Question 1 - Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.1 – cara harrisPub Med encompasses millions of published articles that are relevant to the nursing field. Many of the articles are research articles that discuss research funded by National Institutes of Health (NIH). (GCU,2017)This has been a very useful resource throughout my studies with Grand Canyon University( GCU) . GCU alco lists in the library database the Cochrane Library. This library includes 7 databases important to systematic reviews in Healthcare. It also contains controlled trials, methodology, decision-making, collaboration. This information is listed in the GCU Library.(GCU, 2017) Using these databases and libraries are better the google or internet searches because you know you are accessing a reliable source that is clearly defined, formatted, with all references and citations available. It is also easy to see associated articles for the topic.ReferenceGrand Canyon University. (2017). http://library.gcu.edu/Database/Subject?subject=Nu...2 – Jocelyn PerezTwo GCU Library scholarly databases will help me find the best research articles to support my capstone project change proposal, include using PubMed and Gale One File Nursing and Allied Health. PubMed is by far the best database that I have used throughout this program. I have found the most relevant information on this database. PubMed is a free database of more than 30 million citations for published articles in the fields of biomedicine and health. The second database is Gale One File Nursing and Allied Health. This database has over 10 million articles. This collection provides nursing students and other health care professionals with current and authoritative content (Grand Canyon University, 2021). These two databases are Google Scholar or a general internet search because they provide strong, evidence-based research that is peer-reviewed and relevant to the course's objectives.Reference: Grand Canyon University. (2021). Find Journal Articles. GCU. https://libguides.gcu.edu/az.php?s=66982Reply | Quote & Reply 3 – Rebecca illnickyGCU library has a wealth of information. You can formulate your search to look for specific information and narrow it down by date, publication types and peer reviewed. It can sometime be difficult to find exactly what you looking for with such a large library of information but GCU library web page states if you have looked for over 20min its time to contact them for assistance with your search. The available content ranges for full text scholarly journal articles to the most update textbooks from reputable publishers and resource sites. Students should find the available content GCU offers sufficient for research projects and assignments.4 – tamara guitterezProQuest database along with EBSCO are two scholarly databases that will help me with research articles throughout my capstone project to explore resources related to health care as well as mental health attributes. GCU Library has a variety of databases to offer assistance. These produce easy access information in regards to the many different studies throughout this educational experience. My current school district utilizes the ProQuest database for research and documentation. These scholarly searches are peer reviewed when needed to gather evidence-based practices. The platform for either is easily accessible with exact data rather than general information found in the general internet searches. These GCU Library databases offers reliable citations for your work. Using the GCU Library platform for your database information ensures reliable facts and help with searches 7 days a week.GCU Library. https://libguides.gcu.edu/az.phpQues 2 - The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.5 - Shannon bolin Evidence-based practice (EBP) integrates research-based information into patient care to provide the best quality care and patient outcomes possible (Wilson & Austria, 2019). When applying EBP to patient care, the healthcare provider uses knowledge gained through continue research and education to incorporate interventions and procedures that are aimed at improving the patient’s experiences. Nurses and other healthcare providers must continue to strive to remain up to date with every changing practice of medicine and apply evidence-based research into their practice. While research shows that EBP care is best for the safety and outcome of the patient, many health care providers still find it difficult to incorporate it into daily operation. In a study done, one barrier sited in the implementation of EBP is lack of resources (Alatawi et al., 2020). As an example of this type of barrier in preventing falls in the hospital, a nurse may find that the use of chair alarms no longer is best practice when a patient is sitting in a chair to alert staff they are moving. The nurse begins research new techniques and interventions that offer better safety and find that wireless set alarms are considered best practice, however, due to financial restraints this type of EBP intervention is not realistic for their unit. Another barrier that Alatai et al. identified was a lack of training or education on newly implemented items (Alatai et al., 2020). As an example of this type of barrier, a hospital system purchases a new type of hospital bed that is proven to reduce pressure ulcers and allow more variability for better positioning for the patients. After the hospital incorporated this new bed into use it only provided brief instruction on one unit and invited nurses to comes a specific time to learn this use of this bed in a minimal amount of time during their shift. As a result, the nursing staff did not feel adequately trained on the new bed system and were not able to utilize it to the fullest extent of its use and purpose. While EBP continues to be gold standard there will be barriers that prevent nursing staff from incorporating these into practice. It is however, the duty of the nursing profession to continue to advocate for itself the benefits the patient receive from improvement implementation of EBP into the patient setting.Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S. & Banakhar, M., (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science. Retrieved from http://www.nursingscience.net/article/152/10.11648...Wilson, B. & Austria, M-J., (2019). What is evidence-based practice? University of Utah Health. Retrieved from https://accelerate.uofuhealth.utah.edu/explore/wha...6 – mary oraoAccording to a study carried out by(Shayan et al.,2019) on barriers associated with Evidence-Based Practice Among Nurses in Low- and Middle-Income Countries,three of the main barriers were institutional-related,nurse-related and there was also interdisciplinary barriers.Limitation in availability of resources,access to information,inadequate staffing and lack of support from institutions contributed to institutional barriers from achieving this goal.Nurse-related barriers emerged from the perception that there were limitations in the scope of practice in the nursing profession and knowledge of EBP despite advanced education.Another significant contributor was the lack of consistency between nursing education and practice,poor team work and the negativity of the nursing profession brought about by the publics image(Shayan et al.,2019).Moving forward ,to adress these barriers,institutional should provide the necessary support needed for the implementation of these EBP practices by ensuring that there is availability of resources.Nurses should be empowered to practice within their educational boundaries and this can be enhanced though legislative advocacy.The transition between nursing education and practice should be seamless enable consistency.ReferencesShayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers Associated With Evidence-Based Practice Among Nurses in Low- and Middle-Income Countries: A Systematic Review. Worldviews on evidence-based nursing, 16(1), 12–20. https://doi.org/10.1111/wvn.12337

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.GENITALIA ASSESSMENTSubjective:CC: “I have bumps on my bottom that I want to have checked out.”HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.PMH: AsthmaMedications: Symbicort 160/4.5mcgAllergies: NKDAFH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERDSocial: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalGenital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labiaAbd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurneyDiagnostics: HSV specimen obtainedAssessment:ChancrePLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.To prepare: With regard to the SOAP note case study provided:Review this week’s Learning Resources, and consider the insights they provide about the case study.Consider what history would be necessary to collect from the patient in the case study.Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.To complete: Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature. Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or Why not?Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.