Evidence-Based Practice Project

DQ 1

Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.

Begin the development of your PICOT question, using the following resources:

1. “Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix

2. Text readings

Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.

You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.

Here is something to think about.

· Population/ Patient Problem: Who is your patient? (Disease or Health status, age, race, sex)

· Intervention: What do you plan to do for the patient? (Specific tests, therapies, medications)

· Comparison: What is the alternative to your plan? (ie. No treatment, different type of treatment, etc.)

· Outcome: What outcome do you seek? (Less symptoms, no symptoms, full health, etc.)

· Time:  What is the time frame? (This element is not always included.)

Example: 

Prevention:

For________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

In acute care cancer patients, does the use of scheduled pain medication regimes reduce the risk of uncontrolled pain compared with non-scheduled pain medication regimes.

DQ 2

What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?

As a Christian nurse will you focus on one particular genre of literature more than others. or will you be looking at specific topics related to your practice.

RESOURCES

1. Evidence-Based Practice Resources on the World Wide Web

Read “Evidence-Based Practice Resources on the World Wide Web,” by Stevens, from the Academic Center for Evidence Based Practice, located on the Wayback Machine archive website.

http://replay.waybackmachine.org/20080521225345/http://acestar.uthscsa.edu/Resources_www.htm

e-Library Resource

1. Evidence-Based Nursing

Access “Evidence-Based Nursing.” Use all issues of the journal to further explore your individual PICOT topic.

https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&NEWS=N&PAGE=toc&SEARCH=00124408-201007000-00000.kc&LINKTYPE=asBody&LINKPOS=1&D=ovft

2. Joanna Briggs Institute EBP Database

Use the Joanna Briggs Institute EBP Database to search for EBP resources related to your capstone project.

http://joannabriggs.org/jbi-approach.html#tabbed-nav=JBI-approach

Website

1. Centre for Evidence-Based Medicine

Explore the Centre for Evidence-Based Medicine (CEBM) website.

2. Cochrane Database of Systematic Reviews

Access the full text of “Cochrane Database of Systematic Reviews,” located on The Cochrane Library website.

http://www.thecochranelibrary.com/view/0/index.html

3. Cochrane Library Database

Explore the Chochrane Library Database.

https://lopes.idm.oclc.org/login?url=http://www.cochranelibrary.com

4. Guide to Clinical Preventive Services

Explore the Agency for Healthcare Research and Quality website. Be sure to access the “Guide to Clinical Preventive Services,” located on the Agency for Healthcare Research and Quality website.

http://www.ahrq.gov/

Discussion Post Reply Topic (Hyperlipidemia)

The article I read about talks about the essentials of cholesterol in the body, but how

excess cholesterol can truly hurt and affect the body in the long run. Luckily, there are

medications and treatments can take to reduce the effects of hyperlipidemia. The body uses

essential cholesterol to produce hormones, vitamin D, and bile acids to help digest fat. A small

amount is required to perform these necessary functions, whereas excess cholesterol in the blood

stream may lead to atherosclerosis which can result in angina and myocardial infarction (Henley,

Chang, & Hollander 2017). Hyperlipidemia is defined as the elevation of cholesterol,

phospholipids, and triglycerides. The relationship between elevated cholesterol and the

development of coronary heart disease (CHD) is evident. Clinical evidence suggests that the risk

for CHD-related events can be reduced by lowering low-density lipoprotein (LDL) (Henley,

Chang, & Hollander 2017). Many options are available for the treatment of hyperlipidemia One

drug that can be taken is Ezetimibe. Ezetimibe impairs the body’s ability to absorb cholesterol

from food as well as cholesterol that the body produces internally. It lowers LDL-C levels and

has relatively few side effects. It is usually prescribed in combination with a statin. When used in

combination with a statin after an acute coronary syndrome (eg, heart attack), ezetimibe provides

a small additional reduction in the risk of having another cardiovascular event (Henley, Chang,

& Hollander 2017). Another way someone can help lessen the effects of hyperlipidemia is by

eating plant stanols and sterols. Plant stanols and sterols may act by blocking the absorption of

cholesterol in the intestine. They are naturally found in some fruits, vegetables, vegetable oils,

nuts, seeds, and legumes. They are also available in commercially prepared products such as

margarine (Promise Active and Benecol), orange juice (Minute Maid Premium Heart Wise), rice

milk (Rice Dream Heart Wise), as well as dietary supplements (Benecol SoftGels and Cholest-

Off). (Henley, Chang, & Hollander 2017).

Health Behavior Mod 3 Discussion

REQUIRED READING RESOURCES:

Required Reading

Centers for Disease Control and Prevention (2009). Developing process evaluation questions [Evaluation Briefs No. 4]. Retrieved from http://www.cdc.gov/HealthyYouth/evaluation/pdf/brief4.pdf

Centers for Disease Control and Prevention (2009). Evaluating your strategic plan [Evaluation Briefs No. 5]. Retrieved from http://www.cdc.gov/HealthyYouth/evaluation/pdf/ertnews_spring09.pdf

Chriqui JF, Schneider L, Chaloupka FJ, Gourdet C, Bruursema A, Ide K & Pugach O. (2010). School District Wellness Policies: Evaluating Progress and Potential for Improving Childrens Health Three Years after the Federal Mandate. Health Policy Center, Institute for Health Research and Policy,

Mokdad, A.H. & Remington, P.L. (2010 July). Measuring health behaviors in populations. Preventing Chronic Disease, 7(4), A75. Retrieved from http://www.cdc.gov/pcd/issues/2010/jul/10_0010.htm

Optional Readings

Committee on Health and Behavior: Research, Practice, and Policy, Board on Neuroscience and Behavioral Health (2001). Organizations, communities, and society: Models and interventions. Health and behavior: The interplay between the biological, behavioral, and societal influences (pp. 241-264). Washington, DC: National Academy Press. Retrieved from http://books.nap.edu/openbook.php?record_id=9838&page=241

Committee on Health and Behavior: Research, Practice, and Policy, Board on Neuroscience and Behavioral Health (2001). Evaluating and disseminating intervention research. Health and behavior: The interplay between the biological, behavioral, and societal influences (pp. 274-309). Washington, DC: National Academy Press. Retrieved from http://books.nap.edu/openbook.php?record_id=9838&page=274

HOMEWORK ASSIGNMENT:

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

This module encompasses information on organizational, community, and public policy/society-level interventions. Discuss the advantages and disadvantages of utilizing public policy-level intervention to promote healthy behaviors.

The Adventist Tradition

unning head: Seventh Day Adventist Traditions 1

 

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The Seventh Day Adventist Traditions

Bolanle Adegoke

Molloy College

December 5, 2018

 

 

 

 

 

 

 

 

 

 

Introduction

The seventh day Adventists traces its origin in the Millerite movement of the 1840s during the era of the second great awakening. It was officially founded in 1863. The early pioneers of the church include William Miller, a Baptist convert who preached the second advent of Jesus Christ purported to occur on 22nd October 1844. The prediction resulted to a great disappointment, as Christ did not come despite the fact that people had prepared adequately for the occasion. The Adventism is anchored on the hope of the second coming of Jesus Christ and therefore, the entirety of the doctrines, practices and the dogma is anchored on the knowledge and pursuit of the coming of Christ.

The doctrine of the sanctuary forms a critical component of the Adventists believes. The heavenly sanctuary refers to the ministering position of Jesus Christ as the high priest for the atonement of the human sins. The sanctuary comprises of the courtyard, holy place and the holiest place. The sanctuary doctrine provides a vivid description and explanation of the event of the Great Disappointment of 1844. The disappointment resulted from a misunderstanding of the bible whereby they expected Christ to come the second time. The sanctuary message justifies the disappointment through the explanation that Christ at this point of time moved from the holy place of the sanctuary to the most holy place where he started ministering as the high priest. This was a replica of the earthly sanctuary.

The spirit of prophecy entails a fundamental doctrine of the Adventism. The spirit of prophecy emanates from Gods revelation to Ellen G. White. White organization and the promotional skills resulted in the formation of the General Conference, which acted as the highest organizational and authoritative body of the Seventh Day Adventism. However, she did not claim the leadership of the church. White claims divine inspiration in writing the enormous pieces of literature, which she claims, is a lesser light that aims at leading the people into the greater light, which is the Bible. Her writings are considered authoritative in shaping the action and the thoughts of the people.

The health principles and practices comprise critical dogma of the Adventists. Great emphasis is accorded to the divine healing through faith but they rarely condemn consumption of medicine. The Millerite movement records instances of religious fanaticism resulting in intense emotional experience. The reports depict cases of mental illness and other emotional related dysfunction. The problem arises criticisms on the church doctrines taught to the members. The indisputable connection between the emotional aspect and the mental illness depicts the underlying reality despite denial from the subjects that the movement is responsible for the skyrocketing mental cases in the American asylums.

The health reform and health temperance movement form an essential consideration in the Adventism. In full realization of the second coming of Christ, people are called upon to observe a temperate and a healthy lifestyle free from any form of body intoxication. The healthy practices include consumption from drugless medicine, sexual chastity, denunciation of all forms of stimulants, fresh air, exercise, meat-free diet and decency in dressing. The vegetarian diet is highly preferred as it involves less risk to diseases. The embrace of the natural healing methods of diseases comprises a major stride in the health reform initiative. The substructure of the adoption of a healthy lifestyle involves ensuring the purity of the body, which is the temple of the Holy Spirit. Moreover, the healthy lifestyle free from diseases ensures the clarity of the conscience thus making it possible to observe the commandments of God in preparation for the second coming of Christ.

The doctrine of the immortality of the soul comprises the belief the Adventists. They refute the belief of the consciousness of the dead, life after death and the assertion that the wicked burn forever. Their belief postulate a state of unconsciousness of the dead waiting for the first resurrection for the righteous and the second resurrection for the wicked upon the second coming of Jesus Christ.

The Ellen White vision on health reformation comprises a significant practice of the Adventism. The heath vision entails the moral obligation of the Adventists as it emanates from divine authority through the revelation to White. The health reform message is given primacy and coupled with the third angel message to fear God and give him glory for the hour of his judgment is come. It emphasizes the importance of natural remedy and healthy lifestyle in prevention and cure of diseases as the drugs have contributed immensely to death of people due to its side effects. The health practices are practiced through the Medical Missionary where diverse institutions are founded to practice the teachings of Adventism.

Ellen white vision on sex comprises the standard of morality on seventh day Adventists. The vision denounces the sexual relations such as the masturbation, which obliterates the moral, mental, and the physical entirety of the people involved. She discusses the abuse of sexual relations, abortion, and use of contraceptives among other sexual related issues. The discussion on meat consumption has raised serious question in regard to diet but nevertheless, the rationale toward the abstinence of meat include its prevalence to diseases as meat comprise the leading cancer-causing agent. Further, dress reform among the women is highly postulated as the women need to dress decently and appropriate with utmost respect to nature and God.

Conclusion

In conclusion, the second coming of Jesus Christ comprises the focus and goal of the Seventh Day Adventists. Therefore, the entirety of their doctrines, practices and dogmas which are subjected to full compliance and believe aims at directing one’s conscience to the Second Advent of Christ. The doctrines obtain its authority from the Bible, which is the larger light and the spirit of prophecy, which entails the lesser light. Ellen G. White comprise an important figure in the Adventist movement since he received Devine revelation from God to write enormous literature that defines the standard of orthodoxy in the church.

 

 

 

 

 

 

 

 

 

 

 

 

Reference

Banta, J., Lee, J., Hodgkin, G., Yi, Z., Fanica, A., & Sabate, J. (2018). The Global Influence of the Seventh-Day Adventist Church on Diet. Religions, 9(9), 251.

Jacobs, D., & Tyler, C. (2018). Adventist Millennials: Measuring Emerging Adults Connection to Church