Create a maximum of ten (10) slides for a PowerPoint presentation that includes:
a. Information on the country’s policy
b. Implementation in healthcare
c. The effectiveness of the policy and finance/cost considerations.
d. Effects on health services
e. What educational and legal requirements are in place to become a nurse for the healthcare systems you chose to compare?
4. Upload your PowerPoint file to this assignment by clicking “Upload File.“
Module 2 concept
Concept Map
Instruction:
1. Read Chapter 5 – The Health Care Delivery System in The Future of the Public’s Health in the 21st CenturyLinks to an external site..
2. Download the Concept Map Download Concept Mapand fill in the six concepts that you found are important to provide equitable healthcare services.
3. Upload your Concept Map, by clicking “Upload File“.
To begin the Module 2 – Concept Map Assignment, click on “Start Assignment” above (located – top-right side of screen).
Module 2 – Discussion
Healthy People 2030
Instructions:
1. Review the Social Determinants of HealthLinks to an external site. on the Healthy People 2030 website.
2. Select one (1) of the domains and post how nurses can increase focus and awareness on this topic at the level of your community.
3. Write an original post (at least 240 words or more) on your thoughts, feelings, and experiences.
4. Use at least one reference to support your ideas.
5. Respond to one (1) of your classmates’ postings with meaningful answers. Include a reference with your response.
6. To see the grading rubric, click on the 3-dot menu on the top-right side of the screen.
Module 2
Epidemiology Graph
Instruction:
1. Choose an epidemiology graph of a chronic disease of your choice in a developing country.
2. Explain in one (1) paragraph why you chose that graph.
3. Describe in one (1) paragraph what the graph is illustrating.
4. Another paragraph should explain how the data from that graph may forecast the future of that disease and country.
5. Be sure to include the graph in your document.
6. This assignment should be a minimum of 2 pages.
· Page one includes the paragraphs for items 2, 3, and 4.
· Page two should include the graph, with a reference to where the graph was obtained.
· Cite your source according to the APA Style GuideLinks to an external site..
7. Type your paragraphs in a Word document and save the file.
8. Upload your document to this assignment by clicking “Upload File.
Module 3 – Discussion
Primary, Secondary, and Tertiary Prevention
Instructions:
1. Choose an acute or chronic disease that affects the world today.
2. List one (1) primary, one (1) secondary, and one (1) tertiary public health intervention that could be applied to minimize disease burden.
3. Write an original post (at least 240 words or more) on your thoughts, feelings and experiences.
4. Use at least one (1) reference to support your ideas.
5. Respond to two (2) of your classmates’ postings with meaningful answers.
6. To see the grading rubric, click on the 3-dot menu on the top-right side of screen.
Module 4 – Discussion
Ethics in Action
Instructions:
1. Watch the short video Ethics in Action – Drivers of Migration, Human Trafficking, and Modern SlaveryLinks to an external site..
2. Choose one (1) of the five basic ethical principles listed below and describe how it applies to the issues in the video:
i. Autonomy
ii. Justice
iii. Beneficence
iv. Non-maleficence
v. Fidelity
3. Write an original post (at least 240 words or more) on your thoughts, feelings, and similar experiences.
4. Use at least one (1) reference to support your ideas.
5. Respond to one (1) of your classmates’ postings with meaningful answers. Include a reference with your response.
6. To see the grading rubric, click on the 3-dot menu on the top-right side of screen.
Professional Paper
Group projects help students develop a host of skills that are increasingly important in the professional world.
~ Caruso & Woolley, 2008; Mannix & Neale, 2005
Positive group experiences, moreover, have been shown to contribute to student learning, retention, and overall college success.
~ Astin, 1997; Tinto, 1998; National Survey of Student Engagement, 2006
This team/group assignment will consist of writing a professional paper. The team/group will be a total of five (5) students.
Instruction:
1. Choose one student to be the team leader, who will be responsible for compiling the professional paper, creating the Title page, proofreading it, and making corrections before submission.
2. The rest of the four students will each work on the body of the paper and the reference page (which will be corrected by the team leader).
3. Technological innovation continues to reshape health care delivery across the world. Advances such as artificial intelligence (AI), telehealth, electronic health records (EHRs), wearable devices, robotics, and genomic technologies have transformed how providers diagnose, treat, and monitor patients. These advancements offer significant benefits; however, they also introduce challenges related to equity, privacy, ethics, and cost. This group paper explores several major technological innovations impacting modern health care and evaluates their positive and negative consequences on global health systems. The group will select a technological advance and discuss the positive and negative impacts it could present to the world’s health today.
4. The professional paper should be:
o 6-8 pages total, including
§ Title page
§ reference page
o Original
o Written in APA formatLinks to an external site.
5. Type your paper in a Microsoft Word document, save the file, and then upload the file.
6. Upload your paper by clicking “Upload File“.