Critical Appraisal of Practice Guidelines 

While there are several tools to critically appraise practice guidelines, the most comprehensively validated appraisal tool is the AGREE II Instrument. The AGREE II Instrument can be used by individual practitioners to critically appraise health guidelines and by decision makers to inform policy decisions. The purpose of the AGREE II Instrument is to provide a framework to:

1. Assess the quality of guidelines.

2. Provide a methodological strategy for the development of guidelines.

3. Inform what information and how the information ought to be reported in guidelines.

Overall assessment includes rating the overall quality of the guideline and whether the guideline would be recommended for use in practice.
 

Items are rated on a 7-point scale from 1 (Strongly Disagree) to 7 (Strongly Agree). A score of 1 is given when there is no information on that item or if it is poorly reported. A score of 7 is given if the quality of reporting is excellent and when full criteria have been met (Score explanations found in the AGREE II-GRS Instrument).
 

A quality score is calculated for each of the six domains, which are independently scored. Domain scores are calculated by summing up all the scores of the items in the domain and by scaling the total as a percentage of the maximum possible score for that specific domain.

For this assignment, you will choose a guideline and assess the overall quality and whether the guideline would be recommended for use in practice.

General Requirements:

Use the following information to ensure successful completion of this assignment:

· Download the AGREE II instrument. http://www.agreetrust.org/wp-content/uploads/2013/10/AGREE-II-Users-Manual-and-23-item-Instrument_2009_UPDATE_2013.pdf

· Doctoral learners are required to use APA style for their writing assignments. 

· This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.

Directions:

Perform the following tasks to complete this assignment:

1. Using the AGREE II instrument as your guide, create a table that discusses a practice guideline in which you might have questioned the recommendations. (Note: You may be able to copy and paste the instrument into a new Word document and complete the information.)

2. Each domain must have its own cell (similar to the one shown in the manual) and add domain scores and an overall guideline assessment. Be sure to include comments and additional considerations that influenced your rating decision and cite any sources used.

 

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Exercise 2-2 Using a Web browser and a search engine, search the terms “CitiBank backup tapes lost.” You will find many results. Select one article and identify what that article considers a short-coming in CitiBank’s planning. What part of the contingency planning process came up short (IR, BP, or CP)? How could the shortcoming have been prevented?

Exercise 3-1 This chapter’s opening scenario illustrates a specific type of incident/disaster. Using a Web browser, search for information related to preparing an organization against terrorist attacks. Look up information on (a) anthrax or another biological attack (like smallpox), (b) sarin or another toxic gas, (c) low-level radiological contamination attacks. 

REAL-WORLD EXERCISES 

Exercise 3-2 Using a Web browser, search for available commercial applications that use various forms of RAID technologies, such as RAID 0 through RAID S. What is the most common implemen-tation? What is the most expensive?

Real-World Exercises 1. Using a Web browser, identify at least five sources you would want to use when training a CSIRT. 

2. Using a Web browser, visit www.mitre.org. What information is provided there, and how would it be useful? 

3. Using a Web browser, visit www.securityfocus.com. What is Bugtraq, and how would it be useful? What additional information is provided under the Vulnerabilities tab?

4. Using a Web browser, visit www.cert.org. What information is provided there, and how would it be useful? What additional information is provided at www.cert.org/csirts/? 

5.3. Using a Web browser, visit the site www.honeynet.org. What is this Web site, and what does it offer the information security professional? Visit the “Know your Enemy” white-paper series and select a paper based on the recommendation of your professor. Read it and prepare a short overview for your class.

REAL-WORLD EXERCISES 

2. Using a Web browser, search for “incident response template.” Look through the first five results and choose one for further investigation. Take a look at it and determine if you think it would be useful to an organization creating a CSIRT. Why or why not? 

1. Using a Web browser, perform some research on a newer malware variant that has been reported by a major malware containment vendor. Using a search engine, go to the vendor’s Web site; this could be Symantec, McAfee, or any of their competitors. Visit one malware prevention software vendor. Search for the newest malware variants and pick one. Note its name and try to understand how it works. Now look for information about that same malware from at least one other vendor. Were you able to see this malware at both vendors? If so, are there any differences in how they are reported between the two vendors? 

 

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For each day that you volunteer, create a new journal entry in which the first line is the day, date, and time period that you worked that day. Please put this information in bold font. Write a paragraph that describes the type of duties you carried out that day (what you did, who else was there, whether you were a part of a team or were working alone, etc.). Once each week, focus on one particular event or aspect of your work that week and describe why you found this particular task or event to be unusual or of special interest. In a 250-300-word entry, relate this aspect of your volunteer experience to some specific knowledge that you have previously gained in your coursework to this point.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

 

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Please use the patient information provided below for this paper.

This assignment assesses intended course outcome(s)

#4 Use information found in patients’ health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient’s individual health promotion and disease prevention needs 

Students will use the information found in Tina’s history, physical exam, and problem list to formulate an individualized health promotion and disease prevention plan of care. Recommendations should be evidence-based and from credible sources. The readings in module eight contains some suggested sources for obtaining health and screening recommendations for your patient. 

The plan for addressing the health promotion and disease prevention needs for your patient should include:

Demographics:

–          Age, gender and race of patient

–          Education level (health literacy)

–           Access to health care

Insurance/Financial status

–          Is the patient able to afford medications and health diet, and other out-of-pocket expenses?

Screening/Risk Assessment

–          Identified health concerns based on screening assessments and demographic information

Nutrition/Activity

–          What is the patients activity level, is the environment where the patient lives safe for activity

–          Nutrition recommendations based on age, race gender and pre-existing medical conditions

–          Activity recommendations

Social Support

–          Support systems, family members, community resources

Health Maintenance

–          Recommended health screening based on age, race, gender and pre-existing medical conditions

Patient Education:

–          Identified knowledge deficit areas/patient education needs (medication teaching etc).

–          Self-care needs/ Activities of daily living

* The paper should be written and referenced in APA format and be no longer than 4 pages (excluding cover page and references).

Your paper will be evaluated based on the following criteria:

 

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1. Post a link or insert an image that could be considered an artifact (text) from a social movement or group that could be used for analysis. You may post more than one artifact here. See the assignment sheet for examples of artifact ideas.
2. Reflect on the artifact you’ve chosen. In a brief paragraph, or short numbered responses tell us the following:
   1. What is the purpose of this artifact?
   2. Who is the audience for this artifact?
   3. What genre or medium is your artifact?
   4. How does social media play a role, if any, in this artifact?
   5. What is the authors stance?
   6. What is your stance?
   7. Why did you chose this artifact?

 

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