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Developing and evaluating new practice approaches

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Developing and Evaluating New Practice Approaches

One of the exciting aspects of participating in the health care field is the discovery of new techniques, treatments, and technologies that improve the quality of care and improve health outcomes. As someone engaged in advanced nursing practice, you have the opportunity to search for new solutions to issues in your specialty area. What tools can you use to guide the discovery process? What needs to be considered as you determine new practice approaches to address issues in health care? This week, you consider new ways to address the EBP Project issue you identified in Week 2 see attached file).

To prepare:

  • Reflect on your analysis of the evidence base that addresses your selected issue from the EBP Project (identified during      Week 2 [see attached file]).
  • Using methods articulated in the Learning Resources, formulate new evidence-based practice strategies to address the issue and improve health care quality.
  • What are the theoretical bases for your proposed strategies?
  • What might be the economic impact of implementing your proposed strategies?

By tomorrow  Wednesday day 10/03/18 10:00 am, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Briefly summarize your selected issue (see my PIICOT question below & attached file) and propose new evidence-based practice strategies. Describe the theoretical basis for your strategies.

2) Discuss the potential economic impact of your suggested strategies.

3) How could the new practice strategies improve health care quality?

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter 6, “Translation of Evidence for Leadership”

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485. 

Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.

Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.

Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.

Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.

Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226. 

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Due tomorrow 10/03/18 by 10:00 am. Thanks!

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July 1, 2023
    

  

Artificial Intelligence

Exercise 1 : 

Which of the following are correct?

a. False |= True.

b. True |= False.

c. (A ∧ B) |= (A ⇔ B).

d. A ⇔ B |= A ∨ B.

e. A ⇔ B |= ¬A ∨ B.

f. (A ∧ B) ⇒ C |= (A ⇒ C) ∨ (B ⇒ C).

g. (C ∨ (¬A ∧ ¬B)) ≡ ((A ⇒ C) ∧ (B ⇒ C)).

h. (A ∨ B) ∧ (¬C ∨ ¬D ∨ E) |= (A ∨ B).

i. (A ∨ B) ∧ (¬C ∨ ¬D ∨ E) |= (A ∨ B) ∧ (¬D ∨ E).

j. (A ∨ B) ∧ ¬(A ⇒ B) is satisfiable.

k. (A ⇔ B) ∧ (¬A ∨ B) is satisfiable.

l. (A ⇔ B) ⇔ C has the same number of models as (A ⇔ B) for any fixed set of proposition symbols that includes A, B, C.

Exercise 2 : 

You have a number of trucks with which to deliver a set of packages. Each package starts at some location on a grid map, and has a destination somewhere else. Each truck is directly controlled by moving forward and turning. Construct a hierarchy of high-level actions for this problem. What knowledge about the solution does your hierarchy encode?

Exercise 3 : 25 Points

In your local nuclear power station, there is an alarm that senses when a temperature gauge exceeds a given threshold. The gauge measures the temperature of the core. Consider the Boolean variables A (alarm sounds), FA (alarm is faulty), and FG (gauge is faulty) and the multivalued nodes G (gauge reading) and T (actual core temperature).

a. Draw a Bayesian network for this domain, given that the gauge is more likely to fail when the core temperature gets too high.

b. Is your network a polytree? Why or why not?

c. Suppose there are just two possible actual and measured temperatures, normal and high; the probability that the gauge gives the correct temperature is x when it is working, but y when it is faulty. Give the conditional probability table associated with G.

d. Suppose the alarm works correctly unless it is faulty, in which case it never sounds. Give the conditional probability table associated with A.

e. Suppose the alarm and gauge are working and the alarm sounds. Calculate an expression for the probability that the temperature of the core is too high, in terms of the various conditional probabilities in the network.

default image
July 1, 2023
    

  

Artificial Intelligence

Exercise 1 : 

Which of the following are correct?

a. False |= True.

b. True |= False.

c. (A ∧ B) |= (A ⇔ B).

d. A ⇔ B |= A ∨ B.

e. A ⇔ B |= ¬A ∨ B.

f. (A ∧ B) ⇒ C |= (A ⇒ C) ∨ (B ⇒ C).

g. (C ∨ (¬A ∧ ¬B)) ≡ ((A ⇒ C) ∧ (B ⇒ C)).

h. (A ∨ B) ∧ (¬C ∨ ¬D ∨ E) |= (A ∨ B).

i. (A ∨ B) ∧ (¬C ∨ ¬D ∨ E) |= (A ∨ B) ∧ (¬D ∨ E).

j. (A ∨ B) ∧ ¬(A ⇒ B) is satisfiable.

k. (A ⇔ B) ∧ (¬A ∨ B) is satisfiable.

l. (A ⇔ B) ⇔ C has the same number of models as (A ⇔ B) for any fixed set of proposition symbols that includes A, B, C.

Exercise 2 : 

You have a number of trucks with which to deliver a set of packages. Each package starts at some location on a grid map, and has a destination somewhere else. Each truck is directly controlled by moving forward and turning. Construct a hierarchy of high-level actions for this problem. What knowledge about the solution does your hierarchy encode?

Exercise 3 : 25 Points

In your local nuclear power station, there is an alarm that senses when a temperature gauge exceeds a given threshold. The gauge measures the temperature of the core. Consider the Boolean variables A (alarm sounds), FA (alarm is faulty), and FG (gauge is faulty) and the multivalued nodes G (gauge reading) and T (actual core temperature).

a. Draw a Bayesian network for this domain, given that the gauge is more likely to fail when the core temperature gets too high.

b. Is your network a polytree? Why or why not?

c. Suppose there are just two possible actual and measured temperatures, normal and high; the probability that the gauge gives the correct temperature is x when it is working, but y when it is faulty. Give the conditional probability table associated with G.

d. Suppose the alarm works correctly unless it is faulty, in which case it never sounds. Give the conditional probability table associated with A.

e. Suppose the alarm and gauge are working and the alarm sounds. Calculate an expression for the probability that the temperature of the core is too high, in terms of the various conditional probabilities in the network.

default image
July 1, 2023
    

  

Artificial Intelligence

Exercise 1 : 

Which of the following are correct?

a. False |= True.

b. True |= False.

c. (A ∧ B) |= (A ⇔ B).

d. A ⇔ B |= A ∨ B.

e. A ⇔ B |= ¬A ∨ B.

f. (A ∧ B) ⇒ C |= (A ⇒ C) ∨ (B ⇒ C).

g. (C ∨ (¬A ∧ ¬B)) ≡ ((A ⇒ C) ∧ (B ⇒ C)).

h. (A ∨ B) ∧ (¬C ∨ ¬D ∨ E) |= (A ∨ B).

i. (A ∨ B) ∧ (¬C ∨ ¬D ∨ E) |= (A ∨ B) ∧ (¬D ∨ E).

j. (A ∨ B) ∧ ¬(A ⇒ B) is satisfiable.

k. (A ⇔ B) ∧ (¬A ∨ B) is satisfiable.

l. (A ⇔ B) ⇔ C has the same number of models as (A ⇔ B) for any fixed set of proposition symbols that includes A, B, C.

Exercise 2 : 

You have a number of trucks with which to deliver a set of packages. Each package starts at some location on a grid map, and has a destination somewhere else. Each truck is directly controlled by moving forward and turning. Construct a hierarchy of high-level actions for this problem. What knowledge about the solution does your hierarchy encode?

Exercise 3 : 25 Points

In your local nuclear power station, there is an alarm that senses when a temperature gauge exceeds a given threshold. The gauge measures the temperature of the core. Consider the Boolean variables A (alarm sounds), FA (alarm is faulty), and FG (gauge is faulty) and the multivalued nodes G (gauge reading) and T (actual core temperature).

a. Draw a Bayesian network for this domain, given that the gauge is more likely to fail when the core temperature gets too high.

b. Is your network a polytree? Why or why not?

c. Suppose there are just two possible actual and measured temperatures, normal and high; the probability that the gauge gives the correct temperature is x when it is working, but y when it is faulty. Give the conditional probability table associated with G.

d. Suppose the alarm works correctly unless it is faulty, in which case it never sounds. Give the conditional probability table associated with A.

e. Suppose the alarm and gauge are working and the alarm sounds. Calculate an expression for the probability that the temperature of the core is too high, in terms of the various conditional probabilities in the network.

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