6052 Discussion 11

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

To prepare:

Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.

Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?

Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.

Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?

Reflect on how nurses can disseminate findings from evidence-based practice research.

Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources

 

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For: Lady Taylor PHD. I need this back by tomorrow 8am central time.

I will need this back by tomorrow 8am central time. I will pay 10.00 for this assignment.

Consider the Challenges

Resources

  • Attributes and Evaluation of Discussion Contributions.
  • Professional Communications and Writing Guide.

Explain the challenges you foresee in developing your Integrative Project: Chapters I–V. Outline the strategies that you will use to address these challenges.

Response Guidelines

Review the suggestions of at least two other learners and respond to their work.

 

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The Opiate of the people Lynne Sharon Schwartz

Write 3-4 pages addressing the following questions:

– Who is this character? Is s/he a first-generation immigrant (born in another country) or a second-generation immigrant (born in the United States to immigrant parents)? What are his/her most important character traits? What scenes in the story demonstrate these traits?

– Is this character and his/her experience representative of his/her ethnic group of immigrants in America, based on the information in the story? That is, does this character experience similar things as others in his/her ethnic group, or does s/he have a unique experience? Why or why not?

– How does this immigrant see America? And how does America view this immigrant? Give an example or two from the story.

– What does “the American dream” mean to this immigrant? Does s/he attain the life or qualities of life inherent in the American dream? Why or why not?

NOTE: It is not necessary to give a complete plot summary. Use plot details only to support the points you make. You may assume we are familiar with the story and do not need to hear a recap.

Basic Requirements:

– A minimum of three full pages of writing
– Your name and page numbers at the top of each page in the header position
– A creative and informative title (make sure to include the story’s author and title in your title)
– Proper use of grammar and punctuation
– No larger than a 12 point font
– An introduction and conclusion
– Direct quotations from the text should be enclosed in quotation marks and following by parentheses containing the author’s last name and the page number from which the quotation is taken. “Here is an example” (Field 1). (Notice that the period comes after the parentheses.)

– Absolutely no plagiarism! Any instance of plagiarism will result in no credit granted for this paper. All sources other than the story itself should be cited parenthetically and in a bibliography.

 

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Alice J. and Bruce M. Byrd are married taxpayers who file a joint return

Alice J. and Bruce M. Byrd are married taxpayers who file a joint return. Their Social Security numbers are 123-45-6789 and 111-11-1111, respectively. Alice’s birthday is September 21, 1967, and Bruce’s is June 27, 1966. They live at 473 Revere Avenue, Lowell, MA 01850. Alice is the office manager for Lowell Dental Clinic, 433 Broad Street, Lowell, MA 01850 (employer identification number 98-7654321). Bruce is the manager of a Super Burgers fast-food outlet owned and operated by Plymouth Corporation, 1247 Central Avenue, Hauppauge, NY 11788 (employer identification number 11-1111111).The following information is shown on their Wage and Tax Statements (Form W–was reported on a2) for 2014.LineDescription     Alice     Bruce1        Wages, tips, other compensation$58,000     $62,100     2        Federal income tax withheld4,500     6,300     3        Social Security wages58,000     62,100     4        Social Security tax withheld3,596     3,850     5        Medicare wages and tips58,000     62,100     6        Medicare tax withheld841     900     15        StateMassachusetts     Massachusetts     16        State wages, tips, etc.58,000     62,100     17        State income tax withheld2,950     3,100     The Byrds provide over half of the support of their two children, Cynthia (born January 25, 1990, Social Security number 123-45-6788) and John (born February 7, 1994, Social Security number 123-45-6786). Both children are full-time students and live with the Byrds except when they are away at college. Cynthia earned $4,200 from a summer internship in 2014, and John earned $3,800 from a part-time job.During 2014, the Byrds provided 60% of the total support of Bruce’s widower father, Sam Byrd (born March 6, 1938, Social Security number 123-45-6787). Sam lived alone and covered the rest of his support with his Social Security benefits. Sam died in November, and Bruce, the beneficiary of a policy on Sam’s life, received life insurance proceeds of $800,000 on December 28.The Byrds had the following expenses relating to their personal residence during 2014:Property taxes$5,000Qualified interest on home mortgage8,700Repairs to roof5,750Utilities4,100Fire and theft insurance1,900The Byrds had the following medical expenses for 2014Medical insurance premiums$4,500Doctor bill for Sam incurred in 2013 and not paid until 20147,600Operation for Sam8,500Prescription medicines for Sam900Hospital expenses for Sam3,500Reimbursement from insurance company, received in 20143,600The medical expenses for Sam represent most of the 60% that Bruce contributed toward his father’s support.Other relevant information follows:When they filed their 2013 state return in 2014, the Byrds paid additional state income tax of $900During 2014, Alice and Bruce attended a dinner dance sponsored by the Lowell Police Disability Association (a qualified charitable organization). The Byrds paid $300 for the tickets. The cost of comparable entertainment would normally be $50.The Byrds contributed $5,000 to Lowell Presbyterian Church and gave used clothing (cost of $1,200 and fair market value of $350) to the Salvation Army. All donations are supported by receipts, and the clothing is in very good condition.In 2014, the Byrds received interest income of $2,750, which was reported on a Form 1099–INT from Second National Bank.Alice’s employer requires that all employees wear uniforms to work. During 2014, Alice spent $850 on new uniforms and $566 on laundry chargesBruce paid $400 for an annual subscription to the Journal of Franchise Management and $741 for annual membership dues to his professional associationNeither Alice’s nor Bruce’s employer reimburses for employee expensesThe Byrds do not keep the receipts for the sales taxes they paid and had no major purchases subject to sales taxAll members of the Byrd family had health insurance coverage for all of 2014.Alice and Bruce paid no estimated Federal income tax. Neither Alice nor Bruce wants to designate $3 to the Presidential Election Campaign Fund.Compute net tax payable or refund due for Alice and Bruce Byrd for 2014. If they have overpaid, they want the amount to be refunded to them. If you use tax forms for your computations, you will need Forms 1040 and 2106 and Schedules A and B.

 

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