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Chapter V Discussion
I need help with my conclusion. I have attached my entire DNP project to give you an idea of my results lit review, etc. The areas I need include the discussion, strengths and limitations, and implications to future research. I have jotted some ideas in the paper for this section.

Please use uk English and writers
Write academically and send paganism check
The Bibliography is not a part of the word count but it must be added to the essay.
Word count is 1925 words and 1.5 line spacing.
Please follow the information attached.
All reference that is used from the web should state the date it was down loaded.
Send info using UK time zone.

Kindly read the Assignment guidance for instruction. this is Level 6 writing. ALL LEARNING OUTCOMES MUST BE MET TO GET A PASS!.

Go to the following website: HHS Hospital Compare website: https://www.medicare.gov/hospitalcompare/search.html (Links to an external site.)
Find data for three (3) area hospitals (one can be the hospital where you work and 2 other local hospitals- Cape coral-Fort Myers-Naples area, Florida). I work at Gulf Coast Medical Center (Lee Health). You will then compare this data to national and your state (Florida) data through the Hospital Compare site. You will need to explore this site to locate the comparison tables. You will need to click through several screens to get the required data. Select either the Survey of Patient’s Experiences OR the Timely and Effective Care tab to prepare your paper.Your paper will focus on only the information within ONE TAB (Patient Care Experiences OR Timely & Effective Care).Your paper will address the following information:1. The purposes of the data collection by the U.S. government. Include information on the impact these scores have on hospital operations, finances, quality, safety.
2. Select one specific question (HCAHPS) or care issue from the collated results. Discuss results for your institution for the selected criteria from the nursing unit level perspective compared to the two (2) other local hospitals and state and national data. Include the data you found for this one question. Do not use all the hospitals in ONE system(i.e. You would not use Lee Memorial, Cape Coral Hospital, and Gulf Coast Hospital because they are all part of Lee Health). For example, can use Gulf Coast Medical center, NCH Hospital, and Physician Reginal. Did you identify a gap in practice that needs improvement and could improve the score?
3. Develop a concrete plan using Smart Goals from https://www.youtube.com/watch?v=i0QfCZjASX8
to improve the score you selected for change. This section should be the focus of your paper. YOU MUST USE THE INFORMATION (Plan-Do-Study-Act) (ATTACHED BELOW under files) TO DEVELOP PLAN.
The specific steps in the plan you develop must include:1. The proposed interventions and timeline for implementation of the interventions
2. How you will measure the effectiveness or success of your plan (metric)
3. Timeframe for measurement of results, be specific. Must be related to the metrics you would use to measure the success of your plan
4. A brief description of any tools or projects to be used in the proposed plan and implementation
5. How you will “promote” the plan to your manager and co-workers to gain support for the projectYour paper should reflect your synthesis of the literature you find with appropriate references to support your plan. This will involve investigating patient hospital experience literature and process improvement content and methods.
References: APA 7th edition is required. Proper doi address if available. At least 4 current (drafted within the last 5 years) peer-reviewed journals.
Title of PaperYour introductory paragraph will be written here, between the title of the paper and the first Level 1 heading below (Purpose of Data Collection by the US Government)Purpose of Data Collection by the US GovernmentQuestion or Issue You Chose (Identify it in this Level 1 heading)Data for Question or Issue (Specify question or issue)In the paragraph(s) for this section of your paper, identify the three hospitals and the data you found. Did you identify a gap in practice that needs improvement and could improve the score?Concrete Plan to Improve the Score You Selected (Specify the score you selected)In the paragraphs for this section, you will include all information from #5 above. To help with the organization of this section, you can write a separate paragraph for each of the required items OR you can use Level 2 headings to identify each of the required items.ConclusionReferences

What is the most effective method of nutritional assessment in older adult patients who are admitted to the hospital?
Introduction (approx. 300-400 words)
• Introduce your assignment by clearly outlining the use of the CINAHL database to search for studies on the research question, select 5 studies from your search, discuss each study, highlight key points in your conclusion, and explain the implication of the assignment for your profession.
 Choose 5 articles/pieces of literature peer-reviewed related to the question from the search, describe them and comment on why you chose them, their findings, and their relevance to your nursing practice.
• Define and discuss the importance of evidence-based practice in relation to adult nursing.
• Relate to the NMC code the importance of evidence-based practice in nursing.Search (approx. 800 words)
• Clearly state the search terms or keywords in your chosen research question.
• Clearly outline how you performed your literature search by using CINAHL database, inclusion and exclusion criteria, full text, articles in English, peer-reviewed articles, and publication dates, PICO method etc
 CINAHL database, search terms, Boolean operators, and other filters are used to provide a rationale for these decisions with references.
• State the titles or authors of the five studies you have selected from the literature search.
• Briefly state your rationale for your search decisions and included references.
• Include copies of your search in the appendices.Discussion (approx. 1000 -1200 words)
Discuss the five studies in separate paragraphs, about 200 words for each, for example:
• The first study was by … (state authors). The purpose of the study … (explain the purpose). The study was conducted using… (for example, qualitative or quantitative research methods.
The participant sampling methods they used … (for example, purposive or randomised sampling). The data collection methods they used … (for example, interviews or questionnaires). The data analysis methods … (for example, thematic, coding, or statistic). The study found … (include key findings or results of the study).
• The second, third, fourth and last study by (repeat same approach as above in separate paragraph).
 Remember to use research terminology, i.e., quantitative, qualitative, systematic review, and national guidance and provide definitions to explain these terms.What does each piece of literature report/recommend? ALL 5 PAPERS NEED TO BE PEER-REVIEWED AND HAVE PRIMARY EVIDENCE.
 Paper 1 Cite a source for what a phase 2 RCT is, what primary research is;
 Paper 2 cite; secondary source (; cite RCT; GRADE methodology; Qual or Quan
 Paper 3 cite; qualitative or quantitative etc
 Paper 4; what is a journal article, scholarly vs academic etc
 Paper 5; what is a guidelineConclusions (approx. 200-300 words)
• Summarise how you conducted the search, including database and search limiters.
• Summarise key findings of the five studies you selected.
• State that your original question has been answered (i.e., draw the key points from chosen articles/literature pieces). Please link back to the QUESTION and answer it.
Nutritional screening aims to quickly identify patients at a high risk of not getting enough nourishment.
 Discuss and compare the five pieces of literature found
 Answering the essay question
 Carefully identify the paper’s primary claimImplications for practice (approx. 200-300 words)
• State the knowledge you have had because of the evidence you have found.
• Explain what further information or gaps in evidence you would like to know about.
• Explain the implication of the knowledge gained for your practice as an adult nurse.
 Discuss NMC’s role, Gibbs reflective cycle six stages of evaluation evidenced based and findings in the 5-literature review.
Use the LSBU-HARVARD referencing style for in-text citations and reference list.

What is required: Review the attached document that lists the 12 General Course Outcomes (RN-BSN competencies and skills). In a two-page paper, describe the capstone project (see details below and attachments). Please and discuss how it will be an integrative reflection of three of the General Course Outcomes (RN-BSN competencies and skills).
The Paper requires a minimum of two (2) references One must be from a peer-reviewed nursing journal (less than five years old). The other can be from additional peer-reviewed journal articles, textbooks, and professional, governmental, or educational organizations’ websites (.org, .gov, or .edu) may be used as additional references.Brief Description of the Capstone Project: (My Capstone project will be looking at Fall prevention in the home setting. I will be working under the preceptorship of the Private Clinical Director at Homecare Agency. During my Capstone rotation, I will work within the home setting, alongside the home health Aide, the patients, and their families under the guidance of the Clinical Directors. I will be looking at the main reasons for falls within the home, the type of falls, and most importantly, how they prevent them from happening. Please also see attached a request letter, detailing my goals and the outcome of the projects. I will also include a paper I submitted with details about the project.

How would you evaluate and manage an 8 year old pediatric patient who has BP and BMI greater than what is expected for his/her age group? Which additional conditions would you want to screen for and why? This patient was brought in by parent for well child visit. Parent states that child has been performing poorly in school. On physical exam of this patient with a weight of 45 kg and a height of 1.33 m (BMI = 25.4) and blood pressure of 120/80, it is found that he has acanthosis nigricans on posterior neck and in axillae. The patient also has family history of father with high blood pressure and grandfather with diabetes. Would these physical exam findings be concerning to you in this patient and why? Describe the differential diagnosis of sensory impairment, learning disorder, and sleep disorder for this patient. Describe the final assessments of ADHD, obesity, and hypertension (diagnoses) for this patient? What is your treatment recommendation and education for the patient and family? Why? Use sources that are no more than 5 years old in APA format.

Hi, I have to write down CRITICAL reflection, 2000 words.
Here are instructions from the University:•A clear introduction, which explains the identification of the chosen reflective model and an exploration of its applicability
Critical Reflection ( 2,000 words)
•The student will be required to select a patient from their area of practice and complete a full physical assessment. One aspect of their clinical assessment on that patient should then be selected and, using a reflective framework and through the review of relevant literature, critically discussed in depth.
A full set of clinical notes must be included as an appendix for each reflection.
These must be submitted via TURNITIN.
They must contain a student number on each page, be double spaced and left justified.
All marked against Level 7 marking criteria – please check the NILE site for further details
All submitted work and clinical notes must be completely anonymised and not contain any details to link to a Trust, patient or clinicianThey give us examples how it should look like, I will upload it, so you can check it. I just need to pass, nothing else!
Any other questions, please be free to contact me

In your response to peers, provide suggestions for those seeking feedback. Participating in classroom discussion is paramount to the learning experience. Participating in the weekly discussions allows students and instructors to share experiences, investigate complicated subject matter, share expertise, and examine the content from new perspectives. The qualitative participation requirements are: • Follow-up responses to classmates’ initial answers or responses that integrate course theories with a practical application of the subject, offering a personal observation or experience, or referencing real-world examples, current events, or presenting current research on the topic. • Classroom interaction demonstrating deeper or broader thoughts beyond rephrasing what the textbook has presented on the topic. • Responses encouraging further discussion and ongoing dialogue with other students and the instructor in the class. • Asking additional, relevant questions about the week’s topic. • Communications that are presented in a professional and supportive manner, and with respectful tone. Substantive posts are when you add to the discussion, relate an experience or literature that adds to or illustrates the topic under discussion. References are expected and all references must be formatted following APA 7th edition guidelines. Templates and guidelines can be found in the Writing Center through your Online Student Success Center

Assignment
undertake a health needs assessment (HNA) for a local geographical area of your choice (Wolverhampton). Through this HNA you will develop a geographical profile, exploring factors which impact
upon the health of the people within this area. Whilst exploring the public health data you will identify and justify a target population from within the geographical area,(Old people 65+) along with THREE areas of need. After prioritising and justifying ONE area of need, you will then identify and justify a community health initiative to address this need. The following four steps provide guidance on what you need to do to complete this
assignment