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Essay Instructions: This needs to be a Literature Appraisal and Synthesis Paper.
Specifications are: 7-10 research articles pertinent to topic. Articles must be current between 2007-2011, APA format.
Expectation is to critically analyze the research and synthesize what the research is saying about the topic.
The topic is:
In pre-hypertensive adults, will health care provider monitored lifestyle modifications including providing patient education on self-management strategies alone reduce blood pressure.

The paper must include the following:
1. A brief background of the topic and its importance to your advanced nursing practice.
2. A review of the literature you have found.
3. A synopsis of your findings of the literature.
4. A conclusion and recommendation for changing practice.
5. references used in APA format.

All articles must constitute a systemic review of the literature, or a meta-synthesis, or individual studies...no informational articles that are not data-based!

Reference page is not counted in 5 page limit.

All material must be original and current. Paper will be submitted to a Plagiarize checker.
Customer is requesting that (FreelanceWriter) completes this order.

Customer is requesting that (FreelanceWriter) completes this order.

Customer is requesting that (FreelanceWriter) completes this order.

Customer is requesting that (FreelanceWriter) completes this order.

Customer is requesting that (FreelanceWriter) completes this order.

Essay Instructions: STUDY:
Muntner, P., Shimbo, D., Tonelli, M., Reynolds, K., Arnett, D., & Oparil, S. (2011, February). The relationship between visit-to-visit variability in systolic blood pressure and all-cause mortality in the general population: Findings from NHANES III, 1988 to 1994. Hypertension, 57(28), 160-166. doi:10.1161/HYPERTENSIONAHA.110.162255

Answer the following questions about the study
?How were measures of central tendency used in the study? Did the study use the most appropriate measure of central tendency for the given data? Why or why not?
?How were measures of variation used in the study? What conclusions can you draw based on the variation?
?Compare the measurements in the study with the standard normal distribution, what does this tell you about the data?
?Based on your review of the statistics in the study, do you agree with the study?s conclusions? Why or why not?

Summarize the study; include the key points and conclusions.

Essay Instructions: Dissertation of 10,000 words.
Although this piece of work is classed as a dissertation, it is actually an evidence-based practice project.

Title- Which Korotkoff Phase should be used as the endpoint for the measurement of diastolic blood pressure during pregnancy?

The aim is to retrieve and critically review literature applicable to the topic in order to answer the question; " Which Korotkoff phase should be used as the endpoint for the measurement of diastolic blood pressure during pregnancy".

Initially the writer should be looking at about 15 cited sources. These must be actual research studies, ideally randomised controlled trials or prospective studies published between 1984-2004.

Electronic databases that can be used are as follows;

1)Cochrane Database of Systematic Reviews.

2)CINAHL. Cummulative Index of Nursing and Allied Health.

3)MEDLINE. Medical Literature Analysis and Retrieval System Online.

The following key words can be used to search the databases:-
- Hypertension
- Pregnancy
- Pre-eclampsia
- Korotkoff Phases
- Sphygmomanometry
- Oscillometric
- Auscultatory
- Electronic/automated monitoring.

The next task is to reduce the initial number of sources to a manageable level for the word count e.g 6 studies should be used in the critcal review. Only studies published in English language are to be used and the trials to be on pregnant women.

The dissertation should include the following areas;
Each of the following must have its own section and heading.

Abstract 300-500 words.
Succinct summary of dissertation.

Introduction/Background 1000-2000 words.
Orientates the reader to the clinical area of enquiry: states origin of the study ( personal/professional influences ); why the area invites investigation i.e There is a lack of agreement among clinicians concerning the optimum blood pressure measurement device and inconsistencies in practice with regard to the method in which blood pressure is measured. The blood pressure measurement is an important clinical area because raised blood pressure in pregnancy may have relatively acute and potentially serious consequences. Therefore accurate measurements are essential.
The precise definition of the research question/hypothesis is presented clarifying the explicit link to the identified clinical area of enquiry.

Literature Selection and Identification 2000 words
Presents the literature search strategy and database, including search terms used, to illustrate depth and breadth of search.
Clarifies rationale for choice of criteria used to select and reject literature for critical appraisal. State how you came to the final number of papers to be used for critical analyis e.g. rejected 6 because they were editorial reports.

Critical Appraisal of selected Literature 4000 words
Purpose is to identify key papers relevant to the clinical question, which are critically appraised with stated criteria ( e.g including validity/reliability issues ).
Application of selected evidence to the research question/hypothesis. Background of studies- area( country ), type of study- ( randomised control trial etc. ).
Sample size- number of women- is it a good sample size? If not why not?

Conclusions/Implications 2000 words
Offers conclusions drawn from the presented argument based on selected evidence, together with recommendations for future practice, management, education and further research in the enquiry area. e.g training for staff using the same method & device.

A summary of the final articles used in the critical appraisal should be included in an appendix, in table form.


Is APA reference the same as Harvard except in Itallics instead of underlined?

Would like the fllowing features;

Table of Contents.
List of tables, Charts, Figures.
Abstract.
Statement of problem.
Rationale.
Data Collection.
Subject Population.
Literature Review.
Methodology.
Statistical Analysis.
Results.
Discussion.
Conclusion.
Recommendations.
Bibliography, References, Works Cited, Footnotes.
Appendix.

Essay Instructions: Refer to McGonigle and Mastrian Chapter 16: Nursing informatics: Improving workflow and meaningful use.

•Conduct a workflow analysis of a selected nursing activity (Temperature, Blood pressure, administration a dose of medication, e.g.)
•Describe the nursing activity and explain why it will be used for the workflow analysis.
•Prepare a workflow analysis that includes the steps in the decision making process.
•Use start and end points with decision points along the way. (Shapes icon can be found under Insert in Word or Excel)
•Use brief statement to describe the steps to be taken at each decision point.
•Write a paper describing the activity and diagram or develop a chart of the workflow analysis
•Describe the analysis and the value of this process.
•Consider the importance of Meaningful Use.
•Some creativity demonstrated.
•A rubric is available for this assignment.
•There must be at least three references.
There are faxes for this order.