The difference between statistically significant results and clinical significance is very interesting. For this discussion, respond to each of the following topics.

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• Distinguish between statistical and clinical significance of results.
• Would it be possible to have research study results that supported the acceptance of the null hypothesis and demonstrate clinical significance? Provide a hypothetical example that supports your answer.
• If you question the credibility of the results from a qualitative study, would the information have clinical significance for your practice area? Why or why not? Provide a hypothetical example that supports your answer. Week 6: Statistical and Clinical Significance Assignment

17 year old normal weight female high school student with anxiety who lives in a dorm with her normal weight roommate who has depression.

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

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Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process. Nursing CASE STUDY ASSIGNMENT: ASSESSMENT OF NUTRITION IN CHILDREN

For this Assignment, you will  consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

TO PREPARE

Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.

• Based on the risks you might identify consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Consider how you could encourage parents or caregivers to be proactive toward the child’s health. Nursing CASE STUDY ASSIGNMENT: ASSESSMENT OF NUTRITION IN CHILDREN

Assignment (3–4 pages, not including title and reference pages):

Assignment: Child Health Case:
Include the following:

• An explanation of the health issues and risks that are relevant to the child you were assigned.
• Describe additional information you would need in order to further assess his or her weight-related health.
• Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight. Nursing CASE STUDY ASSIGNMENT: ASSESSMENT OF NUTRITION IN CHILDREN

• Write a report on the application of population health improvement initiative outcomes to patient-centered care, based on information presented in an interactive multimedia scenario.
  In this assessment, you have an opportunity to apply the tenets of evidence-based practice in both patient-centered care and population health improvement contexts. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach to personalizing patient care, and determine what aspects of the approach could be applied to similar situations and patients. Assessment 3: Patient-Centered Care Report

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  By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Apply evidence-based practice to plan patient-centered care.
    • Evaluate the outcomes of a population health improvement initiative.
    • Develop an approach to personalizing patient care that incorporates lessons learned from a population health improvement initiative. Assessment 3: Patient-Centered Care Report
  • Competency 2: Apply evidence-based practice to design interventions to improve population health.
    • Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence.
  •  Competency 3: Evaluate outcomes of evidence-based interventions.
    • Propose a framework for evaluating the outcomes of an approach to personalizing patient care and determining what aspects of the approach could be applied to similar situations and patients.
  • Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
    • Justify the value and relevance of evidence used to support an approach to personalizing patient care.
  • Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. Assessment 3: Patient-Centered Care Report
    • Write clearly and logically, with correct grammar and mechanics.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
  • Competency Map
    Use this online tool to track your performance and progress through your course.
• Questions to ConsiderAs you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
  Recall an instance in which you have taken a strategy, finding, or lesson learned from one care context and applied it in another.
  • What challenges did this type of knowledge transfer present?
  • Did applying this knowledge in a different setting lead to improvements in the safety and quality of care? How? Assessment 3: Patient-Centered Care Report
  • Did applying this knowledge in a different setting raise any particular ethical issues affecting the provision of care?
• Assessment Instructions Preparation
  In this assessment, you will base your Patient-Centered Care Report on the scenario presented in the Evidence-Based Health Evaluation and Application media piece. Some of the writing you completed and exported from the media piece should serve as pre-writing for this assessment and inform the final draft of your report. Even though the media piece presented only one type of care setting, you can extrapolate individualized care decisions, based on population health improvement initiative outcomes, to other settings.
  Requirements
  Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed. Assessment 3: Patient-Centered Care Report
  Writing, Supporting Evidence, and APA Style
  • Write clearly and logically, using correct grammar and mechanics.
  • Integrate relevant evidence from 3–5 current scholarly or professional sources to support your evaluation, recommendations, and plans.
    • Apply correct APA formatting to all in-text citations and references.
    • Attach a reference list to your report.
  • Report Content
    Address the following points in a 4–6 page report:
  • Evaluate the expected outcomes of the population health improvement initiative that were, and were not, achieved.
    • Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
    • Describe the outcomes that were not achieved, the extent to which they fell short of expectations, and any variance across demographic groups. Assessment 3: Patient-Centered Care Report
    • Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls.
  • Propose a strategy for improving the outcomes of the population health improvement initiative, or ensuring that all outcomes are being addressed, based on the best available evidence.
    • Describe the corrective measures you would take to address the factors that may have contributed to achievement shortfalls.
    • Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
    • Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted
  • Develop an approach to personalizing patient care that incorporates lessons learned from the population health improvement initiative outcomes. Assessment 3: Patient-Centered Care Report
    • Explain how the outcomes and lessons learned informed the decisions you made in your approach for personalizing care for the patient with a health condition related to the population health concern addressed in the improvement initiative.
    • Ensure that your approach to personalizing care for the individual patient addresses the patient’s:
      • Individual health needs.
      • Economic and environmental realities.
      • Culture and family.
    • Incorporate the best available evidence (from both the population health improvement initiative and other relevant sources) to inform your approach and actions you intend to take.
      

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  • Justify the value and relevance of evidence you used to support your approach to personalizing care for your patient.

    • Explain why your evidence is valuable and relevant to your patient’s case.
    • Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.
  • Propose a framework for evaluating the outcomes of your approach to personalizing patient care.
    • Ensure that your framework includes measurable criteria that are relevant to your desired outcomes. Assessment 3: Patient-Centered Care Report
    • Explain why the criteria are appropriate and useful measures of success.
    • Identify the specific aspects of your approach that are most likely to be transferable to other individual cases.
  • Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
    Patient-Centered Care Report Scoring Guide. Assessment 3: Patient-Centered Care Report

This week’s discussion is focused on Carl Rogers and his patient-centered approach to therapy. Consider the foundational aspects of this therapeutic modality, unconditional positive regard, as well as authentic and genuine presence.

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What aspects of this therapy modality are appealing to you or not appealing to you? Do you see any correlations between this therapy modality and the nursing care that you have provided for years? Carl Rogers and His Patient-Centered Approach to Therapy Assignment

Assignment Content

Competency
Identify ethical dilemmas encountered in professional nursing practice.

Student Success Criteria
View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane. Ethical Dilemmas in Nursing Assignment

Scenario
You are a member of a healthcare organization’s ethics committee, and your roles and responsibilities include ethics consults, policy development, and education. In response to an increase in ethics consults over the past year, the committee has identified two primary educational needs for staff:

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Education related to ethical dilemmas nurses experience in practice
Processes the organization can take to address the dilemmas. Ethical Dilemmas in Nursing Assignment

You were asked to write an article for the organization’s newsletter to educate nurses about dilemmas they may encounter in nursing practice. The article will review an example of a potential ethical dilemma for nurses, the potential impacts of the ethical dilemma on nursing practice and patient outcomes, and strategies to manage ethical dilemmas in the organization. You are excited to share your enthusiasm and passion for the importance of ethics in client care. Ethical Dilemmas in Nursing Assignment

Instructions
Select an ethical dilemma you have experienced in healthcare.

Include the following information in the article

Describe the ethical dilemma, including:
A summary of the ethical components of the case
Opposing views of the ethical dilemma.
Explain the impacts of this ethical dilemma on professional nursing practice and patient outcomes. Ethical Dilemmas in Nursing Assignment
Identify strategies to manage the ethical dilemma, including
Professional strategies
Organizational strategies
All content must be supported with rationales, examples, and evidence from credible sources.

Assessment Requirements/Submission Requirement:
Written article