Hypertension - Nursing
Assessment Description The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 Evidence-Based Practice Project: Evaluation of Literature assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review. A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal. In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article: Introduction - Describe the clinical issue or problem you are addressing. Present your PICOT statement. Search methods - Describe your search strategy and the criteria that you used in choosing and searching for your articles. Synthesis of the literature - For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT. Comparison of articles - Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies). Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research. Conclusion - Provide a summary statement of what you found in the literature. Complete the APA Writing Checklist to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper. Refer to the Evidence-Based Practice Project Proposal – Assignment Overview document for an overview of the evidence-based practice project proposal assignments. You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Literature Evaluation Table Learner Name: Kieran M Njobe NUR-550 PICOT: In Adults diagnosed with HTN age 45-60 in the US does Increased education regarding diet and exercise as compared to no increased education decrease blood pressure within 12 months? Assessment of the impact of high blood pressure in the country is the direction of the PICOT to determine how there can be organizational methods of promoting blood pressure management among citizens. Analysis of the chronic condition’s management can involve improvement of education concerning dieting and exercise as productive methods of generating better care. Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions/ Hypothesis, and Purpose/Aim of Study Design (Quantitative, Qualitative, or other) Setting/Sample Methods: Intervention/ Instruments Analysis/Data Collection Outcomes/Key Findings Recommendations Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal Global Burden of Cardiovascular Diseases Collaboration. The Burden of Cardiovascular Diseases Among US States, 1990-2016. JAMA Cardiol. 2018;3(5):375–389. doi:10.1001/jamacardio.2018.0385 Title: The Burden of Cardiovascular Diseases Among US States, 1990-2016 Published: 2018 The study’s aim was to determine how hypertension resulted in social issues after citizens got affected by lifestyle changes and a transformation in the normal lives. Qualitative study The study got conducted on different valid sources and government agencies to determine how hypertension had increase over many years Required intervention were to establish lifestyle changes for better physical statuses Data got collected from government agencies like the census bureau for each state whereby it was possible to determine accurate state issues It was evident that there more than 900,000 deaths due to cardiovascular conditions Adherence to medical requirements and improvement of lifestyle changes was implemented by the study The article supports the fact that hypertension is a dangerous condition that should get managed on a daily basis to prevent occurrence of cardiovascular diseases Leening, M.J.G., & Ikram, M.A. (2018). Primary prevention of cardiovascular disease: The past, present, and future of blood pressure- and cholesterol-lowering treatments. PLoS Med 15(3): e1002539. https://doi.org/10.1371/journal.pmed.1002539 Primary prevention of cardiovascular disease: The past, present, and future of blood pressure- and cholesterol-lowering treatments To determine how coronary heart disease occurred after unmanaged hypertension Qualitative study Assessment of different treatment guidelines on the issue of cardiovascular disease (CVD) to determine required guidelines for management of the chronic condition Lowering cholesterol levels offered a basis to improve patients’ conditions Management of all risk factors is the appropriate method to handle hypertension conditions The study performed literature review of different sources and it was possible to determine effective treatment procedures It was discovered that patients’ use of medication with strict adherence would offer proper management of their conditions Cholesterol lowering processes were also discovered to be of high standard Establishment of clinical trials would offer an effective basis to handle patient conditions by using the knowledge gained to handle patient treatment procedures The article supports the PICOT question since it possible to discover that cardiovascular conditions that develop after hypertension can get managed by improving treatment standards Tran D-MT, Lekhak N, Gutierrez K, Moonie S (2021) Risk factors associated with cardiovascular disease among adult Nevadans. PLoS ONE 16(2): e0247105. https://doi.org/10.1371/journal.pone.0247105 Risk factors associated with cardiovascular disease among adult Nevadans To determine how existence of risk factors create worse conditions for patients Quantitative Study The study got conducted in Nevada to determine how the residents got exposed to risk factors for hypertension Application of a cross-sectional study got performed to determine how residents’ lifestyles promoted their behavioral risk factors. Variables in the study were presence or occurrence or coronary heart diseases Participants got asked questions to determine their personal awareness for the condition and personal connection with healthcare providers Risk factors got determined to be cholesterol level, alcohol intake, smoking, high BMI, and unbalanced lifestyle The study promoted better lifestyle actions for persons with hypertension to allow them to gain a proper wellbeing It is proper to study how hypertension can get managed by applying lifestyle changes to prevent occurrence of cardiovascular disease Ahuja, R., Ayala, C., Tong, X., Wall, H. K., & Fang, J. (2018). Public Awareness of Health-Related Risks From Uncontrolled Hypertension. Preventing chronic disease, 15, E40. https://doi.org/10.5888/pcd15.170362 Public Awareness of Health-Related Risks From Uncontrolled Hypertension To determine how uncontrolled hypertension resulted in limited wellbeing for patients Quantitative study An online study got implemented and used a survey to seek accurate data from persons suffering from the chronic condition Using panel surveys would establish a reliable and accurate data collection process Collection of demographic data to determine how patients’ backgrounds and conditions resulted in reduction in their wellbeing It was discovered that hypertension occurred for different people regardless of their ages. There was limited knowledge about hypertension and the condition’s risks. The study proposed educational improvement for all society members to allow them proper access of valid hypertension knowledge There is connection with the PICOT based on existence of patients that are not fully aware of the conditions’ dangers. Tackling G, Borhade MB. Hypertensive Heart Disease. [Updated 2021 Jul 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539800/ Hypertensive Heart Disease To determine valid explanation of heart disease and how there are diverse treatment approaches for the condition Qualitative study The article performed a proper explanation after getting valid scholarly knowledge about heart diseases and hypertension definitions Analysis of different sources got performed to handle issues of limited knowledge of hypertension. Access of valid definitions form different scholars got conducted to facilitate understanding of how hypertensive issues create worse conditions on people There was discovery of how to handle normal, elevated, stage 1, and stage 2 hypertension depending on patients’ conditions The proposed direction was to ensure early knowledge improvement concerning hypertension to offer proper healthcare statuses for patient conditions IT is possible to understand how the PICOT question can offer a reliable treatment environment for patient conditions depending on their issues US Preventive Services Task Force. Screening for High Blood Pressure in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;324(18):1878–1883. doi:10.1001/jama.2020.20122 Screening for High Blood Pressure in Children and Adolescents US Preventive Services Task Force Recommendation Statement To determine proper method of establishing patient improvement in large societies Quantitative study There was a study on different participants where their blood pressure measurement got taken to determine impact of background factors The study analyzed the participant’ measures and compared them to known standards where it was possible to access valid knowledge f the condition’s prevalence It was possible to analyze patient conditions after assessing how their biological statuses influence occurrence of other conditions The study conducted by a government department discovered ways to generate conducive patient physical conditions The suitable change is to promote adherence to hypertension management processes by performing early detection The PICOT question receives support in relation to the existence of hypertension in people that were not even aware of their chronic conditions that later on caused cardiovascular conditions Guirguis-Blake JM, Evans CV, Webber EM, Coppola EL, Perdue LA, Weyrich MS. Screening for Hypertension in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2021;325(16):1657–1669. doi:10.1001/jama.2020.21669 Screening for Hypertension in Adults Updated Evidence Report and Systematic Review for the US Preventive Services Task Force To determine how screening of blood pressure measurements is applicable in the condition’s management Quantitative study The study got conducted on different participants and valid sources that implemented a systemic review to handle the study direction Study of the government’s mandate on management of hypertension offered a reliable possibility to improve the condition on the public Study of control groups and uncontrolled groups of patients got conducted to determine how treatment adherence offered better care It was discovered that screening for hypertension offered better CVD outcomes due to preparedness Involvement of frequent screening for hypertension offers better patient conditions The PICOT question receives support since the screening process is discovered as a reliable method to perform patient evaluations Zhou, B., Perel, P., Mensah, G.A. et al. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nat Rev Cardiol (2021). https://doi.org/10.1038/s41569-021-00559-8 Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension To determine how hypertension is a critical disease in comparison to its prevalence in other countries Qualitative study There was a thorough analysis of how to generate better treatment on patients by determining worldwide trends in the condition’s occurrence Analysis of different sources got conducted to determine how residents of different countries got affected by hypertension and how there were gender discrepancies in the condition’s occurrence. Data collection of the conditions’ prevalence got provided by accurate sources all containing valid information related to the disease in the entire world The main findings were that the condition is mostly prevalent in men yet geography and age factors create a different outcome Since there was discovery that hypertension occurs more in low-income areas, the appropriate improvement is for the government to implement strict adherence to treatment measures It is imperative to conducted analysis on a large dataset to ensure the PICOT questions compares its findings with a large knowledge area Singh, S., Shankar, R., & Singh, G. P. (2017). Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International journal of hypertension, 2017, 5491838. https://doi.org/10.1155/2017/5491838 Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi To determine how hypertension affects people based on their gender Quantitative study The study got conducted on different participants to determine how their environment affected their hypertension conditions Use of cross-sectional technique allowed discovery of information in the study based on the issues of the local population The study analyzed how participants behavioral risk factors and their level of hypertension occurred due to sociodemographic factors It was discovered that men were more predisposed to get hypertension based on the high prevalence in their gender. The appropriate improvement is for men to ensure they get provided with educational improvements on the dangers of hypertension The PICOT question gets a strong foundation since the study indicated how men suffer more due to the condition Luo, D., Cheng, Y., Zhang, H., Ba, M., Chen, P., Li, H. et al. Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis BMJ 2020; 370 :m3222 doi:10.1136/bmj.m3222 Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis To determine how young persons are predisposed to getting hypertension. Quantitative study The study sought valid data from government and health agencies and compared the findings to study participants Statistical analyses got conducted to handle the studys direction and proper participant observations. Searching data from valid sources offered an accurate analysis procedure It was discovered that early treatment of the condition offered better reduction of cardiovascular diseases The appropriate direction is to perform more research on the study participants and use the outcome to create knowledge improvement Connection is evident with the PICOT question to facilitate better guided learning of how treatment offers high standard wellbeing for the chronically ill persons © 2021. Grand Canyon University. All Rights Reserved.
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Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. 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The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. 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